midazolam has been researched along with Convulsive Generalized Seizure Disorder in 9 studies
Midazolam: A short-acting hypnotic-sedative drug with anxiolytic and amnestic properties. It is used in dentistry, cardiac surgery, endoscopic procedures, as preanesthetic medication, and as an adjunct to local anesthesia. The short duration and cardiorespiratory stability makes it useful in poor-risk, elderly, and cardiac patients. It is water-soluble at pH less than 4 and lipid-soluble at physiological pH.
midazolam : An imidazobenzodiazepine that is 4H-imidazo[1,5-a][1,4]benzodiazepine which is substituted by a methyl, 2-fluorophenyl and chloro groups at positions 1, 6 and 8, respectively.
Excerpt | Relevance | Reference |
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" We aimed to find out whether there are differences in efficacy and adverse events between buccal administration of liquid midazolam and rectal administration of liquid diazepam in the acute treatment of seizures." | 9.09 | Buccal midazolam and rectal diazepam for treatment of prolonged seizures in childhood and adolescence: a randomised trial. ( Besag, FM; Neville, BG; Scott, RC, 1999) |
" We aimed to find out whether there are differences in efficacy and adverse events between buccal administration of liquid midazolam and rectal administration of liquid diazepam in the acute treatment of seizures." | 5.09 | Buccal midazolam and rectal diazepam for treatment of prolonged seizures in childhood and adolescence: a randomised trial. ( Besag, FM; Neville, BG; Scott, RC, 1999) |
"We present a patient with peritoneal carcinosarcoma who was treated with the alkylating agent ifosfamide and experienced a rapid decline in mental status." | 4.90 | Ifosfamide chemotherapy and nonconvulsive status epilepticus: case report and review of the literature. ( Friedman, D; Racela, R; Taupin, D, 2014) |
"The aim of this study was to review out-of-hospital use of intranasal diazepam and midazolam for treatment of acute repetitive seizures (ARS) at a typical adult epilepsy center." | 4.12 | Use of new intranasal benzodiazepines at a typical adult epilepsy center. ( Benbadis, SR; Li, C, 2022) |
"During her first pregnancy, a 37-year-old woman with idiopathic generalised epilepsy that was adequately controlled with lamotrigine experienced a series of epileptic seizures following an elective caesarean section." | 3.73 | [Epileptic seizures during childbirth in a patient with idiopathic generalised epilepsy]. ( Bloem, BR; Renier, WO; Voermans, NC; Zwarts, MJ, 2005) |
"A second dose could be given if seizures did not terminate within 10 min or recurred from 10 min to 6 h." | 3.30 | Psychosocial outcomes of repeated treatment of seizure clusters with midazolam nasal spray: Results of a phase 3, open-label extension trial. ( Brunnert, M; Campos, R; Chen, L; Fakhoury, T; Meng, TC; Pullman, WE; Szaflarski, JP; Van Ess, P, 2023) |
"The primary goal of treatment for seizure clusters is cessation of the cluster to avoid progression to more severe conditions, such as prolonged seizures and status epilepticus." | 2.82 | Rescue therapies for seizure clusters: Pharmacology and target of treatments. ( Detyniecki, K; Gidal, B, 2022) |
"A fatal case of gas embolism during diagnostic hysteroscopy using carbon dioxide (CO2) is presented." | 1.30 | Gas embolism during hysteroscopy. ( Hanaoka, K; Nishiyama, T, 1999) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 0 (0.00) | 18.7374 |
1990's | 3 (33.33) | 18.2507 |
2000's | 1 (11.11) | 29.6817 |
2010's | 1 (11.11) | 24.3611 |
2020's | 4 (44.44) | 2.80 |
Authors | Studies |
---|---|
Li, C | 1 |
Benbadis, SR | 1 |
Gidal, B | 1 |
Detyniecki, K | 1 |
Meng, TC | 3 |
Szaflarski, JP | 3 |
Chen, L | 3 |
Brunnert, M | 3 |
Campos, R | 3 |
Van Ess, P | 3 |
Pullman, WE | 3 |
Fakhoury, T | 3 |
Wu, K | 1 |
Hirsch, LJ | 1 |
Babl, FE | 1 |
Josephson, SA | 1 |
Taupin, D | 1 |
Racela, R | 1 |
Friedman, D | 1 |
Voermans, NC | 1 |
Zwarts, MJ | 1 |
Renier, WO | 1 |
Bloem, BR | 1 |
Cascino, GD | 1 |
Scott, RC | 1 |
Besag, FM | 1 |
Neville, BG | 1 |
Nishiyama, T | 1 |
Hanaoka, K | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
An Open-Label Safety Study of USL261 in the Outpatient Treatment of Subjects With Seizure Clusters[NCT01529034] | Phase 3 | 175 participants (Actual) | Interventional | 2012-07-31 | Terminated | ||
Intranasal Midazolam Versus Rectal Diazepam for the Home Treatment of Seizure Activity in Pediatric Patients With Epilepsy[NCT00326612] | Phase 2 | 358 participants (Actual) | Interventional | 2006-06-30 | Completed | ||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
Duration of participant study participation for collection of long term safety data (NCT01529034)
Timeframe: From Baseline/(Screening) to End of Safety-Follow-up (up to 56 months) as per assessment table of the study.
