Olanzapine for the Prevention of Chemotherapy Induced Nausea and Vomiting in Gynecologic Oncology Patients

NCT ID: NCT04503668

Last Updated: 2025-06-18

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

62 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-12-28

Study Completion Date

2024-03-11

Brief Summary

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The objective of this study is to investigate the efficacy of olanzapine as compared to neurokinin-1 receptor antagonists (NK1-RAs) in the prevention of chemotherapy-induced nausea and vomiting (CINV) in patients with gynecologic malignancies receiving single day outpatient chemotherapy (carboplatin and paclitaxel) every 3 weeks.

Detailed Description

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Conditions

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Gynecologic Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Nk1-RA

Nk1-RA will be given on day 1 of each 3-week chemotherapy cycle, for up to 6 cycles.

Group Type ACTIVE_COMPARATOR

Ondansetron

Intervention Type DRUG

8 mg IV or 16 mg by mouth on day 1 pre-chemotherapy; then 8 mg by mouth twice a day on days 2-4 of chemotherapy

Dexamethasone

Intervention Type DRUG

20 mg IV on day 1 pre-chemotherapy

Neurokinin-1 Receptor Antagonist (NK1-RA)

Intervention Type DRUG

150 mg IV on day 1 pre-chemotherapy

Compazine

Intervention Type DRUG

5-10 mg by mouth, available as needed, every 6 hours, days 1-5

Olanzapine

Olanzapine will be given on days 1-4 of each 3-week chemotherapy cycle, for up to 6 cycles.

Group Type EXPERIMENTAL

Ondansetron

Intervention Type DRUG

8 mg IV or 16 mg by mouth on day 1 pre-chemotherapy; then 8 mg by mouth twice a day on days 2-4 of chemotherapy

Dexamethasone

Intervention Type DRUG

20 mg IV on day 1 pre-chemotherapy

Olanzapine

Intervention Type DRUG

5 mg by mouth on days 1-4 of chemotherapy (taken at night)

Compazine

Intervention Type DRUG

5-10 mg by mouth, available as needed, every 6 hours, days 1-5

Interventions

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Ondansetron

8 mg IV or 16 mg by mouth on day 1 pre-chemotherapy; then 8 mg by mouth twice a day on days 2-4 of chemotherapy

Intervention Type DRUG

Dexamethasone

20 mg IV on day 1 pre-chemotherapy

Intervention Type DRUG

Neurokinin-1 Receptor Antagonist (NK1-RA)

150 mg IV on day 1 pre-chemotherapy

Intervention Type DRUG

Olanzapine

5 mg by mouth on days 1-4 of chemotherapy (taken at night)

Intervention Type DRUG

Compazine

5-10 mg by mouth, available as needed, every 6 hours, days 1-5

Intervention Type DRUG

Other Intervention Names

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Fosaprepitant Zyprexa

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of gynecologic malignancy
* No chemotherapy in the last 12 months
* Scheduled to receive Carboplatin (AUC\>=4) and Paclitaxel every three weeks
* ECOG performance status 0 or 1
* English speaking
* Willing and able to provide informed consent
* Laboratory values within protocol-defined parameters
* No vomiting in the 24 hours prior to initiating chemotherapy
* If childbearing potential exists, negative pregnancy test within 7 days prior to registration

Exclusion Criteria

* Significant cognitive compromise
* History of CNS disease (e.g. brain metastases, seizure disorder, dementia)
* Current or recent (within 30 days) treatment with another antipsychotic agent (antidepressant medications are OK)
* Concurrent radiotherapy treatment
* Known hypersensitivity to olanzapine
* Known cardiac arrhythmia, uncontrolled congestive heart failure or acute myocardial infarction within the last six months
* History of diabetes mellitus on medication (insulin or oral glycemic agent)
* Alcohol abuse / chronic alcoholism
* History of closed angle glaucoma
* Current enrollment in other clinical trials
Minimum Eligible Age

18 Years

Maximum Eligible Age

89 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University of Michigan Rogel Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Aimee Rolston

Role: PRINCIPAL_INVESTIGATOR

University of Michigan Rogel Cancer Center

Locations

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University of Michigan Rogel Cancer Center

Ann Arbor, Michigan, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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HUM00175458

Identifier Type: OTHER

Identifier Source: secondary_id

UMCC 2019.173

Identifier Type: -

Identifier Source: org_study_id

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