Evaluation of the persistency of the preoperative anxiolytic effect of music therapy vs midazolam: electroencephalographic and clinical analysis

2025-522575-29-00 Therapeutic use (Phase IV) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Authorised, recruitment pending
Participants planned 100
Countries 1
Sites 1

Preoperative anxiety

To evaluate the persistence of the preoperative anxiolytic effect of music therapy versus midazolam using electroencephalographic and clinical analysis.

Key facts

Sponsor
Consorci Mar Parc De Salut De Barcelona
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Anesthesia and Analgesia [E03]
Decision date (initial)
2025-12-05
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

To evaluate the persistence of the preoperative anxiolytic effect of music therapy versus midazolam using electroencephalographic and clinical analysis.

Secondary objectives 5

  1. Evaluate through the analysis of the electroencephalogram (EEG), the degree of anxiolysis with music therapy vs midazolam
  2. Evaluate by using clinical scales (designed to measure anxiety) the degree of anxiolysis with music therapy vs midazolam
  3. Record, if any, the onset and intensity of delirium, agitation, respiratory depression and pain
  4. To study potential differences in terms of the type of surgery (major or minor) or the patient's age
  5. To examine potential differences in patients who take chronic benzodiazepine.

Conditions and MedDRA coding

Preoperative anxiety

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. Patients who have been scheduled for surgery and have agreed to give informed consent for the study.

Exclusion criteria 6

  1. Refusal to be part of the study on a voluntary basis
  2. Patients who report dissatisfaction with music therapy
  3. Severe hearing loss
  4. A patient condition that impairs the ability to comprehend the study information.
  5. A history of allergic reactions to benzodiazepines
  6. Conditions in which benzodiazepine use is not recommended, such as severe obstructive apnea, morbid obesity, or other relevant conditions considered by an anesthesiologist.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Raw electroencephalogram (EEG) collected with Bispectral Index monitoring (BIG). Bilateral BIS sensors allow to get levels of arousal and valencia
  2. Scales to measure anxiety:“Preoperative Anxiety and Information Scale (APAIS), The Hospital Anxiety Depression Scale (HADS) and Visual Analogue anxiety Scale (VAS)

Secondary endpoints 1

  1. Processed EEG (BIS index), blood pressure, heart rate and oxygen saturation, demographics, surgery type (ambulatory vs. admitted patient), adverse effects, chronic use prescriptions

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Midazolam Serraclinics 1 Mg/Ml Solución Inyectable Y Para Perfusión Efg

PRD7392590 · Product

Active substance
Midazolam Hydrochloride
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS ADMINISTRATION
Max daily dose
1 mg milligram(s)
Max total dose
1 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
N05CD08 — MIDAZOLAM
Marketing authorisation
65318
MA holder
LABORATORIOS SERRA PAMIES S.A.
MA country
Spain
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Consorci Mar Parc De Salut De Barcelona

Sponsor organisation
Consorci Mar Parc De Salut De Barcelona
Address
Passeig Maritim De La Barceloneta 25-29
City
Barcelona
Postcode
08003
Country
Spain

Scientific contact point

Organisation
Consorci Mar Parc De Salut De Barcelona
Contact name
Hospital del Mar

Public contact point

Organisation
Consorci Mar Parc De Salut De Barcelona
Contact name
Hospital del Mar

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Authorised, recruitment pending 100 1
Rest of world 0

Investigational sites

Spain

1 site · Authorised, recruitment pending
Consorci Mar Parc De Salut De Barcelona
Anestesiologia, Reanimación y Terapeutica del Dolor, Passeig Maritim De La Barceloneta 25-29, 08003, Barcelona

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 5 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) Protocolo ECM Musicalm Version 2 6 noviembre Publicacion 1
Protocol (for publication) 5 Protocolo ECM Musicalm PUBLICACION 1
Recruitment arrangements (for publication) 9 Procedimiento y material reclutamiento Musicalm publicacion 1
Subject information and informed consent form (for publication) 10 Consentimiento informado musicalm Publicacion 1
Summary of Product Characteristics (SmPC) (for publication) 8 Prospecto Midazolam 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-08-27 Spain Acceptable
2025-12-03
2025-12-05