Trial Outcomes & Findings for Does IV Ondansetron Prevent Pruritus After Intrathecal Morphine in Pediatric Patients? (NCT NCT03262038)

NCT ID: NCT03262038

Last Updated: 2021-01-19

Results Overview

number of participants with any incidence of pruritus

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

46 participants

Primary outcome timeframe

24 hours

Results posted on

2021-01-19

Participant Flow

Participant milestones

Participant milestones
Measure
Ondansetron IV
Ondansetron IV X1 intraoperatively (0.1 mg/kg in 5 mLs) Ondansetron IV X 4 (Q 6 hrs for 24 hrs) (0.1 mg/kg in 5 mLs) Ondansetron: This arm will receive (in a blinded fashion) 0.1 mg/kg of Ondansetron IV made up to 5 mLs intra-operatively and Ondansetron IV 0.1 mg/kg made up to 5 mLs every 6 hours for 24 hours postoperatively.
Placebo
Placebo Comparator: This arm will receive (in a blinded fashion) a volume-matched placebo intraoperatively X1 as well as IV every 6 hrs for 24 hours postoperatively. (X4) Placebo Comparator: This arm will receive (in a blinded fashion) a volume-matched placebo intraoperatively as well as IV every 6 hrs for 24 hours postoperatively.
Overall Study
STARTED
18
28
Overall Study
COMPLETED
18
27
Overall Study
NOT COMPLETED
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Ondansetron IV
Ondansetron IV X1 intraoperatively (0.1 mg/kg in 5 mLs) Ondansetron IV X 4 (Q 6 hrs for 24 hrs) (0.1 mg/kg in 5 mLs) Ondansetron: This arm will receive (in a blinded fashion) 0.1 mg/kg of Ondansetron IV made up to 5 mLs intra-operatively and Ondansetron IV 0.1 mg/kg made up to 5 mLs every 6 hours for 24 hours postoperatively.
Placebo
Placebo Comparator: This arm will receive (in a blinded fashion) a volume-matched placebo intraoperatively X1 as well as IV every 6 hrs for 24 hours postoperatively. (X4) Placebo Comparator: This arm will receive (in a blinded fashion) a volume-matched placebo intraoperatively as well as IV every 6 hrs for 24 hours postoperatively.
Overall Study
Withdrawal by Subject
0
1

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ondansetron IV
n=18 Participants
Ondansetron IV X1 intraoperatively (0.1 mg/kg in 5 mLs) Ondansetron IV X 4 (Q 6 hrs for 24 hrs) (0.1 mg/kg in 5 mLs) Ondansetron: This arm will receive (in a blinded fashion) 0.1 mg/kg of Ondansetron IV made up to 5 mLs intra-operatively and Ondansetron IV 0.1 mg/kg made up to 5 mLs every 6 hours for 24 hours postoperatively.
Placebo
n=27 Participants
Placebo Comparator: This arm will receive (in a blinded fashion) a volume-matched placebo intraoperatively X1 as well as IV every 6 hrs for 24 hours postoperatively. (X4) Placebo Comparator: This arm will receive (in a blinded fashion) a volume-matched placebo intraoperatively as well as IV every 6 hrs for 24 hours postoperatively.
Total
n=45 Participants
Total of all reporting groups
Age, Customized
8.3 years
n=18 Participants
8.2 years
n=27 Participants
8.3 years
n=45 Participants
Sex: Female, Male
Female
12 Participants
n=18 Participants
17 Participants
n=27 Participants
29 Participants
n=45 Participants
Sex: Female, Male
Male
6 Participants
n=18 Participants
10 Participants
n=27 Participants
16 Participants
n=45 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Weight
30.4 kg
n=18 Participants
34.0 kg
n=27 Participants
32.5 kg
n=45 Participants
ASA 1, 2
15 Participants
n=18 Participants
27 Participants
n=27 Participants
42 Participants
n=45 Participants
Surgical Service
Urology
14 Participants
n=18 Participants
22 Participants
n=27 Participants
36 Participants
n=45 Participants
Surgical Service
Orthopedics
4 Participants
n=18 Participants
5 Participants
n=27 Participants
9 Participants
n=45 Participants

