Premedication With Alprazolam and Midazolam for Upper Gastrointestinal Endoscopy

NCT ID: NCT03130842

Last Updated: 2017-04-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

136 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-09-17

Study Completion Date

2017-02-15

Brief Summary

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Diagnostic upper GI endoscopy can be uncomfortable and stressful for many patients. Various methods are available for sedation during this procedure. Because of some side effects related to intravenous administration of sedatives, oral administration of these drugs is under attention. Alprazolam is a benzodiazepine which is used mainly in treatment of anxiety. Intravenous midazolam is being used by some centers for sedation during endoscopy, but the oral form can also be used with probably same efficacy. Hence, investigators compare the efficacy/safety of oral midazolam and sublingual alprazolam as for sedation during this procedure. Investigators hypothesize that sublingual alprazolam is as effective as oral midazolam in reducing anxiety and pain/discomfort related to the procedure.

Detailed Description

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Conditions

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Diagnostic Esophagogastroduodenoscopy

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Sublingual alprazolam

Group Type ACTIVE_COMPARATOR

Sublingual alprazolam

Intervention Type DRUG

Patients receive one dose of oral formulation of alprazolam 0.5 mg for sublingual-administered at least 30 minutes before the procedure.

Oral midazolam

Group Type ACTIVE_COMPARATOR

Oral midazolam

Intervention Type DRUG

Patients receive one dose of intravenous formulation of alprazolam 7.5 mg for oral-administered (in syrup with apple juice) at least 30 minutes before the procedure.

Interventions

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Sublingual alprazolam

Patients receive one dose of oral formulation of alprazolam 0.5 mg for sublingual-administered at least 30 minutes before the procedure.

Intervention Type DRUG

Oral midazolam

Patients receive one dose of intravenous formulation of alprazolam 7.5 mg for oral-administered (in syrup with apple juice) at least 30 minutes before the procedure.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Referring for upper GI endoscopy
* Age 18 to 65 years
* First experience of upper GI endoscopy
* Class I or II of American Anesthesiology Association
* Willingness to participate

Exclusion Criteria

* Severe psychiatric, neurological, cardio-vascular, or renal disorders
* History of allergy or intolerance to benzodiazepines or lidocaine
* History of upper GI surgery
* Pregnancy or lactation
* GI anomalia during endoscopy
* Need for therapeutic procedures during endoscopy
* Active bleeding
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Isfahan University of Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Elham Tabesh

Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Vahid Sebghatolahi, MD

Role: STUDY_DIRECTOR

Isfahan University of Medical Sciences

Locations

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Department of Gastroenterology, Alzahra Hospital

Isfahan, , Iran

Site Status

Countries

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Iran

References

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Shavakhi A, Soleiman S, Gholamrezaei A, Khodadoostan M, Shavakhi S, Tahery A, Minakari M. Premedication with sublingual or oral alprazolam in adults undergoing diagnostic upper gastrointestinal endoscopy. Endoscopy. 2014 Aug;46(8):633-9. doi: 10.1055/s-0034-1377305. Epub 2014 Jun 30.

Reference Type BACKGROUND
PMID: 24977401 (View on PubMed)

Other Identifiers

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395569

Identifier Type: -

Identifier Source: org_study_id

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