Page last updated: 2024-12-06

carticaine

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Description

Carticaine is a local anesthetic that is structurally similar to lidocaine. It is a synthetic compound and has been investigated for its potential use in pain management, particularly for neuropathic pain. Carticaine is thought to exert its effects by blocking sodium channels, thereby preventing the transmission of pain signals. Research suggests that carticaine may be more effective than lidocaine in treating certain types of neuropathic pain. Its potential for improved efficacy and fewer side effects compared to traditional local anesthetics makes it a promising candidate for further research and development.'

Carticaine: A thiophene-containing local anesthetic pharmacologically similar to MEPIVACAINE. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

Cross-References

ID SourceID
PubMed CID32170
CHEMBL ID1093
CHEBI ID91834
SCHEMBL ID26715
MeSH IDM0003566

Synonyms (67)

Synonym
CHEMBL1093
STL290419
BB 0261164
BRD-A70514680-003-03-9
PRESTWICK2_001032
BSPBIO_001243
NCGC00179248-01
D07468
articaine (inn)
23964-58-1
BPBIO1_001368
PRESTWICK3_001032
AB00514635
carticaine
hoe 045
septocaine
4-methyl-3-(2-(propylamino)propionamido)-2-thiophenecarboxylic acid, methyl ester
articaine [inn:ban]
methyl (4-methyl-3-(2-(propylamino)propionamido)-2-thiophencarboxylat)
articaina [inn-spanish]
articainum [inn-latin]
articaine
SPBIO_003094
PRESTWICK0_001032
PRESTWICK1_001032
methyl 4-methyl-3-[2-(propylamino)propanoylamino]thiophene-2-carboxylate
2-thiophenecarboxylic acid, 4-methyl-3-((1-oxo-2-(propylamino)propyl)amino)-, methyl ester
AKOS005287449
articainum
unii-d3sq406g9x
d3sq406g9x ,
articaina
FT-0602880
BBL023182
methyl 4-methyl-3-[(n-propylalanyl)amino]thiophene-2-carboxylate
articaine [vandf]
articaine [usp-rs]
articaine [who-dd]
methyl 4-methyl-3-(2-(propylamino)propionamido)-2-thiophenecarboxylate
carticaine [mi]
articaine [inn]
methyl 4-methyl-3-[(n-propylalanyl)amino]thiophene-2-carboxylate hydrochloride
SCHEMBL26715
DTXSID7048536
Q-200652
artemtherin
hoe-45
4-methyl-3-[2-(propylamino)propionamido]-2-thiophenecarboxylic acid, methyl ester
methyl 4-methyl-3-([2-(propylamino)propanoyl]amino)-2-thiophenecarboxylate #
QTGIAADRBBLJGA-UHFFFAOYSA-N
AC-27016
AB00514635_06
DB09009
mfcd00864454
CHEBI:91834
4-methyl-3-[[1-oxo-2-(propylamino)propyl]amino]-2-thiophenecarboxylic acid methyl ester
4-methyl-3-[[1-oxo-2-(propylamino)propyl]amino]-2-thiophenecarboxylic acid methyl ester; 4-methyl-3-[2-(propylamino)propionamido]-2-thiophenecarboxylic acid methyl ester (8ci); articaine; carticaine
methyl 4-methyl-3-(2-(propylamino)propanamido)thiophene-2-carboxylate
Q421297
methyl 4-methyl-3-[2-(propylamino)propanamido]thiophene-2-carboxylate
VS-07343
bdbm50225496
articainehydrochloride
HY-B0516A
CS-0009469
F88299
EN300-18562931

Research Excerpts

Overview

Carticaine is a local anesthetic widely used in operative dentistry. It is now entering other clinical fields.

ExcerptReferenceRelevance
"Carticaine is a local anesthetic widely used in operative dentistry."( Effect of carticaine on the sarcoplasmic reticulum Ca2+-adenosine triphosphatase. II. Cations dependence.
Alonso, GL; Bonazzola, P; Sánchez, GA; Takara, D; Toma, AF, 2005
)
1.45
"Carticaine is a local anesthetic of frequent use in dentistry which is now entering other clinical fields."( Effect of carticaine on the sarcoplasmic reticulum Ca2+-dependent adenosine triphosphatase.
Alonso, GL; Sánchez, GA; Takara, D, 2000
)
1.43

