Trial Outcomes & Findings for Ondansetron as a Strategy for Reducing Propofol Injection Pain in Pediatrics: a Randomized Controlled Trial (NCT NCT05378113)

NCT ID: NCT05378113

Last Updated: 2026-04-24

Results Overview

Motor score scale will be measured in the lidocaine and ondansetron groups. Possible score ranges from 0 to 3, where 0 refers to no movement, 1 refers to slight hand withdrawal, 2 refers to marked withdrawal, rubbing, trying to tear off the line and 3 refers to general restlessness. Higher scores indicate a more severe motor withdrawal response and higher perceived pain or distress.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

6 participants

Primary outcome timeframe

Baseline, during propofol injection (30 seconds)

Results posted on

2026-04-24

Participant Flow

Participant milestones

Participant milestones
Measure
Ondansetron Premedication Group
The ondansetron group will receive ondansetron 0.15mg/kg IV push followed immediately by propofol 2mg/kg IV for induction. A 10cc normal saline flush will follow injection of propofol. Ondansetron: Ondansetron (Zofran) is a 5-hydroxytryptamine-3 (5-HT3) receptor antagonist commonly used to treat postoperative nausea and vomiting.
Lidocaine Premedication Group
The lidocaine group will receive lidocaine 2% 1mg/kg IV push followed immediately by propofol 2mg/kg IV for induction. A 10cc normal saline flush will follow injection of propofol. Lidocaine: Lidocaine is a local anesthetic agent used intravenously prior to the propofol injection. Currently the standard of care to help decrease the severity of pain in the injection site, a common side effect of propofol.
Overall Study
STARTED
3
3
Overall Study
COMPLETED
3
3
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Ondansetron as a Strategy for Reducing Propofol Injection Pain in Pediatrics: a Randomized Controlled Trial

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ondansetron Premedication Group
n=3 Participants
The ondansetron group will receive ondansetron 0.15mg/kg IV push followed immediately by propofol 2mg/kg IV for induction. A 10cc normal saline flush will follow injection of propofol. Ondansetron: Ondansetron (Zofran) is a 5-hydroxytryptamine-3 (5-HT3) receptor antagonist commonly used to treat postoperative nausea and vomiting.
Lidocaine Premedication Group
n=3 Participants
The lidocaine group will receive lidocaine 2% 1mg/kg IV push followed immediately by propofol 2mg/kg IV for induction. A 10cc normal saline flush will follow injection of propofol. Lidocaine: Lidocaine is a local anesthetic agent used intravenously prior to the propofol injection. Currently the standard of care to help decrease the severity of pain in the injection site, a common side effect of propofol.
Total
n=6 Participants
Total of all reporting groups
Age, Continuous
6 years
STANDARD_DEVIATION 4.32 • n=2 Participants
8.67 years
STANDARD_DEVIATION 2.05 • n=1 Participants
7.34 years
STANDARD_DEVIATION 3.98 • n=3 Participants
Sex: Female, Male
Female
0 Participants
n=2 Participants
1 Participants
n=1 Participants
1 Participants
n=3 Participants
Sex: Female, Male
Male
3 Participants
n=2 Participants
2 Participants
n=1 Participants
5 Participants
n=3 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=2 Participants
0 Participants
n=1 Participants
1 Participants
n=3 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
2 Participants
n=2 Participants
3 Participants
n=1 Participants
5 Participants
n=3 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=2 Participants
0 Participants
n=1 Participants
0 Participants
n=3 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=2 Participants
0 Participants
n=1 Participants
0 Participants
n=3 Participants
Race (NIH/OMB)
Asian
0 Participants
n=2 Participants
0 Participants
n=1 Participants
0 Participants
n=3 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=2 Participants
0 Participants
n=1 Participants
0 Participants
n=3 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=2 Participants
1 Participants
n=1 Participants
2 Participants
n=3 Participants
Race (NIH/OMB)
White
2 Participants
n=2 Participants
2 Participants
n=1 Participants
4 Participants
n=3 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=2 Participants
0 Participants
n=1 Participants
0 Participants
n=3 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=2 Participants
0 Participants
n=1 Participants
0 Participants
n=3 Participants
Region of Enrollment
United States
3 participants
n=2 Participants
3 participants
n=1 Participants
6 participants
n=3 Participants

PRIMARY outcome

Timeframe: Baseline, during propofol injection (30 seconds)

VRS will be measured in the lidocaine and ondansetron groups. Possible score ranges from 0 to 3, where 0 refers to no verbal indication of pain, 1 refers to purposeless moaning, 2 refers to explicit protest and 3 refers to screaming/crying of pain. Higher scores indicate a higher level of perceived pain/distress.

Outcome measures

Outcome measures
Measure
Ondansetron Premedication Group
n=3 Participants
The ondansetron group will receive ondansetron 0.15mg/kg IV push followed immediately by propofol 2mg/kg IV for induction. A 10cc normal saline flush will follow injection of propofol. Ondansetron: Ondansetron (Zofran) is a 5-hydroxytryptamine-3 (5-HT3) receptor antagonist commonly used to treat postoperative nausea and vomiting.
Lidocaine Premedication Group
n=3 Participants
The lidocaine group will receive lidocaine 2% 1mg/kg IV push followed immediately by propofol 2mg/kg IV for induction. A 10cc normal saline flush will follow injection of propofol. Lidocaine: Lidocaine is a local anesthetic agent used intravenously prior to the propofol injection. Currently the standard of care to help decrease the severity of pain in the injection site, a common side effect of propofol.
Verbal Rating Scale (VRS)
Baseline VRS score
0 score on a scale
Standard Deviation 0
0 score on a scale
Standard Deviation 0
Verbal Rating Scale (VRS)
VRS score during propofol injection (30 seconds)
0.67 score on a scale
Standard Deviation 0.58
0.33 score on a scale
Standard Deviation 0.58

PRIMARY outcome

Timeframe: Baseline, during propofol injection (30 seconds)

Motor score scale will be measured in the lidocaine and ondansetron groups. Possible score ranges from 0 to 3, where 0 refers to no movement, 1 refers to slight hand withdrawal, 2 refers to marked withdrawal, rubbing, trying to tear off the line and 3 refers to general restlessness. Higher scores indicate a more severe motor withdrawal response and higher perceived pain or distress.

Outcome measures

Outcome measures
Measure
Ondansetron Premedication Group
n=3 Participants
The ondansetron group will receive ondansetron 0.15mg/kg IV push followed immediately by propofol 2mg/kg IV for induction. A 10cc normal saline flush will follow injection of propofol. Ondansetron: Ondansetron (Zofran) is a 5-hydroxytryptamine-3 (5-HT3) receptor antagonist commonly used to treat postoperative nausea and vomiting.
Lidocaine Premedication Group
n=3 Participants
The lidocaine group will receive lidocaine 2% 1mg/kg IV push followed immediately by propofol 2mg/kg IV for induction. A 10cc normal saline flush will follow injection of propofol. Lidocaine: Lidocaine is a local anesthetic agent used intravenously prior to the propofol injection. Currently the standard of care to help decrease the severity of pain in the injection site, a common side effect of propofol.
Motor Score Scale
Motor score scale during propofol injection (30 seconds)
0.67 score on a scale
Standard Deviation 1.15
1 score on a scale
Standard Deviation 1
Motor Score Scale
Motor score scale at baseline
0 score on a scale
Standard Deviation 0
0 score on a scale
Standard Deviation 0

Adverse Events

Ondansetron Premedication Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Lidocaine Premedication Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Vipin Bansal

Emory University

Phone: 404-630-9552

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place