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A randomized, multicenter non-inferiority trial of 1-day versus 3-day dexamethasone in combination with palonosetron for prevention of nausea and vomiting induced by moderately emetogenic chemotherapy

A randomized, multicenter non-inferiority trial of 1-day versus 3-day dexamethasone in combination with palonosetron for prevention of nausea and vomiting induced by moderately emetogenic chemotherapy - A randomized, multicenter non-inferiority trial of 1-day versus 3-day dexamethasone in combination with palonosetron for prevention of nausea and vomiting induced by moderately emetogenic chemotherapy

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
JPRN
Registry ID
JPRN-UMIN000009403
Enrollment
300
Registered
2012-11-27
Start date
2011-05-01
Completion date
Unknown
Last updated
2026-06-29

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

Conditions

colorectal cancer, lung cancer, breast cancer

Interventions

dexamethasone day1-3 plus palonosetron dexamethasone day1 plus palonosetron

Sponsors

Hokkaido University Hospital
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1)Age of 20 years or older 2)Diagnosis of malignancy 3)No systemic chemotherapy or prior low or minimal emetogenic chemotherapy 4)Moderately emetogenic chemotherapy is planned (The moderately emetogenic chemotherapy over 2 or more days is excluded) 5)Adequate bone marrow, lever and renal function 6)ECOG performance status of 0-2 7)Written informed consent

Exclusion criteria

Exclusion criteria: 1)Serious or uncontrolled complication 2)Symptomatic or clinically suspected bone metastasis 3)Convulsive disorder needs anti-convulsant 4)Ascites fluid or pleural effusion needs paracentesis 5)Gastrointestinal obstruction 6)Vomiting and/or grade 2 or more nausea before chemotherapy 7)Hypersensitivity for 5-HT3 receptor antagonist 8)Hypersensitivity for dexamethasone 9)Pregnancy, lactation or who does not wish to contraception 10)History of palonosetorn administration 11)Capability or intention of cooperating 12)Participant in other anti-emetic trial 13)Undersirable for the patient to enter the trial

Design outcomes

Primary

MeasureTime frame
Percentage of patients with complete response (no vomiting and no rescue medication) during day1-5 after moderately emetogenic chemotherapy

Secondary

MeasureTime frame
1)Complete response rate (acute phase, late phase) 2)Complete control rate (no vomiting, no rescue medication and no or mild nausea) 3)Adverse events

Countries

Japan

Contacts

Public ContactKenji Okita

Sapporo Medical University First Department of Surgery

okita@sapmed.ac.jp81-11-611-2111

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026