Freezie Remedy to Alleviate Morning Sickness - Full Text View

Purpose

Nausea and vomiting of pregnancy (NVP) is the most common medical condition of pregnancy, affecting up to 80% of pregnant women. Lillipops Iced Soothies are naturally flavoured freezies developed in the United Kingdom for women with morning sickness. The primary objective of this study is to assess the effectiveness of Lillipops in the improvement of NVP symptoms. Secondary objectives are to assess if there are any changes to concurrent symptoms that may intensify NVP, such as metallic taste or gastrointestinal issues (e.g. heartburn, acid reflux, indigestion and gas), as well as preference for freezie flavours. This study hypothesizes that using Lillipops Iced Soothies will reduce the severity of NVP symptoms according to the PUQE-24 (pregnancy-unique quantification of emesis and nausea) scoring system for nausea and vomiting of pregnancy.

Condition	Intervention	Phase
Morning Sickness	Other: Lillipops Iced Soothies Other: Mr. Freeze Freezies	Phase 2

Study Type:	Interventional
Study Design:	Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver) Primary Purpose: Treatment
Official Title:	Effectiveness of a Natural Non-medicinal Freezie Remedy to Alleviate Morning Sickness

Resource links provided by NLM:

MedlinePlus related topics: Nausea and Vomiting

Drug Information available for: Ginger extract

U.S. FDA Resources

Further study details as provided by The Hospital for Sick Children:

Primary Outcome Measures:

Improvement of Nausea and Vomiting of Pregnancy (NVP) [ Time Frame: Baseline, +1, +3, +5, +7 days ] [ Designated as safety issue: No ]
To assess the effectiveness of Lillipops in the improvement of NVP symptoms. The primary endpoint of interest is the severity of NVP as compared between the 4 groups, defined according to the PUQE-24 (pregnancy-unique quantification of emesis and nausea) scoring system for nausea and vomiting of pregnancy that was developed and validated by Motherisk.

Secondary Outcome Measures:

Concurrent Symptoms [ Time Frame: Baseline, +1, +3, +5, +7 days ] [ Designated as safety issue: No ]
To assess if there are any changes to concurrent symptoms that may intensify NVP, such as metallic taste or gastrointestinal issues (e.g. heartburn, acid reflux, indigestion and gas). The secondary endpoint of interest is the effect of the 4 groups on the status of concurrent symptoms that may intensify NVP, such as metallic taste or gastroesophageal reflux disease, as well as preference for freezie flavours, according to the PUQE-24 (pregnancy-unique quantification of emesis and nausea) scoring system for nausea and vomiting of pregnancy that was developed and validated by Motherisk.
Freezie Flavour Preference [ Time Frame: Baseline, +1, +3, +5, +7 days ] [ Designated as safety issue: No ]
To assess preference for freezie flavours.

