DOPE: Droperidol on Prevention of Cannabis Hyperemesis Syndrome
Study Details
Study Description
Brief Summary
The purpose of this study is to assess the efficacy of droperidol as a treatment of cannabinoid hyperemesis syndrome.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Detailed Description
Patients presenting to the Emergency Department with nausea, vomiting and/or abdominal pain with a significant history of cannabis use and symptoms in a cyclic pattern will be assessed for study inclusion. After given written informed consent, patients will be treated with droperidol and diphenhydramine and symptoms will be assessed using a visual analog scale at time intervals up to 120 minutes. Patient will then be contacted at 24 and 48 hour intervals to assess symptoms on the same scale. This is a multicenter, prospective interventional study with results compared to a historical cohort using haloperidol.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Intervention Patients who receive droperidol 2.5mg intravenous once and diphenhydramine 25mg intravenous once |
Drug: Droperidol Injectable Product
Treatment
Other Names:
Drug: Diphenhydramine
Treatment
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Change from baseline in symptoms after treatment with droperidol and diphenhydramine [Baseline, 30 minutes, 60 minutes and 120 minutes. Then at 24 hours and 48 hours.]
The Visual Analog Scale is a 100-mm patient-reported score measurement used to assess nausea and/or vomitting and/or abdominal pain. Possible scores range from 0 (symptom-free) to 10 (worst possible symptom)
Eligibility Criteria
Criteria
Inclusion Criteria:
- aged 18 years of age or older and presenting with cannabis hyperemesis syndrome requiring intravenous medication.
Exclusion Criteria:
-
any patient with a contraindication to the use of droperidol
-
QTc interval on ECG greater than 440 milliseconds for males and greater than 450 milliseconds for females
-
any prisoners
-
pregnant females.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Mercy Health - Austintown | Austintown | Ohio | United States | 44515 |
2 | St Elizabeth Boardman Hospital | Boardman | Ohio | United States | 44512 |
3 | St. Joseph-Warren Hospital | Warren | Ohio | United States | 44484 |
4 | St Elizabeth Youngstown Hospital | Youngstown | Ohio | United States | 44501 |
Sponsors and Collaborators
- Mercy Health Ohio
- Lake Erie College of Osteopathic Medicine
Investigators
- Principal Investigator: Todd Bolotin, MD, Mercy Health
Study Documents (Full-Text)
None provided.More Information
Publications
- Hickey JL, Witsil JC, Mycyk MB. Haloperidol for treatment of cannabinoid hyperemesis syndrome. Am J Emerg Med. 2013 Jun;31(6):1003.e5-6. doi: 10.1016/j.ajem.2013.02.021. Epub 2013 Apr 10.
- Lee C, Greene SL, Wong A. The utility of droperidol in the treatment of cannabinoid hyperemesis syndrome. Clin Toxicol (Phila). 2019 Sep;57(9):773-777. doi: 10.1080/15563650.2018.1564324. Epub 2019 Feb 7.
- Ruberto AJ, Sivilotti MLA, Forrester S, Hall AK, Crawford FM, Day AG. Intravenous Haloperidol Versus Ondansetron for Cannabis Hyperemesis Syndrome (HaVOC): A Randomized, Controlled Trial. Ann Emerg Med. 2021 Jun;77(6):613-619. doi: 10.1016/j.annemergmed.2020.08.021. Epub 2020 Nov 5.
- 21-029