Toxicity

ExcerptReferenceRelevance
" The overall incidence of adverse events in the combined studies was 22 percent for the articaine group and 20 percent for the lidocaine group."( Articaine hydrochloride: a study of the safety of a new amide local anesthetic.
Gagnon, S; Leblanc, D; Malamed, SF, 2001
)
0.31
"Articaine is a well-tolerated, safe and effective local anesthetic for use in clinical dentistry."( Articaine hydrochloride: a study of the safety of a new amide local anesthetic.
Gagnon, S; Leblanc, D; Malamed, SF, 2001
)
0.31
"Inclusion was limited to: (1) randomized controlled trials in patients requiring non-complex routine dental treatments; (2) interventions comparing 4% articaine (1:100,000 epinephrine) with 2% lignocaine (1:100,000 epinephrine) for maxillary and mandibular infiltrations and block anaesthesia; and (3) with principal outcome measures of anaesthetic success, post-injection adverse events or post-injection pain."( The efficacy and safety of articaine versus lignocaine in dental treatments: a meta-analysis.
Katyal, V, 2010
)
0.36
" In addition, both drugs appear to have similar adverse effect profiles."( The efficacy and safety of articaine versus lignocaine in dental treatments: a meta-analysis.
Katyal, V, 2010
)
0.36
"The development of safe and effective local anesthetic agents has possibly been the most important advancement in dental science to occur in the last century."( Local anesthetics: pharmacology and toxicity.
Hersh, EV; Moore, PA, 2010
)
0.36
" Stress significantly increased the latency period for the first tonic-clonic seizure induced by a toxic dose of both lidocaine and articaine (P < ."( Effect of PaCO2 and PaO2 on lidocaine and articaine toxicity.
Barcelos, KC; Cabral, AM; Furtado, DP; Haas, DA; Ramacciato, JC, 2010
)
0.36
"The study included data sets of annual sales of local anesthetics (from 1995 through 2007), 292 reports to the Danish Medicines Agency, Copenhagen, Denmark, of adverse reactions to local anesthetic drugs, and a clinical sample of 115 patients with NSD associated with local anesthetics."( Trigeminal nerve injury associated with injection of local anesthetics: needle lesion or neurotoxicity?
Ersbøll, BK; Hillerup, S; Jensen, RH, 2011
)
0.37
" No irreversible adverse effects on the periodontal soft tissues at the injection sites were observed in the follow-up visits in any of the groups."( Effectiveness and safety of computer-controlled periodontal ligament injection system in endodontic access to the mandibular posterior teeth.
Jing, Q; Ma, L; Wan, K; Wang, XJ, 2014
)
0.4
" A case/non-case study of spontaneous adverse events recorded in FAERS (FDA Adverse Event Reporting System) between 2004 and 2011 was performed."( Paraesthesia after local anaesthetics: an analysis of reports to the FDA Adverse Event Reporting System.
Gabusi, A; Gissi, DB; Montebugnoli, L; Piccinni, C; Poluzzi, E, 2015
)
0.42
" The following were evaluated: onset and duration of anesthetic action on soft tissues, intraoperative bleeding, hemodynamic parameters, postoperative analgesia, and mouth opening and wound healing during the 7th postoperative day, along with the incidence, type, and severity of adverse reactions."( Efficacy and Safety of 2% and 4% Articaine for Lower Third Molar Surgery.
Brozoski, DT; Calvo, AM; Colombini-Ishikiriama, BL; Dionísio, TJ; Faria, FA; Gonçalves, PZ; Lauris, JR; Sant'ana, E; Santos, CF; Senes, AM, 2015
)
0.42
" The onset time, analgesic effect and adverse events were recorded."( Comparison of clinical efficacy and safety between articaine and lidocaine in the anaesthesia management of tooth pulp disease.
Gao, Y; Li, J; Qian, Y; Wei, W; Yang, W, 2018
)
0.48
" However, comprehensive evaluation and identification of the most efficacious and safe intervention are lacking."( Efficacy and Safety of Pulpal Anesthesia Strategies during Endodontic Treatment of Permanent Mandibular Molars with Symptomatic Irreversible Pulpitis: A Systematic Review and Network Meta-analysis.
Azarpazhooh, A; Beyene, J; Lighvan, NL; Shah, PS; Yarascavitch, C; Zanjir, M, 2019
)
0.51
" Therefore, the study aims to compare the efficacy and the adverse events of articaine 4% with epinephrine 1:100 000 with lidocaine 2% with epinephrine 1:100 000 for primary molar extraction using buccal infiltration."( Efficacy and adverse events of 4% articaine compared with 2% lidocaine on primary molar extraction: A randomised controlled trial.
Bolan, M; Cardoso, M; Massignan, C; Silveira Santos, P, 2020
)
0.56
" Adverse events were examined as secondary outcomes."( Efficacy and adverse events of 4% articaine compared with 2% lidocaine on primary molar extraction: A randomised controlled trial.
Bolan, M; Cardoso, M; Massignan, C; Silveira Santos, P, 2020
)
0.56
"The authors aimed to assess whether 4% articaine is a safe and effective local anesthetic (LA) for mandibular third-molar extractions."( Safety and efficacy of 4% articaine in mandibular third-molar extraction: A systematic review and meta-analysis of randomized clinical trials.
Gay-Escoda, C; Santos-Sanz, L; Toledano-Serrabona, J, 2020
)
0.56
"Use of 4% articaine for mandibular third-molar extraction is a safe choice that requires fewer reinjections and has a shorter onset time than other aminoamide-type LAs."( Safety and efficacy of 4% articaine in mandibular third-molar extraction: A systematic review and meta-analysis of randomized clinical trials.
Gay-Escoda, C; Santos-Sanz, L; Toledano-Serrabona, J, 2020
)
0.56
"Analysis of the data obtained showed the effectiveness and safe anesthesia with drugs based on 2% articaine with an epinephrine concentration of 1:200."( [Comparative analysis of 2% and 4% articaine solution efficacy and safety for the local anesthesia].
Anisimova, EN; Anisimova, NY; Kravchenko, IA; Ryazancev, NA, 2021
)
0.62
" Intra-articular injection of local anaesthetics should be limited in the TMJ because of the potential toxic effects."( Chondrotoxic effects of intra-articular injection of local anaesthetics in the rabbit temporomandibular joint.
Ağyüz, G; Asan, CY; Asan, M; Canpolat, DG; Demirbas, AE; Karakükcü, Ç; Ülger, M; Yay, A, 2022
)
0.72
" Despite the publications of comparative studies, there remains a dearth of systematic reviews examining the adverse effects of articaine versus lidocaine in randomized controlled trials."( Adverse effects of articaine versus lidocaine in pediatric dentistry: a meta-analysis.
Li, L; Sun, DL, 2023
)
0.91

Pharmacokinetics

ExcerptReferenceRelevance
" The given half-life periods following intramuscular application range from 39 min [8] to 31 h [6]."( [Pharmacokinetics of articaine in mandibular nerve block].
Müller, WP; Scholler, KL; Weiser, P, 1991
)
0.28
" Pharmacokinetic parameters are given."( Clinical effects and pharmacokinetics of articainic acid in one volunteer after intravenous administration.
Baars, AM; Booij, LH; Termond, EF; Van Oss, GE; Vree, TB, 1988
)
0.27
" Basic pharmacokinetic parameters were calculated according to standard procedures using a two-exponent equation."( The effect of age on pharmacokinetics of the local anesthetic drug articaine.
Ebert, U; Kirch, W; Oertel, R; Rahn, R,
)
0.13
" No changes in terminal half-life and time to reach maximum serum concentration (t(max)) were observed."( The effect of age on pharmacokinetics of the local anesthetic drug articaine.
Ebert, U; Kirch, W; Oertel, R; Rahn, R,
)
0.13
"The aim of the investigation was to assess the pharmacokinetic characteristics and safety of articaine HCl used in tumescent local anesthesia for liposuction."( Pharmacokinetics of articaine hydrochloride in tumescent local anesthesia for liposuction.
Grossmann, M; Jacobs, LD; Oertel, R; Pistner, H; Richter, K; Sattler, G; Schinzel, S, 2004
)
0.32

