RCT of Olanzapine for Control of CIV in Children Receiving Highly Emetogenic Chemotherapy

NCT ID: NCT03118986

Last Updated: 2025-10-08

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

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-08-10

Study Completion Date

2026-04-30

Brief Summary

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Chemotherapy-induced nausea and vomiting (CINV) are among the most bothersome symptoms during cancer treatment according to children and their parents. Most children receiving highly emetogenic chemotherapy (HEC), including those receiving hematopoietic stem cell transplant (HSCT) conditioning, experience CIV despite receiving antiemetic prophylaxis. Olanzapine improves CINV control in adult cancer patients, has a track record of safe use in children with psychiatric illness, does not interact with chemotherapy and is inexpensive. We hypothesize that the addition of olanzapine to standard antiemetics will improve chemotherapy-induced vomiting (CIV) control in children receiving highly emetogenic chemotherapy

Detailed Description

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Conditions

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Vomiting in Infants and/or Children Nausea Hematopoietic System--Cancer Oncology

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Olanzapine

Standard antiemetics plus olanzapine

Group Type ACTIVE_COMPARATOR

Olanzapine

Intervention Type DRUG

olanzapine 0.1 mg/kg/dose (maximum 10 mg/dose) by mouth as a single daily dose based on actual body weight

Placebo Oral Tablet

Standard antiemetics plus placebo

Group Type PLACEBO_COMPARATOR

Placebo Oral Tablet

Intervention Type DRUG

Placebo tablets that look like olanzapine and will be dosed as if they are olanzapine

Interventions

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Olanzapine

olanzapine 0.1 mg/kg/dose (maximum 10 mg/dose) by mouth as a single daily dose based on actual body weight

Intervention Type DRUG

Placebo Oral Tablet

Placebo tablets that look like olanzapine and will be dosed as if they are olanzapine

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Planned receipt of HEC or cyclophosphamide ≥ 1 g/m2/day (≥ 33 mg/kg/day) for cancer treatment or autologous or allogeneic HSCT conditioning.81,82 Examples of HEC are: busulfan IV (myeloablative dosing), carboplatin ≥175mg/m²/dose, cisplatin ≥12mg/m²/dose, cytarabine ≥3g/m²/day, melphalan \>140mg/m², methotrexate ≥12g/m²/dose and thiotepa ≥300mg/m²/dose.

Plan for inpatient admission from administration of first study drug dose until 24 hours following administration of last study drug dose.

Body weight of at least 12.5 kg

2.5 to \< 18 years of age. Note that the minimum age requirement corresponds to an approximate body weight of 12.5 kg.

Samples for all laboratory tests will be obtained within one week prior to administration of the first chemotherapy dose of the study chemotherapy block or the first HSCT conditioning dose:

* Plasma creatinine within 1.5 times the upper limit of normal for age.
* Amylase within age-appropriate limits
* Plasma conjugated bilirubin within ≤ 3x upper limit of normal for age unless attributable to Gilbert's Syndrome
* ALT ≤ 5x upper limit of normal for age

Baseline ECG within the month prior to study drug administration without known clinically significant abnormalities including pathologic prolongation of QTc

A plan for scheduled, round-the-clock receipt of ondansetron, granisetron or palonosetron for antiemetic prophylaxis during administration of chemotherapy or HSCT conditioning.

Negative pregnancy test if female of childbearing potential

Patients of childbearing potential must consent to use adequate contraception (males and females) or agree to practice abstinence

Parent or child able to speak a language in which the (modified Pediatric Adverse Event Rating Scale (PAERS) is available.

Optional: Child participants in the optional assessment of nausea severity must be 4 to 18 years of age. Child and a parent/guardian must be English, Spanish or French-speaking. The Pediatric Nausea Assessment Tool58 (PeNAT) is validated in English-speaking children 4 to 18 years old with an English-speaking parent/guardian and has been translated into Spanish and French. The MAT is available in English, Spanish and French.
Minimum Eligible Age

30 Months

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of California, San Francisco

OTHER

Sponsor Role collaborator

Children's Mercy Hospital Kansas City

OTHER

Sponsor Role collaborator

St. Justine's Hospital

OTHER

Sponsor Role collaborator

Columbia University

OTHER

Sponsor Role collaborator

Medical University of South Carolina

OTHER

Sponsor Role collaborator

CancerCare Manitoba

OTHER

Sponsor Role collaborator

University of North Carolina, Chapel Hill

OTHER

Sponsor Role collaborator

Nationwide Children's Hospital

OTHER

Sponsor Role collaborator

The Hospital for Sick Children

OTHER

Sponsor Role lead

Responsible Party

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Lee Dupuis

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Lee Dupuis, RPh, PhD

Role: PRINCIPAL_INVESTIGATOR

The Hospital for Sick Children

Muhammad Ali, MD

Role: PRINCIPAL_INVESTIGATOR

The Hospital for Sick Children

Locations

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University of California

San Francisco, California, United States

Site Status RECRUITING

The Children's Mercy Hospital

Kansas City, Missouri, United States

Site Status RECRUITING

Columbia University/Morgan Stanley Children's Hospital

New York, New York, United States

Site Status WITHDRAWN

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States

Site Status RECRUITING

Nationwide Children's Hospital

Columbus, Ohio, United States

Site Status RECRUITING

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status RECRUITING

Cancer Care Manitoba

Winnipeg, Manitoba, Canada

Site Status RECRUITING

Hospital for Sick Children

Toronto, Ontario, Canada

Site Status RECRUITING

Centre Hospitalier Universitaire Sainte-Justine,

Montreal, Quebec, Canada

Site Status TERMINATED

All India Institute of Medical Sciences

New Delhi, National Capital Territory of Delhi, India

Site Status RECRUITING

Countries

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United States Canada India

Central Contacts

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Lee Dupuis, RPh, PhD

Role: CONTACT

416-813-7762

Muhammad Ali, MD

Role: CONTACT

416-813-7654 ext. 201438

Facility Contacts

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Kevin wu

Role: primary

Judy Vun

Role: primary

(816) 302-6797

Juanita Cuffee

Role: primary

(919) 966-0017

Clelie Peck

Role: primary

Shanta Salzer

Role: primary

843-792-1463

Kathy Hjalmarsson

Role: primary

Lee Dupuis, PhD

Role: primary

416-813-7654 ext. 309355

Shuvadeep Ganguly

Role: primary

References

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Dupuis LL, Taddio A, Kerr EN, Kelly A, MacKeigan L. Development and validation of the pediatric nausea assessment tool for use in children receiving antineoplastic agents. Pharmacotherapy. 2006 Sep;26(9):1221-31. doi: 10.1592/phco.26.9.1221.

Reference Type BACKGROUND
PMID: 16945043 (View on PubMed)

Other Identifiers

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1000053716

Identifier Type: -

Identifier Source: org_study_id

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