Trial Outcomes & Findings for Dexamethasone and Ondansetron Hydrochloride or Palonosetron Hydrochloride in Preventing Nausea and Vomiting in Patients Receiving Doxorubicin Hydrochloride and Cyclophosphamide For Early Stage Breast Cancer (NCT NCT00343863)

NCT ID: NCT00343863

Last Updated: 2017-07-11

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

41 participants

Primary outcome timeframe

At 0-24 hours after weekly intravenous doxorubin

Results posted on

2017-07-11

Participant Flow

Participant milestones

Participant milestones
Measure
Dexamethasone + Ondansetron IV
All patients receive doxorubicin hydrochloride IV on day 1 and oral cyclophosphamide on days 1-7. Patients receive dexamethasone IV or orally and ondansetron IV on day 1 (prior to each dose of doxorubicin hydrochloride).
Dexamethasone + Palonosetron IV
All patients receive doxorubicin hydrochloride IV on day 1 and oral cyclophosphamide on days 1-7. Patients receive dexamethasone IV or orally and palonosetron IV on day 1 (prior to each dose of doxorubicin hydrochloride).
Overall Study
STARTED
7
34
Overall Study
COMPLETED
7
34
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Dexamethasone and Ondansetron Hydrochloride or Palonosetron Hydrochloride in Preventing Nausea and Vomiting in Patients Receiving Doxorubicin Hydrochloride and Cyclophosphamide For Early Stage Breast Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dexamethasone + Ondansetron IV
n=7 Participants
All patients receive doxorubicin hydrochloride IV on day 1 and oral cyclophosphamide on days 1-7. Patients receive dexamethasone IV or orally and ondansetron IV on day 1 (prior to each dose of doxorubicin hydrochloride).
Dexamethasone + Palonosetron IV
n=34 Participants
All patients receive doxorubicin hydrochloride IV on day 1 and oral cyclophosphamide on days 1-7. Patients receive dexamethasone IV or orally and palonosetron IV on day 1 (prior to each dose of doxorubicin hydrochloride).
Total
n=41 Participants
Total of all reporting groups
Age, Continuous
54 years
n=5 Participants
49 years
n=7 Participants
50 years
n=5 Participants
Sex: Female, Male
Female
7 Participants
n=5 Participants
34 Participants
n=7 Participants
41 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants
n=5 Participants
30 Participants
n=7 Participants
36 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
6 Participants
n=5 Participants
31 Participants
n=7 Participants
37 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants

PRIMARY outcome

Timeframe: At 0-24 hours after weekly intravenous doxorubin

Outcome measures

Outcome measures
Measure
Dexamethasone + Ondansetron IV
n=7 Participants
All patients receive doxorubicin hydrochloride IV on day 1 and oral cyclophosphamide on days 1-7. Patients receive dexamethasone IV or orally and ondansetron IV on day 1 (prior to each dose of doxorubicin hydrochloride).
Dexamethasone + Palonosetron IV
n=34 Participants
All patients receive doxorubicin hydrochloride IV on day 1 and oral cyclophosphamide on days 1-7. Patients receive dexamethasone IV or orally and palonosetron IV on day 1 (prior to each dose of doxorubicin hydrochloride).
Count of Patients Achieving a Complete Response
3 Participants
15 Participants

SECONDARY outcome

Timeframe: At 24-120 hours after weekly intravenous doxorubicin

Outcome measures

Outcome measures
Measure
Dexamethasone + Ondansetron IV
n=7 Participants
All patients receive doxorubicin hydrochloride IV on day 1 and oral cyclophosphamide on days 1-7. Patients receive dexamethasone IV or orally and ondansetron IV on day 1 (prior to each dose of doxorubicin hydrochloride).
Dexamethasone + Palonosetron IV
n=34 Participants
All patients receive doxorubicin hydrochloride IV on day 1 and oral cyclophosphamide on days 1-7. Patients receive dexamethasone IV or orally and palonosetron IV on day 1 (prior to each dose of doxorubicin hydrochloride).
Count of Patients Achieving Complete Response
3 Participants
15 Participants

SECONDARY outcome

Timeframe: Up to 3 months

Outcome measures

Outcome measures
Measure
Dexamethasone + Ondansetron IV
n=7 Participants
All patients receive doxorubicin hydrochloride IV on day 1 and oral cyclophosphamide on days 1-7. Patients receive dexamethasone IV or orally and ondansetron IV on day 1 (prior to each dose of doxorubicin hydrochloride).
Dexamethasone + Palonosetron IV
n=34 Participants
All patients receive doxorubicin hydrochloride IV on day 1 and oral cyclophosphamide on days 1-7. Patients receive dexamethasone IV or orally and palonosetron IV on day 1 (prior to each dose of doxorubicin hydrochloride).
Number of Days With Emetic Episodes and Rescue Medicines
Vomiting during neoadjuvant chemotherapy
0 days
Interval 0.0 to 51.0
0 days
Interval 0.0 to 51.0
Number of Days With Emetic Episodes and Rescue Medicines
Took rescue medicines
2 days
Interval 0.0 to 70.0
9.5 days
Interval 0.0 to 70.0

SECONDARY outcome

Timeframe: Up to 48 hours of chemotherapy

Count of patients that had emesis within 48 hours of chemotherapy

Outcome measures

Outcome measures
Measure
Dexamethasone + Ondansetron IV
n=7 Participants
All patients receive doxorubicin hydrochloride IV on day 1 and oral cyclophosphamide on days 1-7. Patients receive dexamethasone IV or orally and ondansetron IV on day 1 (prior to each dose of doxorubicin hydrochloride).
Dexamethasone + Palonosetron IV
n=34 Participants
All patients receive doxorubicin hydrochloride IV on day 1 and oral cyclophosphamide on days 1-7. Patients receive dexamethasone IV or orally and palonosetron IV on day 1 (prior to each dose of doxorubicin hydrochloride).
Number of Participants That Had Emesis Within 48 Hours of Chemotherapy
0 Participants
1 Participants

