Propofol vs. Midazolam With Propofol for Sedative Endoscopy in Patients With Previous Paradoxical Reaction to Midazolam

NCT ID: NCT04072328

Last Updated: 2020-12-29

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

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-10-19

Study Completion Date

2020-12-20

Brief Summary

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This study is to compare propofol vs. midazolam with propofol for sedative endoscopy in patients with previous paradoxical reaction to midazolam. Patients who meet eligibility criteria will randomly assigned to propofol group or midazolam with propofol group. Then they will receive a sedative endoscopy with close monitoring. The primary outcome is the prevalence of paradoxical response during endoscopy.

Detailed Description

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Conditions

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Sedation Endoscopy

Keywords

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Midazolam Propofol Sedation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Propofol alone

Participants who receive propofol alone during sedative endoscopy.

Group Type EXPERIMENTAL

Propofol

Intervention Type DRUG

Propofol will be given 0.5 mg/kg bolus initially, and can be administered additionally after a least 30 secs if necessary.

Midazolam with propofol

Participants who receive midazolam + propofol during sedative endoscopy.

Group Type ACTIVE_COMPARATOR

Propofol

Intervention Type DRUG

Propofol will be given 0.5 mg/kg bolus initially, and can be administered additionally after a least 30 secs if necessary.

Midazolam

Intervention Type DRUG

midazolam with propofol

Interventions

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Propofol

Propofol will be given 0.5 mg/kg bolus initially, and can be administered additionally after a least 30 secs if necessary.

Intervention Type DRUG

Midazolam

midazolam with propofol

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* History of midazolam-induced paradoxical response

Exclusion Criteria

* Failed to obtain informed consent
* Pregnant or breast feeding women
* A severe cardiopulmonary or vascular disease with symptoms
* Cognitive or mental impairment
Minimum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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DongGuk University

OTHER

Sponsor Role lead

Responsible Party

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Dong Kee Jang

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Dongguk University Ilsan Hospital

Goyang-si, Gyeonggi-do, South Korea

Site Status

Countries

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South Korea

References

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Lee TH, Lee CK, Park SH, Lee SH, Chung IK, Choi HJ, Cha SW, Moon JH, Cho YD, Hwangbo Y, Kim SJ. Balanced propofol sedation versus propofol monosedation in therapeutic pancreaticobiliary endoscopic procedures. Dig Dis Sci. 2012 Aug;57(8):2113-21. doi: 10.1007/s10620-012-2234-0. Epub 2012 May 22.

Reference Type BACKGROUND
PMID: 22615018 (View on PubMed)

Tae CH, Kang KJ, Min BH, Ahn JH, Kim S, Lee JH, Rhee PL, Kim JJ. Paradoxical reaction to midazolam in patients undergoing endoscopy under sedation: Incidence, risk factors and the effect of flumazenil. Dig Liver Dis. 2014 Aug;46(8):710-5. doi: 10.1016/j.dld.2014.04.007. Epub 2014 Jun 2.

Reference Type RESULT
PMID: 24893689 (View on PubMed)

Mancuso CE, Tanzi MG, Gabay M. Paradoxical reactions to benzodiazepines: literature review and treatment options. Pharmacotherapy. 2004 Sep;24(9):1177-85. doi: 10.1592/phco.24.13.1177.38089.

Reference Type RESULT
PMID: 15460178 (View on PubMed)

Other Identifiers

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2018-02-011

Identifier Type: -

Identifier Source: org_study_id