PRIMARY outcome

Timeframe: 24 hours

number of participants with any incidence of pruritus

Outcome measures

Outcome measures
Measure
Ondansetron IV
n=18 Participants
Ondansetron IV X1 intraoperatively (0.1 mg/kg in 5 mLs) Ondansetron IV X 4 (Q 6 hrs for 24 hrs) (0.1 mg/kg in 5 mLs) Ondansetron: This arm will receive (in a blinded fashion) 0.1 mg/kg of Ondansetron IV made up to 5 mLs intra-operatively and Ondansetron IV 0.1 mg/kg made up to 5 mLs every 6 hours for 24 hours postoperatively.
Placebo
n=27 Participants
Placebo Comparator: This arm will receive (in a blinded fashion) a volume-matched placebo intraoperatively X1 as well as IV every 6 hrs for 24 hours postoperatively. (X4) Placebo Comparator: This arm will receive (in a blinded fashion) a volume-matched placebo intraoperatively as well as IV every 6 hrs for 24 hours postoperatively.
Incidence of Pruritus
14 Participants
24 Participants

PRIMARY outcome

Timeframe: 24 hours

Population: Excludes those without any itch

number of participants who indicated mild pruritus (no treatment needed) or severe pruritus (treatment needed)

Outcome measures

Outcome measures
Measure
Ondansetron IV
n=14 Participants
Ondansetron IV X1 intraoperatively (0.1 mg/kg in 5 mLs) Ondansetron IV X 4 (Q 6 hrs for 24 hrs) (0.1 mg/kg in 5 mLs) Ondansetron: This arm will receive (in a blinded fashion) 0.1 mg/kg of Ondansetron IV made up to 5 mLs intra-operatively and Ondansetron IV 0.1 mg/kg made up to 5 mLs every 6 hours for 24 hours postoperatively.
Placebo
n=24 Participants
Placebo Comparator: This arm will receive (in a blinded fashion) a volume-matched placebo intraoperatively X1 as well as IV every 6 hrs for 24 hours postoperatively. (X4) Placebo Comparator: This arm will receive (in a blinded fashion) a volume-matched placebo intraoperatively as well as IV every 6 hrs for 24 hours postoperatively.
Severity of Pruritus
Mild / no treatment needed
1 Participants
4 Participants
Severity of Pruritus
Severe / requiring treatment
13 Participants
20 Participants

SECONDARY outcome

Timeframe: 24 hours

number of participants with any incidence of postoperative nausea or vomiting

Outcome measures

Outcome measures
Measure
Ondansetron IV
n=18 Participants
Ondansetron IV X1 intraoperatively (0.1 mg/kg in 5 mLs) Ondansetron IV X 4 (Q 6 hrs for 24 hrs) (0.1 mg/kg in 5 mLs) Ondansetron: This arm will receive (in a blinded fashion) 0.1 mg/kg of Ondansetron IV made up to 5 mLs intra-operatively and Ondansetron IV 0.1 mg/kg made up to 5 mLs every 6 hours for 24 hours postoperatively.
Placebo
n=27 Participants
Placebo Comparator: This arm will receive (in a blinded fashion) a volume-matched placebo intraoperatively X1 as well as IV every 6 hrs for 24 hours postoperatively. (X4) Placebo Comparator: This arm will receive (in a blinded fashion) a volume-matched placebo intraoperatively as well as IV every 6 hrs for 24 hours postoperatively.
Incidence of Post Operative Nausea or Vomiting
8 Participants
23 Participants

SECONDARY outcome

Timeframe: 24 hours

Population: excludes those without any nausea vomiting

number of participants who Indicated mild post operative nausea or vomiting (no treatment needed) or severe postoperative nausea or vomiting(treatment needed)

Outcome measures

Outcome measures
Measure
Ondansetron IV
n=8 Participants
Ondansetron IV X1 intraoperatively (0.1 mg/kg in 5 mLs) Ondansetron IV X 4 (Q 6 hrs for 24 hrs) (0.1 mg/kg in 5 mLs) Ondansetron: This arm will receive (in a blinded fashion) 0.1 mg/kg of Ondansetron IV made up to 5 mLs intra-operatively and Ondansetron IV 0.1 mg/kg made up to 5 mLs every 6 hours for 24 hours postoperatively.
Placebo
n=23 Participants
Placebo Comparator: This arm will receive (in a blinded fashion) a volume-matched placebo intraoperatively X1 as well as IV every 6 hrs for 24 hours postoperatively. (X4) Placebo Comparator: This arm will receive (in a blinded fashion) a volume-matched placebo intraoperatively as well as IV every 6 hrs for 24 hours postoperatively.
Severity of Post Operative Nausea or Vomiting
Mild / no treatment required
2 Participants
4 Participants
Severity of Post Operative Nausea or Vomiting
Severe / requiring treatment
6 Participants
19 Participants

Adverse Events

Ondansetron IV

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Elizabeth Putnam

University of Michigan

Phone: 734-763-2435

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place