UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000012777
Receipt number R000014926
Scientific Title The effects of midazolam and flumazenil on cerebral circulation
Date of disclosure of the study information 2014/01/07
Last modified on 2014/01/08 12:23:03

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Basic information

Public title

The effects of midazolam and flumazenil on cerebral circulation

Acronym

Midazolam, flumazenil and cerebral circulation

Scientific Title

The effects of midazolam and flumazenil on cerebral circulation

Scientific Title:Acronym

Midazolam, flumazenil and cerebral circulation

Region

Japan


Condition

Condition

healthy subjects

Classification by specialty

Anesthesiology Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

We investigate the effects of flumazenil administered after midazolam on cerebral circulation, to test our hypothesis that flumazenil antagonizes the alterations in cerebral circulation induced by midazolam.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Cerebral blood flow velocity, arterial blood pressure, sedation depth, and cerebral circulation.

Key secondary outcomes

Heart rate, respiratory condition, and autonomic circulatory regulation.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Healthy male subjects receives midazolam followed by flumazenil.
Midazolam is administered at an initial bolus dose of 0.5 mg, and an additional bolus dose of 0.5 mg is administered every 2 min after OAA/S assessment until an OAA/S score of 3 (responds only after name is called loudly and/or repeatedly) is reached. Since an adequate sedative effect is maintained for at least 30 min after midazolam administration, flumazenil is administered at an initial bolus dose of 0.2 mg 30 min after final administration of midazolam, and additional bolus doses of 0.1 mg are administered every 2 min until an OAA/S score of 5 (responds readily to name spoken in a normal tone) is reached.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

60 years-old >=

Gender

Male

Key inclusion criteria

Healthy male consented to participate in this study.

Key exclusion criteria

1) Not satisfy selection criteria noted above.
2) Volunteers having allergic factors to foods and/or drugs.

Target sample size

20


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Ken-ichi Iwasaki / Yojiro Ogawa

Organization

Nihon University School of Medicine

Division name

Division of Hygiene, Department of Social Medicine

Zip code


Address

30-1, Oyaguchi-Kamimachi, Itabashi-ku, Tokyo

TEL

03-3972-8111

Email

iwasaki.kenichi@nihon-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Yojiro Ogawa

Organization

Nihon University School of Medicine

Division name

Division of Hygiene, Department of Social Medicine

Zip code


Address

30-1, Oyaguchi-Kamimachi, Itabashi-ku, Tokyo

TEL

03-3972-8111

Homepage URL


Email

ogawa.yojiro@nihon-u.ac.jp


Sponsor or person

Institute

Division of Hygiene, Department of Social Medicine, Nihon University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Japan Society for the Promotion of Science

Organization

Division

Category of Funding Organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

日本大学医学部(Nihon University School of Medicine)


Other administrative information

Date of disclosure of the study information

2014 Year 01 Month 07 Day


Related information

URL releasing protocol


Publication of results

Partially published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

During midazolam sedation, BIS index, MAP, CBF velocity, and transfer function gain decreased significantly compared with baseline. After administration of flumazenil, BIS index and MAP returned to the same level as baseline. However, CBF velocity showed a further significant decrease compared with midazolam sedation, and the decreased transfer function gain persisted.
The present study suggest that despite complete antagonism of the sedative effects of midazolam, flumazenil dose not reverse the alterations in cerebral circulation induced by midazolam.

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2010 Year 10 Month 19 Day

Date of IRB


Anticipated trial start date

2011 Year 04 Month 01 Day

Last follow-up date

2013 Year 03 Month 31 Day

Date of closure to data entry

2013 Year 06 Month 21 Day

Date trial data considered complete

2013 Year 06 Month 21 Day

Date analysis concluded

2013 Year 08 Month 30 Day


Other

Other related information



Management information

Registered date

2014 Year 01 Month 07 Day

Last modified on

2014 Year 01 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000014926