Clinical Trial to Investigate the Efficacy and Safety of Ondansetron (Danset - Adwia) Versus Placebo Plus the Standard of Care in the Treatment of Nausea and Vomiting in Adult Patients With Acute Gastroenteritis

NCT ID: NCT05876585

Last Updated: 2024-09-26

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

NOT_YET_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

126 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-06-01

Study Completion Date

2025-06-01

Brief Summary

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A Randomized, Open-label, Active-Controlled Clinical Trial to Investigate the Efficacy and Safety of Ondansetron compared to Metoclopramide in the management of Nausea and Vomiting in Adult Patients with Acute Gastroenteritis.

Detailed Description

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This is a phase III, randomized, open-label, active-controlled, two-arm, parallel-design, interventional clinical trial evaluating the efficacy and safety of ondansetron 8 mg IV/ IM injection compared to metoclopramide 10 mg in the management of nausea and vomiting in adult patients with acute gastroenteritis.

Study duration: 1 year for patients' enrollment and follow-up. Sample Size: 63 subjects per arm, 126 in total. Participants in the trial will be male and female patients aged between 18 and 65 years visiting the emergency room due to acute gastroenteritis.

Patients will be screened for eligibility and eligible patients will be randomized in a 1:1 allocation ratio to receive a single dose of ondansetron 8 mg injection (arm 1) or a single dose of metoclopramide 10 mg injection (arm 2). Randomization will be done using interactive web response technology.

After drug administration, the patients will be followed up for 24 hours, including at least 3 hours in the emergency room immediately after drug administration.

Conditions

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Gastroenteritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Eligible patients will be randomized in a 1:1 allocation ratio to receive a single dose of ondansetron 8 mg injection (arm 1) or a single dose of metoclopramide 10 mg injection (arm 2).
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Ondansetron 8 mg ampoule

A clear, colorless, sterile solution for injection or infusion. Each 1 ml of the solution contains 2 mg of ondansetron as hydrochloride dihydrate.

Group Type EXPERIMENTAL

Ondansetron 8 mg ampoule

Intervention Type DRUG

Study drug

Metoclopramide 10 mg ampoule

Metoclopramide 10 mg/ 2 ml solution for injection in ampoules. Each 2 ml of the solution contains 10 mg of metoclopramide hydrochloride equivalent to 10 mg of anhydrous metoclopramide

Group Type ACTIVE_COMPARATOR

Metoclopramide 10 mg ampoule

Intervention Type DRUG

Comparator drug

Interventions

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Ondansetron 8 mg ampoule

Study drug

Intervention Type DRUG

Metoclopramide 10 mg ampoule

Comparator drug

Intervention Type DRUG

Other Intervention Names

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Danset ampoule Primperan

Eligibility Criteria

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Inclusion Criteria

1. Male or female patients aged between 18 and 65 years.
2. Patients diagnosed with acute gastroenteritis visiting the emergency room.
3. Patients considered by the attending physician to need an anti-emetic medication.
4. Patients able and willing to provide written informed consent.
5. Patients able and willing to complete the study procedures including compliance with the requirements and restrictions listed in the consent form.