Intervention | months (Median) |
---|---|
USL261 | 16.80 |
Participants requiring emergency room (ER)/emergency medical service (EMS) visit within 24 hours after any USL261 treated seizure cluster (including for continued seizures) (NCT01529034)
Timeframe: From Baseline/(Screening) to End of Safety-Follow-up (up to 56 months) as per assessment table of the study.
Intervention | Participants (Count of Participants) |
---|---|
USL261 | 20 |
Number of Treated Seizure Clusters Meeting Criteria for Treatment Success: Termination of seizure(s) within 10 minutes and no recurrence within 6 hours after administration of first dose of USL261 (intranasal midazolam 5 mg) (NCT01529034)
Timeframe: 6 hours after first dose of USL261 for each treated seizure cluster
Intervention | Seizure cluster episodes (Count of Units) |
---|---|
USL261 | 1108 |
Change in participant Brief Smell Identification Test (B-SIT) score from baseline to last visit with assessment. The B-SIT is a self-administered 12-item test; the score indicates odors correctly identified (0 to 12). The B-SIT was added while the study was already ongoing (Protocol Amendment 4, 20 May 2015) in response to a regulatory request. The test was only implemented at sites in the United States and included only participants considered by the investigator to have adequate cognitive ability to perform the test. Baseline was defined as the latest non-missing value prior to administration of USL261 in the Test Dose Phase of Study P261-401. (NCT01529034)
Timeframe: From Baseline/(Screening) to End of Safety-Follow-up (up to 56 months) as per assessment table of the study.
Intervention | score on a scale (Mean) |
---|---|
USL261 | -0.6 |
Participants with abnormal findings, at any time post baseline, on nasal examination considered clinically significant by the investigator (NCT01529034)
Timeframe: From Baseline/(Screening) to End of Safety-Follow-up (up to 56 months) as per assessment table of the study.
Intervention | Participants (Count of Participants) |
---|---|
USL261 | 1 |
Participants meeting predefined safety criteria for vital signs (systolic blood pressure [SBP] <85 mm Hg, SBP change from baseline >/= 40 mm Hg, diastolic BP [DBP] <50 mm Hg, DBP change from baseline >/=30 mm Hg, pulse rate <50 beats per minute (bpm), pulse rate >120 bpm, pulse rate change >/= 40 bpm at any visit post baseline or for caregiver recorded participant respiration rate [RR] <8 breaths per minute (brpm) or >24 brpm) after any USL261 treated seizure cluster episode. Abnormal vital signs were assessed separately by investigator and recorded as adverse events if applicable. (NCT01529034)
Timeframe: From Baseline/(Screening) to End of Safety-Follow-up (up to 56 months) as per assessment table of the study.
Intervention | Participants (Count of Participants) | ||||||||
---|---|---|---|---|---|---|---|---|---|
SBP <85 mm Hg | SBP change from baseline ≥ 40 mm Hg | DBP <50 mm Hg | DBP change from baseline ≥ 30 mm Hg | Pulse rate <50 bpm | Pulse rate >120 bpm | Pulse rate change from baseline >/= 40 bpm | Caregiver recorded RR <8 brpm | Caregiver recorded RR >24 brpm | |
USL261 | 0 | 1 | 2 | 3 | 2 | 1 | 4 | 1 | 29 |
Participants with abnormal findings, at any time post baseline, on neurologic examination considered clinically significant by the investigator (NCT01529034)
Timeframe: From Baseline/(Screening) to End of Safety-Follow-up (up to 56 months) as per assessment table of the study.
