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Does Thiamine Help Vomiting and Nausea in Pregnancy?
This study is currently recruiting participants.
Verified by HaEmek Medical Center, Israel, March 2009
First Received: February 18, 2009   Last Updated: March 12, 2009   History of Changes
Sponsored by: HaEmek Medical Center, Israel
Information provided by: HaEmek Medical Center, Israel
ClinicalTrials.gov Identifier: NCT00861523
  Purpose

There are different treatments for nausea and vomiting in pregnancy. According to the ACOG recommendations, promethazine is the first line of parenteral treatment after oral treatment had failed. Thiamine is given to prevent wernicke encephalopathy. This research try to find out whether thiamine helps the vomiting and nausea as well, by comparing the response to thiamine and promethazine in women who suffer from nausea and vomiting in pregnancy.


Condition Intervention Phase
Hyperemesis Gravidarum
Drug: thiamine & promethazine
Phase III

Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Crossover Assignment
Official Title: Comparison Between the Treatment of Thiamine and Promethazine for Improving Vomiting and Nausea in Pregnancy

Resource links provided by NLM:


Further study details as provided by HaEmek Medical Center, Israel:

Primary Outcome Measures:
  • the improvement in nausea and/or vomiting after treatment [ Time Frame: 2 months after first visit in ER (until 14 week of pregnancy) ] [ Designated as safety issue: No ]

Estimated Enrollment: 280
Study Start Date: February 2009
Estimated Primary Completion Date: January 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1. thiamine: Active Comparator
Pregnant women until 12 week of gestation who refer to the ER because of nausea and vomiting and didn't improve after hydration, will receive thiamine IV
Drug: thiamine & promethazine
thiamine 100 mg IV promethazine 25 mg IV
2. promethazine: Active Comparator
Pregnant women until 12 week of gestation who refer to the ER because of nausea and vomiting and didn't improve after hydration, will receive promethazine IV
Drug: thiamine & promethazine
thiamine 100 mg IV promethazine 25 mg IV

Detailed Description:
  • Research groups: pregnant women eho visit the emergency room for nausea and vomiting in pregnancy, pregnancy age 12 weeks or less
  • After basic examinations and hydration, the women will randomized to thiamine or promethazine treatment.
  • If no improvement is shown, the patient will be treated with the other drug
  • The patients will be interviewed on their current visit and every two weeks until 14th week of gestation
  • The interview includes medical history and details about their illness, other treatments, hospitalization etc.
  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Pregnant women until 12th week of gestation
  • The women visit the ER because of nausea and vomiting
  • The women didn't received thiamine yet

Exclusion Criteria:

  • Pregnant women over 12th week of gestation
  • Women that received thiamine before
  • women that allergic to the studied drugs
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00861523

Contacts
Contact: Yfat Kadan, MD 972-4-6494331 yfat_ka@bclalit.org.il; kadana@bezeqint.net

Locations
Israel
Gynecologic department, Haemek medical center Recruiting
Afula, Israel
Sponsors and Collaborators
HaEmek Medical Center, Israel
Investigators
Principal Investigator: Yfat Kadan Haemek medical center
  More Information

No publications provided

Responsible Party: yfat kadan ( Dep. of OB/GYN, HaEmek Medical Center )
Study ID Numbers: 0101-08-EMC
Study First Received: February 18, 2009
Last Updated: March 12, 2009
ClinicalTrials.gov Identifier: NCT00861523     History of Changes
Health Authority: israel: helsinky comittee

Keywords provided by HaEmek Medical Center, Israel:
nausea
vomiting
pregnancy
thiamine
promethazine
nausea and vomiting in pregnancy

Study placed in the following topic categories:
Neurotransmitter Agents
Pregnancy Complications
Vomiting
Signs and Symptoms, Digestive
Antiemetics
Anesthetics
Signs and Symptoms
Promethazine
Vitamins
Hypnotics and Sedatives
Thiamin
Antipruritics
Nausea
Micronutrients
Vitamin B Complex
Thiamine
Central Nervous System Depressants
Trace Elements
Anti-Allergic Agents
Anesthetics, Local
Histamine
Hyperemesis Gravidarum
Vitamin B1
Histamine Antagonists
Histamine phosphate
Histamine H1 Antagonists
Peripheral Nervous System Agents
Diphenhydramine

Additional relevant MeSH terms:
Neurotransmitter Agents
Pregnancy Complications
Vomiting
Signs and Symptoms, Digestive
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs
Anesthetics
Antiemetics
Signs and Symptoms
Promethazine
Sensory System Agents
Vitamins
Therapeutic Uses
Hypnotics and Sedatives
Antipruritics
Micronutrients
Dermatologic Agents
Vitamin B Complex
Growth Substances
Thiamine
Gastrointestinal Agents
Central Nervous System Depressants
Histamine Agents
Anti-Allergic Agents
Anesthetics, Local
Pharmacologic Actions
Hyperemesis Gravidarum
Histamine Antagonists
Autonomic Agents
Histamine H1 Antagonists

ClinicalTrials.gov processed this record on September 10, 2009