NIH-funded research U01 cooperative agreement

Pediatric EMS seizures: simpler age-based midazolam dosing

Official title: Pediatric Dose Optimization for Seizures in EMS (PediDOSE)

Funded at Stanford University · NIH-11617686 · Data updated 2026-11-12

A nationwide trial at EMS agencies tests whether using fixed, age-based dosing of midazolam for seizures in children improves treatment speed and safety.

Quick facts

Grant typeU01 cooperative agreement
Study typeNIH-funded research
Funding institutionStanford University
NIH-funded
Lab location1 site (Stanford, United States)
Project startAugust 1, 2021
Project endNovember 30, 2027
Funding year2026
Award (this year)$101,649
NIH project number3U01NS114042-05S1
Project IDNIH-11617686 on NIH RePORTER

Who could benefit from this research

Could help

Children aged 0-11 years experiencing seizures and treated by EMS in participating systems.

Less likely to help

Children outside the 0-11 age range or not experiencing EMS-treated seizures may not benefit.

What this research studies

This project aims to give paramedics a straightforward, age-based dosing rule for midazolam to treat seizures in children, hoping to reduce delays and under-dosing. The study will compare standardized dosing to current weight-based methods across 20 EMS systems. If successful, it could make emergency seizure care faster and safer for kids under 12. The research will monitor seizure cessation, breathing safety, and any adverse events to ensure no new risks are introduced.

Why it matters

Potential benefit: If successful, children with seizures could receive faster, more reliable treatment in the field, potentially reducing brain injury risk.

How similar studies have gone: Previous work suggests dosing consistency improves timeliness; this trial tests age-based dosing in a real-world setting.

Where this research is happening

  • Stanford University
    Stanford, United States
    Active

Researchers

  • Principal investigator: Shah, Manish Ishwar — Stanford University
  • Study coordinator: Shah, Manish Ishwar

Related research

Other NIH-funded projects on the same topics.

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  • Seizures and long-term outcomes after childhood stroke

    This project looks at whether early seizures and inflammation after a childhood stroke are linked to later epilepsy and recovery in kids up to 19 years old.

    NIH research University of California, San Francisco · San Francisco, United States · NIH-11474008

  • Using the brain’s natural connector to detect and prevent seizures

    A study at Case Western Reserve University is exploring whether gently stimulating a natural brain pathway called the corpus callosum can help identify where seizures start and stop them from spreading in people with hard-to-control epilepsy.

    NIH research Case Western Reserve University · Cleveland, United States · NIH-11449578

  • Disentangling How Inhibitory Brain Cells Shape Seizures in People

    This NIH grant tests how specific brain cells that normally calm the brain influence seizures in adults, using advanced optical methods in living subjects.

    NIH research Baylor College of Medicine · Houston, United States · NIH-11448856

  • Defining the brain regions that trigger seizures in epilepsy

    Researchers are studying which parts of the brain cause seizures in people with epilepsy to guide safer, more effective epilepsy surgery.

    NIH research University of California Los Angeles · Los Angeles, United States · NIH-11447901

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.