Estimated Enrollment:	180
Study Start Date:	September 2012
Estimated Study Completion Date:	October 2013
Estimated Primary Completion Date:	July 2013 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: Lillipops Iced Soothies Initially, women will be given 1 multiflavour box of Lillipop samples minus the ginger flavour (4 flavours). Each box contains 24 freezies (20 mL each), 6 of each flavor. They will be told to eat the freezies as needed to alleviate symptoms, up to a maximum of 12 per day, and to not have any other popsicles, freezies or any ginger products throughout the duration of the study (7 days). They can request an additional multiflavour box of freezies at each follow-up, as needed.	Other: Lillipops Iced Soothies Lillipops Iced Soothies are naturally flavoured freezies developed in the United Kingdom for women with morning sickness. They are available in 5 different flavours: grapefruit and tangerine, lemon and mint, chamomile and orange, lime and vanilla, and ginger. The flavours are derived from steam distillation of the peels (grapefruit, tangerine, lemon, orange, lime), mint leaves, and chamomile flowers to release and collect their essential oils. Vanilla pods and ginger are macerated and their resin is used. These flavours were chosen because they may provide relief of symptoms as they are either traditional remedies for NVP, such as ginger, or soothing and refreshing flavours, such as chamomile, vanilla and citrus.
Experimental: Ginger Lillipops Iced Soothies Initially, women will be given 1 ginger flavour box of Lillipop samples. Each box contains 24 freezies (20 mL each). They will be told to eat the freezies as needed to alleviate symptoms, up to a maximum of 12 per day, and to not have any other popsicles, freezies or any ginger products throughout the duration of the study (7 days). They can request an additional box of freezies at each follow-up, as needed.	Other: Lillipops Iced Soothies Lillipops Iced Soothies are naturally flavoured freezies developed in the United Kingdom for women with morning sickness. They are available in 5 different flavours: grapefruit and tangerine, lemon and mint, chamomile and orange, lime and vanilla, and ginger. The flavours are derived from steam distillation of the peels (grapefruit, tangerine, lemon, orange, lime), mint leaves, and chamomile flowers to release and collect their essential oils. Vanilla pods and ginger are macerated and their resin is used. These flavours were chosen because they may provide relief of symptoms as they are either traditional remedies for NVP, such as ginger, or soothing and refreshing flavours, such as chamomile, vanilla and citrus.
Active Comparator: Mr. Freeze Freezies Initially, women will be given 1 multiflavour box of Mr. Freeze samples. Each box contains 24 freezies (20 mL each), 6 of each flavor. They will be told to eat the freezies as needed to alleviate symptoms, up to a maximum of 12 per day, and to not have any other popsicles, freezies or any ginger products throughout the duration of the study (7 days). They can request an additional multiflavour box of freezies at each follow-up, as needed.	Other: Mr. Freeze Freezies There are other commercially available freezies, such as Mr. Freeze. Mr. Freeze freezies contain simulated flavours of watermelon, cherry, blue raspberry and cream soda. However, there have been no reports, studies or claims that they are effective as a remedy for the treatment of NVP.
No Intervention: Natural Course Group Women will not receive any freezies and will be asked to not have any other popsicles, freezies or any ginger products throughout the duration of the study (7 days).

Eligibility

Ages Eligible for Study:	18 Years to 45 Years
Genders Eligible for Study:	Female
Accepts Healthy Volunteers:	Yes

Criteria

Inclusion Criteria:

Pregnancy between 4 and 12 weeks gestation.
Pregnant women with NVP, regardless of treatment (if any) for their NVP.
Provide the signed informed consent form prior to initial interview.
Able to come in person to Sick Kids or meet at an agreed location.

Exclusion Criteria:

Gestational age beyond 12 weeks of pregnancy.
Pregnant women less than 18 years of age.
Women who are not proficient in the English language.
Unable to consume any of the ingredients listed in Lillipops or Mr. Freeze freezies due to allergies, medication interactions or other reasons.
Women refusing to avoid sources of ginger products for the duration of the study.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT01668940

Contacts

Contact: Gideon Koren, MD

(416)813-5778

gideon.koren@sickkids.ca

Locations

Canada, Ontario
The Hospital for Sick Children	Not yet recruiting
Toronto, Ontario, Canada, M5G 1X8
Contact: Gideon Koren, MD (416)813-5778 gideon.koren@sickkids.ca
Principal Investigator: Gideon Koren, MD
Sub-Investigator: Caroline Maltepe, MD
Sub-Investigator: Kamelia Mirdamadi, MD

Sponsors and Collaborators

The Hospital for Sick Children

Investigators

Principal Investigator:

Gideon Koren, MD

The Hospital for Sick Children

More Information

No publications provided

Responsible Party:	The Hospital for Sick Children
ClinicalTrials.gov Identifier:	NCT01668940 History of Changes
Other Study ID Numbers:	1000031589
Study First Received:	August 16, 2012
Last Updated:	August 16, 2012
Health Authority:	Canada: Ethics Review Committee

Keywords provided by The Hospital for Sick Children:

Morning Sickness
Lillipops Iced Soothies
Pregnancy
Obstetrics

Additional relevant MeSH terms:

Morning Sickness
Pregnancy Complications
Vomiting
Signs and Symptoms, Digestive
Signs and Symptoms

ClinicalTrials.gov processed this record on May 21, 2013