Study on the influence of FLUMAzenil regarding the incidence of pediatric emergence delirium (ED) in children undergoing ENT surgery – FLUMA Study

2025-523543-36-00 Protocol FLUMA-Study Phase III and Phase IV (Integrated) Ongoing, recruiting

Start 18 May 2026 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites · Protocol FLUMA-Study

Overview

Sponsor-declared trial summary

Phase Phase III and Phase IV (Integrated)
Status Ongoing, recruiting
Participants planned 1
Countries 1
Sites 1

pediatric emergence delirium

The FLUMA Study will examine the occurrence of pediatric emergence delirium in children following ENT surgery after antagonisation of the sedative effect of Midazolam (Dormicum®) by Flumazenil®.

Key facts

Sponsor
Rheinische Friedrich-Wilhelms-Universitaet Bonn
Participant type
Pediatric, Patients
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Not possible to specify
Trial duration
18 May 2026 → ongoing
Decision date (initial)
2026-01-23
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Medical Faculty, University of Bonn (Funding instrument for clinical studies (FKS))

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Prophylaxis, Therapy

The FLUMA Study will examine the occurrence of pediatric emergence delirium in children following ENT surgery after antagonisation of the sedative effect of Midazolam (Dormicum®) by Flumazenil®.

Conditions and MedDRA coding

pediatric emergence delirium

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Children aged 3-7
  2. ASA status I and II
  3. ENT anesthesia, regardless of the procedure
  4. Consent of the legal guardian
  5. Sufficient language skills in German

Exclusion criteria 3

  1. ASA status III or IV
  2. Lack of consent from the legal guardian
  3. Contraindications for the use of benzodiazepines or flumazenil

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The occurrence of postoperative delirium (pädED) until discharge from the recovery room. A score of ≥ 10 points is indicative of delirium.

Investigational products

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

Test 1

Flumazenil B. Braun 0,1 mg/ml Injektionslösung und Konzentrat zur Herstellung einer Infusionslösung

PRD11884126 · Product

Active substance
Flumazenil
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INJECTION
Max daily dose
0.05 mg/kg milligram(s)/kilogram
Max total dose
0.05 mg/kg milligram(s)/kilogram
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
V03AB25 — FLUMAZENIL
Marketing authorisation
64945.00.00
MA holder
B.BRAUN MELSUNGEN AG
MA country
Germany
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

Sodium Chloride

SUB12581MIG · Substance

Active substance
Sodium Chloride
Pharmaceutical form
INFUSION
Route of administration
INJECTION
Max daily dose
0.02 millilitre(s)/kilogram
Max total dose
0.02 millilitre(s)/kilogram
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Rheinische Friedrich-Wilhelms-Universitaet Bonn

Sponsor organisation
Rheinische Friedrich-Wilhelms-Universitaet Bonn
Address
Venusberg-Campus 1, Venusberg Venusberg
City
Bonn
Postcode
53127
Country
Germany

Scientific contact point

Organisation
Rheinische Friedrich-Wilhelms-Universitaet Bonn
Contact name
Univ.-Prof. Dr. med. Dr. habil Ehrenfried Schindler

Public contact point

Organisation
Rheinische Friedrich-Wilhelms-Universitaet Bonn
Contact name
Univ.-Prof. Dr. med. Dr. habil Ehrenfried Schindler

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Germany Ongoing, recruiting 1 1
Rest of world 0

Investigational sites

Germany

1 site · Ongoing, recruiting
Rheinische Friedrich-Wilhelms-Universitaet Bonn
Department ofAnesthesiology and Operative Intensive Care Medicine, Venusberg-Campus 1, Venusberg, Bonn

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Germany 2026-05-18 2026-05-19

Results and documents

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

Documents 21 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol 2025-523543-36-00 modif 2.1
Protocol (for publication) D1_Protocol 2025-523543-36-00 clean 1.2
Protocol (for publication) D1_Protocol 2025-523543-36-00 modif 1.2
Protocol (for publication) D1_Protocol 2025-523543-36-00 track changes 1.2
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Subject information and informed consent form (for publication) Erlauterungen zum Probandenjahresvertrag 1
Subject information and informed consent form (for publication) flacc 1
Subject information and informed consent form (for publication) FPSR AU3 0deu DE 1
Subject information and informed consent form (for publication) Induction_Compliance_Checklist_ICC 1
Subject information and informed consent form (for publication) L1_SIS and ICF adults 1.4
Subject information and informed consent form (for publication) L1_SIS and ICF adults 1.5
Subject information and informed consent form (for publication) L1_SIS and ICF adults clean 1.5
Subject information and informed consent form (for publication) mypas-crf 1
Subject information and informed consent form (for publication) PAED-Score 1
Subject information and informed consent form (for publication) SDQ_German_pt2-4single 1
Subject information and informed consent form (for publication) SDQ_German_pt4-17single 1
Subject information and informed consent form (for publication) STAI X1 1
Subject information and informed consent form (for publication) STAI X2 1
Subject information and informed consent form (for publication) Versicherungsbestatigung 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC flumazenil 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC isotone-kochsalz-loesung-0-9-braun 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-10-30 Germany Acceptable with conditions
2025-12-19
2026-01-23
2 SUBSTANTIAL MODIFICATION SM-1 2026-01-23 Germany Acceptable
2026-02-11
2026-02-11