Optimizing seizure treatment for children in ambulances
Official title: Pediatric Dose Optimization for Seizures in EMS (PediDOSE)
Run by Stanford University · NCT05121324 · Data updated 2026-11-12
This study is testing a new way for paramedics to treat seizures in children during ambulance rides to see if it works better than the usual methods.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 6 Months to 13 Years |
| Sex | All |
| Enrollment | 6700 (estimated) |
| Sponsor | Stanford University Academic / other |
| Locations | 20 sites (Tucson, Arizona and 19 other locations) |
| Status | Recruiting |
| Started | August 8, 2022 |
| Main results expected | July 31, 2026 |
| Study ends | September 30, 2026 |
| Registry record updated | September 30, 2025 |
| Trial ID | NCT05121324 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include children actively seizing who are under the care of paramedics and being transported by participating EMS agencies.
✕Probably not a fit
Patients with a history of benzodiazepine allergy, known or presumed pregnancy, or severe growth restriction may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The Pediatric Dose Optimization for Seizures in Emergency Medical Services (PediDOSE) study aims to enhance the treatment of seizures in children by paramedics during ambulance transport. It addresses the common issue of under-dosing and delayed medication delivery, which can lead to continued seizures upon arrival at emergency departments. The study compares a standardized seizure protocol using muscular injection or nasal spray against conventional methods to determine effectiveness and safety in pediatric patients. This research is crucial as most existing studies have focused on adults, highlighting the need for tailored approaches for children.
Why it matters
Potential benefit: If successful, this study could significantly improve seizure management in children during emergency situations, leading to better outcomes.
How similar studies have gone: While similar approaches have been tested in adults, this study represents a novel effort to optimize seizure treatment specifically for pediatric patients.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Witnessed by the paramedic to be actively seizing, regardless of seizure type or duration; AND * Under the care of a paramedic; AND * Transported by an EMS agency participating in the study Exclusion Criteria: * A prior history of a benzodiazepine allergy; OR * Known or presumed pregnancy; OR * Severe growth restriction based on the paramedic's subjective assessment
Where it's running
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University of Arizona
Tucson, Arizona, United States Recruiting -
Children's Hospital of Los Angeles
Los Angeles, California, United States Recruiting -
University of California, Davis
Sacramento, California, United States Recruiting -
University of California, San Francisco
San Francisco, California, United States Recruiting -
University of Colorado
Aurora, Colorado, United States Recruiting -
Children's National Hospital
Washington D.C., District of Columbia, United States Recruiting
Show 14 more locations
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Emory University
Atlanta, Georgia, United States Recruiting -
Indiana University
Indianapolis, Indiana, United States Recruiting -
University of Michigan
Ann Arbor, Michigan, United States Recruiting -
University at Buffalo
Buffalo, New York, United States Recruiting -
Mecklenburg EMS
Charlotte, North Carolina, United States Recruiting -
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, United States Recruiting -
Nationwide Children's Hospital
Columbus, Ohio, United States Recruiting -
Oregon Health and Sciences University
Portland, Oregon, United States Recruiting -
University of Pittsburgh
Pittsburgh, Pennsylvania, United States Recruiting -
University of Texas Southwestern
Dallas, Texas, United States Recruiting -
Baylor College of Medicine
Houston, Texas, United States Recruiting -
University of Utah
Salt Lake City, Utah, United States Recruiting -
University of Washington
Seattle, Washington, United States Recruiting -
Medical College of Wisconsin
Milwaukee, Wisconsin, United States Recruiting
Study contacts
- Principal investigator: Manish I Shah, MD, MS — Stanford University
- Study coordinator: Manish I Shah, MD, MS
- Email: mshah5@stanford.edu
- Phone: 650-723-3319
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.