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CompletedNCT03725995INMUpdated Nov 5, 2018

Using Intranasal Midazolam (INM) and Lidocaine for Uncooperative Children

A Phase 2/3 interventional study of Midazolam and Lidocaine-Midazolam in Burning Nose, sponsored by Tishreen University. Completed at 1 site in Syrian Arab Republic. Open to participants aged 4 Years to 11 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-11-05.

Sponsored by Tishreen University · Phase 2/3, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 4 months after the study started (first participant enrolled Jun 2017, registered Oct 2018).
Phase
Phase 2/3
Study type
Interventional
Enrollment
63
Allocation
Randomized
Ages
4 Years to 11 Years
Sex
All
01

Study summary

Aims: The objective of the current study was to evaluate the effectiveness of topical lidocaine in relieving pain related to INM administration.

Design: This was a blinded, randomized placebo-controlled trial. Sixty-three uncooperative children, aged 4 - 11.

Read the detailed description

Background and Aims: The use of intranasal midazolam (INM) has been commonly associated with a burning sensation of the nasal mucosa. However, despite its significance, this subject has received little adequate research focus. The objective of the current study was to evaluate the effectiveness of topical lidocaine in relieving pain related to INM administration.

Design: This was a blinded, randomized placebo-controlled trial. Sixty-three uncooperative children, aged 4 - 11, were randomly assigned to one of three groups to receive the drug nasally via a pre-calibrated spray as per the following assignments:

A: received 0.5 mg/kg midazolam, B: received lidocaine 2% prior to 0.5 mg/kg midazolam.

C: received saline 9% (placebo), 0.5mg/kg. Children were asked to record the degree of pain using Wong-Baker-Faces- (WBFS) Scale.

02

Conditions studied

  • Burning Nose

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Keywords

  • midazolam
  • Lidocaine
  • Intranasal
  • Burning
  • Children
03

In context

Burns

719 studies on the registry are indexed under Burns; 145 are open to participants now.

This study's enrollment of 63 is above the median of 40 across 524 interventional studies indexed under Burns.

Browse Burns studies →

Lead sponsor

Tishreen University is the lead sponsor of 15 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
4 Years to 11 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • uncooperative children scored 1 or 2 on Frankle Scale.
  • had no medical history of neurological or cognitive alterations.
  • No facial deformities.
  • ASA Classification I.
  • requiring dental treatment under local anesthesia.

Exclusion criteria

Exclusion Criteria:

  • known allergy to midazolam or any other benzodiazepines.
  • upper respiratory tract infection with nasal discharge.
05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
63 participants (actual)

Study arms

  • Active comparator
    A (Midazolam)

    21 children received 0.5 mg/kg intranasal medication (midazolam), with a maximum dose of 10 mg, via a spray of 0.2 ml per puff, administering the drug was alternated between the two nostrils of the child.

    Drug: Midazolam

  • Experimental
    B (Lidocaine-Midazolam)

    21 children received a puff of lidocaine 2% in each nostril, after 60 seconds, they received 0.5 mg/kg intranasal medication (midazolam),administering the drug was alternated between the two nostrils of the child, with a maximum dose of 10 mg via a spray of 0.2 ml per puff.

    Drug: Lidocaine-Midazolam

  • Placebo comparator
    C (Placebo)

    21 children received intranasal medication (saline 9% as placebo), 0.5 mg/kg, with a maximum dose of 10 mg via a spray of 0.2 ml per puff,administering the drug was alternated between the two nostrils of the child.

    Drug: Placebo

Interventions

  • DrugMidazolam

    Patients received 0.5 mg/kg midazolam, with a maximum dose of 10 mg, Immediately following the administration, the child was asked to record the score of pain on the self reporting pain scale, WBFS.

    Also known as: A

  • DrugLidocaine-Midazolam

    Patients received a puff of lidocaine 2% in each nostril, after 60 seconds, they received 0.5 mg/kg midazolam, with a maximum dose of 10 mg. , Immediately following the administration, the child was asked to record the score of pain on the self reporting pain scale, WBFS.

    Also known as: B

  • DrugPlacebo

    Patients received saline 9% (placebo), 0.5 mg/kg, with a maximum dose of 10 mg, Immediately following the administration, the child was asked to record the score of pain on the self reporting pain scale, WBFS.

    Also known as: C

06

What researchers measure

Primary outcomes

  1. Changes in Pain Scores on the Wong Baker Faces Scale for pain assessment when administering midazolam alone, saline or midazolam premidicated with lidocaine .

    The use of intranasal midazolam is associated with a burning sensation of the nasal mucosa, the pain was assessed using a self report pain scale Wong Baker Faces Scale, the degree of pain is determined by choosing a score of (0-2-4-6-8-10) (minimum score 0, means no pain, maximum score 10, means the drug hurts worst, higher scores are worse) the scores were reported by children received intranasal midazolam alone, intranasal midazolam preceded by intranasal lidocaine or intranasal saline (placebo).

    Time frame: one to five minutes following the administration.

07

Study locations

1 site
  • Tishreen University
    Latakia, Syrian Arab Republic
08

References and documents

Publications

  • Smith D, Cheek H, Denson B, Pruitt CM. Lidocaine Pretreatment Reduces the Discomfort of Intranasal Midazolam Administration: A Randomized, Double-blind, Placebo-controlled Trial. Acad Emerg Med. 2017 Feb;24(2):161-167. doi: 10.1111/acem.13115. Epub 2017 Jan 30. PubMed 27739142 ↗

Individual participant data

Plan to share: Undecided — up to date, there is no decision about IPD sharing.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 5, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03725995
Lead sponsor
Tishreen University
Responsible party
Nabih Raslan (Principal Investigator, Tishreen University) — Principal investigator
First posted
Oct 31, 2018
Start date
Jun 1, 2017
Primary completion
Jan 1, 2018
Completion
Oct 10, 2018
Last update
Nov 5, 2018

Study contacts

Nabih Raslan, Dr.
study chair · Tishreen University
Walaa Khalil, Dr.
principal investigator · Tishreen University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Nov 2018. You cannot join it, but the record below documents what was studied.

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