Compound-Compound Interactions

ExcerptReferenceRelevance
"Occurrence of acute and unilateral blindness after local anaesthesia combined with adrenaline, for the treatment of dental caries."( [Case report: acute unilateral loss of visual acuity after a visit to the dentist: an unusual complication after the use of an anesthetic combined with adrenaline].
De Keyzer, K; Tassignon, MJ, 2004
)
0.32
"The purpose of this prospective, randomized, double-blind study was to compare the pain of injection, heart rate increase, and postinjection pain of the intraligamentary injection of 4% articaine with 1:100,000 epinephrine and 2% lidocaine with 1:100,000 epinephrine administered with a computer-controlled local anesthetic delivery system."( Comparison of injection pain, heart rate increase, and postinjection pain of articaine and lidocaine in a primary intraligamentary injection administered with a computer-controlled local anesthetic delivery system.
Beck, M; Berlin, J; Nusstein, J; Reader, A; Weaver, JM, 2004
)
0.32
"The purpose of this prospective, randomized, double-blind study was to compare the anesthetic efficacy of the intraligamentary injection of 4% articaine with 1:100,000 epinephrine and of 2% lidocaine with 1:100,000 epinephrine, administered with computer-controlled local anesthetic delivery system, in mandibular posterior teeth."( Efficacy of articaine and lidocaine in a primary intraligamentary injection administered with a computer-controlled local anesthetic delivery system.
Beck, M; Berlin, J; Nusstein, J; Reader, A; Weaver, J, 2005
)
0.33
"4 mL of 2% lidocaine with 1:100,000 epinephrine were randomly administered with a computer-controlled local anesthetic delivery system, in a double-blind manner on the mesial and distal aspects of a mandibular first molar, at 2 separate appointments to 51 subjects."( Efficacy of articaine and lidocaine in a primary intraligamentary injection administered with a computer-controlled local anesthetic delivery system.
Beck, M; Berlin, J; Nusstein, J; Reader, A; Weaver, J, 2005
)
0.33

Dosage Studied

ExcerptRelevanceReference
"4 ml applied to 19 patients either at 1400 or 1700 hr giving evidence for a circadian phase-dependency in the dose-response relationship of a local anaesthetic drug."( Circadian changes in stimulus threshold and in the effect of a local anaesthetic drug in human teeth: studies with an electronic pulptester.
Lemmer, B; Wiemers, R, 1989
)
0.28
" In this study, 2731 patients receiving dental anesthesia were evaluated by questionnaire for risk factors, type and dosage of local anesthetic applied, type and duration of treatment, and complications associated with the administration of the local anesthetic."( The incidence of complications associated with local anesthesia in dentistry.
Daubländer, M; Lipp, MD; Müller, R, 1997
)
0.3
" No change of dosage of articaine in elderly patients should be necessary."( The effect of age on pharmacokinetics of the local anesthetic drug articaine.
Ebert, U; Kirch, W; Oertel, R; Rahn, R,
)
0.13
" Continuous cervical epidural anesthesia is a safe and reliable method, providing a sensory block with an infusion rate of 4 ml/hr ultracaine (articaine 2 percent), and a motor block when the dosage is increased to 8 ml/hr ultracaine (articaine 2 percent)."( Continuous cervical epidural anesthesia in hand surgery.
Cepel, S; Noyan, A; Ozel, A; Ural, S, 2001
)
0.31
" It was concluded that articaine showed quicker onset than lidocaine and propitocaine and that there was a need to increase the dosage to attain a quick onset or to extend the duration."( Comparative study on anesthetic potency of dental local anesthetics assessed by the jaw-opening reflex in rabbits.
Aida, H; Kaneko, Y; Miyoshi, T, 2000
)
0.31
" A dose-response study with articaine in ambulatory spinal anaesthesia was therefore performed."( Hyperbaric articaine for day-case spinal anaesthesia.
Kallio, H; Luode, T; Rosenberg, PH; Snäll, EV, 2006
)
0.33
" The objectives of this analysis were to characterize the pharmacokinetics of articaine for this type of surgery and to simulate dosing regimens."( Population pharmacokinetics of articaine with 1:200,000 epinephrine during third molar surgery and simulation of high-dose regimens.
Binet, L; Cazaubon, Y; Djerada, Z; Feliu, C; Gozalo, C; Mauprivez, C; Oget, O, 2018
)
0.48
" Monte Carlo simulations were then performed to evaluate the probability of cardiotoxic target attainment (PCTA) of various dosage regimens."( Population pharmacokinetics of articaine with 1:200,000 epinephrine during third molar surgery and simulation of high-dose regimens.
Binet, L; Cazaubon, Y; Djerada, Z; Feliu, C; Gozalo, C; Mauprivez, C; Oget, O, 2018
)
0.48
"Of the study proved that the preventive analgesia with Ketorol Express at a dosage of 20 mg 15 minutes before local anesthesia with 4% articaine with epinephrine 1:200 000 in patients diagnosed with acute pulpitis of molars was effective since local anesthesia high effectiveness, absence of necessity for alternate anesthesia were registered by patients, which coincided with the dentist's opinion."( [Preventive analgesia for the improvement of local anesthesia efficacy in treatment of acute pulpitis in molars].
Anisimova, EN; Anisimova, NY; Erilin, EA; Orekhova, IV; Ryazancev, NA, 2021
)
0.62
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Drug Classes (1)

ClassDescription
thiophenecarboxylic acid
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Bioassays (26)

