ClinicalTrials.gg
RecruitingNCT07638527Updated Sep 4, 2026

Time to First Rescue Antiemetic With Ondansetron Plus Metoclopramide Versus Dexamethasone Plus Metoclopramide for PONV Prophylaxis in Laparoscopic Cholecystectomy

A Phase 4 interventional study of ondansetron 4 mg and Dexamethasone (intravenous) in Postoperative Nausea and Vomiting, sponsored by Faisalabad Medical University. Recruiting at 1 site in Pakistan. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-04.

Sponsored by Faisalabad Medical University · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
264
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 42 studies testing ondansetron in Postoperative Nausea and Vomiting — 2 open to participants now, 3 under way, none of them phase 3. Ondansetron · Postoperative Nausea and Vomiting.

Planned enrollment
8th of 42
264 · median 121
Started
2026
with 1 other
Phase 4
24 of 42
2 open now
Registered
41st of 42
by date
Lead sponsor
1 of 42
Faisalabad Medical University

Among the 42 studies testing ondansetron in Postoperative Nausea and Vomiting, this one is the 8th largest by planned enrollment, is one of 2 that started in 2026, is one of 24 in phase 4, and was the 41st registered.

Postoperative Nausea and Vomiting

638 studies on the registry are indexed under Postoperative Nausea and Vomiting; 110 are open to participants now.

Browse Postoperative Nausea and Vomiting studies →

Open to participants now

2 of the 42 studies testing ondansetron in Postoperative Nausea and Vomiting are open now, in 3 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 2 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 65 Postoperative Nausea and Vomiting studies recruiting now, 22 (34%) set no upper age limit and 37 (57%) stop at 75 or younger; 14 take children under 18; 11 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 42 studies testing ondansetron in Postoperative Nausea and Vomiting, or all of them as a file.
02

Study summary

The goal of this superiority randomized controlled trial (RCT) is to learn if one dual-drug arm increases patient comfort (time to needing rescue medication for nausea/vomiting) more effectively than the other in adults with Moderate-to-High PONV risk (Apfel score 2-4) undergoing elective laparoscopic cholecystectomy (gallbladder surgery).

The main question this study aims to answer is:

  • Does Ondansetron plus Metoclopramide prolong time to first rescue antiemetic more than Dexamethasone plus Metoclopramide?

Researchers will compare Group A (Ondansetron 4mg plus Metoclopramide 10mg IV) to Group B (Dexamethasone 8mg IV plus Metoclopramide 10mg IV) to see if Group A provides a longer time to first rescue medication.

Participants will:

  • Receive their assigned, blinded drug group 5-10 minutes before general anesthesia induction.
  • Receive rescue Metoclopramide 10mg IV if they experience any vomiting or severe nausea
  • Be monitored for 24 hours post-surgery in the hospital
  • Report nausea severity at 2, 6, 12 and 24 hours post-surgery
03

Conditions studied

  • Postoperative Nausea and Vomiting

Keywords

  • PONV
  • Postoperative emesis
  • Postoperative nausea
  • Postoperative vomiting
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

  • Age ≥ 18 years
  • (ASA) physical status I or II
  • Scheduled for elective laparoscopic cholecystectomy
  • Apfel score 2-4 (moderate to high risk for PONV)
  • Provides written prior to enrollment

Exclusion criteria

Exclusion Criteria:

  • Known allergy or to ondansetron, dexamethasone, or metoclopramide
  • Emergency surgery (e.g., acute cholecystitis, perforation, or gangrene)
  • Pregnancy or breastfeeding
  • III or IV
  • Preexisting hepatic impairment
  • Baseline (QTc) interval > 420 ms on pre-operative
  • History of dystonic reaction to metoclopramide or other dopamine antagonists
  • Preexisting renal impairment (e.g., serum creatinine > 1.5 mg/dL or on dialysis)
  • Unable or unwilling to provide
Terms in these criteria, in plain language(5)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
264 participants (estimated)

Study arms

  • Experimental
    Group A (Ondansetron and Metoclopramide)- Separate syringes

    Participants receive * Ondansetron (4 mg IV) and * Metoclopramide (10 mg IV), in two separate colorless syringes, 5-10 minutes before the induction of general anesthesia.

    Drug: ondansetron 4 mg · Drug: Metoclopramide 10mg

  • Active comparator
    Group B (Dexamethasone and Metoclopramide)- Separate syringes

    Participants receive * Dexamethasone 8mg IV and * Metoclopramide 10mg IV, in two separate colorless syringes, 5-10 minutes before the induction of general anesthesia.

    Drug: Dexamethasone (intravenous) · Drug: Metoclopramide 10mg

Interventions

  • Ondansetron 4 mg IV administered as a single colorless syringe 5-10 minutes before induction of anesthesia for prevention of postoperative nausea and vomiting.

