Trial intelligence / Profile preview

Remimazolam vs Midazolam for Sedation in Wisdom Tooth Extraction

NCT05220462Phase 3

Key facts

Status
Recruiting
Start
Mar 2022
Primary completion
May 2024
Countries
1
Sponsor
Guy's and St Thomas' NHS Foundation Trust
Modality
Small Molecules
Conditions
Procedural sedation (PS)
01

Overview

Phase 3, randomised, triple-blind trial of remimazolam in Procedural sedation (PS) (2 arms), sponsored by Guy's and St Thomas' NHS Foundation Trust. Primary endpoint: Hopkins Verbal Learning Test Revised. Started Mar 2022; status: recruiting.

02

Design

2 arms
Study design
RandomizedTriple-blind
  • Remimazolam

    Remimazolam IV titration

  • Midazolam

    Midazolam IV titration (Standard of Care)

03

Who it enrols

Adults aged 18-59 scheduled for mandibular third molar removal under IV sedation, ASA grade I or II, English speakers. Excludes patients with surgical risk factors, benzodiazepine sensitivity, neurological deficits, difficult airway, hypersensitive gag reflex, BMI >34.9 or weight <50kg/>130kg, dental/needle phobia, high anxiety/depression scores, chronic benzo/opioid use, or history of substance abuse.

04

Endpoints

Primary

  • Hopkins Verbal Learning Test Revised

Secondary

  • Cognitive and Motor Testing

  • Digit Symbol Substitution Test

  • Balance Board

  • Multi-Operational Apparatus for Reaction Time

  • Time to Start of Procedure

  • Modified Observer's Assessment of Alertness/Sedation

  • Ready for Discharge

  • Dental Sedation Teachers Group Score

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