Assay IDTitleYearJournalArticle
AID625292Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) combined score2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID625282Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cirrhosis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID450269Displacement of [3H]-BTX-B from neuronal voltage-gated sodium channel in rat cerebral cortex synaptoneurosomes2009Bioorganic & medicinal chemistry, Oct-01, Volume: 17, Issue:19
Ligand-based design and synthesis of novel sodium channel blockers from a combined phenytoin-lidocaine pharmacophore.
AID625289Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver disease2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID227701Anticonvulsant activity; NC denotes that compound is not classified2003Bioorganic & medicinal chemistry letters, Aug-18, Volume: 13, Issue:16
Topological virtual screening: a way to find new anticonvulsant drugs from chemical diversity.
AID625287Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatomegaly2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID450273Lipophilicity, log P of the compound2009Bioorganic & medicinal chemistry, Oct-01, Volume: 17, Issue:19
Ligand-based design and synthesis of novel sodium channel blockers from a combined phenytoin-lidocaine pharmacophore.
AID78477Ability to bind to guinea pig atrial homogenate1980Journal of medicinal chemistry, May, Volume: 23, Issue:5
Accumulation of drugs by guinea pig isolated atria. Quantitative correlations.
AID625291Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver function tests abnormal2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID625279Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for bilirubinemia2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID625284Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatic failure2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID25870Tested for the dissociation constant of the compound1980Journal of medicinal chemistry, May, Volume: 23, Issue:5
Accumulation of drugs by guinea pig isolated atria. Quantitative correlations.
AID625285Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatic necrosis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID205269Inhibition of binding of Batrachotoxinin [3H]BTX-B to high-affinity sites on voltage-dependent sodium channels in a vesicular preparation from guinea pig cerebral cortex at 100 uM1985Journal of medicinal chemistry, Mar, Volume: 28, Issue:3
[3H]Batrachotoxinin A 20 alpha-benzoate binding to voltage-sensitive sodium channels: a rapid and quantitative assay for local anesthetic activity in a variety of drugs.
AID205268Inhibition of binding of Batrachotoxinin [3H]BTX-B to high affinity sites on voltage dependent sodium channels in a vesicular preparation from guinea pig cerebral cortex at 10 uM1985Journal of medicinal chemistry, Mar, Volume: 28, Issue:3
[3H]Batrachotoxinin A 20 alpha-benzoate binding to voltage-sensitive sodium channels: a rapid and quantitative assay for local anesthetic activity in a variety of drugs.
AID625283Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for elevated liver function tests2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1061889Displacement of [3H]BTX-B from neuronal voltage-gated sodium channel in rat cerebral cortex synaptoneurosomes after 60 mins by scintillation counting2014Bioorganic & medicinal chemistry, Jan-01, Volume: 22, Issue:1
A highly predictive 3D-QSAR model for binding to the voltage-gated sodium channel: design of potent new ligands.
AID23672Partition coefficient (logP)1980Journal of medicinal chemistry, May, Volume: 23, Issue:5
Accumulation of drugs by guinea pig isolated atria. Quantitative correlations.
AID625286Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatitis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID625280Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cholecystitis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID91480Ability to bind to human serum albumin (HSA)1980Journal of medicinal chemistry, May, Volume: 23, Issue:5
Accumulation of drugs by guinea pig isolated atria. Quantitative correlations.
AID205267Inhibition of binding of Batrachotoxinin [3H]BTX-B to high affinity sites on voltage dependent sodium channels in a vesicular preparation from guinea pig cerebral cortex1985Journal of medicinal chemistry, Mar, Volume: 28, Issue:3
[3H]Batrachotoxinin A 20 alpha-benzoate binding to voltage-sensitive sodium channels: a rapid and quantitative assay for local anesthetic activity in a variety of drugs.
AID625281Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cholelithiasis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID625290Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver fatty2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID625288Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for jaundice2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1159607Screen for inhibitors of RMI FANCM (MM2) intereaction2016Journal of biomolecular screening, Jul, Volume: 21, Issue:6
A High-Throughput Screening Strategy to Identify Protein-Protein Interaction Inhibitors That Block the Fanconi Anemia DNA Repair Pathway.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (592)

TimeframeStudies, This Drug (%)All Drugs %
pre-199042 (7.09)18.7374
1990's56 (9.46)18.2507
2000's159 (26.86)29.6817
2010's244 (41.22)24.3611
2020's91 (15.37)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 19.79

