ClinicalTrials.gg
CompletedNCT03297021Updated Jul 20, 2020Results posted

Effects of Ondansetron Dose and Timing on Post-operative Nausea and Vomiting

A Phase 4 interventional study of Ondansetron 4 MG and Ondansetron 8mg in Post-operative Nausea and Vomiting, sponsored by Icahn School of Medicine at Mount Sinai. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-07-20.

Sponsored by Icahn School of Medicine at Mount Sinai · Phase 4, Interventional, and Prevention

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Phase
Phase 4
Study type
Interventional
Enrollment
141
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 59 studies testing ondansetron in Vomiting — 3 open to participants now, 3 under way, none of them phase 3. Ondansetron · Vomiting.

Enrollment
21st of 58
141 · median 103
Started
2017
with 4 others
Phase 4
15 of 59
2 open now
Registered
46th of 59
by date

Among the 59 studies testing ondansetron in Vomiting, this one is the 21st largest by enrollment of the 58 interventional ones that give a count, is one of 5 that started in 2017, is one of 15 in phase 4, and was the 46th registered.

Vomiting

793 studies on the registry are indexed under Vomiting; 99 are open to participants now.

Browse Vomiting studies →

Open to participants now

3 of the 59 studies testing ondansetron in Vomiting are open now, in 3 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 3 open studies →

About ondansetron

Ondansetron: first FDA approval 1991 (ZOFRAN). What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 56 Vomiting studies recruiting now, 26 (46%) set no upper age limit and 24 (43%) stop at 75 or younger; 10 take children under 18; 17 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 59 studies testing ondansetron in Vomiting, or all of them as a file.
02

Study summary

The aim is to evaluate the effectiveness of three different regimens of prophylactic ondansetron on the incidence and severity of post-operative nausea and vomiting.

Read the detailed description

Patients will be randomize to one of three arms: 4mg ondansetron pre-emergence, 8 mg ondansetron pre-emergence, or 4mg ondansetron pre-incision followed by 4mg ondansetron pre-emergence. Primary outcome will be incidence of PONV in the PACU prior to discharge.

03

Conditions studied

  • Post-operative Nausea and Vomiting

Browse trials for

Keywords

  • ambulatory surgery
  • post-operative nausea and vomiting
  • general anesthesia
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • , II, III presenting for ambulatory surgery to be performed under general anesthesia

Exclusion criteria

Exclusion Criteria:

  • Patients with allergies or to study medications
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Factorial assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
141 participants (actual)

Study arms

  • Placebo comparator
    Ondansetron 4mg Pre-emergence

    Drug: Ondansetron 4 MG

  • Experimental
    Ondansetron 8mg Pre-emergence

    Drug: Ondansetron 8mg

  • Experimental
    Ondansetron Pre-Incision and Pre-emergence

    4mg Ondansetron Pre-Incision and 4mg Ondansetron Pre-emergence

    Drug: Ondansetron 4 MG

Interventions

06

What researchers measure

Primary outcomes

  1. Nausea Scale

    Nausea Scale - full scale from 1-10, with higher score indicating more symptom of nausea

    Time frame: average of 4 hours in PACU and POD1

Secondary outcomes

  1. Number of Participants With Episodes of Vomiting in the PACU

    Number of participants with episodes of vomiting in the Post Anesthesia Care Unit

    Time frame: average of 4 hours

  2. Number of Participants With Symptoms on POD 1

    Number of participants with symptom presence of nausea or vomiting or headache on post-operative day one

    Time frame: Day 1

  3. Number of Participants Who Needed Rescue Anti-emetics

    Number participants who needed rescue anti-emetics, i.e,, additional treatments needed to control nausea or vomiting in the PACU

    Time frame: average of 4 hours

  4. Total Anesthesia Time

    Time frame: intraoperative, up to 3.5 hours

07

Results

Posted Jul 20, 2020

Participant flow

165 patients assessed for eligibility 141 patients were randomized

Participant flow — Overall Study
MilestoneOndansetron 4mg Pre-emergenceOndansetron 8mg Pre-emergenceOndansetron Pre-Incision and Pre-emergence
Started484647
Completed434243
Not completed544
Withdrew: Incomplete/illegible data sheet423
Withdrew: Missing post-op data121

Outcome measures

PrimaryNausea Scale

Nausea Scale - full scale from 1-10, with higher score indicating more symptom of nausea

Time frame:
average of 4 hours in PACU and POD1
Reported as:
Mean · score on a scale
Nausea Scale
score on a scaleOndansetron 4mg Pre-emergenceOndansetron 8mg Pre-emergenceOndansetron Pre-Incision and Pre-emergence
PACU3.5 (1.75 to 4.0)4.0 (3.0 to 6.0)4.0 (1.5 to 6.0)
POD12.0 (1.0 to 3.0)1.0 (1.0 to 5.5)8.0 (8.0 to 8.0)
SecondaryNumber of Participants With Episodes of Vomiting in the PACU

Number of participants with episodes of vomiting in the Post Anesthesia Care Unit

