New nausea drug could replace standard ER treatment
NCT ID NCT06740812
First seen Jun 26, 2026 · Last updated Jun 30, 2026 · Updated 3 times
Summary
This study will compare two nausea medications, fosaprepitant and metoclopramide, in 212 adults who come to the emergency department with nausea or vomiting. The goal is to see which drug provides faster and more lasting relief with fewer side effects. Fosaprepitant is a newer drug that works in the brain, while metoclopramide is the current standard treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- fosaprepitant and metoclopramide
- What this could lead to
- If fosaprepitant works better than metoclopramide, it could offer a new, affordable option for nausea relief in emergency rooms.
- What could go wrong
- This is a Phase 4 trial, but it's still early and small (212 people). The results may not apply to all patients, and side effects are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 212 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Dec 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults at least 18 years old * Present to ED for treatment of Nausea and/or vomiting as defined by the International Classification of Diseases (ICD-10) or identified by treating clinician Exclusion Criteria: * Pregnancy, desiring pregnancy, or lactating * Antiemetic use or intravenous fluids prior to presenting to ED for evaluation and management * Bradycardia (\< 60 bpm heart rate) * Prolonged QTc (greater than 490ms) * Not conversant in English or Spanish * Altered mental status * Dementia * Lack of phone for follow-up communication
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Montefiore Medical Center
The Bronx, New York, 10467, United States
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