Status:
COMPLETED
Study of Midazolam Hydrochloride Oromucosal Solution (MHOS/SHP615) in Pediatric Patients With Status Epilepticus (Convulsive) in the Community Setting
Lead Sponsor:
Shire
Collaborating Sponsors:
Takeda Development Center Americas, Inc.
Conditions:
Nervous System Diseases
Eligibility:
All Genders
6-216 years
Phase:
PHASE3
Brief Summary
The purpose of this study is to determine if the investigational treatment, MHOS/SHP615, is safe and effective in children with status epilepticus (SE) (convulsive) in the community setting. This stud...
Eligibility Criteria
Inclusion
- Subjects who completed the SHP615-301 study and who tolerated and responded to treatment with MHOS/SHP615 in the hospital and/or emergency room, and are considered stable for discharge from the hospital.
- Subjects who are greater than (\>) 6 months and less than (\<) 18 years of age at the time of investigational product administration. If the subject's exact age is not known, the subject should be excluded.
- Parent, guardian, or legally authorized representative of the child who provides informed consent and assent (when applicable) to participate in the study after initial stabilization of the subject with SE in hospital or emergency room during the SHP615-301 study. The subject also provides informed consent prior to participation, where applicable.
- Parent, guardian, or legally authorized representative who have received appropriate training/education and are deemed qualified by the investigator and are willing to:
- Properly administer MHOS/SHP615.
- Record seizure information and dosing of MHOS/SHP615 in a subject diary (including time of seizure onset, type of seizure, time necessary to administer MHOS/SHP615, time between MHOS/SHP615 administration to seizure cessation, etc.)
- Follow the necessary instructions to secure the safety of the subject.
- Subjects who experience generalized tonic-clonic SE with seizures accompanied by loss of consciousness with any of the following characteristics persistent at the time of study drug administration:
- Currently presenting with seizure (convulsive) activity and 3 or more convulsions within the preceding hour
- Currently presenting with seizure (convulsive) and 2 or more convulsions in succession without recovery of consciousness.
- Currently presenting with a single seizure (convulsive) persisting greater than or equal to (\>=) 5 minutes.
Exclusion
- Female subjects who are pregnant, suspected to be pregnant, or nursing.
- Subjects with major trauma, not necessarily restricted to the head, as the cause of the seizure.
- Subjects with known or suspected recurrent seizures due to illegal drug or alcohol withdrawal.
- Subjects with seizures due to illegal drug or acute alcoholic intoxication.
- Subjects with seizures of psychogenic origin.
- Subjects with seizures due to severe encephalitis or meningitis, as determined by the PI
- Subjects with known history of hypersensitivities, nonresponsiveness or contraindications to benzodiazepines (that is (ie), clinically significant respiratory depression, severe acute hepatic failure, myasthenia gravis, syndrome of sleep apnea, glaucoma with closed angle, or use of concomitant drugs determined by the investigator to have a contraindication to the use of benzodiazepines.)
- Subjects with a known history of benzodiazepine abuse.
- Subjects who have not responded to previous administrations of midazolam systemic therapies, including MIDAFRESA and/or DORMICUM.
- Subjects who need emergent surgical intervention and general anesthesia/intubation.
- Subjects who have been receiving human immunodeficiency virus (HIV) protease inhibitors or HIV reverse transcriptase inhibitors.
- Subjects with severe cerebral anoxia (except cerebral palsy), in the judgment of the healthcare provider.
- Have used an investigational product or been enrolled in a clinical study (including vaccine studies) that, in the investigator's opinion, may impact this Shire-sponsored study.
- Subject has prior placement of a vagus nerve stimulator.
Key Trial Info
Start Date :
April 23 2018
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
October 13 2020
Estimated Enrollment :
3 Patients enrolled
Trial Details
Trial ID
NCT03336450
Start Date
April 23 2018
End Date
October 13 2020
Last Update
September 14 2021
Active Locations (23)
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1
Yamanashi Prefectural Central Hospital
Kofu, Fujimi, Japan, 400-8506
2
Hokkaido University Hospital
Sapporo, Hokkaido, Japan, 060-8648
3
NHO Minami-Okayama Medical Center
Okayama, Okayama-ken, Japan, 701-0304
4
Tokyo Women's Medical University Yachiyo Medical Center
Yachiyo, Owada Shinden, Japan, 276-8524