Clinical TrialID 6096

Treatment of Adolescent Antimuscarinic (Anticholinergic) Toxidrome

NCT03090620

Anticholinergics Toxicity

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Record Fields

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Clinical Trial Id
6096
Evidence Id
6096
Core Evidence Id
6096
Source Clinical Trial Id
6078
Herb2 Clinical Trial Id
HBCT006078
Nct Id
NCT03090620
Title
Treatment of Adolescent Antimuscarinic (Anticholinergic) Toxidrome
Status
Completed
Phase
Phase 4
Study Result
Yes
Study Condition
Anticholinergics Toxicity
Study Type
Interventional
Study Design
Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: QUADRUPLE (PARTICIPANT, CARE_PROVIDER, INVESTIGATOR, OUTCOMES_ASSESSOR)|Primary Purpose: TREATMENT
Intervention
DRUG: Physostigmine|DRUG: Lorazepam
Intervention Allocation
Randomized
Intervention Model
Parallel
Intervention Mask
Quadruple
Intervention Purpose
Treatment
Gender
All
Age
Child
Enrollment
19
Outcome Measure
Comparison of RASS Score Between Physostigmine and Lorazepam: Before Bolus, Determine the effectiveness of physostigmine as compared with lorazepam for control of antimuscarinic agitation. Richmond Agitation Sedation Scores (RASS) will be compared throughout treatment protocol. The Richmond Agitation-Sedation Scale (RASS) measures sedation and agitation. Possible scores range from -5 (unarousable) to 0 (alert \& calm) to +4 (combative). Scores closer to 0 indicate a better outcome for this measurement., Baseline, immediately before bolus|Comparison of RASS Score Between Physostigmine and Lorazepam: After Bolus, Determine the effectiveness of physostigmine as compared with lorazepam for control of antimuscarinic agitation. Richmond Agitation Sedation Scores (RASS) will be compared throughout treatment protocol. The Richmond Agitation-Sedation Scale (RASS) measures sedation and agitation. Possible scores range from -5 (unarousable) to 0 (alert \& calm) to +4 (combative). Scores closer to 0 indicate a better outcome for this measurement., Immediately after bolus, up to 10 minutes post-Baseline|Comparison of RASS Score Between Physostigmine and Lorazepam: 4 Hours, Determine the effectiveness of physostigmine as compared with lorazepam for control of antimuscarinic agitation. Richmond Agitation Sedation Scores (RASS) will be compared throughout treatment protocol. The Richmond Agitation-Sedation Scale (RASS) measures sedation and agitation. Possible scores range from -5 (unarousable) to 0 (alert \& calm) to +4 (combative). Scores closer to 0 indicate a better outcome for this measurement., 4 hours|Comparison of the Effectiveness in Control of Delirium Between Physostigmine and Lorazepam: Before Bolus, Determine the effectiveness of physostigmine as compared with lorazepam in the reversal of antimuscarinic delirium. Confusion Assessment Method for the ICU (CAM-ICU) scores will be evaluated throughout the study. This measurement is a dichotomous outcome ("yes" or "no" for presence of delirium is indicated rather than a score). The number of participants exhibiting delirium is reported., Baseline, immediately before bolus|Comparison of the Effectiveness in Control of Delirium Between Physostigmine and Lorazepam: After Bolus, Determine the effectiveness of physostigmine as compared with lorazepam in the reversal of antimuscarinic delirium. Confusion Assessment Method for the ICU (CAM-ICU) scores will be evaluated throughout the study. This measurement is a dichotomous outcome ("yes" or "no" for presence of delirium is indicated rather than a score). The number of participants exhibiting delirium is reported., Immediately after bolus, up to 10 minutes post-Baseline|Comparison of the Effectiveness in Control of Delirium Between Physostigmine and Lorazepam: 4 Hours, Determine the effectiveness of physostigmine as compared with lorazepam in the reversal of antimuscarinic delirium. Confusion Assessment Method for the ICU (CAM-ICU) scores will be evaluated throughout the study. This measurement is a dichotomous outcome ("yes" or "no" for presence of delirium is indicated rather than a score). The number of participants exhibiting delirium is reported., 4 hours
Sponsor Collaborator
University of Colorado, Denver|American Academy of Clinical Toxicology
Funded By
OTHER
Location
University of Colorado Anschutz Medical Campus, Children's Hospital Colorado, Aurora, Colorado, 80045, United States
Other Id
16-1730
Start Date
2017-03-30
Primary Completion Date
2020-07-31
Completion Date
2020-08-31
First Posted
2017-03-27
Results First Posted
2021-08-23
Last Update Posted
2021-08-23
Study Document
Study Protocol and Statistical Analysis Plan, https://cdn.clinicaltrials.gov/large-docs/20/NCT03090620/Prot_SAP_000.pdf
Study Url
https://clinicaltrials.gov/study/NCT03090620
Title Cn
Title En
Treatment of Adolescent Antimuscarinic (Anticholinergic) Toxidrome
Bilingual Status
semi_complete