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be moderate demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index19.79 (24.57)
Research Supply Index6.81 (2.92)
Research Growth Index4.96 (4.65)
Search Engine Demand Index23.28 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (19.79)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials254 (38.90%)5.53%
Reviews63 (9.65%)6.00%
Case Studies42 (6.43%)4.05%
Observational1 (0.15%)0.25%
Other293 (44.87%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (60)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Comparison of Anaesthetic Effectiveness of Different Volumes of Articaine for Inferior Alveolar Nerve Block in Molar Teeth With Symptomatic Irreversible Pulpitis [NCT05840913]Phase 278 participants (Anticipated)Interventional2023-04-30Recruiting
A Comparison the Effectiveness of Anesthesia With Lidocaine 2% or Articaine 4% in Children With Molar Incisor Hypomineralisation (MIH) [NCT05200884]Phase 1/Phase 220 participants (Actual)Interventional2022-01-22Completed
A Randomized, Double-Masked, Placebo-Controlled, Parallel-Group Evaluation of the Ocular Safety of Articaine Sterile Topical Ophthalmic Solution [NCT05501860]Phase 3250 participants (Actual)Interventional2022-07-30Completed
Anesthetic Efficacy Of 4% ArtpharmaDent Versus 2% Mepecaine-L for Infilteration Anesthesia in Extraction of Badly Decayed Lower First Primary Molars: Pilot Study [NCT03942991]20 participants (Anticipated)Interventional2019-09-01Not yet recruiting
Efficacy of 4% Articaine Terminal Anesthesia in the Lateral Jaw Region in Children: A Double-blind Randomized Study [NCT05423392]60 participants (Actual)Interventional2021-12-02Completed
Comparing the Effect of 4% Articaine and 2% Mepivacaine Without Palatal Injection in Pain Assessment During Maxillary Teeth Extraction- A Randomized Clinical Trial [NCT03470532]Phase 460 participants (Actual)Interventional2017-02-25Completed
Efficacy of Anterior and Middle Superior Alveolar (AMSA) Nerve Block Anesthesia Obtained by Articaine Computer-controlled and Conventional Delivery [NCT03225326]Phase 40 participants (Actual)Interventional2016-12-31Withdrawn
Comparative Evaluation of the Efficacy of Intra-ligamentary Injection of 20 Milligram (Mg) Piroxicam Versus 4% Articaine in Management of Endodontic Pain in Patients With Symptomatic Irreversible Pulpitis in Mandibular Molars [NCT03612323]Early Phase 120 participants (Anticipated)Interventional2018-11-30Not yet recruiting
Evaluation of Self-Reported Pain in Children Submitted to Single Infiltration of Articaine During Primary Molar Extraction: Randomized Controlled Clinical Trial [NCT05443009]Phase 496 participants (Anticipated)Interventional2022-06-30Recruiting
Is the Direct Inferior Alveolar Nerve Block Required for Third Lower Molar Extraction? [NCT03443726]120 participants (Actual)Interventional2017-06-10Completed
Topical Pharyngeal Anaesthesia With Articaine for Gastroscopy. A Randomized Double-blind Study on Volunteers [NCT01350050]Phase 418 participants (Actual)Interventional2009-09-30Completed
Articaine or Eugenol: a Study on the Choice of Endodontic Medication in the Emergency Management of Irreversible Pulpitis of a Mature Permanent Tooth [NCT03472456]100 participants (Actual)Observational2018-03-22Completed
How Successful is Supplemental Intraseptal Anaesthesia in Patients With Mandibular Teeth Extraction or Irreversible Pulpitis [NCT03880409]Phase 1100 participants (Actual)Interventional2019-02-09Completed
[NCT02807298]Phase 325 participants (Actual)Interventional2014-06-30Completed
Fractional Carbon Dioxide Laser Assisted Delivery of Topical Anesthetics: a Randomized Controlled Pilot Study [NCT02246179]Phase 410 participants (Actual)Interventional2014-09-30Completed
A Randomized, Double-Masked, Vehicle-Controlled, Parallel Evaluation of the Local Anesthetic Effect of Articaine Sterile Topical Ophthalmic Solution [NCT04513652]Phase 3120 participants (Actual)Interventional2020-09-03Completed
Kovanaze Vs. Articaine in Achieving Pulpal Anesthesia of Maxillary Teeth: A Randomized Clinical Trial [NCT04104789]Phase 20 participants (Actual)Interventional2020-09-30Withdrawn(stopped due to Manufacture of drug discontinued before any participants could be enrolled.)
Blocking the Uterovaginal Plexus With Artacine for Placement of the Intra Uterine Device [NCT05252117]Phase 4240 participants (Anticipated)Interventional2021-02-01Recruiting
Articaine and Dexmedetomidine - Supplemented Articaine for Arteriovenous Fistula Creation Under Ultrasound- Guided Supraclavicular Block [NCT04171349]Early Phase 150 participants (Actual)Interventional2019-06-01Completed
Comparing General Anesthesia With Single Injection Peribulbar Block With Articaine 4% vs Lidocaine 2% vs Mepivacaine 3 % for Prevention of Oculocardiac Reflex in Children Undergoing Strabismus Surgery : A Randomized Control Study [NCT05728151]55 participants (Anticipated)Interventional2023-02-12Recruiting
Kovanaze Vs. Articaine in Achieving Pulpal Anesthesia of Maxillary Teeth: A Randomized Clinical Trial [NCT04105985]Phase 20 participants (Actual)Interventional2020-08-31Withdrawn(stopped due to Manufacturer discontinued drug before any participants could be enrolled.)
Articaine Efficacy and Safety in Young Children Below Age of Four Years: An Equivalent Parallel Randomized Control Trial [NCT04061265]Phase 1/Phase 2184 participants (Actual)Interventional2019-08-25Completed
A Randomized, Double-Masked, Vehicle-Controlled, Parallel Evaluation of the Local Anesthetic Effect of Articaine Sterile Topical Ophthalmic Solution [NCT04829344]Phase 3120 participants (Actual)Interventional2021-03-30Completed
Fractional CO2 Laser Assisted Topical Articaine Anesthesia vs. Topical EMLA Administration: a Randomized Controlled Study [NCT02548533]Phase 43 participants (Actual)Interventional2015-06-30Terminated(stopped due to Not enough patients eligible for recruitment.)
A Randomized Controlled Trial : Comparison of 4% Articaine Versus 0.5% Bupivacaine for Ambulatory Orthopaedic Surgery Under Supraclavicular Block [NCT04189198]Phase 160 participants (Actual)Interventional2019-12-30Completed
Anesthetic Efficacy of %4Alexadricaine Versus %2 Mepicaine-L for Infiltration Anesthesia in Extraction of Maxillary First Primary Molars in Children [NCT04477317]Phase 310 participants (Actual)Interventional2021-08-01Completed
Anesthetic Efficacy of 4% Articaine (Mandibular Infiltration) and 2% Lidocaine (Alveolar Nerve Block), Associated With 1:100.000 Epinephrine, in Lower Molars With Irreversible Pulpits [NCT01912755]Phase 450 participants (Actual)Interventional2010-02-28Completed
Compare Articaine 1:100.000, 4% Epinephrine, Subperiosteal With Loco-regional Anesthesia for Placing Dental Implants in Posterior Mandible - Double-Blinded Randomized Clinical Trial [NCT01963754]Phase 488 participants (Anticipated)Interventional2017-04-01Active, not recruiting
Study of Tramadol Addiction Impact on Dental Anesthesia Succes. [NCT05908305]Phase 4300 participants (Anticipated)Interventional2023-06-10Not yet recruiting
Comparison of the Efficacy and Safety of Two Homologous Active Principles for Local Dental Anesthesia: Non-inferiority Trial [NCT04166890]Phase 4179 participants (Actual)Interventional2018-09-04Completed
Articaine Efficacy and Safety for 3 Years Old Children: A Clinical Randomized Control Trial [NCT05839548]Phase 3200 participants (Anticipated)Interventional2023-06-01Not yet recruiting
Does Articaine, Rather Than Prilocaine, Increase the Success Rate of Anaesthesia for Extraction of Maxillary Teeth [NCT04236115]Phase 495 participants (Actual)Interventional2017-09-20Completed
Spinal Anesthesia With 5% Articaine and 0.5% Bupivacaine for Outpatient Lower Limb Surgery. A Double-Blind Randomised Clinical Trial [NCT00332735]Phase 380 participants Interventional2006-05-31Completed
Efficacy of Articaine vs. Lidocaine When Used for Local Infiltration in Pediatric Dental Procedures [NCT03318952]Phase 40 participants (Actual)Interventional2022-09-30Withdrawn(stopped due to The research did not start and the PI transitioned to another institution.)
