Trial Outcomes & Findings for Capsaicin Cream as an Adjunctive Therapy for Nausea and Vomiting of Pregnancy (NCT NCT05098067)

NCT ID: NCT05098067

Last Updated: 2024-02-07

Results Overview

Time to perceived symptom control as measured by time elapsed between metoclopramide administration and patient request for discharge.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

30 participants

Primary outcome timeframe

180 minutes

Results posted on

2024-02-07

Participant Flow

Participant milestones

Participant milestones
Measure
Intervention Group
Participants will receive IV fluid bolus of 1000cc of lactated ringers, metoclopromide 10mg IV and will have 5g of 0.075% capsaicin cream applied to their abdomen. Participants will indicate the severity of their symptoms immediately prior to administration of metoclopromide, at time 0 and every 30 minutes for a total of 120 minutes after administration of the first medications (or discharge) using a 10 cm visual analogue scale (VAS)11,12. The scale will be provided in English or Spanish as appropriate. If at the 90-minute time mark the patient does not report improvement of their symptoms, odansetron 8mg IV will be administered. Capsaicin Topical Cream: 5g 0.075% applied once Metoclopramide: 10mg IV once Ondansetron: 8mg IV once if needed Lactated Ringers, Intravenous: 1000cc once
Placebo Group
Participants will receive IV fluid bolus of 1000cc of lactated ringers, metoclopromide 10mg IV and will have 5g of placebo cream applied to their abdomen. Participants will indicate the severity of their symptoms immediately prior to administration of metoclopromide, at time 0 and every 30 minutes for a total of 120 minutes after administration of the first medications (or discharge) using a 10 cm visual analogue scale (VAS). The scale will be provided in English or Spanish as appropriate. If at the 90-minute time mark the patient does not report improvement of their symptoms, odansetron 8mg IV will be administered. Metoclopramide: 10mg IV once Ondansetron: 8mg IV once if needed Lactated Ringers, Intravenous: 1000cc once
Overall Study
STARTED
15
15
Overall Study
COMPLETED
15
15
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention Group
n=15 Participants
Participants will receive IV fluid bolus of 1000cc of lactated ringers, metoclopromide 10mg IV and will have 5g of 0.075% capsaicin cream applied to their abdomen. Participants will indicate the severity of their symptoms immediately prior to administration of metoclopromide, at time 0 and every 30 minutes for a total of 120 minutes after administration of the first medications (or discharge) using a 10 cm visual analogue scale (VAS)11,12. The scale will be provided in English or Spanish as appropriate. If at the 90-minute time mark the patient does not report improvement of their symptoms, odansetron 8mg IV will be administered. Capsaicin Topical Cream: 5g 0.075% applied once Metoclopramide: 10mg IV once Ondansetron: 8mg IV once if needed Lactated Ringers, Intravenous: 1000cc once
Placebo Group
n=15 Participants
Participants will receive IV fluid bolus of 1000cc of lactated ringers, metoclopromide 10mg IV and will have 5g of placebo cream applied to their abdomen. Participants will indicate the severity of their symptoms immediately prior to administration of metoclopromide, at time 0 and every 30 minutes for a total of 120 minutes after administration of the first medications (or discharge) using a 10 cm visual analogue scale (VAS). The scale will be provided in English or Spanish as appropriate. If at the 90-minute time mark the patient does not report improvement of their symptoms, odansetron 8mg IV will be administered. Metoclopramide: 10mg IV once Ondansetron: 8mg IV once if needed Lactated Ringers, Intravenous: 1000cc once
Total
n=30 Participants
Total of all reporting groups
Age, Continuous
24 years
n=15 Participants
28 years
n=15 Participants
26.5 years
n=30 Participants
Sex: Female, Male
Female
15 Participants
n=15 Participants
15 Participants
n=15 Participants
30 Participants
n=30 Participants
Sex: Female, Male
Male
0 Participants
n=15 Participants
0 Participants
n=15 Participants
0 Participants
n=30 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Parity
1 deliveries
n=15 Participants
1 deliveries
n=15 Participants
1 deliveries
n=30 Participants
BMI
23.5 kg/m^2
n=15 Participants
22.9 kg/m^2
n=15 Participants
23.4 kg/m^2
n=30 Participants
Gestational age
68 days
n=15 Participants
52 days
n=15 Participants
59.5 days
n=30 Participants

PRIMARY outcome

Timeframe: 180 minutes

Time to perceived symptom control as measured by time elapsed between metoclopramide administration and patient request for discharge.

