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Esophagogastroduodensocopy (EGD) ProcedurePhase 4NCT06729307

Ondansetron Combined with Dyclonine Hydrochloride to Improve Patient Experience in Unsedated Esophagogastro-duodenoscopy

A Phase 4 study testing Oral ondansetron and dyclonine hydrochloride mucilage and Dyclonine hydrochloride mucilage in people with Esophagogastroduodensocopy (EGD) Procedure, run by Peking Union Medical College Hospital.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

The goal of this clinical trial is to learn if administering ondansetron prior to esophagogastroduodenoscopy (EGD) can alleviate the gagging reflex, nausea and vomiting in Chinese patients undergoing unsedated diagnostic EGD. Read more about this study

Who is it for?
Ages 18 to 45 years
What is being tested?
Oral ondansetron and dyclonine hydrochloride mucilage and Dyclonine hydrochloride mucilage
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
260 participants
Where
No sites listed yet
Study dates
Jan 2025to Jan 2026
Phase
Phase 4
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 45 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Patients indicated for diagnostic EGD: patients with symptoms in which EGD may influence di-agnosis and/or disease management, including dysphagia, odynophagia, esophageal refluc symptoms, persistent vomiting, gastrointestinal bleeding, and other upper gastrointestinal symptoms.
  • Signing a written informed consent.

Who cannot join

  • Contraindications for esophagogastroduodenoscopy.
  • History of upper gastrointestinal tract surgery.
  • Severe diseases of the heart, kidney, respiratory system, central nervous system, and hematopoietic system.
  • Pregnancy.
  • Neuropsychiatric disorders, severe depression and severe anxiety.
  • Allergy to ondansetron or dyclonine hydrochloride.

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

About this study

The goal of this clinical trial is to learn if administering ondansetron prior to esophagogastroduodenoscopy (EGD) can alleviate the gagging reflex, nausea and vomiting in Chinese patients undergoing unsedated diagnostic EGD. The main questions it aims to answer are:

Does taking ondansetron prior to EGD reduce the discomfort of patients during the endoscopic process? Does taking ondansetron prior to EGD reduce the intensity of patient gagging and nausea, and the incidence of vomiting ? Researchers will compare premedication of oral ondasetron and topical pharyngeal anesthesia (dyclonine hydrochloride mucilage) with topical pharyngeal anesthesia only to see if ondansetron can exert the above-mentioned effects.

Read more

Participants will be treated with one of the following regimens according to the randomization result:

  • Oral ondansetron of 8 mg 2 hours prior to endoscopic process and dyclonine hydrochloride mucilage to be gurgled 15 minutes prior to endoscopic process;
  • dyclonine hydrochloride mucilage to be gurgled 15 minutes prior to endoscopic process.

After the endoscopic process is finished, patients will be asked to fill in a questionnaire that contains the following items, all measured by NRS 0-10:

  • Overall discomfort;
  • Intensity of gagging;
  • Willingness to undergo unsedated EGD again if indicated.
Being tested
Oral ondansetron and dyclonine hydrochloride mucilage, Dyclonine hydrochloride mucilage

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Oral ondansetron and dyclonine hydrochloride mucilageDrug

    Patients will take 8 mg oral ondansetron 2 hours prior to EGD process in addition to dyclonine hydrochloride mucilage to be gurgled 15 minutes prior to EGD process.

  • Dyclonine hydrochloride mucilageDrug

    Patients will be instructed to gurgle 10 mL of dyclonine chloride mucilage (0.01 g/mL) and gurgle for 1 minute 15 minutes prior to endoscopic process.

Study groups in NCT06729307
Study groupRoleWhat they receive
oral ondansetron and dyclonine hydrochloride mucilageExperimentalNot described
Receives: Drug: Oral ondansetron and dyclonine hydrochloride mucilage
dyclonine hydrochloride mucilage onlyOtherPatients are treated with only topical pharyngeal anesthesia (dyclonine hydrochloride mucilage to be gurgled 15 minutes prior to endoscopic process), with no antiemetic drug or placebo.
Receives: Drug: Dyclonine hydrochloride mucilage

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Overall discomfort of patients

    measured by NRS 0-10 (0 no discomfort, 10 as uncomfortable as can be), in a questionnaire given to patients after the endoscopic process is finished

    Measured: from the start of the endoscopic process to the end of the endoscopic process

Secondary outcomes (4)
  1. Intensity of gagging evaluated by patients

    measured by NRS 0-10 (0 none, 10 extremely strong), in a questionnaire given to patients after the endoscopic process is finished

    Measured: from the start of the endoscopic process to the end of the endoscopic process

  2. Intensity of patient gagging evaluated by endoscopist

    measured by NRS 0-10, (0 none, 10 extremely strong) in a questionnaire given to endoscopists after the endoscopic process is finished

    Measured: from the start of the endoscopic process to the end of the endoscopic process

  3. Patient willingness to undergo unsedated EGD again

    the willingness of patients to undergo unsedated EGD in the same method again, assessed by NRS 0-10 (0, not willing at all; 10 completely willing).

    Measured: at the end of the endoscopic process

  4. Endoscopist satisfaction

    satisfaction of endoscopist in this process, assessed by NRS 0-10 (0, not satisfied at all; 10 very satisfied).

    Measured: from the start to the end of the endoscopic process

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Dec 2024
  2. Study startJan 2025 (estimated)
  3. Primary completionJan 2026 (estimated)
  4. Study completionJan 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Care provider, Investigator, Outcomes assessor
Enrolment
260 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06729307
Sponsor's protocol ID
2024-OUEGD
Status last verified
Nov 2024
First submitted
20 Nov 2024
Last updated
11 Dec 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Oral ondansetron and dyclonine hydrochloride mucilage and Dyclonine hydrochloride mucilage in people with Esophagogastroduodensocopy (EGD) Procedure, run by Peking Union Medical College Hospital.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 11 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Min (+86 15313350760, minyy19@student.pumc.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Overall discomfort of patients (time frame: from the start of the endoscopic process to the end of the endoscopic process). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Dec 2024.

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