- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01660893
Comparison of Intranasal Kovacaine Mist, Tetracaine Alone, and Placebo for Anesthetizing Maxillary Teeth
A Phase III, Multi-Center, Randomized, Double-Blind, Parallel-Groups Clinical Trial Comparing the Efficacy and Safety of Intranasally Administered Kovacaine Mist to Tetracaine Alone and to Placebo for Anesthetizing Maxillary Teeth in Adults
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The study will employ a multi-center, randomized, double-blind, placebo-controlled, parallel-groups design to assess the safety and efficacy of Kovacaine Mist delivered intranasally for inducing pulpal anesthesia of maxillary teeth numbers 4 to 13 (maxillary right second premolar to maxillary left second premolar) sufficient to allow completion of the Study Dental Procedure.
A total of 140 subjects, randomized 2:2:1 (Kovacaine Mist:Tetracaine alone:Placebo) will be enrolled to achieve 125 completed subjects; a total of 50 Kovacaine Mist subjects, 50 tetracaine alone subjects and 25 placebo subjects. Recruitment will be from diverse dental patient populations. At the two study sites, a balanced enrollment of 70 subjects each is planned to allow for a potential 10% drop-out rate.
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
Maryland
-
Baltimore, Maryland, United States, 20740
- University of Maryland, Baltimore
-
-
Utah
-
Salt Lake City, Utah, United States, 84124
- Jean Brown Research
-
Salt Lake City, Utah, United States, 84124
- Family and Cosmetic Dentistry
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male or female 18 years of age or older.
- Need for an operative restorative dental procedure requiring local anesthesia for a single vital maxillary tooth (other than a maxillary first, second, or third molar) with no evidence of pulpal pathology.
- Normal lip, nose, eyelid, and cheek sensation.
- Able to understand and sign the study informed consent document, communicate with the investigators, and understand and comply with the requirements of the protocol.
- Patency of the naris ipsilateral to the tooth undergoing the Study Dental Procedure.
- Resting heart rate (HR) between 55 and 100 beats per minute (bpm), inclusive.
- Seated systolic blood pressure (SBP) between 95 and 140 mm Hg, inclusive and seated diastolic blood pressure (DBP) between 60 and 90 mm Hg, inclusive.
Exclusion Criteria:
- Inadequately controlled hypertension (blood pressure greater than 140/90 mm Hg).
- Inadequately controlled active thyroid disease of any type.
- Frequent nose bleeds (≥ 5 per month).
- Having received dental care requiring a local anesthetic within the last 24 hours.
- History of allergy to or intolerance of tetracaine, benzyl alcohol, other ester local anesthetics, or para-aminobenzoic acid (as found in PABA-containing sunscreen).
- History of allergy or hypersensitivity to articaine, oxymetazoline, epinephrine, or sulfite preservatives.
- Use of a monoamine oxidase inhibitor within the 3 weeks preceding study entry.
- Nursing, pregnant, suspected of being pregnant, or trying to become pregnant. (Females of child-bearing potential will be required to take a urine pregnancy test on the day of, but prior to, study drug administration to rule out pregnancy.)
- Having received any investigational drug and/or participation in any clinical trial within 30 days prior to study participation.
- Having used oxymetazoline or phenylephrine nasal spray, nasal irrigation, or other nasal or oral decongestant on the day of the study procedure.
- History of congenital or idiopathic methemoglobinemia
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Kovacaine Mist, 3 sprays unilateral
Tetracaine HCl 3% and oxymetazoline HCl 0.05%
|
3 unilateral intranasal sprays per dose
Other Names:
|
Experimental: Tetracaine Only, 3 sprays unilateral
Tetracaine HCl 3%
|
3 unilateral intranasal sprays per dose
|
Placebo Comparator: Placebo, 3 sprays unilateral
Placebo
|
3 unilateral intranasal sprays per dose
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Completion of the Study Dental Procedure Without Need for Rescue by Injection of Local Anesthetic (Yes/no).
