Intravenous metoclopramide versus intravenous promethazine for hyperemesis gravidarum: a double-blind, randomised trial

ISRCTN ISRCTN34918844
DOI https://doi.org/10.1186/ISRCTN34918844
Secondary identifying numbers 625.10
Submission date
17/07/2008
Registration date
31/07/2008
Last edited
27/04/2010
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Pregnancy and Childbirth
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Peng Chiong Tan
Scientific

Department of Obstetrics and Gynaecology
Faculty of Medicine
University of Malaya
Kuala Lumpur
50603
Malaysia

Study information

Study designRandomised double-blind trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeNot Specified
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific title
Study acronymPRO-MET Trial
Study objectivesIntravenous metoclopramide is superior to intravenous promethazine as an anti-emetic in hyperemesis gravidarum
Ethics approval(s)University of Malaya Medical Centre Medical Ethics Committee approved on the 21st of November 2007 (ref: 625.10)
Health condition(s) or problem(s) studiedHyperemesis gravidarum
Intervention10 mg metoclopramide intravenously versus 25 mg promethazine intravenously at 8 hourly intervals at hospitalisation for hyperemesis gravidarum for up to 24 hours or longer as required.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Metoclopramide, promethazine
Primary outcome measure1. Participant well-being over the initial 24-hour period by means of a 10 point visual analogue scale (VAS)
2. Number of vomiting episodes in the initial 24-hour period (participant diary)
Secondary outcome measures1. Nausea score measured using a 10 point VAS at enrolment, 8 , 16 and 24 hours
2. Ketonuria status at the end of 24 study period
3. Additional/ change of anti-emetic required during the study period and during hospitalisation
4. Total doses of intravenous anti-emetic needed during hospitalisation
5. Admission to discharge interval
6. Any adverse events, including side effects profile including symptoms of the following:
6.1. Drowsiness
6.2. Inability to sleep
6.3. Dry mouth
6.4. Dizziness
6.5. Diarrhoea
6.6. Headache
6.7. Palpitations
6.8. Uncontrollable movements or muscle spasms
6.9. Rash
Overall study start date01/09/2008
Completion date01/03/2010

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target number of participants128
Key inclusion criteria1. Pregnant women, age limit >17 to 50 years
2. Gestation <16 weeks
3. First hospitalisation for hyperemesis gravidarum in current pregnancy
4. Clinical dehydration with ketonuria on urine dipstick
Key exclusion criteria1. Multiple gestation
2. Established non viable pregnancy
3. Allergy to metoclopramide or promethazine
4. Pre-exiting medical condition which can cause nausea and vomiting if known, for example:
4.1. Concomitant confounders of severity of nausea and vomiting e.g. culture proven symptomatic urinary tract infection, dengue fever
4.2. Gastrointestinal causes of vomiting e.g. gastro-enteritis
4.3. Medical causes of vomiting e.g. diabetic ketoacidosis
Date of first enrolment01/09/2008
Date of final enrolment01/03/2010

Locations

Countries of recruitment

  • Malaysia

Study participating centre

Department of Obstetrics and Gynaecology
Kuala Lumpur
50603
Malaysia

Sponsor information

University of Malaya (Malaysia)
University/education

Lembah Pantai
Kuala Lumpur
50603
Malaysia

Website http://um.edu.my
ROR logo "ROR" https://ror.org/00rzspn62

Funders

Funder type

University/education

University of Malaya (Malaysia) (Grant ref: PJP/FS227/2008B)
Government organisation / Universities (academic only)
Alternative name(s)
University of Malaya, University Malaya, Malayan University, UM
Location
Malaysia
CCM Duopharma Malaysia Biotech Berhad (Malaysia)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/05/2010 Yes No