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A randomized, open, parallel controlled phase II clinical study comparing the efficacy and safety of dexamethasone, palonosetron or aprepitant in the control of acute and delayed vomiting in non-small cell lung cancer patients receiving multiple moderately emetogenic chemotherapy regimens

Efficacy and safety of combined or triple antiemetic regimens for acute and delayed vomiting in non-small cell lung cancer receiving multiple cycles moderately emetogenic chemotherapy

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR1900025227
Enrollment
Unknown
Registered
2019-08-17
Start date
2019-08-15
Completion date
Unknown
Last updated
2019-08-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

non-small cell lung cancer

Interventions

control: palonosetron, and dexamethasone
Experimental group:dexamethasone,aprepitant and palonosetron

Sponsors

Hunan Cancer Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 75 Years

Inclusion criteria

Inclusion criteria: Treatment naive NSCLC patients who can complete 4-6 cycles of moderate emetic regimen chemotherapy. Patients selected for this study must meet all the following criteria: 1. aged > 18 years; 2. delayed vomiting after chemotherapy and subsequent chemotherapy; 3. Karnofsky score (> 60); 4. life expectancy (> 3 months); 5. The main organ functions are normal, that is to say, the following criteria should be met: (1) blood routine examination criteria: HB > 90 g/L (no blood transfusion within 14 days); ANC > 1.5 *10^9/L; PLT > 75 *10^9/L; (2) biochemical examination should meet the following criteria: TBIL < 1.5 ULN (upper limit of normal value); ALT and AST < 3.0 ULN; if there is liver metastasis, ALT and AST < 3.0 ULN. AST was less than 5 ULN, serum Cr was less than 1 ULN, and endogenous creatinine clearance rate was more than 60 ml/min (Cockcroft-Gault formula). Patients can read, understand and complete research questionnaires and logs, including the Nausea and Vomiting Questionnaire (FLIE) and dietary diary questions.

Exclusion criteria

Exclusion criteria: 1. patients have received research drugs outside the scope of the study in the past four weeks or during the study period, and the toxicity of the recent treatment has not been eliminated; 2. Pregnancy, breast-feeding women, women of childbearing age who want to be pregnant or who only use oral contraceptives; 3. Patients suffer from important organ disorders or diseases, such as history of myocardial infarction, severe epilepsy requiring medication, etc.; 4. Patients with mental disabilities or severe emotional or mental disorders; 5. With a history of other malignant tumors within 5 years (excluding cured cervical or skin basal cell carcinomas); 6. Patients with uncontrolled diseases, such as active infections (such as pneumonia) or diabetic ketoacidosis or gastrointestinal obstruction, may be biased by the results of the study or exposed to unnecessary risks in patients receiving the drug; 7. Patients are receiving any dose of systemic glucocorticoid therapy; however, local and inhaled glucocorticoids are allowed.

Design outcomes

Primary

MeasureTime frame
complete response rate of acute CINV;complete response rate of delay CINV;

Countries

China

Contacts

Public ContactZhang Lemeng

Hunan Cancer Hospital

zhanglemeng@hnca.org.cn+86 18684689

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026