Efficacy Study of IV Fluids Only vs Ondansetron to Treat Dehydration

NCT ID: NCT00691275

Last Updated: 2015-07-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2008-09-30

Study Completion Date

2009-09-30

Brief Summary

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Dehydration due to vomiting is a common complication of acute gastroenteritis in children. Persistent vomiting following rehydration is a problem in outpatient management using oral rehydration therapy.

Four previous studies have examined the role of the medication, ondansetron, in treating nausea and vomiting in children with gastroenteritis and have suggested that it may be beneficial \[1-4\]. A previous study has also shown that the administration of intravenous fluid alone to children with dehydration due to gastroenteritis helps resolve nausea and vomiting in the majority of patients \[5\]. None of the previous studies compared the efficacy of intravenous ondansetron with that of intravenous fluid alone in the prevention of vomiting . In addition, the previous studies were limited by poorly defined inclusion criteria and outcome measures.

The proposed study seeks to more clearly define the role of intravenous ondansetron in the management of children suffering dehydration due to acute gastroenteritis. If ondansetron further reduces the incidence of vomiting compared with intravenous fluid alone, more children with dehydration due to acute gastroenteritis may be successfully discharged to home from the emergency department instead of admitted to the hospital. If it does not, the widespread use of ondansetron for such patients could be discouraged and money could be saved.

Hypothesis:

Patients receiving ondansetron in addition to intravenous fluids for the treatment of dehydration due to vomiting caused by gastroenteritis will not have a significant reduction in the occurrence of persistent vomiting as compared to those who receive only intravenous fluids.

Detailed Description

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Conditions

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Dehydration Gastroenteritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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2

Saline

Group Type PLACEBO_COMPARATOR

Saline

Intervention Type DRUG

1

Zofran

Group Type ACTIVE_COMPARATOR

Ondansetron

Intervention Type DRUG

Interventions

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Ondansetron

Intervention Type DRUG

Saline

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age 6 months - 5 years
* Clinical diagnosis of acute gastroenteritis
* Mild or moderate dehydration as determined by validated clinical scale
* Clinical assessment to begin IV fluids
* Vomiting ≥ 2 episodes in past 4 hours

Exclusion Criteria

* Severe dehydration
* History of significant gastrointestinal, metabolic, renal or cardiac disorder
* Ondansetron allergy
* Non-English language proficient parent/guardian
* Parent/guardian has no telephone
Minimum Eligible Age

6 Months

Maximum Eligible Age

5 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Children's Hospitals and Clinics of Minnesota

OTHER

Sponsor Role lead

Responsible Party

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Children's Hospitals and Clinics of Minnesota

Principal Investigators

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Sam Reid, MD

Role: PRINCIPAL_INVESTIGATOR

Children's Hospitals and Clinics of Minnesota

Henry Ortega, MD

Role: PRINCIPAL_INVESTIGATOR

Children's Hospitals and Clinics of Minnesota

Jeffrey Louie, MD

Role: PRINCIPAL_INVESTIGATOR

Children's Hospitals and Clinics of Minnesota

References

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Freedman SB, Adler M, Seshadri R, Powell EC. Oral ondansetron for gastroenteritis in a pediatric emergency department. N Engl J Med. 2006 Apr 20;354(16):1698-705. doi: 10.1056/NEJMoa055119.

Reference Type BACKGROUND
PMID: 16625009 (View on PubMed)

Reeves JJ, Shannon MW, Fleisher GR. Ondansetron decreases vomiting associated with acute gastroenteritis: a randomized, controlled trial. Pediatrics. 2002 Apr;109(4):e62. doi: 10.1542/peds.109.4.e62.

Reference Type BACKGROUND
PMID: 11927735 (View on PubMed)

Ramsook C, Sahagun-Carreon I, Kozinetz CA, Moro-Sutherland D. A randomized clinical trial comparing oral ondansetron with placebo in children with vomiting from acute gastroenteritis. Ann Emerg Med. 2002 Apr;39(4):397-403. doi: 10.1067/mem.2002.122706.

Reference Type BACKGROUND
PMID: 11919526 (View on PubMed)

Stork CM, Brown KM, Reilly TH, Secreti L, Brown LH. Emergency department treatment of viral gastritis using intravenous ondansetron or dexamethasone in children. Acad Emerg Med. 2006 Oct;13(10):1027-33. doi: 10.1197/j.aem.2006.05.018. Epub 2006 Aug 10.

Reference Type BACKGROUND
PMID: 16902049 (View on PubMed)

Reid SR, Bonadio WA. Outpatient rapid intravenous rehydration to correct dehydration and resolve vomiting in children with acute gastroenteritis. Ann Emerg Med. 1996 Sep;28(3):318-23. doi: 10.1016/s0196-0644(96)70032-x.

Reference Type BACKGROUND
PMID: 8780476 (View on PubMed)

Other Identifiers

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0801-012

Identifier Type: -

Identifier Source: org_study_id

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