Randomized, double-blind, pediatric trial of amisulpride for prophylaxis of post operative nausea and vomiting
Randomized, double-blind, Phase 2/3 study of IV amisulpride as prevention of post-operative nausea and vomiting in pediatric patients
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
453
Dose finding treatment for continuation to phase 3
Standard of care treatment
Helen Keller Hospital
Sheffield, Alabama, United States
Emory Healthcare - Emory University Hospital
Atlanta, Georgia, United States
Evaluate Complete Response
Defined as no vomiting/retching (absence of PONV) and no use of anti-emetic rescue medication, during the first 24 hours after completion of surgery. Subjects will be questioned and assessed.
Time frame: 1 Day
Occurrence of post-operative vomiting/retching
Subjects considered able to understand and provide a meaningful response should be asked if they have nausea ("feel sick" or other equivalent words) at the following times after completion of surgery (wound closure), unless an episode of PONV or discharge of the subject from the site has already occurred prior to the time point: 1 hour, 2 hours, 6 hours and 24 hours or when they first vomit, retch or receive rescue medication. In subjects aged ≥ 6 years, at the above time points and for any spontaneously reported nausea episode, nausea severity should be scored using the validated 6-point Baxter Retching Faces (BARF) scale.
Time frame: 1 Day
Use of rescue medication
Document use of rescue medication.
Time frame: 1 Day
Occurrence and severity of post-operative nausea
An episode of nausea should be recorded any time that a subject spontaneously complains of nausea (including a request for rescue medication due to nausea). Subjects considered able to understand and provide a meaningful response should be asked if they have nausea ("feel sick" or other equivalent words) at the following times after completion of surgery (wound closure), unless an episode of PONV or discharge of the subject from the site has already occurred prior to the time point: 1 hour, 2 hours, 6 hours and 24 hours or when they first vomit, retch or receive rescue medication. In subjects aged ≥ 6 years, at the above time points and for any spontaneously reported nausea episode, nausea severity should be scored using the validated 6-point Baxter Retching Faces (BARF) scale.
Time frame: 1 Day
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University of Minnesota Masonic Children's Hospital
Minneapolis, Minnesota, United States
The Children's Hospital of Philadelphia (CHOP)
Philadelphia, Pennsylvania, United States
UPMC Children's Hospital of Pittsburgh
Pittsburgh, Pennsylvania, United States
The Hospital for Sick Children
Toronto, Ontario, Canada
McGill University Health Centre - The Montréal Children's Hospital
Montreal, Quebec, Canada
HCL - Hôpital Mère Enfant
Bron, France
CHU Strasbourg - Hopital Hautepierre
Strasbourg, France
Universitätsklinikum Würzburg
Würzburg, Bavaria, Germany
...and 4 more locations
Time to emergence of PONV
Observe for, question and document emergence of vomiting/retching and nausea. In subjects aged ≥ 6 years, at specified time points and for any spontaneously reported nausea episode, nausea severity should be scored using the validated 6-point Baxter Retching Faces (BARF) scale.
Time frame: 1 Day
Time to emergence of vomiting/retching, significant nausea, and rescue medication, individually
Observe for emergence of vomiting/retching, determine significance of nausea, and note rescue medication, individually.
Time frame: 1 Day
Different variables during different time ranges after the end of surgery (0-2 h, 2-6 h and 6-24 h)
Subjects considered able to understand and provide a meaningful response should be asked if they have nausea ("feel sick" or other equivalent words) at the following times after completion of surgery (wound closure), unless an episode of PONV or discharge of the subject from the site has already occurred prior to the time point: 1 hour, 2 hours, 6 hours and 24 hours or when they first vomit, retch or receive rescue medication. In subjects aged ≥ 6 years, at the above time points and for any spontaneously reported nausea episode, nausea severity should be scored using the validated 6-point Baxter Retching Faces (BARF) scale.
Time frame: 1 Day
The above variables in the sub-groups of patients who did and did not receive opioid analgesia
Concomitant medications will be reviewed.
Time frame: 1 Day
Safety: The nature and frequency of adverse events and laboratory and electrocardiography (ECG) abnormalities
Adverse events, laboratory and ECG abnormalities will be noted. Blood samples should be drawn at screening (unless recent pre-existing results are available) and again post-operatively, as soon as practically possible after the patient's entry to the post-anesthesia care unit, recovery room or equivalent, and in any event within 1 hour after the end of surgery. Twelve-lead ECGs will be collected at screening. An ECG already taken as part of medical care within the period of 2 weeks prior to screening may be used to determine eligibility and to provide baseline ECG data. In the peri-/post-operative period, continuous Holter monitoring of the ECG will be performed, from at least 10 minutes prior until at least 2 hours after the start of administration of amisulpride study medication.
Time frame: 7 Days
Key pharmacokinetics parameter - Peak Plasma Concentration
Plasma samples will be drawn as required at specified timepoints to determine the PK profile of peak plasma concentration of amisulpride in subjects.
Time frame: 1 Day
Key pharmacokinetics parameter - Total Exposure
Plasma samples will be drawn as required at specified timepoints to determine the PK profile of total exposure of amisulpride in subjects.
Time frame: 1 Day