Exclusion Criteria

1. Pregnant or lactating women.
2. Patients who received an anti-emetic medication during the past 24 hours.
3. History of hypersensitivity to any components of ondansetron or metoclopramide injection.
4. History of hypersensitivity to other selective 5HT3 receptor antagonists.
5. Patients with moderate or severe impairment of hepatic function.
6. Patients with moderate or severe renal impairment.
7. Patients with congenital long QT syndrome.
8. Patients who have or may develop prolongation of Qtc, including patients with electrolyte abnormalities, congestive heart failure, bradyarrhythmia, or patients taking other medicinal products that lead to QT prolongation or electrolyte imbalance.
9. Patients with hypokalemia or hypomagnesemia.
10. Patients with signs of subacute intestinal obstruction.
11. Patients currently using apomorphine hydrochloride.
12. Patients currently using levodopa or dopamine agonists.
13. Patients with gastrointestinal hemorrhage, mechanical obstruction, or gastrointestinal perforation.
14. Patients with a known history of neuroleptic- or metoclopramide-induced tardive dyskinesia.
15. Patients with epilepsy.
16. Patients with Parkinson's disease.
17. Patients with confirmed or suspected pheochromocytoma.
18. Patients with a known history of methemoglobinemia with metoclopramide or NADH-cytochrome b5 reductase deficiency.
19. Patients with a history of clinically-significant illness or any other major medical disorder that may interfere with subject treatment, assessment, or compliance with the protocol.
20. Patients with any chronic illness or prior treatment which in the opinion of the investigator should preclude participation in the trial.
21. Receipt of an investigational drug within 6 months prior to screening, or active enrolment in another investigational medication or device trial.
22. Inability to understand and cooperate with the investigators or to give valid consent.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Adwia Pharma, Egypt

UNKNOWN

Sponsor Role collaborator

Genuine Research Center, Egypt

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Waleed El-Nabawy, MD, Ph.D

Role: PRINCIPAL_INVESTIGATOR

Department of Internal Medicine, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt

Tarek Ibrahim, MD

Role: PRINCIPAL_INVESTIGATOR

Department of Internal Medicine, Faculty of Medicine, Fayoum University, Fayoum, Egypt

Ahmed Dabour, MD, Ph.D

Role: PRINCIPAL_INVESTIGATOR

Department of Internal Medicine, Faculty of Medicine, Benha University, Benha, Egypt

Central Contacts

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Mohsen Fathallah, MD, Ph.D

Role: CONTACT

+224514516

Baher Mostafa, MD

Role: CONTACT

+224514516

References

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Cardemil CV, Balachandran N, Kambhampati A, Grytdal S, Dahl RM, Rodriguez-Barradas MC, Vargas B, Beenhouwer DO, Evangelista KV, Marconi VC, Meagley KL, Brown ST, Perea A, Lucero-Obusan C, Holodniy M, Browne H, Gautam R, Bowen MD, Vinje J, Parashar UD, Hall AJ. Incidence, Etiology, and Severity of Acute Gastroenteritis Among Prospectively Enrolled Patients in 4 Veterans Affairs Hospitals and Outpatient Centers, 2016-2018. Clin Infect Dis. 2021 Nov 2;73(9):e2729-e2738. doi: 10.1093/cid/ciaa806.

Reference Type BACKGROUND
PMID: 32584956 (View on PubMed)

Chow CM, Leung AK, Hon KL. Acute gastroenteritis: from guidelines to real life. Clin Exp Gastroenterol. 2010;3:97-112. doi: 10.2147/ceg.s6554. Epub 2010 Jul 15.

Reference Type BACKGROUND
PMID: 21694853 (View on PubMed)

Diemunsch P, Conseiller C, Clyti N, Mamet JP. Ondansetron compared with metoclopramide in the treatment of established postoperative nausea and vomiting. The French Ondansetron Study Group. Br J Anaesth. 1997 Sep;79(3):322-6. doi: 10.1093/bja/79.3.322.

Reference Type BACKGROUND
PMID: 9389849 (View on PubMed)

Domino KB, Anderson EA, Polissar NL, Posner KL. Comparative efficacy and safety of ondansetron, droperidol, and metoclopramide for preventing postoperative nausea and vomiting: a meta-analysis. Anesth Analg. 1999 Jun;88(6):1370-9. doi: 10.1097/00000539-199906000-00032.

Reference Type BACKGROUND
PMID: 10357347 (View on PubMed)

Related Links

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https://www.ncbi.nlm.nih.gov/books/NBK518995/

Stuempfig ND, Seroy J. Viral Gastroenteritis. \[Updated 2022 Jun 21\]. In: StatPearls \[Internet\]. Treasure Island (FL): StatPearls Publishing; 2022 Jan

Other Identifiers

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GRC/ADGE/EG/38/III

Identifier Type: -

Identifier Source: org_study_id

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