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Effect of Ondansetron on the Incidence of Spinal Anaesthesia-Induced Hypotension in Elderly Patients Undergoing Fracture Hip Surgery

NCT07914868, Phase 4, Not yet recruiting, Assiut University

Trial 10

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

FieldValueSource
TitleEffect of Ondansetron on the Incidence of Spinal Anaesthesia-Induced Hypotension in Elderly Patients Undergoing Fracture Hip SurgeryClinicalTrials.gov
NCT numberNCT07914868ClinicalTrials.gov
StatusNot yet recruitingClinicalTrials.gov
PhasesPhase 4ClinicalTrials.gov
Enrollment142 participants, estimatedClinicalTrials.gov
Lead sponsorAssiut UniversityClinicalTrials.gov
ConditionsSpinal Anaesthesia Induced HypotensionClinicalTrials.gov
InterventionsOndansetron, 0.9% Normal Saline placeboClinicalTrials.gov
First posted2026-11-04ClinicalTrials.gov
Last updated2026-11-04ClinicalTrials.gov

Registered outcomes 9

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescriptionSource
PrimaryEffect of prophylactic intravenous ondansetron versus Placebo on the incidence of spinal anaesthesia-induced hypotensionFrom induction of spinal anaesthesia until completion of surgery.
Compare the effect of prophylactic intravenous ondansetron 4 mg versus Placebo on the incidence of spinal anaesthesia-induced hypotension, defined as MAP fall \> 20% from baseline, or systolic blood pressure \< 90 mmHg / fall \> 20% from baseline, in elderly patients undergoing fracture hip surgery under spinal anaesthesia.
ClinicalTrials.gov
SecondaryThe incidence of severe hypotensionFrom induction of spinal anaesthesia until completion of surgery.Severe hypotension, defined as systolic blood pressure (SBP) dropping to \<60% of baselineClinicalTrials.gov
SecondaryThe number of episodes of intraoperative hypotension.From induction of spinal anaesthesia until completion of surgery.The percentage of people who experience hypotension, defined as MAP fall \> 20% from baseline, or systolic blood pressure \< 90 mmHg / fall \> 20% from baseline, intraoperativelyClinicalTrials.gov
SecondaryThe incidence of bradycardiaFrom induction of spinal anaesthesia until completion of surgery.The Percentage of people who experience Bradycardia, defined as heart rate (HR) \<50 bpm, intraoperativelyClinicalTrials.gov
SecondaryThe total rescue vasopressor (ephedrine) and atropine requirements between groupsFrom induction of spinal anaesthesia until completion of surgery.Total dose of intraoperative ephedrine or atropine if hypotension or bradycardia occursClinicalTrials.gov
SecondaryThe incidence of postoperative nausea and vomiting (PONV)Up to 24 hours postoperatively
PONV was evaluated using the PONV grading scale in the post-anesthesia care unit (PACU) at 2, 4, 6, 8, 12, and 24 hours PONV will be assessed using a four-grade scale: Grade 0 indicates no PONV; Grade I indicates nausea without vomiting; Grade II indicates nausea with vomiting occurring fewer than three times per day; and Grade III indicates vomiting occurring three or more times per day.
ClinicalTrials.gov
SecondaryThe incidence of intraoperative and postoperative shivering between groupsFrom induction of spinal anaesthesia up to 24 hours postoperativelyAssess the presence of shivering intraoperatively and postoperativelyClinicalTrials.gov
SecondarySensory block characteristics (onset and duration) between groups.From induction of spinal anaesthesia until completion of surgery.
Block-level will be tested every five minutes using a frozen plastic ampule of sterile water along the midclavicular line to check the response to cold, and the highest sensory level obtained will be recorded Surgeons will be allowed to proceed with surgery after attaining a block level of at least T10.
ClinicalTrials.gov
SecondaryMotor block characteristics (onset, Modified Bromage score, and duration) between groups.From induction of spinal anaesthesia until completion of surgery.
Motor level will be assessed every five minutes using the Modified Bromage Scale, where Grade 0 indicates full movement of the hip, knee, and ankle; Grade 1 indicates inability to raise the extended leg while retaining the ability to flex the knee and move the ankle; Grade 2 indicates inability to flex the knee while retaining ankle movement; and Grade 3 indicates complete motor block with inability to move the hip, knee, or ankle. The highest Modified Bromage grade obtained will be recorded. Surgeons will be allowed to proceed with surgery after attaining a block level of at least T10.
ClinicalTrials.gov

Outcomes 0

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured asSource

Results by group 0

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnitsSource

Participant flow 0

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits countedSource

Adverse events 0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEventsSource

Adverse event totals 0

The totals the trial posted for each group.

TotalGroupAffectedAt riskSource

Papers 9

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
22100822BACKGROUNDPubMed
24790900BACKGROUNDPubMed
25220555BACKGROUNDPubMed
30607192BACKGROUNDPubMed
31198257BACKGROUNDPubMed
33766681BACKGROUNDPubMed
36559039BACKGROUNDPubMed
38073686BACKGROUNDPubMed
40248081BACKGROUNDPubMed

Grants 0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal yearsSource

Trial comparisons 0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource

Tests 0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

TestNamed asSource

Source 5

FieldValueSource
Releasetrials-2026-11-12-0.4.0ClinicalTrials.gov
Release manifest SHA-2560f4a8d8c48aee2a7573ae0fa94ecbeab70c1adbe449bbc95c424bc7d3e97b9d4ClinicalTrials.gov
Registry capture2026-11-12ClinicalTrials.gov
Results copy, AACT2026-03-23ClinicalTrials.gov
NIH clinical studies file2026-11-13ClinicalTrials.gov

The same record as JSON

Release trials-2026-11-12-0.4.0

ClinicalTrials.gov's posted results, through CTTI's AACT: ClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299 ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

ClinicalTrials.gov: none stated ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

NIH RePORTER's clinical studies and project files: Public domain (NIH RePORTER)