SECONDARY outcome

Timeframe: up to 48 hours of chemotherapy

Count of patients that had first administration of rescue medication within 48 Hours

Outcome measures

Outcome measures
Measure
Dexamethasone + Ondansetron IV
n=7 Participants
All patients receive doxorubicin hydrochloride IV on day 1 and oral cyclophosphamide on days 1-7. Patients receive dexamethasone IV or orally and ondansetron IV on day 1 (prior to each dose of doxorubicin hydrochloride).
Dexamethasone + Palonosetron IV
n=34 Participants
All patients receive doxorubicin hydrochloride IV on day 1 and oral cyclophosphamide on days 1-7. Patients receive dexamethasone IV or orally and palonosetron IV on day 1 (prior to each dose of doxorubicin hydrochloride).
Number of Participants That Had First Administration of Rescue Medication Within 48 Hours
1 Participants
4 Participants

SECONDARY outcome

Timeframe: Days 1-7 of each cycle

Population: Patients were unable to consistently complete this part of the FLIE questionnaire and thus we did not retain data from any of the participants.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 3 months

Outcome measures

Outcome measures
Measure
Dexamethasone + Ondansetron IV
n=7 Participants
All patients receive doxorubicin hydrochloride IV on day 1 and oral cyclophosphamide on days 1-7. Patients receive dexamethasone IV or orally and ondansetron IV on day 1 (prior to each dose of doxorubicin hydrochloride).
Dexamethasone + Palonosetron IV
n=34 Participants
All patients receive doxorubicin hydrochloride IV on day 1 and oral cyclophosphamide on days 1-7. Patients receive dexamethasone IV or orally and palonosetron IV on day 1 (prior to each dose of doxorubicin hydrochloride).
Side Effects of Antiemetic Medications Used
Constipation
2 Participants
15 Participants
Side Effects of Antiemetic Medications Used
Headaches
0 Participants
2 Participants

SECONDARY outcome

Timeframe: Up to 3 months

Count of participants with severe nausea

Outcome measures

Outcome measures
Measure
Dexamethasone + Ondansetron IV
n=7 Participants
All patients receive doxorubicin hydrochloride IV on day 1 and oral cyclophosphamide on days 1-7. Patients receive dexamethasone IV or orally and ondansetron IV on day 1 (prior to each dose of doxorubicin hydrochloride).
Dexamethasone + Palonosetron IV
n=34 Participants
All patients receive doxorubicin hydrochloride IV on day 1 and oral cyclophosphamide on days 1-7. Patients receive dexamethasone IV or orally and palonosetron IV on day 1 (prior to each dose of doxorubicin hydrochloride).
Severity of Nausea
1 Participants
4 Participants

SECONDARY outcome

Timeframe: Up to 3 months

Outcome measures

Outcome measures
Measure
Dexamethasone + Ondansetron IV
n=35 FLIE questionnaires
All patients receive doxorubicin hydrochloride IV on day 1 and oral cyclophosphamide on days 1-7. Patients receive dexamethasone IV or orally and ondansetron IV on day 1 (prior to each dose of doxorubicin hydrochloride).
Dexamethasone + Palonosetron IV
n=366 FLIE questionnaires
All patients receive doxorubicin hydrochloride IV on day 1 and oral cyclophosphamide on days 1-7. Patients receive dexamethasone IV or orally and palonosetron IV on day 1 (prior to each dose of doxorubicin hydrochloride).
Quality of Life
FLIE Nausea · High impact (<36)
4 FLIE questionnaires
44 FLIE questionnaires
Quality of Life
FLIE Nausea · Medium impact (36-54)
5 FLIE questionnaires
74 FLIE questionnaires
Quality of Life
FLIE Nausea · No impact of daily life (>54)
26 FLIE questionnaires
248 FLIE questionnaires
Quality of Life
FLIE Vomiting · High impact (<36)
1 FLIE questionnaires
10 FLIE questionnaires
Quality of Life
FLIE Vomiting · Medium impact (36-54)
3 FLIE questionnaires
9 FLIE questionnaires
Quality of Life
FLIE Vomiting · No impact of daily life (>54)
31 FLIE questionnaires
347 FLIE questionnaires

Adverse Events

Dexamethasone + Ondansetron IV

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Dexamethasone + Palonosetron IV

Serious events: 0 serious events
Other events: 15 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Dexamethasone + Ondansetron IV
n=7 participants at risk
All patients receive doxorubicin hydrochloride IV on day 1 and oral cyclophosphamide on days 1-7. Patients receive dexamethasone IV or orally and ondansetron IV on day 1 (prior to each dose of doxorubicin hydrochloride).
Dexamethasone + Palonosetron IV
n=34 participants at risk
All patients receive doxorubicin hydrochloride IV on day 1 and oral cyclophosphamide on days 1-7. Patients receive dexamethasone IV or orally and palonosetron IV on day 1 (prior to each dose of doxorubicin hydrochloride).
Gastrointestinal disorders
Constipation
28.6%
2/7
44.1%
15/34
General disorders
Headache
0.00%
0/7
5.9%
2/34

Additional Information

Dr. Hannah Linden

University of Washington / Seattle Cancer Care Alliance

Phone: 206-288-6989

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place