NCT04105985

Brief Summary

The primary goal of the study is to compare the success rates of pulpal anesthesia (defined as ability to complete the intended dental procedure without the need for rescue anesthesia) between Kovanaze nasal mist and Articaine needle anesthesia.

Trial Health

15
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Timeline
Completed

Started Aug 2020

Shorter than P25 for phase_2

Status
withdrawn

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 24, 2019

Completed
2 days until next milestone

First Posted

Study publicly available on registry

September 26, 2019

Completed
10 months until next milestone

Study Start

First participant enrolled

August 1, 2020

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2021

Completed
Last Updated

June 25, 2020

Status Verified

June 1, 2020

Enrollment Period

1 year

First QC Date

September 24, 2019

Last Update Submit

June 22, 2020

Conditions

Keywords

Necrotic teeth, root canals

Outcome Measures

Primary Outcomes (1)

  • Success rate of pupal anesthesia

    % dental procedures completed without the need for rescue anesthesia

    immediately after dental procedure, an average of 3 hours

Secondary Outcomes (7)

  • Spread of anesthesia

    immediately after dental procedure, an average of 3 hours

  • Change in Anxiety level

    from baseline to immediately after dental procedure

  • Change in Blood pressure

    from baseline to immediately after dental procedure

  • Change in heart rate

    from baseline to immediately after dental procedure

  • Change in pain

    from baseline to immediately after dental procedure

  • +2 more secondary outcomes

Study Arms (2)

Kovanaze Nasal Spray (endodontics)

EXPERIMENTAL

Adults (\>18 years) who require non-surgical root canal treatment in maxillary anterior teeth

Drug: Kovanaze Nasal Spray

Articaine Injections (endodontics)

ACTIVE COMPARATOR

Adults (\>18 years) who require non-surgical root canal treatment in maxillary anterior teeth

Drug: Articaine Injection

Interventions

Intra-nasal local anesthetic

Also known as: Tetracaine HCl, Oxymetazoline HCl, NDC # 69803-100-10
Kovanaze Nasal Spray (endodontics)

Local anesthetic

Also known as: Septocaine
Articaine Injections (endodontics)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • American Society of Anesthesiologists Class I or II
  • Preoperative heart rate of 55 to 100 beats per minute
  • Maximum blood pressure reading of 166/100 mmHg
  • Treatment for a pathology in the maxillary anterior tooth or premolar that requires administering local anesthesia
  • Adults (\>18 years) who require non-surgical root canal treatment in maxillary anterior teeth

You may not qualify if:

  • Inadequately controlled thyroid disease
  • Five or more nosebleeds in the past month
  • Known allergy to any study drug or para-aminobenzoic acid
  • History of methemoglobinemia
  • Taking monoamine oxidase inhibitors, tricyclic antidepressants (i.e. amitriptyline), or non-selective beta adrenergic antagonists (i.e. propranolol);
  • Taking oxymetazoline-containing products (i.e., Afrin) in the last 24 hours.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Dental CariesPeriapical Periodontitis

Interventions

TetracaineOxymetazolineCarticaine

Condition Hierarchy (Ancestors)

Tooth DemineralizationTooth DiseasesStomatognathic DiseasesPeriapical DiseasesJaw DiseasesPeriodontal DiseasesMouth DiseasesPeriodontitis

Intervention Hierarchy (Ancestors)

para-AminobenzoatesAminobenzoatesBenzoatesAcids, CarbocyclicCarboxylic AcidsOrganic ChemicalsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsImidazolesAzolesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsThiophenesSulfur Compounds

Study Officials

  • Parthasarathy Madurantakam, DDS, PhD

    Virginia Commonwealth University

    PRINCIPAL INVESTIGATOR
0

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 24, 2019

First Posted

September 26, 2019

Study Start

August 1, 2020

Primary Completion

August 1, 2021

Study Completion

August 1, 2021

Last Updated

June 25, 2020

Record last verified: 2020-06

Data Sharing

IPD Sharing
Will not share