Intervention | Participants (Count of Participants) | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mental status | Cranial nerves II-XII | Motor strength of limbs | Deep tendon reflexes | Sensory exam | Station and gait | Hopping | Romberg test | Finger-to-nose test | Heel-to-shin test | Rapid alternating movements | Nystagmus | Tremor/Other abnormal movements | |
USL261 | 10 | 1 | 2 | 2 | 1 | 5 | 0 | 0 | 1 | 1 | 2 | 0 | 0 |
Participants with abnormal findings, at any time post baseline, on physical examination considered clinically significant by the investigator. (NCT01529034)
Timeframe: From Baseline/(Screening) to End of Safety-Follow-up (up to 56 months) as per assessment table of the study.
Intervention | Participants (Count of Participants) | ||||||||
---|---|---|---|---|---|---|---|---|---|
Skin | Head/Eyes/Ears/Nose/Throat | Neck | Thyroid | Lungs | Heart | Abdomen | Lymph nodes | Extremities | |
USL261 | 2 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
Participants with abnormal laboratory finding, at any time post baseline, meeting predefined criteria. Abnormal laboratory findings were assessed separately by investigator and recorded as adverse events if applicable. Alanine aminotransferase (ALT); Alkaline phosphatase (ALP); Aspartate aminotransferase (AST); Gamma glutamyl transferase (GGT); upper limit of normal (ULN) (NCT01529034)
Timeframe: From Baseline/(Screening) to End of Safety-Follow-up (up to 56 months) as per assessment table of the study.
Intervention | Participants (Count of Participants) | ||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
ALT >ULN & ≤3xULN | Albumin <30 g/L | ALP >2.5xULN | AST >ULN & ≤3xULN | AST >5x ULN & <20xULN | Bicarbonate <15.9 mmol/L | Cholesterol >7.75 mmol/L | Creatinine >1.5xULN | Creatinine >2x baseline | GGT >2.5xULN | Glucose <3 mmol/L | Glucose <8.9 mmol/L | Phosphate <0.8 mmol/L | Potassium >5.5 mmol/L | Sodium <130 mmol/L | Sodium >150 mmol/L | Hemoglobin <100 g/L | Hemoglobin decrease 20 g/L | Leukocytes <3x10^9/L | Lymphocytes <0.8x10^9/L | Neutrophils <1.5x10^9/L | |
USL261 | 26 | 2 | 1 | 17 | 1 | 6 | 5 | 1 | 2 | 14 | 3 | 5 | 13 | 5 | 11 | 1 | 5 | 10 | 4 | 4 | 8 |
Participants with suicidal ideation reported on Columbia-Suicide Severity Rating Scale (C-SSRS) questionnaire at any post-baseline visit. Responses including: Wish to be Dead; Non-Specific Active Suicidal Thoughts; Active Suicidal Ideation with Some Intent to Act, without Specific Plan; Active Suicidal Ideation with Specific Plan and Intent; and Any Suicidal Ideation Regardless of Type. (NCT01529034)
Timeframe: From Baseline/(Screening) to End of Safety-Follow-up (up to 56 months) as per assessment table of the study.
Intervention | Participants (Count of Participants) | ||||
---|---|---|---|---|---|
Wish to be dead | Non-specific active | Active without specific plan | Active with specific plan/intent | Any suicidal ideation | |
USL261 | 3 | 3 | 3 | 1 | 4 |
Length of seizure. (NCT00326612)
Timeframe: 24 hours
Intervention | Minutes (Median) |
---|---|
Intranasal Midazolam | 3.0 |
Rectal Diazepam | 4.3 |
(NCT00326612)
Timeframe: 24 hours
Intervention | participants (Number) |
---|---|
Intranasal Midazolam | 21 |
Rectal Diazepam | 17 |
(NCT00326612)
Timeframe: 24 hours
Intervention | participants (Number) |
---|---|
Intranasal Midazolam | 4 |
Rectal Diazepam | 3 |
(NCT00326612)
Timeframe: 12 hours
Intervention | participants (Number) |
---|---|
Intranasal Midazolam | 1 |
Rectal Diazepam | 1 |
(NCT00326612)
Timeframe: 24 hours
Intervention | participants (Number) |
---|---|
Intranasal Midazolam | 5 |
Rectal Diazepam | 5 |
Respiratory depression was defined as intubation at Emergency Department discharge. (NCT00326612)
Timeframe: 24 hours
Intervention | participants (Number) |
---|---|
Intranasal Midazolam | 1 |
Rectal Diazepam | 0 |
Respiratory depression was defined as requiring oxygen at discharge from the Emergency Department. (NCT00326612)
Timeframe: 24 hours
Intervention | participants (Number) |
---|---|
Intranasal Midazolam | 3 |
Rectal Diazepam | 1 |
2 reviews available for midazolam and Convulsive Generalized Seizure Disorder
Article | Year |
---|---|
Rescue therapies for seizure clusters: Pharmacology and target of treatments.
