NCT05418244

Brief Summary

To determine the efficacy of inhaled isopropyl alcohol in treating nausea/vomiting among pediatric patients compared with the conventional ondansetron, or placebo treatment in a tertiary care pediatric emergency department.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
84

participants targeted

Target at P50-P75 for phase_2

Timeline
2mo left

Started Apr 2022

Typical duration for phase_2

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress97%
Apr 2022Jun 2026

Study Start

First participant enrolled

April 20, 2022

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

June 1, 2022

Completed
13 days until next milestone

First Posted

Study publicly available on registry

June 14, 2022

Completed
4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2026

Last Updated

October 8, 2025

Status Verified

October 1, 2025

Enrollment Period

4.2 years

First QC Date

June 1, 2022

Last Update Submit

October 3, 2025

Conditions

Outcome Measures

Primary Outcomes (3)

  • Change in Nausea Score at 30 Minutes

    Baxter Animated Retching Faces nausea score, 0-10 with higher score meaning worse nausea

    30 minutes post-intervention as compared to baseline

  • Change in Nausea Score at 10 Minutes

    Baxter Animated Retching Faces nausea score, 0-10 with higher score meaning worse nausea

    10 minutes post-interventnon as compared to baseline

  • Change in Nausea Score at Discharge

    Baxter Animated Retching Faces nausea score, 0-10 with higher score meaning worse nausea

    At ED discharge (assessed up to 10 hours) as compared to baseline

Secondary Outcomes (4)

  • Vomiting

    From intervention to time of ED discharge (assessed up to 10 hours)

  • Parent/Caregiver Satisfaction

    At time of ED discharge (assessed up to 10 hours)

  • Nurse Satisfaction in Ease of Administering the Treatment

    At time of ED discharge (assessed up to 10 hours)

  • Length of Stay

    From arrival to time of ED discharge (assessed up to 10 hours)

Study Arms (3)

Inhaled Isopropyl Alcohol

EXPERIMENTAL

If the subject is assigned to receive the isopropyl alcohol pad group, an isopropyl alcohol pad (Covidien Webcol 2 ply prep pad, saturated with 70% isopropyl alcohol) will be given to the subject, or the legal guardian. The alcohol pad will be held 1-2 cm under the subject's nares, the subject will be instructed to take deep breaths, inhaling through the nose as frequently as needed during the Emergency Department (ED) stay.

Other: Inhaled Isopropyl Alcohol

Oral Ondansetron

ACTIVE COMPARATOR

If the subject is assigned to receive ondansetron treatment, subject will be provided with 4 mg ondansetron oral disintegrating tablet (ODT) for treatment.

Drug: Oral Ondansetron

Inhaled Placebo

PLACEBO COMPARATOR

If the subject is assigned to receive the inhaled placebo, a normal saline pad (Hygea sterile saline wipe) will be given to the subject or the legal guardian. The saline wipe will be held under the subject's nares, the subject will be instructed to take deep breaths, inhaling through the nose as frequently as needed.

Other: Inhaled Placebo

Interventions

Isopropyl alcohol pad (Covidien Webcol 2 ply prep pads, saturated with 70% isopropyl alcohol) held 1-2 cm under the subject's nares

Also known as: Webcol
Inhaled Isopropyl Alcohol

4 mg oral disintegrating ondansetron tablet once

Also known as: Zofran
Oral Ondansetron

Normal saline pad (Hygea sterile saline wipe) held 1-2 cm under the subject's nares

Also known as: Inhaled Normal Saline'
Inhaled Placebo

Eligibility Criteria

Age7 Years - 17 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Patients with a chief complaint of nausea or vomiting
  • Ages 7-178 years, both sexes
  • Weight ≥ 15 kg
  • Baxter Animated Retching Faces (BARF) nausea severity score ≥ 4/10

You may not qualify if:

  • \. Require IV access
  • Inability to breathe in/out through the nose
  • Anosmia (self- or parental report)
  • Allergy to isopropyl alcohol or ondansetron
  • Current or history of alcohol abuse
  • Inability to communicate feeling nauseous
  • Inability to follow directions regarding taking deep breaths through the nose
  • Known prolonged QT interval
  • Pregnancy
  • Received antiemetics within the last 8 hours
  • Currently taking apomorphine

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Oishei Children's Hospital

Buffalo, New York, 14203, United States

RECRUITING

MeSH Terms

Conditions

VomitingNausea

Interventions

EthanolOndansetron

Condition Hierarchy (Ancestors)

Signs and Symptoms, DigestiveSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

AlcoholsOrganic ChemicalsImidazolesAzolesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsCarbazolesIndolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic Compounds, 3-Ring

Study Officials

  • Alana Koehler, MD

    SUNY Buffalo

    PRINCIPAL INVESTIGATOR
  • Heather Territo, MD

    SUNY Buffalo

    STUDY DIRECTOR

Central Study Contacts

Haiping Qiao, MBBS, MS

CONTACT

Alana Koehler, MD

CONTACT

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Pediatric Emergency Medicine Fellow

Study Record Dates

First Submitted

June 1, 2022

First Posted

June 14, 2022

Study Start

April 20, 2022

Primary Completion (Estimated)

June 30, 2026

Study Completion (Estimated)

June 30, 2026

Last Updated

October 8, 2025

Record last verified: 2025-10

Locations