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Randomized Study of Propofol Versus Fentanyl and Midazolam in Pediatric Patients Requiring Mechanical Ventilation and Sedation Therapy
This study has been completed.
First Received: October 18, 1999   Last Updated: June 23, 2005   History of Changes
Sponsors and Collaborators: FDA Office of Orphan Products Development
Case Western Reserve University
Information provided by: FDA Office of Orphan Products Development
ClinicalTrials.gov Identifier: NCT00004424
  Purpose

OBJECTIVES:

I. Assess the degree of amnesia afforded by study sedatives relative to the patient's intensive care unit experiences.

II. Evaluate the efficacy and safety of propofol monotherapy compared to a conventional sedative regimen consisting of continuous infusion fentanyl and midazolam.

III. Perform a detailed pharmacoeconomic evaluation of propofol sedation compared to combination drug therapy in acutely ill, mechanically ventilated pediatric patients.


Condition Intervention
Respiration Disorders
Drug: fentanyl
Drug: Midazolam
Drug: propofol

Drug Information available for: Midazolam Midazolam maleate Midazolam hydrochloride Fentanyl Fentanyl Citrate Propofol
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double-Blind

Further study details as provided by FDA Office of Orphan Products Development:

Estimated Enrollment: 120
Study Start Date: July 1996
Estimated Study Completion Date: March 2000
Detailed Description:

PROTOCOL OUTLINE:

This is a randomized, double blind study.

Patients are randomized to receive either a continuous infusion of propofol or a continuous infusion combination of fentanyl and midazolam preceded by a loading dose. Sedative doses may be reduced if necessary. Treatment is continued until sedation is no longer needed, any other sedative therapy is administered, or unacceptable toxicity is experienced.

Patients are assessed after extubation, just prior to hospital discharge, and then every 2 months for 6 months after hospital discharge.

  Eligibility

Ages Eligible for Study:   up to 18 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria
  • Patients admitted to the Rainbow Babies and Children's Hospital Pediatric Intensive Care Unit who require mechanical ventilation and sedation therapy
  • Mean COMFORT score must be greater than 26 after 3 consecutive scores are obtained at 2 minute intervals over 6 minutes
  • No other concurrent sedative therapy
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00004424

Sponsors and Collaborators
Case Western Reserve University
Investigators
Study Chair: Michael Deneal Reed Case Western Reserve University
  More Information

No publications provided

Study ID Numbers: 199/13353, CWRU-FDR000852
Study First Received: October 18, 1999
Last Updated: June 23, 2005
ClinicalTrials.gov Identifier: NCT00004424     History of Changes
Health Authority: United States: Federal Government

Keywords provided by FDA Office of Orphan Products Development:
disease-related problem/condition
oncologic disorders
pulmonary complications
rare disease
Respiration, Artificial

Study placed in the following topic categories:
Anesthetics, Intravenous
Neurotransmitter Agents
Fentanyl
Tranquilizing Agents
Respiration Disorders
Rare Diseases
Adjuvants, Immunologic
Psychotropic Drugs
Anesthetics
Central Nervous System Depressants
Narcotics
Midazolam
Respiratory Tract Diseases
Anesthetics, General
Hypnotics and Sedatives
Anti-Anxiety Agents
Peripheral Nervous System Agents
Analgesics
Propofol
Analgesics, Opioid

Additional relevant MeSH terms:
Fentanyl
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
GABA Modulators
Physiological Effects of Drugs
Psychotropic Drugs
Anesthetics
Respiratory Tract Diseases
Sensory System Agents
Therapeutic Uses
Hypnotics and Sedatives
Analgesics
Propofol
Analgesics, Opioid
Anesthetics, Intravenous
Tranquilizing Agents
Respiration Disorders
Central Nervous System Depressants
Narcotics
Midazolam
Pharmacologic Actions
Adjuvants, Anesthesia
Anesthetics, General
GABA Agents
Anti-Anxiety Agents
Peripheral Nervous System Agents
Central Nervous System Agents

ClinicalTrials.gov processed this record on May 07, 2009