Effect of Ramosetron on Bowel Motility After Gynecological Surgery

NCT ID: NCT02849483

Last Updated: 2017-01-12

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

88 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-07-31

Study Completion Date

2017-07-31

Brief Summary

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Ramosetron is effective in preventing postoperative nausea and vomiting. Several studies reported that ramosetron is also effective treatment of irritable bowel syndrome. The investigators examine the effect of ramosetron on postoperative bowel motility.

Detailed Description

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Ramosetron, a new potent and long-acting selective 5-HT3(5-hydroxytryptamine3) receptor anatagonist, is effective for preventing postoperative nausea and vomiting. Also several studies reported that ramosetron is effective treatment of diarrhea-predominant irritable bowel syndrome because it inhibits the accelerated colonic transit, abnormal colonic water transport, defecation abnormality, and the lowered colonic perceptual threshold by corticotrophin-releasing hormone, There is no study about the effect of ramosetron used for preventing postoperative nausea and vomiting on postoperative bowel motility. In this study, the investigators examine the effect of ramosetron on postoperative bowel motility.

Conditions

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Postoperative Nausea and Vomiting

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Ramosetron

2 ml of normal saline iv before induction, ramosetron 0.3 mg iv at the end of surgery, ramosetron 0.6 mg added to the iv PCA(Patient-Controlled Analgesia)

Group Type EXPERIMENTAL

Ramosetron

Intervention Type DRUG

Administer 2 ml of normal saline iv before induction. Inject ramosetron 0.3 mg iv at the end of surgery. Add ramosetron 0.6 mg to the iv PCA.

Control

dexamethasone 10 mg iv before induction, 2 ml of normal saline iv at the end of surgery, 4 ml of normal saline added to the iv PCA

Group Type PLACEBO_COMPARATOR

Normal saline

Intervention Type DRUG

Administer dexamethasone 10 mg iv before induction. Inject 2 ml of normal saline iv at the end of surgery. Add 4 ml of normal saline to the iv PCA.

Interventions

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Ramosetron

Administer 2 ml of normal saline iv before induction. Inject ramosetron 0.3 mg iv at the end of surgery. Add ramosetron 0.6 mg to the iv PCA.

Intervention Type DRUG

Normal saline

Administer dexamethasone 10 mg iv before induction. Inject 2 ml of normal saline iv at the end of surgery. Add 4 ml of normal saline to the iv PCA.

Intervention Type DRUG

Other Intervention Names

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Nasea

Eligibility Criteria

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Inclusion Criteria

* 20-70 yrs of age
* ASA(American Society of Anesthesiologists) physical status class I or II
* Scheduled for gynecological laparoscopic surgery

Exclusion Criteria

* Allergic to study drugs
* Antiemetics or steroids use within 24 hrs prior to surgery
* Dependence upon opioids
* Insulin dependent Diabetes Mellitus
* Cardiovascular or pulmonary disease
* Renal or hepatic insufficiency
* BMI\>=35kg/m2
* History of motion sickness or PONV
* Cigarette smoker
* Conversion to open laparotomy from laparoscopic surgery
* Pregnants
Minimum Eligible Age

20 Years

Maximum Eligible Age

70 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Kyunghee University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Mi Kyeong Kim

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mi Kyeong Kim, M.D., Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Kyunghee University Medical Center

Locations

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Kyung Hee University Hospital

Seoul, , South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Youngsoon Kim, M.D., Ph.D.

Role: CONTACT

+82-958-8589

Facility Contacts

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Youngsoon Kim

Role: primary

References

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Kang HY, Kim Y, You AH, Kim YJ, Kim MK. A randomized controlled trial of the effect of ramosetron on postoperative restoration of bowel motility after gynecologic laparoscopic surgery. Int J Gynaecol Obstet. 2022 Jul;158(1):172-178. doi: 10.1002/ijgo.13969. Epub 2021 Oct 16.

Reference Type DERIVED
PMID: 34614204 (View on PubMed)

Other Identifiers

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KHUH 2016-05-201

Identifier Type: -

Identifier Source: org_study_id

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