Intranasal Lorazepam Versus Intramuscular Paraldehyde in Paediatric Convulsions
A Randomised Trial to Compare the Efficacy and Safety of Intranasal Lorazepam and Intramuscular Paraldehyde in the Treatment of Convulsions in Children
1 other identifier
interventional
156
1 country
1
Brief Summary
The purpose of this study is to evaluate intranasal lorazepam in paediatric status epilepticus. This is a potentially, more effective, safer and cheaper treatment for a common paediatric medical emergency compared to our present first line therapy intramuscular paraldehyde.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Jul 2004
Shorter than P25 for phase_3
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2004
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2005
CompletedFirst Submitted
Initial submission to the registry
June 26, 2005
CompletedFirst Posted
Study publicly available on registry
June 27, 2005
CompletedJuly 21, 2006
June 1, 2005
June 26, 2005
July 20, 2006
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
whether the presenting seizure stopped or not with a single dose of assigned anticonvulsant agent within 10 minutes of administration
Secondary Outcomes (5)
time from drug administration to cessation of convulsion
frequency of episodes requiring 2 or more anticonvulsant agents
continuous blood pressure and oxygen saturation for 30 minutes post drug administration
seizure recurrence within 24 hours of cessation of presenting convulsion
survival/death
Interventions
Eligibility Criteria
You may qualify if:
- Children aged between 2 months and 12 years
- Presenting with generalised convulsions
You may not qualify if:
- Any child who had received an anticonvulsant agent within 1 hour of presentation
- Seizure stopped with rapid cooling or treatment of hypoglycaemia
- Features consistent with organophosphate poisoning, hepatic or hypertensive encephalopathy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Paediatric Emergency Department, Queen Elizabeth Central Hospital
Blantyre, Malawi
Related Publications (1)
Ahmad S, Ellis JC, Kamwendo H, Molyneux E. Efficacy and safety of intranasal lorazepam versus intramuscular paraldehyde for protracted convulsions in children: an open randomised trial. Lancet. 2006 May 13;367(9522):1591-7. doi: 10.1016/S0140-6736(06)68696-0.
PMID: 16698412RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Elizabeth Molyneux, MRCPCH FFAEM
Kamuzu University of Health Sciences
- PRINCIPAL INVESTIGATOR
Shafique Ahmad, MRCPCH FFAEM
Kamuzu University of Health Sciences
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
June 26, 2005
First Posted
June 27, 2005
Study Start
July 1, 2004
Study Completion
June 1, 2005
Last Updated
July 21, 2006
Record last verified: 2005-06