Outcome measures

Outcome measures
Measure
Intervention Group
n=15 Participants
Participants will receive IV fluid bolus of 1000cc of lactated ringers, metoclopromide 10mg IV and will have 5g of 0.075% capsaicin cream applied to their abdomen. Participants will indicate the severity of their symptoms immediately prior to administration of metoclopromide, at time 0 and every 30 minutes for a total of 120 minutes after administration of the first medications (or discharge) using a 10 cm visual analogue scale (VAS)11,12. The scale will be provided in English or Spanish as appropriate. If at the 90-minute time mark the patient does not report improvement of their symptoms, odansetron 8mg IV will be administered. Capsaicin Topical Cream: 5g 0.075% applied once Metoclopramide: 10mg IV once Ondansetron: 8mg IV once if needed Lactated Ringers, Intravenous: 1000cc once
Placebo Group
n=15 Participants
Participants will receive IV fluid bolus of 1000cc of lactated ringers, metoclopromide 10mg IV and will have 5g of placebo cream applied to their abdomen. Participants will indicate the severity of their symptoms immediately prior to administration of metoclopromide, at time 0 and every 30 minutes for a total of 120 minutes after administration of the first medications (or discharge) using a 10 cm visual analogue scale (VAS). The scale will be provided in English or Spanish as appropriate. If at the 90-minute time mark the patient does not report improvement of their symptoms, odansetron 8mg IV will be administered. Metoclopramide: 10mg IV once Ondansetron: 8mg IV once if needed Lactated Ringers, Intravenous: 1000cc once
Time to Symptom Control
72 minutes
Interval 56.0 to 86.0
87 minutes
Interval 69.0 to 111.0

SECONDARY outcome

Timeframe: 180 minutes

Outcome measures

Outcome measures
Measure
Intervention Group
n=15 Participants
Participants will receive IV fluid bolus of 1000cc of lactated ringers, metoclopromide 10mg IV and will have 5g of 0.075% capsaicin cream applied to their abdomen. Participants will indicate the severity of their symptoms immediately prior to administration of metoclopromide, at time 0 and every 30 minutes for a total of 120 minutes after administration of the first medications (or discharge) using a 10 cm visual analogue scale (VAS)11,12. The scale will be provided in English or Spanish as appropriate. If at the 90-minute time mark the patient does not report improvement of their symptoms, odansetron 8mg IV will be administered. Capsaicin Topical Cream: 5g 0.075% applied once Metoclopramide: 10mg IV once Ondansetron: 8mg IV once if needed Lactated Ringers, Intravenous: 1000cc once
Placebo Group
n=15 Participants
Participants will receive IV fluid bolus of 1000cc of lactated ringers, metoclopromide 10mg IV and will have 5g of placebo cream applied to their abdomen. Participants will indicate the severity of their symptoms immediately prior to administration of metoclopromide, at time 0 and every 30 minutes for a total of 120 minutes after administration of the first medications (or discharge) using a 10 cm visual analogue scale (VAS). The scale will be provided in English or Spanish as appropriate. If at the 90-minute time mark the patient does not report improvement of their symptoms, odansetron 8mg IV will be administered. Metoclopramide: 10mg IV once Ondansetron: 8mg IV once if needed Lactated Ringers, Intravenous: 1000cc once
Number of Antiemetics Needed for Symptom Control
1 additional antiemetic
2 Participants
4 Participants
Number of Antiemetics Needed for Symptom Control
2 additional antiemetics
1 Participants
1 Participants
Number of Antiemetics Needed for Symptom Control
3 additional antiemetics
1 Participants
0 Participants
Number of Antiemetics Needed for Symptom Control
4 additional antiemetics
0 Participants
0 Participants
Number of Antiemetics Needed for Symptom Control
0 additional antiemetics
11 Participants
10 Participants

Adverse Events

Intervention Group

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Placebo Group

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Intervention Group
n=15 participants at risk
Participants will receive IV fluid bolus of 1000cc of lactated ringers, metoclopromide 10mg IV and will have 5g of 0.075% capsaicin cream applied to their abdomen. Participants will indicate the severity of their symptoms immediately prior to administration of metoclopromide, at time 0 and every 30 minutes for a total of 120 minutes after administration of the first medications (or discharge) using a 10 cm visual analogue scale (VAS)11,12. The scale will be provided in English or Spanish as appropriate. If at the 90-minute time mark the patient does not report improvement of their symptoms, odansetron 8mg IV will be administered. Capsaicin Topical Cream: 5g 0.075% applied once Metoclopramide: 10mg IV once Ondansetron: 8mg IV once if needed Lactated Ringers, Intravenous: 1000cc once
Placebo Group
n=15 participants at risk
Participants will receive IV fluid bolus of 1000cc of lactated ringers, metoclopromide 10mg IV and will have 5g of placebo cream applied to their abdomen. Participants will indicate the severity of their symptoms immediately prior to administration of metoclopromide, at time 0 and every 30 minutes for a total of 120 minutes after administration of the first medications (or discharge) using a 10 cm visual analogue scale (VAS). The scale will be provided in English or Spanish as appropriate. If at the 90-minute time mark the patient does not report improvement of their symptoms, odansetron 8mg IV will be administered. Metoclopramide: 10mg IV once Ondansetron: 8mg IV once if needed Lactated Ringers, Intravenous: 1000cc once
Skin and subcutaneous tissue disorders
Skin irritation
66.7%
10/15 • Number of events 10 • Data collected over length of emergency room visit an average of 1.5 hours per participant
Patients self reported side effects
0.00%
0/15 • Data collected over length of emergency room visit an average of 1.5 hours per participant
Patients self reported side effects

Additional Information

Dr. Lauren Murphy

Women and Infants Hospital

Phone: 2107222589

Results disclosure agreements

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