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Age-Based Seizure Protocol for Pediatric Seizures (PediDOSE Trial)
Phase 3
Recruiting
Led By Manish I Shah, MD, MS
Research Sponsored by Stanford University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Be younger than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up between paramedic midazolam administration and hospital discharge, assessed up to 24 hours
Awards & highlights
Pivotal Trial
No Placebo-Only Group
Summary
This trial is designed to improve how paramedics treat seizures in children by making the midazolam dose age-based.
Who is the study for?
The PediDOSE trial is for children actively seizing when paramedics arrive, under their care, and transported by an EMS agency in the study. It excludes kids with known pregnancy, benzodiazepine allergy, or severe growth restriction as judged by the paramedic.
What is being tested?
PediDOSE tests if age-based doses of midazolam given via muscle injection or nasal spray are more effective than current calculation-based methods at stopping seizures before reaching the hospital. The study changes protocols across 20 cities to compare outcomes.
What are the potential side effects?
Potential side effects may include difficulty breathing if too much midazolam is administered. However, standardized doses used in this trial have been safely applied in other healthcare settings for children.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ between paramedic arrival on scene until 30 minutes after emergency department arrival
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~between paramedic arrival on scene until 30 minutes after emergency department arrival
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Seizing on emergency department arrival
Secondary study objectives
Respiratory failure
Time to first midazolam administration
Other study objectives
Depressed level of consciousness
Dose/route adherence
Life-threatening cardiac arrhythmia
+2 moreAwards & Highlights
Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
2Treatment groups
Experimental Treatment
Active Control
Group I: InterventionExperimental Treatment1 Intervention
This arm will be exposed to the study intervention: a standardized seizure protocol.
Group II: ControlActive Control1 Intervention
This arm will be exposed to the emergency medical services (EMS) agency's existing seizure protocol; this is the control arm
Find a Location
Who is running the clinical trial?
Stanford UniversityLead Sponsor
2,485 Previous Clinical Trials
17,511,333 Total Patients Enrolled
7 Trials studying Seizures
5,358 Patients Enrolled for Seizures
Baylor College of MedicineOTHER
1,026 Previous Clinical Trials
6,023,819 Total Patients Enrolled
3 Trials studying Seizures
777 Patients Enrolled for Seizures
National Institute of Neurological Disorders and Stroke (NINDS)NIH
1,382 Previous Clinical Trials
646,351 Total Patients Enrolled
38 Trials studying Seizures
9,533 Patients Enrolled for Seizures
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- You were brought to the study location by an ambulance service that is involved in the study.A paramedic saw you having a seizure, no matter how long it lasted or what type it was.Currently being treated by a paramedic.The paramedic believes that the person's growth is severely restricted.You have had an allergic reaction to benzodiazepine before.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.