Topics: Administration, Intranasal; Adolescent; Adult; Anticonvulsants; Benzodiazepines; Diazepam; Epilepsy, | 2022 |
Ifosfamide chemotherapy and nonconvulsive status epilepticus: case report and review of the literature.
Topics: Carcinosarcoma; Cerebral Cortex; Diagnosis, Differential; Electroencephalography; Epilepsy, Generali | 2014 |
2 trials available for midazolam and Convulsive Generalized Seizure Disorder
Article | Year |
---|---|
Psychosocial outcomes of repeated treatment of seizure clusters with midazolam nasal spray: Results of a phase 3, open-label extension trial.
Topics: Epilepsy, Generalized; Humans; Midazolam; Nasal Sprays; Quality of Life; Seizures; Treatment Outcome | 2023 |
Psychosocial outcomes of repeated treatment of seizure clusters with midazolam nasal spray: Results of a phase 3, open-label extension trial.
Topics: Epilepsy, Generalized; Humans; Midazolam; Nasal Sprays; Quality of Life; Seizures; Treatment Outcome | 2023 |
Psychosocial outcomes of repeated treatment of seizure clusters with midazolam nasal spray: Results of a phase 3, open-label extension trial.
Topics: Epilepsy, Generalized; Humans; Midazolam; Nasal Sprays; Quality of Life; Seizures; Treatment Outcome | 2023 |
Psychosocial outcomes of repeated treatment of seizure clusters with midazolam nasal spray: Results of a phase 3, open-label extension trial.
Topics: Epilepsy, Generalized; Humans; Midazolam; Nasal Sprays; Quality of Life; Seizures; Treatment Outcome | 2023 |
Psychosocial outcomes of repeated treatment of seizure clusters with midazolam nasal spray: Results of a phase 3, open-label extension trial.
Topics: Epilepsy, Generalized; Humans; Midazolam; Nasal Sprays; Quality of Life; Seizures; Treatment Outcome | 2023 |
Psychosocial outcomes of repeated treatment of seizure clusters with midazolam nasal spray: Results of a phase 3, open-label extension trial.
Topics: Epilepsy, Generalized; Humans; Midazolam; Nasal Sprays; Quality of Life; Seizures; Treatment Outcome | 2023 |
Psychosocial outcomes of repeated treatment of seizure clusters with midazolam nasal spray: Results of a phase 3, open-label extension trial.
Topics: Epilepsy, Generalized; Humans; Midazolam; Nasal Sprays; Quality of Life; Seizures; Treatment Outcome | 2023 |
Psychosocial outcomes of repeated treatment of seizure clusters with midazolam nasal spray: Results of a phase 3, open-label extension trial.
Topics: Epilepsy, Generalized; Humans; Midazolam; Nasal Sprays; Quality of Life; Seizures; Treatment Outcome | 2023 |
Psychosocial outcomes of repeated treatment of seizure clusters with midazolam nasal spray: Results of a phase 3, open-label extension trial.
Topics: Epilepsy, Generalized; Humans; Midazolam; Nasal Sprays; Quality of Life; Seizures; Treatment Outcome | 2023 |
Buccal midazolam and rectal diazepam for treatment of prolonged seizures in childhood and adolescence: a randomised trial.
Topics: Administration, Buccal; Administration, Rectal; Adolescent; Adult; Anti-Anxiety Agents; Anticonvulsa | 1999 |
5 other studies available for midazolam and Convulsive Generalized Seizure Disorder
Article | Year |
---|---|
Use of new intranasal benzodiazepines at a typical adult epilepsy center.
Topics: Administration, Intranasal; Adult; Anticonvulsants; Benzodiazepines; Diazepam; Epilepsy; Epilepsy, G | 2022 |
Choosing Anticonvulsant Medications to Manage Status Epilepticus.
Topics: Adult; Anticonvulsants; Disease Management; Drug Therapy, Combination; Epilepsy, Generalized; Female | 2020 |
[Epileptic seizures during childbirth in a patient with idiopathic generalised epilepsy].
Topics: Adult; Anticonvulsants; Cesarean Section; Clonazepam; Diazepam; Epilepsy; Epilepsy, Generalized; Epi | 2005 |
Generalized convulsive status epilepticus.
Topics: Adolescent; Adult; Aged; Anesthetics; Anticonvulsants; Benzodiazepines; Child; Epilepsy, Generalized | 1996 |
Gas embolism during hysteroscopy.
Topics: Aged; Anticoagulants; Carbon Dioxide; Cardiopulmonary Resuscitation; Catheterization, Central Venous | 1999 |