Protocol summary

Study aim
Intravenous sedation effect of apotel/Propofol and Fentanyl/propofol on Non-Cooperative 2-6 Years Old Pediatric Dental Patients
Design
Randomized clinical trial, triple blindness, cross control group. Thirty eight 2-6 years old children divide into tow intervention and control groups with flipping a coin. Trial phase is 3
Settings and conduct
Children are randomly assigned to one of two control and case groups. 30 minutes before the start of the treatment 0/5 mg/kg midazolam is given orally to the patient. Group A: 15 mg/kg Apotel and 2 mg/kg propofol in the first session and group F: 1 microgram/kg fentanyl and 2 mg/kg propofol in the first session. In both groups, the order of drug administration is reversed in the second session. Medicines are given to the patient by the anesthesiologist, and the patient, dentist and evaluator are not aware of the composition of the medicine. The pulse oximeter probe is also placed on the child's finger. Dental treatment begins with local anesthesia of lidocaine 2% and epinephrine 1/100,000. The rate of changes in blood oxygen saturation and heart rate, the rate of crying, sleepiness and movement; At the time of venipuncture, local anesthesia injection, 15 minutes and 30 minutes from the start of work, Houpt scale is evaluated and recorded.
Participants/Inclusion and exclusion criteria
Inclusion criteria؛ Uncooperative 2-6 year old children, need 2 sessions similar treatment. Exclusion criteria؛ Suffering systemic diseases, common cold.
Intervention groups
Apotel 15 mg/kg + propofol 2 mg/kg and Fentanyl 1 microgram/kg + propofol 2 mg/kg
Main outcome variables
Success of dental treatment according to Houpt Scale

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20221203056700N1
Registration date: 2023-01-28, 1401/11/08
Registration timing: prospective

Last update: 2023-01-28, 1401/11/08
Update count: 0
Registration date
2023-01-28, 1401/11/08
Registrant information
Name
Maryam Shamsaei
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 21 2237 0439
Email address
dr.m.shamsaie@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2023-02-09, 1401/11/20
Expected recruitment end date
2023-06-10, 1402/03/20
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparison of the effects of propofol/fentanyl and propofol/apotel for IV sedation during the dental treatment of 2-6 years old precooperative pediatric patients
Public title
effects of propofol/apotel and propofol/fentanyl on dental sedation of 2-6 years old uncooperative children
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
2-6 years old children Uncooperative Need to at least two same and symmetric treatment session ASA 1 health status
Exclusion criteria:
The age under 2 and above 6 years Cooperative Lack of similar treatment needs ASA 2 and more
Age
From 2 years old to 6 years old
Gender
Both
Phase
3
Groups that have been masked
  • Participant
  • Investigator
  • Outcome assessor
Sample size
Target sample size: 38
More than 1 sample in each individual
Number of samples in each individual: 2
Each patient gives apotel in one session and fentanyl in other one.
Randomization (investigator's opinion)
Randomized
Randomization description
Simple randomization is done using flipping a coin and the patient is placed in one of groups A or F on that basis
Blinding (investigator's opinion)
Triple blinded
Blinding description
The drug combination is given to the patient by the anesthesiologist. Patient and researcher and evaluator do not know the type and dose of the drug.
Placebo
Not used
Assignment
Crossover
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics Committee of Shahid Beheshti University of Medical Sciences
Street address
5th Floor, Dental School, Blvd. Daneshjoo, Evin, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
۱۹۸۳۹۶۳۱۱۳
Approval date
2022-05-24, 1401/03/03
Ethics committee reference number
IR.SBMU.DRC.REC.1401.032

Health conditions studied

1

Description of health condition studied
Anxiety
ICD-10 code
F06.4
ICD-10 code description
Anxiety disorder due to known physiological condition

Primary outcomes

1

Description
Conscious sedation
Timepoint
Venipuncture, local anesthesia and Every 15 minutes
Method of measurement
Houpt scale

Secondary outcomes

1

Description
SPO2
Timepoint
Venipuncture, local anesthesia and every 15 minutes
Method of measurement
Pulse oximeter

2

Description
Heart rate
Timepoint
Venipuncture, local anesthesia and every 15 minutes
Method of measurement
Pulse oximeter

Intervention groups

1

Description
Intervention group1: intravenous administration of 15 mg/kg apotel ( 1g/6.7ml ) + 2 mg/kg propofol (10mg/cc Fresenius C.,Austria)
Category
Treatment - Drugs

2

Description
Intervention group2: intravenous administration of 1mcg/kg fentanyl ( ml10/mg 5/0 ، Caspian Tamin/ Iran ) + 2 mg/kg propofol (10mg/cc Fresenius C.,Austria)
Category
Treatment - Drugs

Recruitment centers

1

Recruitment center
Name of recruitment center
Shahid Beheshti University of Medical Siences, Dental Schoo
Full name of responsible person
Dr. Masoud Fallahinejad Ghajari
Street address
Shahid Beheshti Dental School, Daneshjo Blvd, Evin, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
1983963113
Phone
+98 21 2241 3897
Email
masfalnegh@sbmu.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Shahid Beheshti University of Medical Sciences
Full name of responsible person
Dr. Afshin Zarghi
Street address
Finance part of Shahid Beheshti university of Medical Sciences, Daneshjo Blvd, Evin, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
۱۹۸۳۹۹۶۳۱۱۳
Phone
+98 21 2243 9780
Email
zarghi@sbmu.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Shahid Beheshti University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Shahid Beheshti University of Medical Sciences
Full name of responsible person
Masoud Fallahinejad Ghajari
Position
Professor
Latest degree
Specialist
Other areas of specialty/work
Dentistry
Street address
Pediatric Fellowship ward, Dental School, Shahid Beheshti University of medical Sciences, Daneshjo Blvd, Evin, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
۱۹۸۳۹۶۳۱۳
Phone
+98 21 2240 3080
Email
masfalnegh@sbmu.ac.ir

Person responsible for scientific inquiries

Contact
Name of organization / entity
Shahid Beheshti University of Medical Sciences
Full name of responsible person
Ghasem Ansari
Position
professor
Latest degree
Specialist
Other areas of specialty/work
Dentistry
Street address
Pediatric Fellowship ward, Dental School, Shahid Beheshti University of medical Sciences, Daneshjo Blvd, Evin, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
۱۹۸۳۹۶۳۱۱۳
Phone
+98 21 2240 3050
Email
drgansari@yahoo.com

Person responsible for updating data

Contact
Name of organization / entity
Shahid Beheshti University of Medical Sciences
Full name of responsible person
Maryam Shamsai
Position
fellowship
Latest degree
Specialist
Other areas of specialty/work
Dentistry
Street address
Pediatric Fellowship ward, Dental School, Shahid Beheshti University of medical Sciences, Daneshjo Blvd, Evin, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
۱۹۸۳۹۶۳۱۱۳
Phone
+98 21 2240 3080
Email
dr.m.shamsaie@gmail.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available
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