MEtoclopramide, DExamethasone or Axoli to Prevent or Delay Chemotherapy-induced Nausea and Vomiting in Moderately Emetogenic Non-AC-based Chemotherapy

NCT ID: NCT02135510

Last Updated: 2020-03-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

249 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-06-30

Study Completion Date

2019-03-01

Brief Summary

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In this phase III non-inferiority trial, the aim is to evaluate whether metoclopramide and palonosetron prophylactic antemetic treatment are non-inferior to dexamethasone with regard to its efficacy to prevent delayed chemotherapy-induced nausea and vomiting (CINV) induced by non- anthracyclines plus cyclophosphamide (AC) based moderately emetogenic chemotherapy (MEC).

Detailed Description

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Conditions

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Solid Tumors

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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metoclopramide

Group Type ACTIVE_COMPARATOR

metoclopramide

Intervention Type DRUG

dexamethason

Group Type ACTIVE_COMPARATOR

dexamethason

Intervention Type DRUG

palonosetron

Group Type ACTIVE_COMPARATOR

palonosetron

Intervention Type DRUG

Interventions

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metoclopramide

Intervention Type DRUG

dexamethason

Intervention Type DRUG

palonosetron

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patient has been diagnosed with histologically or cytologically confirmed solid cancer
* Starting with first cycle of chemotherapy of moderate emetogenic risk, which does not include a combination of anthracycline plus cyclophosphamide
* Age ≥ 18
* WHO ≤ 1
* Patient is able to understand and speak Dutch

Exclusion Criteria

* Patient with nausea and/or vomiting in 48 hours before start of chemotherapy treatment
* Patient submitted to concomitant radiotherapy or submitted to radiotherapy 15 days before start of chemotherapy or planned to receive radiotherapy during 8 days after administration of chemotherapy
* Patient with concomitant severe comorbidy, such as: o Intestinal obstruction o Active peptic ulcer o Hypercalcemia o Uncontrolled diabetes mellitus o Pheochromocytoma o Tardive dyskinesia o Epilepsia o Active infective diseases o Brain - or leptomeningeal metastases o Psychiatrical disorders o Parkinsonism
* Current use of corticosteroids (similar to prednisone ≥ 10 milligrams per day)
* Current alcohol abuse
* Pregnancy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Noordwest Ziekenhuisgroep

OTHER

Sponsor Role collaborator

Rijnstate

UNKNOWN

Sponsor Role collaborator

Tergooiziekenhuizen locatie Hilversum

UNKNOWN

Sponsor Role collaborator

Ziekenhuis Amstelland

OTHER

Sponsor Role collaborator

Amsterdam UMC, location VUmc

OTHER

Sponsor Role lead

Responsible Party

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H.M.W. Verheul

Head Department Medical Oncology

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Medisch Centrum Alkmaar

Alkmaar, North Holland, Netherlands

Site Status

Ziekenhuis Amstelland

Amstelveen, North Holland, Netherlands

Site Status

Gemini Ziekenhuis

Den Helder, North Holland, Netherlands

Site Status

Tergooiziekenhuizen

Hilversum, North Holland, Netherlands

Site Status

Waterland Ziekenhuis

Purmerend, North Holland, Netherlands

Site Status

De Heel - Zaans Medisch Centrum

Zaandam, North Holland, Netherlands

Site Status

Rijnstate

Arnhem, , Netherlands

Site Status

Countries

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Netherlands

References

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van der Vorst MJDL, Toffoli EC, Beusink M, van Linde ME, van Voorthuizen T, Brouwer S, van Zweeden AA, Vrijaldenhoven S, Berends JC, Berkhof J, Verheul HMW. Metoclopramide, Dexamethasone, or Palonosetron for Prevention of Delayed Chemotherapy-Induced Nausea and Vomiting After Moderately Emetogenic Chemotherapy (MEDEA): A Randomized, Phase III, Noninferiority Trial. Oncologist. 2021 Jan;26(1):e173-e181. doi: 10.1634/theoncologist.2020-0305. Epub 2020 Aug 21.

Reference Type DERIVED
PMID: 32735029 (View on PubMed)

Other Identifiers

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2011/366

Identifier Type: -

Identifier Source: org_study_id

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