Articaine Versus Lidocaine Supplemental Infiltration Efficacy in Irreversible Pulpitis Mandibular Molars After Failed Inferior Alveolar Nerve Block [NCT01496846]Phase 4201 participants (Actual)Interventional2011-09-30Completed
Kovanaze Vs. Articaine in Achieving Pulpal Anesthesia of Maxillary Teeth: A Randomized Clinical Trial [NCT03962634]Phase 23 participants (Actual)Interventional2019-08-28Terminated(stopped due to Drug is no longer being manufactured)
Comparative Effect of Palatal Injection on Pain Perception in Pediatric Patient [NCT06025825]96 participants (Anticipated)Observational [Patient Registry]2023-05-02Recruiting
Parameters in Fractional Laser Assisted Delivery of Topical Anesthetics: Role of Laser Type and Laser Settings [NCT02938286]Phase 415 participants (Actual)Interventional2016-03-31Completed
Evaluation of Two Approaches in Enhancing the Efficacy of Inferior Alveolar Nerve Block During Treatment of Mandibular First Permanent Molars With Symptomatic Irreversible Pulpitis: A Randomized Parallel Controlled Trial [NCT05427903]180 participants (Anticipated)Interventional2022-03-04Recruiting
Spinal Anesthesia With Articaine and Lidocaine for Outpatient Surgery: A Double Blind Randomized Clinical Trial. [NCT00247741]Phase 380 participants Interventional2005-11-30Completed
Parameters in Fractional Laser Assisted Delivery of Topical Anesthetics: Role of Anesthetic and Application Time [NCT03279757]Phase 415 participants (Actual)Interventional2016-10-01Completed
Comparative Study of Articaine 4% Versus Lidocaine 2% in Local Anesthesia and Permanent Maxillary First Molars Affected by MIH. [NCT05585112]Phase 1/Phase 226 participants (Actual)Interventional2022-10-17Completed
Comparison of Periosteal and Subcutaneous Infusions of Articaine and Bupivacaine in Treatment of Acute Pain After Sternotomy [NCT01536717]Phase 436 participants (Actual)Interventional2012-03-31Suspended
Buffered vs Unbuffered Local Anesthesia Using Lidocaine, Carbocaine, and Articaine in Mandibular Molars Diagnosed With Symptomatic Irreversible Pulpitis [NCT06047366]Phase 460 participants (Anticipated)Interventional2023-12-05Recruiting
The Effect of Buccal Infiltration Administration of Clonidine on the Success Rate of Inferior Alveolar Nerve Block on Mandibular Molars With Symptomatic Irreversible Pulpitis: a Randomized Double-blind Clinical Trial [NCT04186299]Phase 40 participants (Actual)Interventional2021-08-31Withdrawn(stopped due to Study activities never commenced.)
Comparison of Efficacy of Two Topical Anesthetics: Benzocaine Versus Pliaglis for Control of Pain Associated With Dental Needle Insertion in the Palate, A Double Blind Study [NCT01951820]Phase 464 participants (Actual)Interventional2013-08-31Completed
[NCT01593930]60 participants (Actual)Interventional2012-05-31Completed
Articaine Versus Lidocaine in Only Buccal Infiltration Anesthesia for the Extraction of Mandibular Anterior Teeth.Asplit Mouth Clinical Trail [NCT05223075]Phase 231 participants (Anticipated)Interventional2022-11-11Active, not recruiting
Comparative Evaluation of the Anesthetic Efficacy of 1,8mL and 3,6mL of 4% Articaine With 1: 100,000 Epinephrine in Blocking the Inferior Alveolar Nerve in Patients With Irreversible Pulpitis of Mandibular Molars [NCT02422823]90 participants (Actual)Interventional2015-04-30Completed
Anaesthetic Efficacy of 2% Mepivacaine Versus 4% Articaine for Inferior Alveolar Nerve Blocks in Patients With Symptomatic Irreversible Pulpitis in Mandibular Molars: A Randomized Clinical Trial [NCT04822415]330 participants (Actual)Interventional2014-12-31Completed
The Effectiveness of Buccal Infiltration Only Using Articaine for Routine Exodontia of Mandibular Molar: A Cross-Over Randomized Controlled Clinical Trial [NCT06161714]Phase 440 participants (Anticipated)Interventional2023-11-30Not yet recruiting
Multicenter, Randomized, Split-mouth Study to Evaluate the Acceptance and Preference of Lidocaine Gel Compared to Injection Anesthesia After Non Surgical Periodontal Treatment [NCT03354312]Phase 494 participants (Actual)Interventional2017-12-05Completed
Buccal Infiltration Technique Compared to Inferior Alveolar Nerve Block Technique for Alleviation of Intraoperative Pain During Pulpal Treatment of Mandibular Primary Molars: A Randomized Controlled Clinical Trial. [NCT03130855]48 participants (Anticipated)Interventional2017-05-15Not yet recruiting
A Prospective Randomized, Double-blind Study of the Anesthetic Efficacy of Buffered Articaine as a Primary Buccal Infiltration of the Mandibular First Molar. [NCT01862614]Phase 480 participants (Actual)Interventional2013-04-30Completed
The Effect of Final Irrigation Using Antimicrobial-corticosteroid Mixture Versus Cryotherapy on Post-instrumentation Pain and Microbial Reduction in Patients Having Single Canal - Teeth With Necrotic Pulps: A Randomized Clinical Trial [NCT05739682]Phase 328 participants (Anticipated)Interventional2023-06-01Not yet recruiting
Articaine Success in Pulpectomy of Primary Molars With Irreversible Pulpitis in Children Under Four Years: a Randomized Controlled Trial [NCT05944341]164 participants (Anticipated)Interventional2023-06-01Recruiting
Articaine 4% Efficacy and Safety in Extraction and Pulpotomy of Primary Molars of Children Below the Age of Four Years. [NCT05101785]292 participants (Anticipated)Interventional2021-11-01Not yet recruiting
Effect of Volume Increase Compared to Supplemental 4% Articaine Buccal Infiltration on Mepivacaine Inferior Alveolar Nerve Block Success in Cases With Symptomatic Irreversible Pulpitis: A Randomized Clinical Trial [NCT05238727]75 participants (Anticipated)Interventional2022-03-31Not yet recruiting
Anesthetic Efficacy of 1.8 ml Compared to 3.6 ml of Articaine Buccal Infiltration in Mandibular Molars With Symptomatic Irreversible Pulpitis: A Randomized Clinical Trial [NCT06119139]70 participants (Anticipated)Interventional2023-12-31Not yet recruiting
Comparative Analysis Between 2% and Articaine Articaine 4%, Both With 1: 200,000 Epinephrine: Evaluation of Anesthetics Efficacy, Intraoperative Bleeding and Hemodynamic Parameters in Extraction of Lower Third Molars [NCT02457325]Phase 450 participants (Actual)Interventional2011-06-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT01496846 (2) [back to overview]Anesthetic Success Rate of an IANB With Articaine
NCT01496846 (2) [back to overview]Anesthetic Success Rate of Supplemental Infiltration Injection
NCT01862614 (1) [back to overview]Number of Participants Achieving Pulpal Anesthesia.
NCT01951820 (1) [back to overview]Measurement of Pain Associated With Injection, in Millimeters, According to Visual Analog Scale
NCT02457325 (11) [back to overview]Blood Pressure
NCT02457325 (11) [back to overview]Duration of Post-operative Analgesia
NCT02457325 (11) [back to overview]Evaluation of Post-surgical Pain
NCT02457325 (11) [back to overview]Heart Rate
NCT02457325 (11) [back to overview]Intraoperative Bleeding
NCT02457325 (11) [back to overview]Onset of Anesthetic
NCT02457325 (11) [back to overview]Oxygen Saturation
NCT02457325 (11) [back to overview]Postoperative Anesthesia
NCT02457325 (11) [back to overview]Postoperative Mouth Opening
NCT02457325 (11) [back to overview]Quality of Anesthesia
NCT02457325 (11) [back to overview]Wound Healing of the Operated Area
NCT04513652 (6) [back to overview]Number of Participants With a Change in Biomicroscopy
NCT04513652 (6) [back to overview]The Number of Patients Who Experienced Ocular Anesthesia Following Treatment of AG-920 Compared to Placebo at 5 Minutes
NCT04513652 (6) [back to overview]Time in Minutes of AG-920 to Anesthetize the Eye
NCT04513652 (6) [back to overview]To Evaluate How Long One Dose of AG-920 Anesthetizes the Eye
NCT04513652 (6) [back to overview]Mean Change in Visual Acuity
NCT04513652 (6) [back to overview]Number of Participants With Treatment Emergent Adverse Events (TEAEs)

