Post-operative Nausea and Vomiting (PONV)
Conditions
Brief summary
A randomized, double-blind, placebo-controlled, multi-center phase III study to compare the efficacy and safety of aprepitant injection and placebo in the prevention of post-operative nausea and vomiting (PONV).,
Detailed description
In this study, a randomized, double-blind, placebo-controlled multicenter study will be conducted to evaluate the efficacy and safety of aprepitant injection in the prevention of post-operative nausea and vomiting (PONV).
Interventions
Before anesthesia induction, 4.4ml(32mg) was given by a single intravenous injection, which was completed within 30 seconds
Before anesthesia induction, 4.4ml(0mg) was given by a single intravenous injection, which was completed within 30 seconds
Sponsors
Study design
Intervention model description
Parrallel Assignment
Eligibility
Inclusion criteria
Age ≥18 and ≤75 years old; 18 \< BMI≤30kg/m\^2, body weight ≥45kg; laparoscopic gynecologic or abdominal surgery under general anesthesia that was expected to last at least 1 hour. expected or agreed to stay in the hospital for 24 hours or more after surgery;
Exclusion criteria
diagnostic surgery; scheduled for postoperative transfer to an intensive care unit; requiring placement of a nasogastric or orogastric tube after surgery; Post-operative vomiting may pose significant risk;
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Complete response (CR) rates over 24 hours after the end of surgery | 0-24 hours after the end of surgery | Complete response (defined as no emetic episodes and no use of rescue therapy) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of participants who have no vomiting or retching in the 0 to 24 hours following the end of surgery | 0-24 hours after the end of surgery | No vomiting or retching(Defined as whether or not use remedy treatment had no vomiting) |
| Proportion of participants who use the remedial treatment in the 0 to 24 hours following the end of surgery | 0-24 hours after the end of surgery | — |
| Proportion of participants who have no nausea in the 0 to 24 hours following the end of surgery | 0-24 hours after the end of surgery | No nausea(defined as a visual analogue scale (VAS) nausea score \< 1.) |
| Time to treatment failure in the 0 to 24 hours following the end of surgery | 0-24 hours after the end of surgery | defined as the time to the first episode of vomiting (vomiting or retching) or the time to rescue therapy, whichever occurred first. |
| Proportion of participants who have no vomiting or retching in the 0 to 48 hours following the end of surgery | 0-48 hours after the end of surgery | No vomiting or retching(Defined as whether or not use remedy treatment had no vomiting) |
| The time to the first episode of vomiting (vomiting or retching) in the 0 to 48 hours following the end of surgery | 0-48 hours after the end of surgery | — |
| Proportion of participants who have significant nausea in the 0 to 24 hours following the end of surgery | 0-24 hours after the end of surgery | Significant nausea(defined as a visual analogue scale (VAS) nausea score≥4) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with treatment-related adverse events as assessed by NIH | Day 0 to Day14 | Safety was assessed by Adverse events (AEs) were recorded after administration. |