The Efficacy Of Diclectin® For Nausea And Vomiting Of Pregnancy

Last updated: November 22, 2021
Sponsor: Duchesnay Inc.
Overall Status: Completed

Phase

3

Condition

Lactose Intolerance

Pregnancy Complications

Vomiting

Treatment

N/A

Clinical Study ID

NCT00614445
DIC-301
  • Ages > 18
  • Female

Study Summary

The purpose of this study is to determine whether Diclectin® (doxylamine succinate USP 10 mg and pyridoxine HCl 10 mg) is more effective at controlling the nausea and vomiting of pregnancy than a placebo.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • The patient has signed a written informed consent to participate in the study and hasagreed to follow dosing instructions and complete all required study visits.
  • The patient is a pregnant female age equal to or greater than 18 years old.
  • The patient's entry ultrasound indicates a viable pregnancy and confirms gestationalage of the fetus is 7-14 weeks at the anticipated time of the first dose of studymedication or placebo. If an ultrasound was done within 4 weeks of the admissionvisit, and results can be obtained, an additional ultrasound is not necessary.
  • The patient is suffering from NVP and has a Pregnancy Unique Quantification of Emesis (PUQE) score ≥6.
  • The patient has not responded to conservative management consisting ofdietary/lifestyle advice according to the 2004 ACOG Practice Bulletin.
  • The patient agrees, if on a multivitamin, to continue on their current dose ofmultivitamin for the duration of the trial.
  • The patient does not plan termination of the pregnancy.

Exclusion

Exclusion Criteria:

  • The investigator confirms the patient's nausea and vomiting is of etiology other thanNausea and Vomiting of Pregnancy (NVP).
  • The patient has gestational trophoblastic disease or multifetal gestation.
  • The patient has a condition for which antihistamines, in the opinion of theinvestigator, are contraindicated (epilepsy, alcoholism, glaucoma, chronic lungdisease, urinary retention, heart block, etc.).
  • The patient has used antihistamines, anticholinergics, dopamine antagonists, serotoninantagonists, ginger, or anti-emetic therapy (including acupressure, acupuncture,homeopathic remedies, medical hypnosis, relief bands etc) to treat NVP in the previous 48 hours or plans to do so during the study .
  • The patient is using drugs that have anticholinergic activity (e.g., tricyclicantidepressants).
  • The patient is taking multivitamins containing more than 10 mg of vitamin B6, or plansto do so during the study.
  • The patient is taking supplementary vitamin B6 in addition to any multivitaminpreparation, or plans to do so during the study.
  • The patient is currently drinking any amount of alcohol.
  • The patient has any condition that might interfere with the conduct of the study.
  • The patient is likely to be unable to comply with study procedures because ofinadequate cognitive skills.
  • The patient has received an investigational drug within 30 days before enrollment inthis study or is scheduled to receive an investigational drug during the course ofthis study.

Study Design

Total Participants: 280
Study Start date:
January 01, 2008
Estimated Completion Date:
December 31, 2009

Study Description

Nausea and vomiting of pregnancy (NVP), also known as "morning sickness," is a common condition that affects a large percentage of pregnant women. The symptoms can range from mild nausea to severe nausea and vomiting for which a woman may need to be hospitalized. Nausea and vomiting of pregnancy can affect a woman's quality of life and ability to conduct daily activities.

Diclectin® is a combination of 10 mg doxylamine succinate (an antihistamine), and 10 mg pyridoxine hydrochloride (vitamin B6) in a delayed release tablet formulation. It has been commercially available in Canada for the management of NVP for over 25 years and has been prescribed to over 33 million pregnant women.

Presently, there is no Food Drug and Administration (FDA) approved drug on the market to treat the symptoms of NVP. This study will test the efficacy of Diclectin® (doxylamine 10 mg, pyridoxine 10 mg in a delayed-release formulation) for NVP.

Patients enrolled in the study will receive between 2 and 4 tablets of Diclectin® or placebo daily, depending on their symptoms for up to 14 days. Patients will assess their symptoms of nausea and vomiting daily using a standardized questionnaire.

Connect with a study center

  • Georgetown University Hospital

    Washington, District of Columbia 20057
    United States

    Site Not Available

  • Washington Hospital Center Physicians

    Washington, District of Columbia 20010
    United States

    Site Not Available

  • National Naval Medical Center

    Bethesda, Maryland 20889
    United States

    Site Not Available

  • Magee-Womens Hospital of University of Pittsburgh Medical Center

    Pittsburgh, Pennsylvania 15213
    United States

    Site Not Available

  • University of Texas Medical Branch

    Galveston, Texas 77555-0587
    United States

    Site Not Available

  • UTMB Pasadena Clinic

    Pasadena, Texas 77502
    United States

    Site Not Available

  • UTMB Regional Maternal & Child Health Program--Pearland Clinic

    Pearland, Texas 77581
    United States

    Site Not Available

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