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Single center, double-blind, randomized, controlled trial in patients who present to the emergency department (ED) with a chief complaint of nausea or vomiting. A total of 300 patients age 18-55 presenting to the emergency department with chief complaint of nausea or vomiting will be enrolled from February 2021 - February 2022. Patients will be randomized and symptom levels will be recorded at 30, 60, 90, minutes. Follow-up will be performed by telephone at 24 hours.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Haloperidol | Experimental | 2.5 mg of IV haloperidol diluted to a final concentration of 5 mL with 0.9% sodium chloride |
|
| Ondansetron | Active Comparator | 4 mg of IV ondansetron diluted to a final concentration of 5 mL with 0.9% sodium chloride |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Haloperidol | Drug | 2.5mg of IV haloperidol will be diluted to 5ml with 0.9% NS and given over 2 minutes IVP |
|
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analog Scale (VAS) | Mean change in visual analog scale (VAS) of self-rated nausea severity | from enrollment to 30, 60, and 90 minutes after drug administration |
| Measure | Description | Time Frame |
|---|---|---|
| Analgesia | Measurement of analgesia graded based on a self-reported validated 10 point visual analog scale (VAS) | 0, 30, 60, 90 minutes |
| Efficacy in marijuana users | Marijuanna use will be documented and quantified |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jessica McCoy, MD | Western Michigan University School of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bronson Methodist Hospital | Kalamazoo | Michigan | 49007 | United States |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| ICF | No | No | Yes | Informed Consent Form | Feb 4, 2021 | Feb 22, 2021 | ICF_000.pdf |
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| ID | Term |
|---|---|
| D014839 | Vomiting |
| D009325 | Nausea |
| D015746 | Abdominal Pain |
| ID | Term |
|---|---|
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| ID | Term |
|---|---|
| D006220 | Haloperidol |
| D017294 | Ondansetron |
| ID | Term |
|---|---|
| D002090 | Butyrophenones |
| D007659 | Ketones |
| D009930 | Organic Chemicals |
| D007093 | Imidazoles |
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This is a single-center prospective randomized double-blinded non-inferiority trial with potential assessment of superiority comparing haloperidol to ondansetron for the treatment of nausea and vomiting.
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Treatment allocations will be revealed only after study completion, unless there is concern for a serious adverse event in which case treatment team and patient will be unblinded. Interim analysis will be performed at 150 participants to evaluate for effectiveness and power
| Ondansetron | Drug | Ondansetron |
|
| Baseline (time 0) |
| QT prolongation | QT will be measured on the cardiac monitor | Baseline (time 0) and 90 minutes |
| Incidence of side-effects | Inquiry about side effects | 0, 30, 60, 90 minutes and 24 hours |
| D009461 | Neurologic Manifestations |
| D001393 |
| Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D002227 | Carbazoles |
| D007211 | Indoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006575 | Heterocyclic Compounds, 3-Ring |