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CompletedNCT06495372METODOUpdated Jun 12, 2026

Study of the Use of Methoxyflurane vs Placebo in the Management of Pain in Oral and Dental Emergencies in Adults: METODO (METhoxyflurane in ODOntology)

A Phase 3 interventional study of Experimenta group (standard of care + Methoxyflurane). and control group (standard of care + placebo). in Dental Pain and Sensation Disorder, sponsored by University Hospital, Brest. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-12.

Sponsored by University Hospital, Brest · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
190
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

With a chronic shortage of dentists in some regions, and an increase in life expectancy and living conditions, the number of patients admitted to oral health emergencies is on the rise. Pain is the main reason for consultation, and is particularly exacerbated in the orofacial sphere. Dental pain has several etiologies: infectious, inflammatory or traumatic accidents.Beyond the ethical aspects of acute pain management, pain relief is a real objective. Despite prioritization systems, patients can wait a long time in an unsettled environment, with tired and sometimes aggressive patients. Numerous recommendations exist to improve analgesia in emergency departments, but there are still difficulties in effectively and rapidly managing acute dental and orofacial pain. To meet this demand and facilitate the treatment process, an alternative solution using methoxyflurane (Penthrox®) could be considered. This product, mainly intended for emergency services, has been approved in Europe since 2016 for the "emergency relief of moderate to severe pain associated with trauma in conscious adult patients". Thus, it would be interesting to assess the value of methoxyflurane (Penthrox®) in the management of pain in oral emergencies as a wait-and-see solution.

02

Conditions studied

  • Dental Pain and Sensation Disorder
03

In context

Toothache

142 studies on the registry are indexed under Toothache; 28 are open to participants now.

This study's enrollment of 190 is above the median of 84 across 123 interventional studies indexed under Toothache.

Browse Toothache studies →

Lead sponsor

University Hospital, Brest is the lead sponsor of 601 studies on the registry; 136 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adult patient (> 18 years)
  • Conscious patient consulting an oral emergency department with pain assessed as moderate to severe NRS greater than or equal to 4
  • Patient has social security affiliation or who beneficiary of such social security
  • Patients who have given

Exclusion criteria

Exclusion Criteria:

  • Patients with a history of allergy to methoxyflurane or any of the components of Penthrox (take into account family history of severe allergic reactions)
  • Patients with a history of malignant hyperthermia (known or genetic predisposition)
  • Patients with hepatic impairment after use of methoxyflurane or halogenated hydrocarbon anesthesia
  • Patients with severe renal Failure
  • Patients with altered level of consciousness, whatever the cause: head trauma, drug or alcohol abuse
  • Patients with cardiovascular instability or respiratory depression
  • Pregnant or breast-feeding patients. Therefore, a urine pregnancy test will be performed for all patients of childbearing age eligible to participate in the study
  • Patients under legal protection (guardianship and curatorship) or deprived of liberty
  • Patients unable to speak or read French fluently, unable to understand the principle of a numerical scale, anxiety and satisfaction questionnaires, and unable to cooperate with tests
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

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

Study arms

  • Experimental
    Experimental group

    Drug: Experimenta group (standard of care + Methoxyflurane).

  • Placebo comparator
    control group

    Drug: control group (standard of care + placebo).

Interventions

  • DrugExperimenta group (standard of care + Methoxyflurane).

    standard of care + Methoxyflurane

  • Drugcontrol group (standard of care + placebo).

    standard of care + placebo

06

What researchers measure

Primary outcomes

  1. Pain assessed by a numerical rating scale at baseline and at T=15min post-treatment

    Pain at baseline and at T=15min post-treatment, measured using a numerical rating scale (NRS) graded from 0 to 10 (0 means no pain, 10 means maximum imaginable pain)

    Time frame: 15 minutes post-treatment

Secondary outcomes

  1. Pain intensity <4/10 (yes/no) at T=15min after treatment

    Time frame: 15 minutes post-treatment

  2. Pain assessed by a numerical rating scale at T=7min (immediate efficacy)

    Pain at T=7 min post-treatment, measured using a numerical rating scale (NRS) graded from 0 to 10 (0 means no pain, 10 means maximum imaginable pain)

    Time frame: 7 minutes post-treatment

  3. Pain assessed by a numerical rating scale at T=40 minutes after treatment and just prior to treatment by the practitioner (persistence of efficacy)

    Pain at T=40 min post-treatment, measured using a numerical rating scale (NRS) graded from 0 to 10 (0 means no pain, 10 means maximum imaginable pain)

    Time frame: 40 minutes post-treatment

  4. Assessment of Anxiety

    Anxiety, measured at inclusion and just before chairside treatment using a translated and adapted anxiety questionnaire (MDAS: modified dental anxiety scale) Total score is a sum of all five items, range 5 to 25: 5 means not anxious, 25 means extremely anxious

    Time frame: Just before chairside treatment

  5. Measuring the amount of local anesthetic used during treatment

    Time frame: 1 day

  6. Post-care satisfaction questionnaire

    Answers to 4 questions on overall satisfaction of the care, ranging from very dissatisfied to very satisfied

    Time frame: End of the study (up to 1 day)

  7. Pain assessed by a numerical rating scale at T=15min according to analgesic associated with methoxyflurane

    Pain at T=15 min post-treatment, measured using a numerical rating scale (NRS) graded from 0 to 10 (0 means no pain, 10 means maximum imaginable pain)

    Time frame: 15 minutes post-treatment

  8. Pain assessed by a numerical rating scale at T=15min according to type of emergency

    Pain at T=15 min post-treatment, measured using a numerical rating scale (NRS) graded from 0 to 10 (0 means no pain, 10 means maximum imaginable pain)

    Time frame: 15 minutes post-treatment

07

Study locations

1 site
  • CHU Brest
    Brest, 29200, France
08

References and documents

Individual participant data

Plan to share: Yes — All collected data that underlie results in a publication

Supporting information: Study protocol

Time frame: Data will be available beginning five years and ending fifteen years following the final study report completion.

Access criteria: Data access requests will be reviewed by the internal committee of Brest UH. Requestors will be required to sign and complete a data access agreement

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Oct 2024 to primary completion in Oct 2025, 11 months.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 15, 2023
First posted
Jul 10, 2024
StartActual
Oct 14, 2024
Primary completionActual
Oct 3, 2025
CompletionActual
Oct 3, 2025
Last update
Jun 12, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 12, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06495372
Responsible party
Sponsor
First posted
Jul 10, 2024
Start date
Oct 14, 2024
Primary completion
Oct 3, 2025
Completion
Oct 3, 2025
Last update
Jun 12, 2026

Oversight

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

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