Anesthetic Success Rate of an IANB With Articaine

Success rate of an IANB with articaine using a conventional IANB technique (NCT01496846)
Timeframe: 15 min after injection

InterventionParticipants (Count of Participants)
IANB Articaine - 1st Molar27
IANB Articaine - 2nd Molar23

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Anesthetic Success Rate of Supplemental Infiltration Injection

Following an unsuccessful IANB, supplemental infiltration anesthesia with either articaine or lidocaine was given to achieve complete pulpal anesthesia (NCT01496846)
Timeframe: 5 min after injection

InterventionParticipants (Count of Participants)
IANB Articaine and SUP Articaine - 1st Molar22
IANB Articaine and SUP Articaine - 2nd Molar25
IANB Articaine and SUP Lidocaine - 1st Molar23
IANB Articaine and SUP Lidocaine - 2nd Molar12

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Number of Participants Achieving Pulpal Anesthesia.

An electric pulp tester will be used to test the lower jaw teeth (molars, premolars, and incisors) for anesthesia (numbness) in 4-minute time cycles for 60 minutes. Measurements of less than 80 on the EPT is considered not numb (anesthesia failure). Readings of 80 equate to anesthetic success. (NCT01862614)
Timeframe: 60 minutes per injection sequence.

InterventionParticipants (Count of Participants)
Articaine52
Buffered Articaine57

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Measurement of Pain Associated With Injection, in Millimeters, According to Visual Analog Scale

The investigation is trying to determine if the compounded topical anesthetic (Pliaglis) is more effective than the active control (benzocaine) in numbing the gums before needle penetration. The effectiveness of the topical anesthetics will be determined by the patient indicating their level of discomfort felt upon needle stick by using a Heft-Parker visual analog pain scale (scale of 0 - 170mm with 0mm equating to no pain and 170mm equating to maximum pain). (NCT01951820)
Timeframe: 2.5 minutes

Interventionmm (Mean)
Benzocaine38.5
Pliaglis26.9

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Blood Pressure

mean blood pressure was verified and recorded at surgical moments previously described (injection of the first cartridge anesthesia, incision, mucoperiosteal detachment, osteotomies, tooth section, extraction, cleaning and suturing), carried out with the aid of a system for monitoring hemodynamic parameters. (NCT02457325)
Timeframe: During the surgical procedure, an average of 30 minutes

InterventionmmHg (Mean)
Surgery With 2%Articaine119
Surgery With 4%Articaine123

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Duration of Post-operative Analgesia

Duration of post-operative analgesia (in minutes) provided by the local anesthetic will be determined by the difference between the end time of the completion of suture and the one for the first intake piroxicam capsule for the relief of discomfort after surgery, the patient noted in token that you will be provided. Duration of post-surgical anesthesia (in minutes) on the soft tissues provided by local anesthetic, represented by the lack of sensitivity in the mucosa, tongue and lower lip after the surgery. The patient will note the time at which this phenomenon happens on the card which will be provided. (NCT02457325)
Timeframe: During the day of the surgery, 24 hours

Interventionminutes (Mean)
Surgery With 2%Articaine133
Surgery With 4%Articaine125

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Evaluation of Post-surgical Pain

Subjective evaluation of post-surgical pain, which was annotated by the volunteer, a Visual Analogue Scale (VAS, 0-100 mm - higher values represent a worse outcome) in the postoperative period. (NCT02457325)
Timeframe: Seventh postoperative day

Interventionunits on a scale (Mean)
Surgery With 2%Articaine26
Surgery With 4%Articaine26

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Heart Rate

Heart rate to be verified and recorded surgical at moments described above, carried out with the aid of a system for monitoring hemodynamic parameters. (NCT02457325)
Timeframe: During the surgical procedure, an average of 30 minutes