    Also known as: Zofran, Zophren, Onmax

  • Dexamethasone 8 mg IV administered as a single colorless syringe 5-10 minutes before induction of anesthesia for prevention of postoperative nausea and vomiting.

    Also known as: Decadron, Oradexon, Fortecortin

  • Metoclopramide 10 mg IV administered as a single colorless syringe 5-10 minutes before induction of anesthesia as part of dual-agent PONV prophylaxis. Also used as rescue antiemetic (10 mg IV) if patient has vomiting or VRS \>4 for nausea.

    Also known as: Maxolon, Reglan, Paspertin

06

What researchers measure

Primary outcomes

  1. Time to First Rescue Antiemetic (in minutes)

    Time in minutes from patient arrival to Post-anaesthesia care unit, PACU (time zero) to administration of rescue metoclopramide 10 mg IV. Rescue is given if patient experiences any episode of vomiting/retching or reports a nausea Verbal Rating Scale (VRS) score \>4. VRS scale is no nausea (0), mild (1-3), moderate (4-6), and severe (7-10).

    Time frame: First 24 hours after surgery (measured from the time of arrival to Post-anaesthesia care unit, PACU)

Secondary outcomes

  1. Incidence of PONV

    Proportion of patients experiencing any nausea (VRS \>1) or any vomiting/retching episode within the first 24 hours post-surgery. Verbal Rating Scale (VRS) is a well established measurement scale with a total of 11 points where 0 = no nausea and 10 = worst possible nausea.

    Time frame: 24 hours post-surgery

  2. Severity of Postoperative Nausea and Vomiting (RINVR Score)

    Measured using the Rhodes Index of Nausea, Vomiting, and Retching (RINVR). It evaluates 8 dimensions: frequency/duration/distress of nausea; frequency/amount/distress of vomiting; and frequency/distress of retching. Total score range is 0-32, with 0 indicating no nausea, 1-8 mild, 9-16 moderate, 17-24 severe, and 25-32 great nausea. The higher scores indicate worse PONV.

    Time frame: Measured at 2, 6, 12, and 24 hours post-surgery

  3. Number of Rescue Doses Required

    Total number of rescue antiemetic (metoclopramide 10 mg IV) doses administered to each patient within the first 24 hours.

    Time frame: First 24 hours after surgery

  4. Patient Satisfaction with Antiemetic Treatment

    Patient-reported satisfaction measured on a 5-point Likert scale (Very Dissatisfied to Very Satisfied) at the end of hospital stay. Likert scale is a 5-point psychometric survey scale, with 1 indicating very disappointing and 5 indicating very satisfying. The higher the score, the better the treatment was.

    Time frame: At hospital discharge (approximately 24 hours post-surgery)

Other outcomes

  1. Adverse Events

    Proportion of patients experiencing any adverse reaction including allergic reaction, headache, perineal burning, dystonia, or QT prolongation on post-operative ECG.

    Time frame: From drug administration up to 24 hours post-surgery

07

Study locations

1 of 1 sites recruiting
  • Faisalabad Medical University
    Faisalābad, Punjab Province 38000, Pakistan
    Recruiting
    • Asifa Saeed, MBBS; FCPS · Contactdrasifasaeed@gmail.com · +923006694460
    • Huda Ather, MBBS · Contactatherhudaather@gmail.com · +923047922909
    • Asifa Saeed, MBBS; FCPS · Principal investigator
    • Huda Ather, MBBS · Sub investigator
    • M. Ibtisam Ahmad, MBBS · Sub investigator
08

