Emesis
Conditions
Keywords
chemotherapy, emesis, palonosetron
Brief summary
This trial compares the pharmacokinetics of palonosetron administered subcutaneously and intravenously.
Detailed description
5-Hydroxitryptamine3 antagonists are one of the mainstays of antiemetic treatment and they are administered either intravenously or orally. Nevertheless sometimes neither administration route is feasible, such as in patients unable to admit oral intake managed in an outpatient setting. Our objective is to evaluate the bioavailability of subcutaneous palonosetron.Patients receiving platinum-based chemotherapy will be randomized to receive palonosetron 3 mg either subcutaneously or intravenously in a crossover manner during two cycles. Blood and urine samples will be collected after each cycle. Pharmacokinetics of subcutaneous and IV palonosetron will be prospectively compared.
Interventions
Palonosetron 3 mg administered SC or IV
Sponsors
Study design
Eligibility
Inclusion criteria
* Cancer patients receiving platinum-based chemotherapy adequate bone marrow, hepatic and renal function
Exclusion criteria
* Pregnancy * Serious concomitant diseases, in the invesgator´s criteria
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the pharmacokinetics of a single dose of palonosetron 3mg administered either subcutaneously or intravenously by assessment of area under the curve and Cmax in cancer patients treated with emetogenic chemotherapy. | Palonosetron levels will be assessed at 10 , 15, 30, 45, 60 min. and 12 and 24 hours following treatment |
Secondary
| Measure | Time frame |
|---|---|
| To compare the efficacy of a single dose of palonosetron 3mg administered either subcutaneously or intravenously by assessment of number of episodes of nausea and vomiting in cancer patients treated with emetogenic chemotherapy. | 1 week (post-chemotherapy) |
Countries
Spain