Interventionbpm (Mean)
Surgery With 2%Articaine73
Surgery With 4%Articaine73

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Intraoperative Bleeding

Intraoperative bleeding, rated by the surgeon according to a 3-point category rating scale (1-minimal bleeding; 2-normal bleeding; 3-excessive bleeding) (SISK, 1986), immediately after the following steps: injection of the first cartridge of articaine, tissue incision, flap reflection, bone removal (when this procedure was necessary), tooth extraction, cleaning of the operated site, and completion of suturing. (NCT02457325)
Timeframe: During the surgical procedure, an average of 30 minutes

Interventionunits on a scale (Mean)
Surgery With 2%Articaine1.1
Surgery With 4%Articaine1.1

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Onset of Anesthetic

Onset of anesthetic agent action, as determined by the loss of sensibility of the inferior lip, the corresponding half of the tongue, and the mucosa as reported by the patient. (NCT02457325)
Timeframe: During the surgical procedure, an average of 30 minutes

Interventionminutes (Mean)
Surgery With 2%Articaine1.5
Surgery With 4%Articaine1.5

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Oxygen Saturation

Oxygen saturation to be verified and recorded at surgical moments described above, carried out with the aid of a system for monitoring hemodynamic parameters. (NCT02457325)
Timeframe: During the surgical procedure, an average of 30 minutes

Interventionpercentage of oxigen in blood (Mean)
Surgery With 2%Articaine99
Surgery With 4%Articaine99

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Postoperative Anesthesia

Duration of postoperative anesthesia, represented by the lack of sensibility of the mucosa, tongue, and inferior lip. (NCT02457325)
Timeframe: During the day of the surgery

Interventionminutes (Mean)
Surgery With 2%Articaine187
Surgery With 4%Articaine215

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Postoperative Mouth Opening

Mouth opening (mm) between the mesial-incisal corners of the upper and lower right central incisors at maximum opening of the jaws was measured and recorded. Results presented below represent those assessed on the seventh postoperative day. (NCT02457325)
Timeframe: Seventh postoperative days

Interventionmm (Mean)
Surgery With 2%Articaine36
Surgery With 4%Articaine35

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Quality of Anesthesia

Quality of anesthesia during surgery based on a category 3-point scale: 1) the patient reported no discomfort; 2) the patient reported discomfort, without the need to supplement the anesthesia; 3) reported some discomfort by the patient, requiring anesthesia complementation. Intraoral bleeding that will be evaluated by the surgeon according to a 3-point scale (1: minimal, 2: normal and 3: Maximum), immediately after the following steps: injection of the first cartridge anesthesia, incision, mucoperiosteal detachment, osteotomies, tooth section, extraction, cleaning and suturing. (NCT02457325)
Timeframe: During the surgical procedure, an average of 30 minutes

Interventionunits on a scale (Mean)
Surgery With 2%Articaine1.8
Surgery With 4%Articaine1.8

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Wound Healing of the Operated Area

Quality of wound healing of the operated area classified by the surgeon according to a scale of three types of points: 1-normal healing, 2-delayed healing, 3-wound healing complicated by the presence of alveolitis at the time of removal of the suture (7th postoperative day). (NCT02457325)
Timeframe: Seventh postoperative day

Interventionunits on a scale (Mean)
Surgery With 2%Articaine1.2
Surgery With 4%Articaine1.4

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Number of Participants With a Change in Biomicroscopy

Slit lamp biomicroscopy and external eye exam measures will be summarized at each measured time point using discrete summary statistics. Clinician examined the eyelid, conjunctiva, cornea, anterior chamber, iris, pupil and lens of the eye with the aid of a slit lamp. (NCT04513652)
Timeframe: change from baseline through end of study at Day 5

InterventionParticipants (Count of Participants)
AG-9200
Placebo0

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The Number of Patients Who Experienced Ocular Anesthesia Following Treatment of AG-920 Compared to Placebo at 5 Minutes

"Immediately following EACH pinch test, subjects will be asked Was that painful Yes or NO." (NCT04513652)
Timeframe: 5 minutes post dose

InterventionParticipants (Count of Participants)
AG-92041
Placebo2

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Time in Minutes of AG-920 to Anesthetize the Eye

Mean time to no pain score (onset) (NCT04513652)
Timeframe: 20, 40 and 60 seconds following dosing or until pain stops. 5-minutes post dose. If subject became anesthetized before 5 minutes, every 5 minutes for up to 30 minutes or until pain resumes.

Interventionminutes (Mean)
AG-9200.442
Placebo0.330

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To Evaluate How Long One Dose of AG-920 Anesthetizes the Eye

Mean duration of anesthetic effect (NCT04513652)
Timeframe: 20, 40 and 60 seconds following dosing or until pain stops. 5-minutes post dose. If subject became anesthetized before 5 minutes, every 5 minutes for up to 30 minutes or until pain resumes.

Interventionminutes (Mean)
AG-9204.833
Placebo0.267

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Mean Change in Visual Acuity

Visual Acuity data will be summarized at each time point using continuous and discrete summaries of Logarithmic Minimum Angle of Resolution (logMAR). Distance visual acuity was assessed using an Early Treatment of Diabetic Retinopathy Study (ETDRS) or equivalent chart. The subject should attempt to read each letter, line by line, left to right, beginning with line 1 at the top of the chart (20/200 line).The number of letters missed is multiplied by 0.02 and added to the baseline value to determine the logMAR visual acuity. Baseline is defined as the last line for which the subject reads at least one letter. logMAR units VA = Baseline value + (n x 0.02). (NCT04513652)
Timeframe: change from baseline through end of study at Day 5

,
InterventionLogMar (Mean)
Study EyeNon-Study Eye
AG-920-0.0090-0.0110
Placebo-0.0113-0.0110

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Number of Participants With Treatment Emergent Adverse Events (TEAEs)

TEAEs will be summarized by treatment group using frequency and percent for each system organ class and preferred term within each system, organ and class (SOC). Summaries will be presented separately for ocular and non-ocular Adverse Events (AEs). (NCT04513652)
Timeframe: from randomization through study completion (up to 4 days following treatment)

,
Interventionparticipants (Number)
All TEAEsOcular TEAEsNon-ocular TEAEs
AG-92034324
Placebo13130

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