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CompletedNCT06450899Updated Sep 19, 2024

Prochlorperazine Maleate Versus Placebo for the Prophylaxis of Acute Mountain Sickness

A Phase 2 interventional study of Prochlorperazine Maleate and Placebo in Acute Mountain Sickness, sponsored by University of Colorado, Denver. Completed at 1 site in United States. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-09-19.

Sponsored by University of Colorado, Denver · Phase 2, Interventional, and Prevention

From the registry’s dates

  • Primary completion was Aug 2024, 2 years 1 month ago, and no results have been posted to the registry.
Phase
Phase 2
Study type
Interventional
Enrollment
57
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This study is a trial looking at a drug to help prevent acute mountain sickness. The drug is prochlorperazine, a drug commonly used to treat nausea vomiting and headache. Participants will either take the drug or a placebo, and hike to and sleep at the summit of Mount Blue Sky located at 4,348 meters (14,265 feet).

Read the detailed description

This study will be a double-blind randomized controlled trial to investigate the utility of prochlorperazine maleate versus placebo for the chemoprophylaxis of acute mountain sickness on rapid ascent to 4,348 meters, specifically the summit of Mount Blue Sky in the Mount Blue Sky Wilderness. Participants will be evaluated for AMS utilizing the 2018 LLQ both the evening of and morning after ascent. The primary outcome will be the presence of AMS, defined by a 2018 LLQ score equal to or greater than 3, including the presence of a headache at any measured point during the study. Individuals will convene the morning of the study in Golden, Colorado where they will receive breakfast and either placebo or prochlorperazine. They will then be driven to Summit Lake where they will break for lunch and receive the second dose of placebo or prochlorperazine. They will then hike to the Mount Blue Sky summit where they will receive their third and final dose of either placebo or intervention, spend the night in the structures at the summit, and be assessed for AMS via LLQ. In the morning, they will be assessed for AMS again, receive breakfast, and then be driven back to the original meeting point. They will be monitored by Emergency Physicians at all points during the study.

02

Conditions studied

  • Acute Mountain Sickness

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03

In context

Altitude Sickness

192 studies on the registry are indexed under Altitude Sickness; 45 are open to participants now.

This study's enrollment of 57 is above the median of 34 across 159 interventional studies indexed under Altitude Sickness.

Browse Altitude Sickness studies →

Lead sponsor

University of Colorado, Denver is the lead sponsor of 1,538 studies on the registry; 319 are open to participants now.

Of its 146 completed or terminated interventional studies of FDA-regulated products, 92 (63%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Adults >18 years old.

Exclusion criteria

Exclusion Criteria:

  • Individuals \<18 years old or >75 years old
  • Pregnant women
  • Individuals who reside at or have slept at elevations >1,800 meters in the last two weeks
  • Individuals having taken acetazolamide, steroids, ibuprofen, anti-emetics or additional analgesics within the last 24 hours prior to study initiation
  • Individuals requiring supplemental baseline oxygen or with chronic disorders known to be significantly impacted by hypoxia
  • Individuals with known allergies to prochlorperazine or phenothiazines
  • Individuals taking medications with significant medication interactions with prochlorperazine: Dofetilide, potassium acid phosphate, potassium chloride, potassium citrate, potassium phosphate, Yohimbe.
  • Individuals with a history of dementia
  • Individuals who lack decision making capacity
05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
57 participants (actual)

Study arms

  • Experimental
    Prochlorperazine Maleate

    This arm will be the interventional/experimental arm receiving prochlorperazine maleate, further described in experimental arm section.

    Drug: Prochlorperazine Maleate

  • Placebo comparator
    Placebo

    The placebo arm individuals will receive a non-identical placebo.

    Drug: Placebo

Interventions

  • Currently, prochlorperazine maleate is approved by the FDA for the treatment of nausea and vomiting, and additionally used off-label as an acute migraine treatment. The FDA has approved the dose of 5-10 mg to be taken orally 3-4 times a day. The study intervention will be obtained from Belmar Pharma solutions. Individuals randomized into the study arm will receive generic prochlorperazine maleate 10 mg orally taken three times daily for one day. Participants will convene in the morning of the trial date at low altitude, where they will receive their first dose. They will then be driven to Summit Lake and break for lunch, where they will receive their second dose approximately 6 hours later. They will then hike to the summit and receive their final dose in the evening, approximately another 6 hours later.

    Also known as: Compazine

  • DrugPlacebo

    The placebo arm individuals will receive a non-identical inert generic placebo tablet containing microcrystalline cellulose provided by Belmar Pharma Solutions. Placebo tablets will be taken at the same time and frequency as the study intervention drug.

06

What researchers measure

Primary outcomes

  1. Acute Mountain Sickness

    The primary outcome will be the presence of AMS, defined by a 2018 Lake Louise Questionnaire (LLQ) score of equal to or greater than 3, including the presence of a headache at any measured point during the study.

    Time frame: The primary outcome will be assessed during the discreet roughly 36 hour trial period. LLQs will be administered the evening of and morning after arrival to peak altitude, or at any point of self reported altitude illness.

07

Study locations

1 site
  • Mount Blue Sky
    Evergreen, Colorado 80439, United States
08

References and documents

Publications

  • Small E, Goldberg E, Musi M, Strickland B, Paterson R, Phillips C, Keyes LE. Prochlorperazine maleate versus placebo for the prevention of acute mountain sickness: study protocol for a randomized controlled trial. Trials. 2024 Nov 21;25(1):785. doi: 10.1186/s13063-024-08592-x. PubMed 39574186 ↗

Study documents

  • Informed consent form · May 5, 2024

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06450899
Responsible party
Sponsor
First posted
Jun 10, 2024
Start date
Aug 5, 2024
Primary completion
Aug 28, 2024
Completion
Aug 28, 2024
Last update
Sep 19, 2024

Study contacts

Elan Small, MD
study director · University of Colorado, Denver

Oversight

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

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This study is completed, as verified in Sep 2024. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Prochlorperazine

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