Efficacy of Dexamethasone for Prevent Vomiting in Leukemic Children Who Receive Intrathecal Chemotherapy

Brief Summary

Null hypothesis The proportions of vomiting are not different between dexamethasone and placebo in the patient after sedation with intravenous ketamine and lumbar puncture with intrathecal chemotherapy Alternative hypothesis The proportions of vomiting are different between dexamethasone and placebo in the patient after sedation with intravenous ketamine and lumbar puncture with intrathecal chemotherapy

Intervention / Treatment

  • Dexamethasone (DRUG)
    dexamethasone 0.25 mg/kg (8 mg/m2/dose) intravenous one time

Condition or Disease

  • Acute Leukemic Patients in Children

Phase

  • Phase 4
  • Study Design

    Study type: INTERVENTIONAL
    Status: Completed
    Study results: No Results Available
    Age: 2 Years to 15 Years
    Enrollment: 32 (ESTIMATED)
    Funded by: Other
    Allocation: Randomized
    Primary Purpose: Prevention

    Masking

    QUADRUPLE:
    • Participant
    • Care Provider
    • Investigator
    • Outcomes Assessor

    Clinical Trial Dates

    Start date: Apr 01, 2011
    Primary Completion: Sep 01, 2011 ACTUAL
    Completion Date: Dec 01, 2011 ACTUAL
    Study First Posted: Mar 29, 2010 ESTIMATED
    Results First Posted: Aug 31, 2020
    Last Updated: Jan 09, 2012

    Sponsors / Collaborators

    Lead Sponsor: CHANCHAI TRAIVAREE
    Responsible Party: CHANCHAI TRAIVAREE

    Does intravenous dexamethasone 0.25 mg/kg (8 mg/m2/dose) have an effect in the reduction of vomiting and retching after sedation with intravenous ketamine and lumbar puncture with intrathecal chemotherapy comparison with placebo?

    Eligibility Criteria

    Sex: All
    Minimum Age: 2
    Maximum Age: 15
    Age Groups: Child
    Healthy Volunteers: Yes

    Inclusion Criteria:

    * Patients aged between 2-15 years who underlying acute lymphoid or nonlymphoid leukemia and need to receive ketamine and intrathecal chemotherapy.
    * Personally signed and dated informed consent and assent document indicating that the subject (or legally acceptable representative) has been informed of all pertinent aspects of the trial prior to study entry.

    Exclusion Criteria:

    * Patients who had a known allergy to ketamine or dexamethasone.
    * Patients who had contraindication for ketamine or dexemethasone such as hypertension, increased intracranial pressure or central nervous system mass lesion, major psychiatric , and hyperglycemia.
    * Patients who concurrent with nausea and vomiting during that time.
    * Patients who received ondansetron or other antiemetic before doing Procedure.
    * Patients who received other chemotherapy before or after 24 hours.

    Primary Outcomes
    • : To determine whether vomiting and retching associated with intravenous ketamine and intrathecal chemotherapy may be reduced by the addition of prophylactic dexamethasone 24 hours
    Secondary Outcomes
    • To determine whether severity of the nausea after procedure may be reduced by the addition of prophylactic dexamethasone. 24 hours

    More Details

    NCT Number: NCT01094990
    Other IDs: DEX111
    Study URL: https://clinicaltrials.gov/study/NCT01094990
    Last updated: Sep 29, 2023