Olanzapine for Cancer Related Anorexia-cachexia Syndrome

NCT ID: NCT06517199

Last Updated: 2024-07-24

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

PHASE3

Total Enrollment

138 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-01-22

Study Completion Date

2026-01-21

Brief Summary

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Cancer anorexia-cachexia syndrome is one of the common conditions in cancer patients. Olanzapine has been demonstrated to reduce chemotherapy-induced anorexia. However, there is scarce information regarding olanzapine as a treatment of cancer anorexia among patients who does not receive chemotherapy. Therefore, this randomized controlled trial aims to evaluate the efficacy of olanzapine to lessen cancer cachexia-anorexia syndrome.

Detailed Description

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Conditions

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Anorexia Cachexia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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placebo

placebo 1 tablet/day for 28 days

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

placebo 1 tab/day for 28 days

olanzapine 2.5

olanzapine 2.5 mg/day for 28 days

Group Type ACTIVE_COMPARATOR

Olanzapine 2.5 MG

Intervention Type DRUG

olanzapine 2.5 mg/day for 28 days

olanzapine 5

olanzapine 5 mg/day for 28 days

Group Type ACTIVE_COMPARATOR

Olanzapine 5 MG

Intervention Type DRUG

olanzapine 5 mg/day for 28 days

Interventions

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Olanzapine 2.5 MG

olanzapine 2.5 mg/day for 28 days

Intervention Type DRUG

Olanzapine 5 MG

olanzapine 5 mg/day for 28 days

Intervention Type DRUG

Placebo

placebo 1 tab/day for 28 days

Intervention Type DRUG

Other Intervention Names

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OLN2.5 OLN5 PLC

Eligibility Criteria

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Inclusion Criteria

* pathologically or cytologically metastatic or locally advanced cancer
* anorexia and \>=5% weight loss during the past 6 months or anorexia with numerical scale of anorexia \>=5
* ECOG performance status 0-3
* able to complete questionaire and able to swallow pills

Exclusion Criteria

* receiving chemotherapy or anti-cancer systemic therapy
* life expectancy longer than 1 month
* received radiotherapy at head/neck or thoracic or upper abdomen in the past 2 weeks
* surgery within 4 weeks
* pregnancy
* serum bilirubin \> 2 mg/dl or serum Cr \> 2 mg/dl
* current use of olanzapine or other antipsychotic drug
* known cardiac arrhythmia, uncontrolled brain metastasis, history of seizure or acute coronary event in the past 6 months
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mahidol University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Faculty of Medicine Siriraj Hospital

Bangkok, , Thailand

Site Status RECRUITING

Division of medical oncology, department of medicine Siriraj Hospital

Bangkok, , Thailand

Site Status RECRUITING

Countries

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Thailand

Central Contacts

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Suthinee Ithimakin, MD

Role: CONTACT

+66824194489

Facility Contacts

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Suthinee Ithimakin

Role: primary

0898127440

Suthinee Ithimakin, MD

Role: primary

662-419-4489

References

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Navari RM, Brenner MC. Treatment of cancer-related anorexia with olanzapine and megestrol acetate: a randomized trial. Support Care Cancer. 2010 Aug;18(8):951-6. doi: 10.1007/s00520-009-0739-7. Epub 2009 Sep 11.

Reference Type BACKGROUND
PMID: 19756773 (View on PubMed)

Sandhya L, Devi Sreenivasan N, Goenka L, Dubashi B, Kayal S, Solaiappan M, Govindarajalou R, Kt H, Ganesan P. Randomized Double-Blind Placebo-Controlled Study of Olanzapine for Chemotherapy-Related Anorexia in Patients With Locally Advanced or Metastatic Gastric, Hepatopancreaticobiliary, and Lung Cancer. J Clin Oncol. 2023 May 10;41(14):2617-2627. doi: 10.1200/JCO.22.01997. Epub 2023 Mar 28.

Reference Type BACKGROUND
PMID: 36977285 (View on PubMed)

Arends J, Strasser F, Gonella S, Solheim TS, Madeddu C, Ravasco P, Buonaccorso L, de van der Schueren MAE, Baldwin C, Chasen M, Ripamonti CI; ESMO Guidelines Committee. Electronic address: [email protected]. Cancer cachexia in adult patients: ESMO Clinical Practice Guidelines☆. ESMO Open. 2021 Jun;6(3):100092. doi: 10.1016/j.esmoop.2021.100092.

Reference Type BACKGROUND
PMID: 34144781 (View on PubMed)

Roeland EJ, Bohlke K, Baracos VE, Bruera E, Del Fabbro E, Dixon S, Fallon M, Herrstedt J, Lau H, Platek M, Rugo HS, Schnipper HH, Smith TJ, Tan W, Loprinzi CL. Management of Cancer Cachexia: ASCO Guideline. J Clin Oncol. 2020 Jul 20;38(21):2438-2453. doi: 10.1200/JCO.20.00611. Epub 2020 May 20.

Reference Type BACKGROUND
PMID: 32432946 (View on PubMed)

Other Identifiers

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980/2566(IRB1)

Identifier Type: -

Identifier Source: org_study_id

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