Time Frame: at 15 minutes with a 3 minute window
|
at 15 minutes with a 3 minute window
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Intraoral Soft-tissue Anesthesia (Yes/no)
Time Frame: at 15 minutes with a 3 minute window
|
Number of patients who reported no pain when incisive papilla and greater palatine foramen soft-tissue was tested with a probe
|
at 15 minutes with a 3 minute window
|
Number of Participants With Heart Rate Higher Than 125 Bpm
Time Frame: at any time within 120 minutes following drug administration
|
at any time within 120 minutes following drug administration
|
|
Number of Participants With Heart Rate Lower Than 50 Bpm
Time Frame: at any time within 120 minutes following drug administration
|
at any time within 120 minutes following drug administration
|
|
Number of Participants With an Increase From Baseline in Systolic Blood Pressure Greater Than or Equal to 25 mm Hg and to a Value Higher Than 160 mm Hg
Time Frame: at any time within 120 minutes following drug administration
|
at any time within 120 minutes following drug administration
|
|
Number of Participants With a Decrease From Baseline in Systolic Blood Pressure Greater Than or Equal to 15 mm Hg and to a Value Lower Than 90 mm Hg
Time Frame: at any time within 120 minutes following drug administration
|
at any time within 120 minutes following drug administration
|
|
Number of Participants With an Increase From Baseline in Diastolic Blood Pressure Greater Than or Equal to 15 mm Hg and to a Value Higher Than 90 mm Hg
Time Frame: at any time within 120 minutes following drug administration
|
at any time within 120 minutes following drug administration
|
|
Number of Participants With a Decrease From Baseline in Diastolic Blood Pressure Greater Than or Equal to 15 mm Hg and to a Value Lower Than 90 mm Hg
Time Frame: at any time within 120 minutes following drug administration
|
at any time within 120 minutes following drug administration
|
|
Absolute Maximum Change From Baseline in Systolic Blood Pressure and Diastolic Blood Pressure
Time Frame: from baseline to 120 minutes following drug administration
|
from baseline to 120 minutes following drug administration
|
|
The Profile Over Time of Heart Rate
Time Frame: from baseline to 120 minutes following drug administration
|
from baseline to 120 minutes following drug administration
|
|
Alcohol Sniff Test
Time Frame: administered at approximately 24 hours after drug administration
|
The change from screening in the the distance from the nose (in centimeters) that a patient is able to detect the smell of an alcohol swab.
|
administered at approximately 24 hours after drug administration
|
The Profile Over Time of Systolic Blood Pressure
Time Frame: from baseline to 120 minutes following drug administration
|
from baseline to 120 minutes following drug administration
|
|
The Profile Over Time of Diastolic Blood Pressure
Time Frame: from baseline to 120 minutes following drug administration
|
from baseline to 120 minutes following drug administration
|
|
Absolute Maximum Change From Baseline in Heart Rate
Time Frame: from baseline to 120 minutes following drug administration
|
from baseline to 120 minutes following drug administration
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Physiological Effects of Drugs
- Adrenergic Agents
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Central Nervous System Depressants
- Autonomic Agents
- Peripheral Nervous System Agents
- Sensory System Agents
- Anesthetics
- Protective Agents
- Adrenergic alpha-Agonists
- Adrenergic Agonists
- Cardiotonic Agents
- Anesthetics, Local
- Respiratory System Agents
- Sympathomimetics
- Vasoconstrictor Agents
- Mydriatics
- Nasal Decongestants
- Adrenergic alpha-1 Receptor Agonists
- Phenylephrine
- Oxymetazoline
- Tetracaine
Other Study ID Numbers
- SR 3-01
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Anesthesia
-
Samsun UniversityCompletedAnesthesia | Regional Anesthesia | Anesthesia ManagementTurkey
-
Charite University, Berlin, GermanyCompletedAnesthesia, Local | Anesthesia | Anesthesia; Adverse EffectGermany
-
Novocol Pharmaceutical of Canada, Inc.CompletedAnesthesia, Local | Dental Anesthesia | Anesthesia, ReversalUnited States
-
Aligarh Muslim UniversityCompletedAnesthesia | Anesthesia Intubation Complication | Anesthesia; Adverse EffectIndia
-
Universitas Sebelas MaretIndonesia Endowment Fund for EducationNot yet recruitingAnesthesia | Anesthesia; Reaction
-
University of PecsCompleted
-
Hormozgan University of Medical SciencesUnknownAnesthesia | Anesthesia; FunctionalIran, Islamic Republic of
-
University of ChicagoRecruitingAnesthesia | Patient Satisfaction | Anesthesia Risks | Anesthesia Consent | Consent RetentionUnited States
-
Assistance Publique - Hôpitaux de ParisINSERM UMR-942, Paris, France; M3DISIMNot yet recruitingPrediction Models for Cardiovascular and Neurocognitive Disease Risk in the General Population (CME)Anesthesia, Local | AnesthesiaFrance
-
Matthew BorzageRecruitingAnesthesia | Anesthesia; ReactionUnited States
Clinical Trials on Tetracaine HCl 3% and oxymetazoline HCl 0.05%
-
St. Renatus, LLCRho, Inc.; Triligent InternationalCompleted
-
St. Renatus, LLCRho, Inc.; Triligent International; Analytical Bio-Chemistry Laboratories, Inc.CompletedAnesthesiaUnited States
-
St. Renatus, LLCRho, Inc.; Ground Zero PharmaceuticalsCompleted
-
St. Renatus, LLCRho, Inc.; Triligent International; Analytical Bio-Chemistry Laboratories, Inc.Completed
-
St. Renatus, LLCRho, Inc.; Triligent InternationalCompletedAnesthesiaUnited States
-
St. Renatus, LLCRho, Inc.; Triligent InternationalCompleted
-
St. Renatus, LLCCompleted
-
Cetylite IndustriesCompletedNo Disease State or ConditionUnited States
-
St. Renatus, LLCRho, Inc.; Triligent InternationalCompleted
-
St. Renatus, LLCRho, Inc.; Triligent InternationalCompleted