References and documents

Publications

  • Alam, M. S., et al. (2025). Haloperidol Versus Dexmedetomidine As An Adjuvant to Ondansetron in Postoperative Nausea and Vomiting in Laparoscopic Cholecystectomy. Egyptian Journal of Surgery, 44(2), 456-463
  • Abel UR, Jensen K, Karapanagiotou-Schenkel I, Kieser M. Some Issues of Sample Size Calculation for Time-to-Event Endpoints Using the Freedman and Schoenfeld Formulas. J Biopharm Stat. 2015;25(6):1285-311. doi: 10.1080/10543406.2014.1000546. Epub 2015 Jan 28. PubMed 25629760 ↗
  • Naguib M, el Bakry AK, Khoshim MH, Channa AB, el Gammal M, el Gammal K, Elhattab YS, Attia M, Jaroudi R, Saddique A. Prophylactic antiemetic therapy with ondansetron, tropisetron, granisetron and metoclopramide in patients undergoing laparoscopic cholecystectomy: a randomized, double-blind comparison with placebo. Can J Anaesth. 1996 Mar;43(3):226-31. doi: 10.1007/BF03011739. PubMed 8829860 ↗
  • Chattopadhyay S, Biswas A, SK Samim Ferdows, Bhowmik DK, Dey S, Bi B. Comparison of Ondansetron, Dexamethasone and Ondansetron Plus Dexamethasone For The Prevention of Post-operative Nausea and Vomiting after Laparoscopic Cholecystectomy. Indian Journal of Clinical Anaesthesia. 2025;3(3):459-463. Accessed April 6, 2026.
  • Zhong B. How to calculate sample size in randomized controlled trial? J Thorac Dis. 2009 Dec;1(1):51-4. PubMed 22263004 ↗
  • Korkusuz M, Et T. Effect of perioperative restrictive and liberal fluid regimens on postoperative nausea-vomiting and quality of recovery in laparoscopic cholecystectomy. World J Gastrointest Surg. 2025 Oct 27;17(10):110543. doi: 10.4240/wjgs.v17.i10.110543. PubMed 41178893 ↗
  • Si XY, Wu LP, Li XD, Li B, Zhou YM. Dexamethasone combined with other antiemetics for prophylaxis after laparoscopic cholecystectomy. Asian J Surg. 2015 Jan;38(1):21-7. doi: 10.1016/j.asjsur.2014.04.005. Epub 2014 Jun 15. PubMed 24942194 ↗
  • Mishriky BM, Habib AS. Metoclopramide for nausea and vomiting prophylaxis during and after Caesarean delivery: a systematic review and meta-analysis. Br J Anaesth. 2012 Mar;108(3):374-83. doi: 10.1093/bja/aer509. Epub 2012 Feb 3. PubMed 22307240 ↗
  • Ko-Iam W, Sandhu T, Paiboonworachat S, Pongchairerks P, Junrungsee S, Chotirosniramit A, Chotirosniramit N, Chandacham K, Jirapongcharoenlap T. Metoclopramide, versus its combination with dexamethasone in the prevention of postoperative nausea and vomiting after laparoscopic cholecystectomy: a double-blind randomized controlled trial. J Med Assoc Thai. 2015 Mar;98(3):265-72. PubMed 25920297 ↗
  • Gan TJ, Jin Z, Ayad S, Belani KG, Habib AS, Meyer TA, Urman RD, Andrew BY, Bergese SD, Chung F, Diemunsch P, Kovac AL, Candiotti K, Englesakis M, Grant MC, Hedrick TL, Huang H, Kranke P, Lloyd SJ, Manahan MA, Minkowitz HS, Philip BK, Phillips BJ, Simpson KD, Stever J. Fifth Consensus Guidelines for the Management of Postoperative Nausea and Vomiting: Executive Summary. Anesth Analg. 2025 Nov 14. doi: 10.1213/ANE.0000000000007816. Online ahead of print. No abstract available. PubMed 41237407 ↗
  • Apfel CC, Laara E, Koivuranta M, Greim CA, Roewer N. A simplified risk score for predicting postoperative nausea and vomiting: conclusions from cross-validations between two centers. Anesthesiology. 1999 Sep;91(3):693-700. doi: 10.1097/00000542-199909000-00022. PubMed 10485781 ↗
  • Weibel S, Rucker G, Eberhart LH, Pace NL, Hartl HM, Jordan OL, Mayer D, Riemer M, Schaefer MS, Raj D, Backhaus I, Helf A, Schlesinger T, Kienbaum P, Kranke P. Drugs for preventing postoperative nausea and vomiting in adults after general anaesthesia: a network meta-analysis. Cochrane Database Syst Rev. 2020 Oct 19;10(10):CD012859. doi: 10.1002/14651858.CD012859.pub2. PubMed 33075160 ↗

Individual participant data

Plan to share: No — Individual participant data will not be shared because the study is single-centre, small and unfunded. Only aggregated, de-identified, summary data will besshared

09

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

Start is estimated for Sep 2026; primary completion for Mar 2027, 6 months later.

Of 67 non-industry phase 4 interventional studies under Postoperative Nausea and Vomiting, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 23. This study's planned 6 months is below that.

Counting every sponsor, half of 67 studies reached it within 11 months; a quarter within 5 and three quarters within 23.

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

Registered
Jun 4, 2026
First posted
Jun 10, 2026
StartEst.
Sep 2026
Primary completionEst.
Mar 2027
CompletionEst.
Apr 2027
Last update
Sep 4, 2026
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 Sep 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07638527
Lead sponsor
Faisalabad Medical University
Responsible party
Dr. Asifa Saeed (Head of Department Anaesthesiology and Critical Care, AHF-1, Faisalabad Medical University) — Principal investigator
First posted
Jun 10, 2026
Start date
Sep 2026 (estimated)
Primary completion
Mar 2027 (estimated)
Completion
Apr 2027 (estimated)
Last update
Sep 4, 2026

Study contacts

Asifa Saeed, MBBS; FCPS
Contact
drasifasaeed@gmail.com
+923006694460
Huda Ather, MBBS
Contact
atherhudaather@gmail.com
+923047922909
Asifa Saeed, MBBS; FCPS
principal investigator · Faisalabad Medical University

Oversight

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

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Studies of the drug tested here: Ondansetron

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