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Study on the efficacy and safety of reduced-dose dexamethasone combined with netupitant/palonosetron (NEPA) in the prevention of nausea and vomiting caused by concurrent chemoradiotherapy after radical cervical cancer resection

Study on the efficacy and safety of reduced-dose dexamethasone combined with netupitant/palonosetron (NEPA) in the prevention of nausea and vomiting caused by concurrent chemoradiotherapy after radical cervical cancer resection

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2500106187
Enrollment
Unknown
Registered
2025-07-18
Start date
2025-07-20
Completion date
Unknown
Last updated
2025-07-21

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

Conditions

Cervical cancer

Interventions

NEPA DEX Group:NEPA: Take 1 capsule of netupitampalonosegron about 1 hour before chemotherapy every week. Dexamethasone: 12 mg intravenously about 30 minutes before the weekly chemotherapy course, 4 m
NEPA DEX reduction group:NEPA: Take 1 capsule of netupitampalonosegron about 1 hour before chemotherapy every week. Dexamethasone: 12 mg intravenously about 30 minutes before the weekly course of chem
NEPA DEX Alternating Group:NEPA: Take 1 capsule of netupitampalonosegron about 1 hour before chemotherapy every week. Dexamethasone: 12 mg intravenously about 30 minutes before a single week of chemot

Sponsors

Cancer Hospital Affiliated to Guizhou Medical University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: 1. Female, age >= 18 years; 2. Patients with cervical cancer after radical resection confirmed by histopathological diagnosis; 3. Patients who intend to receive concurrent chemoradiotherapy (single-week cisplatin radiotherapy); 4. ECOG score of physical status=3 months; 6. Participants voluntarily and strictly comply with the requirements of the study protocol and sign a written informed consent form.

Exclusion criteria

Exclusion criteria: 1. Have a benign disease that causes nausea and vomiting for a long time in the past; 2. Central nervous system diseases (such as epilepsy, brain tumors); 3. Receipt of any known or potential antiemetic medication within 24 hours prior to Day 1 or symptoms of vomiting, retching, or mild nausea within 24 hours prior to Day 1; 4. Pregnant or lactating women; 5. Use of CYP3A4 inducers within 4 weeks and CYP3A4 substrates or strong, moderate CYP3A4 inhibitors within 1 week prior to study initiation; 6. Hypocalcemia or any other condition that may cause vomiting; 7. Factors that obviously affect the absorption of oral drugs, such as chronic diarrhea and intestinal obstruction; 8. Participant has an allergic reaction to netupitan palonostron capsules or any of their excipients; 9. Patient with case record who has participated in any other clinical study of an investigational drug or medical device within 30 days prior to medication, except for observational studies; 10. In the opinion of the investigator, there are any other factors that are not suitable for inclusion or affect participation in or completion of the study.

Design outcomes

Primary

MeasureTime frame
Proportion of patients with complete remission (no vomiting and no rescue treatment) during the risk period;Proportion of patients with complete remission (no vomiting and no rescue treatment) in the acute, delayed phases;The degree of impact of nausea and vomiting in the acute, delayed, and risk phases on the patient's daily living activities (Vomiting Life Function Index Questionnaire (FLIE) assessment;

Secondary

MeasureTime frame
Proportion of patients with complete control (no vomiting, no rescue treatment, no slight nausea (VAS<25mm)) in the acute, delayed, and risk phases;Proportion of patients without vomiting in the acute, delayed, and at-risk phases;Proportion of patients receiving rescue treatment in the acute, delayed, and risk phases;

Countries

China

Contacts

Public ContactLi Jiehui

Affiliated Cancer Hospital of Guizhou Medical University

512111848@qq.com+86 151 8519 1569

Outcome results

None listed

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