Proof-of-Concept Trial of Palonosetron and Olanzapine Without Dexamethasone for the Prevention of CIN

NCT ID: NCT02970643

Last Updated: 2016-11-23

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-07-31

Study Completion Date

2017-12-31

Brief Summary

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The purpose of this study is to determine whether Palonosetron and Olanzapine without dexamethasone for the Prevention of moderate risk Chemotherapy-Induced Nausea and vomiting.

Detailed Description

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This study was designed to evaluate efficacy and safety of olanzapine compared with 5-hydroxytryptamine3 receptor antagonist for prevention of moderate risk chemotherapy induced nausea and vomiting.

Conditions

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Chemotherapy-induced Nausea and Vomiting

Keywords

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Olanzapine Chemotherapy-Induced Nausea and Vomiting Moderate risk

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Olanzapine group

Palonosetron and Olanzapine Without Dexamethasone in moderate risk chemotherapy induced nausea and vomiting group

Group Type EXPERIMENTAL

Olanzapine

Intervention Type DRUG

Moderate risk chemotherapy induced nausea group in all cancer. D1 Olanzapine 10mg PO D2-3 Olanzapine 10mg PO

Palonosetron

Intervention Type DRUG

Moderate risk chemotherapy induced nausea group in all cancer. D1 Palonosetron 0.25mg IV

Interventions

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Olanzapine

Moderate risk chemotherapy induced nausea group in all cancer. D1 Olanzapine 10mg PO D2-3 Olanzapine 10mg PO

Intervention Type DRUG

Palonosetron

Moderate risk chemotherapy induced nausea group in all cancer. D1 Palonosetron 0.25mg IV

Intervention Type DRUG

Other Intervention Names

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Zyprexa Aloxi

Eligibility Criteria

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Inclusion Criteria

* European Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2
* no severe cognitive compromise
* Moderate risk chemotherapy induced chemotherapy induced nausea and vomiting in 1st cycle
* Confirmed histology

Exclusion Criteria

* European Cooperative Oncology Group (ECOG) performance status of 3 and 4
* Nausea or vomiting in the 24 hours before enrollment
* History of Nausea or vomiting Grade 3 before previous chemotherapy
* Known history of central nervous system disease (e.g., brain metastases or a seizure disorder)
* Bowel obstruction
* Serum creatinine level of 2.0 mg per deciliter (177 μmol per liter) or more
* Aspartate or alanine aminotransferase level that was more than 3 times the upper limit of the normal range
* Treatment with another antipsychotic agent such as risperidone, quetiapine, clozapine, a phenothiazine, or a butyrophenone within 30 days before enrollment
* Treatment with another antiemetic agent before 48 hours before enrollment
* Uncontrolled severe infection or uncontrolled severe comorbidity
* Concurrent abdominal radiotherapy
* Known hypersensitivity to olanzapine, palonosetron
* Known cardiac arrhythmia, uncontrolled congestive heart failure, or acute myocardial infarction within the previous 6 month
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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HK inno.N Corporation

INDUSTRY

Sponsor Role collaborator

Hee Jun Kim

OTHER

Sponsor Role lead

Responsible Party

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Hee Jun Kim

Associate Professor,Division of Hemato-oncology

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Heejun Kim, MD.PhD

Role: STUDY_CHAIR

Associate Professor

References

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Navari RM, Qin R, Ruddy KJ, Liu H, Powell SF, Bajaj M, Dietrich L, Biggs D, Lafky JM, Loprinzi CL. Olanzapine for the Prevention of Chemotherapy-Induced Nausea and Vomiting. N Engl J Med. 2016 Jul 14;375(2):134-42. doi: 10.1056/NEJMoa1515725.

Reference Type BACKGROUND
PMID: 27410922 (View on PubMed)

Tan L, Liu J, Liu X, Chen J, Yan Z, Yang H, Zhang D. Clinical research of Olanzapine for prevention of chemotherapy-induced nausea and vomiting. J Exp Clin Cancer Res. 2009 Sep 23;28(1):131. doi: 10.1186/1756-9966-28-131.

Reference Type BACKGROUND
PMID: 19775450 (View on PubMed)

Naeim A, Dy SM, Lorenz KA, Sanati H, Walling A, Asch SM. Evidence-based recommendations for cancer nausea and vomiting. J Clin Oncol. 2008 Aug 10;26(23):3903-10. doi: 10.1200/JCO.2007.15.9533.

Reference Type BACKGROUND
PMID: 18688059 (View on PubMed)

Lohr L. Chemotherapy-induced nausea and vomiting. Cancer J. 2008 Mar-Apr;14(2):85-93. doi: 10.1097/PPO.0b013e31816a0f07.

Reference Type BACKGROUND
PMID: 18391612 (View on PubMed)

American Society of Clinical Oncology; Kris MG, Hesketh PJ, Somerfield MR, Feyer P, Clark-Snow R, Koeller JM, Morrow GR, Chinnery LW, Chesney MJ, Gralla RJ, Grunberg SM. American Society of Clinical Oncology guideline for antiemetics in oncology: update 2006. J Clin Oncol. 2006 Jun 20;24(18):2932-47. doi: 10.1200/JCO.2006.06.9591. Epub 2006 May 22.

Reference Type BACKGROUND
PMID: 16717289 (View on PubMed)

Navari RM, Gray SE, Kerr AC. Olanzapine versus aprepitant for the prevention of chemotherapy-induced nausea and vomiting: a randomized phase III trial. J Support Oncol. 2011 Sep-Oct;9(5):188-95. doi: 10.1016/j.suponc.2011.05.002. Epub 2011 Sep 24.

Reference Type BACKGROUND
PMID: 22024310 (View on PubMed)

Vardy J, Chiew KS, Galica J, Pond GR, Tannock IF. Side effects associated with the use of dexamethasone for prophylaxis of delayed emesis after moderately emetogenic chemotherapy. Br J Cancer. 2006 Apr 10;94(7):1011-5. doi: 10.1038/sj.bjc.6603048.

Reference Type BACKGROUND
PMID: 16552437 (View on PubMed)

Cleeland CS, Mendoza TR, Wang XS, Chou C, Harle MT, Morrissey M, Engstrom MC. Assessing symptom distress in cancer patients: the M.D. Anderson Symptom Inventory. Cancer. 2000 Oct 1;89(7):1634-46. doi: 10.1002/1097-0142(20001001)89:73.0.co;2-v.

Reference Type BACKGROUND
PMID: 11013380 (View on PubMed)

Other Identifiers

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C2016034

Identifier Type: -

Identifier Source: org_study_id