Page last updated: 2024-11-01

ondansetron and Neonatal Abstinence Syndrome

ondansetron has been researched along with Neonatal Abstinence Syndrome in 3 studies

Ondansetron: A competitive serotonin type 3 receptor antagonist. It is effective in the treatment of nausea and vomiting caused by cytotoxic chemotherapy drugs, including cisplatin, and has reported anxiolytic and neuroleptic properties.

Neonatal Abstinence Syndrome: Fetal and neonatal addiction and withdrawal as a result of the mother's dependence on drugs during pregnancy. Withdrawal or abstinence symptoms develop shortly after birth. Symptoms exhibited are loud, high-pitched crying, sweating, yawning and gastrointestinal disturbances.

Research Excerpts

ExcerptRelevanceReference
"Ondansetron is the drug of choice to prevent nausea in women undergoing cesarean surgery and can be used to prevent neonatal abstinence syndrome (NAS)."9.20Ondansetron pharmacokinetics in pregnant women and neonates: towards a new treatment for neonatal abstinence syndrome. ( Carvalho, B; Clavijo, C; Drover, DR; Elkomy, MH; Galinkin, JL; Peltz, G; Sultan, P; Wu, M, 2015)
"Ondansetron is the drug of choice to prevent nausea in women undergoing cesarean surgery and can be used to prevent neonatal abstinence syndrome (NAS)."5.20Ondansetron pharmacokinetics in pregnant women and neonates: towards a new treatment for neonatal abstinence syndrome. ( Carvalho, B; Clavijo, C; Drover, DR; Elkomy, MH; Galinkin, JL; Peltz, G; Sultan, P; Wu, M, 2015)
"Ondansetron treatment reduced the severity of NOWS symptoms; and there was an indication that it could reduce the length of stay."3.30Ondansetron to reduce neonatal opioid withdrawal severity a randomized clinical trial. ( Adeniyi-Jones, S; Argani, C; Cohane, C; Drover, D; Govindaswami, B; Jansson, LM; Jegatheesan, P; Khan, S; Kraft, WK; Peltz, G; Shafer, S; Wang, M; Wu, M, 2023)

Research

Studies (3)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's2 (66.67)24.3611
2020's1 (33.33)2.80

Authors

AuthorsStudies
Peltz, G3
Jansson, LM1
Adeniyi-Jones, S1
Cohane, C1
Drover, D1
Shafer, S1
Wang, M1
Wu, M2
Govindaswami, B1
Jegatheesan, P1
Argani, C1
Khan, S1
Kraft, WK1
Elkomy, MH1
Sultan, P1
Carvalho, B1
Clavijo, C1
Galinkin, JL1
Drover, DR1
Anand, KJ1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
AIM 2- Prevention of Neonatal Abstinence Syndrome[NCT01965704]Phase 2196 participants (Actual)Interventional2014-09-09Completed
Prevention of Neonatal Abstinence Syndrome[NCT01801475]Phase 1/Phase 2100 participants (Actual)Interventional2013-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Participants Requiring Adjunctive Medication to Treat NOWS

Number of neonates requiring treatment with phenobarbital or clonidine. (NCT01965704)
Timeframe: 15 days

InterventionParticipants (Count of Participants)
Ondansetron - Neonates5
Placebo - Neonates5

Number of Participants With Neonatal Abstinence Syndrome

The incidence of neonatal abstinence syndrome (NAS) measured as the number of neonates who need for morphine treatment for the symptoms of neonatal opioid withdrawal syndrome (NOWS) while the neonates received study medication and for the 30 days after stopping the study medication. (NCT01965704)
Timeframe: 35 days

InterventionParticipants (Count of Participants)
Ondansetron - Neonates22
Placebo - Neonates26

Total Dose of Narcotic Required to Treat the Symptoms of NAS

Median dose of morphine required by neonates within 15 days of delivery. (NCT01965704)
Timeframe: 15 days

Interventionmg (Median)
Ondansetron - Neonates9.3
Placebo - Neonates11.1

Length of Hospital Stay

Severity of NAS will be measured by neonates' length of hospital stay (birth to discharge). Length of stay was calculated with 1) no maximum length, and 2) maximum length of stay capped at 15 days. All participants were included in both analyses. (NCT01965704)
Timeframe: At Day 15 and up to 64 days

,
Interventiondays (Mean)
Mean hospital stayMean hospital stay with a 15-day maximum
Ondansetron - Neonates15.59.3
Placebo - Neonates17.411.2

Metabolic Clearance of Ondasetron

This is a mathematical estimation of the clearance for ondasetron as calculated by NONMEM. (NCT01801475)
Timeframe: 8 hours for women; 48 hours for neonate.

InterventionL/hr (Mean)
Women - Pregnant/Non-pregnant21.8
NeonatesNA

Volume of Distribution Estimated Pharmacokinetic Parameter

This is an estimated pharmacokinetic parameter as calculated by NONMEM. (NCT01801475)
Timeframe: 8 hours for women; 48 hours for neonate.

InterventionLiters (Mean)
Women - Pregnant/Non-pregnant27.9
NeonatesNA

Trials

2 trials available for ondansetron and Neonatal Abstinence Syndrome

ArticleYear
Ondansetron to reduce neonatal opioid withdrawal severity a randomized clinical trial.
    Journal of perinatology : official journal of the California Perinatal Association, 2023, Volume: 43, Issue:3

    Topics: Analgesics, Opioid; Humans; Infant, Newborn; Morphine; Neonatal Abstinence Syndrome; Ondansetron; Ph

2023
Ondansetron pharmacokinetics in pregnant women and neonates: towards a new treatment for neonatal abstinence syndrome.
    Clinical pharmacology and therapeutics, 2015, Volume: 97, Issue:2

    Topics: Adult; Dose-Response Relationship, Drug; Drug Administration Routes; Drug Administration Schedule; F

2015

Other Studies

1 other study available for ondansetron and Neonatal Abstinence Syndrome

ArticleYear
Long-Acting Opioids for Treating Neonatal Abstinence Syndrome: A High Price for a Short Stay?
    JAMA, 2015, Nov-17, Volume: 314, Issue:19

    Topics: Analgesics, Opioid; Half-Life; Humans; Infant, Newborn; Length of Stay; Methadone; Morphine; Neonata

2015