Time frame:
average of 4 hours
Reported as:
Count of participants · Participants
Number of Participants With Episodes of Vomiting in the PACU
ParticipantsOndansetron 4mg Pre-emergenceOndansetron 8mg Pre-emergenceOndansetron Pre-Incision and Pre-emergence
Number of Participants With Episodes of Vomiting in the PACU201
SecondaryNumber of Participants With Symptoms on POD 1

Number of participants with symptom presence of nausea or vomiting or headache on post-operative day one

Time frame:
Day 1
Reported as:
Count of participants · Participants
Number of Participants With Symptoms on POD 1
ParticipantsOndansetron 4mg Pre-emergenceOndansetron 8mg Pre-emergenceOndansetron Pre-Incision and Pre-emergence
Nausea941
Vomiting110
Headache553
SecondaryNumber of Participants Who Needed Rescue Anti-emetics

Number participants who needed rescue anti-emetics, i.e,, additional treatments needed to control nausea or vomiting in the PACU

Time frame:
average of 4 hours
Reported as:
Count of participants · Participants
Number of Participants Who Needed Rescue Anti-emetics
ParticipantsOndansetron 4mg Pre-emergenceOndansetron 8mg Pre-emergenceOndansetron Pre-Incision and Pre-emergence
Number of Participants Who Needed Rescue Anti-emetics412
SecondaryTotal Anesthesia Time
Time frame:
intraoperative, up to 3.5 hours
Reported as:
Mean · minutes
Total Anesthesia Time
minutesOndansetron 4mg Pre-emergenceOndansetron 8mg Pre-emergenceOndansetron Pre-Incision and Pre-emergence
Total Anesthesia Time116.0 (93.0 to 178.0)128.5 (86.5 to 186.25)118.0 (93.0 to 172.0)

Adverse events

Collected over 1 day. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Ondansetron 4mg Pre-emergence0/43 (0%)0/43 (0%)0/43 (0%)
Ondansetron 8mg Pre-emergence0/42 (0%)0/42 (0%)0/42 (0%)
Ondansetron Pre-Incision and Pre-emergence0/43 (0%)0/43 (0%)0/43 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Ondansetron 4mg Pre-emergenceOndansetron 8mg Pre-emergenceOndansetron Pre-Incision and Pre-emergenceTotal
Median40 (33 to 51)39 (30 to 51)48 (31 to 57)40 (30 to 57)
Sex: Female, Male
Sex: Female, Male(Participants)Ondansetron 4mg Pre-emergenceOndansetron 8mg Pre-emergenceOndansetron Pre-Incision and Pre-emergenceTotal
Female413637114
Male26614
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Ondansetron 4mg Pre-emergenceOndansetron 8mg Pre-emergenceOndansetron Pre-Incision and Pre-emergenceTotal
Count of participants———0
ASA Class
ASA Class(units on a scale)Ondansetron 4mg Pre-emergenceOndansetron 8mg Pre-emergenceOndansetron Pre-Incision and Pre-emergenceTotal
Median1 (1 to 2)1 (1 to 2)1 (1 to 2)1 (1 to 2)
BMI
BMI(kg/m^2)Ondansetron 4mg Pre-emergenceOndansetron 8mg Pre-emergenceOndansetron Pre-Incision and Pre-emergenceTotal
Median24.0 (21.0 to 27.0)25.0 (22.0 to 29.2)24.0 (21.0 to 28.6)24 (21 to 29.2)
History of PONV
History of PONV(Participants)Ondansetron 4mg Pre-emergenceOndansetron 8mg Pre-emergenceOndansetron Pre-Incision and Pre-emergenceTotal
Count of participants1281333
History of Vertigo
History of Vertigo(Participants)Ondansetron 4mg Pre-emergenceOndansetron 8mg Pre-emergenceOndansetron Pre-Incision and Pre-emergenceTotal
Count of participants1124
History of Motion Sickness
History of Motion Sickness(Participants)Ondansetron 4mg Pre-emergenceOndansetron 8mg Pre-emergenceOndansetron Pre-Incision and Pre-emergenceTotal
Count of participants13101740

1 further baseline measures are reported on the registry.

08

Study locations

1 site
  • Icahn School of Medicine at Mount Sinai
    New York, New York 10029, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2017 to primary completion in Apr 2019, 17 months.

Results were first posted in Jul 2020, 1 year 3 months after primary completion.

Of 31 non-industry phase 4 interventional studies under Vomiting, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 43. This study's 17 months is close to that.

Counting every sponsor, half of 41 studies reached it within 17 months; a quarter within 8 and three quarters within 32.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 26, 2017
First posted
Sep 29, 2017
StartActual
Oct 23, 2017
Primary completionActual
Apr 5, 2019
CompletionActual
Apr 5, 2019
Results first posted
Jul 20, 2020
Last update
Jul 20, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 20, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03297021
Responsible party
Daniel Katz (Assistant Professor, Icahn School of Medicine at Mount Sinai) — Principal investigator
First posted
Sep 29, 2017
Start date
Oct 23, 2017
Primary completion
Apr 5, 2019
Completion
Apr 5, 2019
Results posted
Jul 20, 2020
Last update
Jul 20, 2020

Study contacts

Daniel Katz, MD
principal investigator · Icahn School of Medicine at Mount Sinai

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2020. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Ondansetron

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