Cancer
Conditions
Brief summary
This study is to assess the efficacy and safety of palonosetron in preventing the acute and delayed emesis induced by 3-day highly emetogenic chemotherapy. A double-blind, crossover design is used and granisetron is the positive control.
Interventions
Palonosetron 0.25mg d1,d3
Granisetron 3mg d1-3
Dexamethasone 10mg d1-3
3-day chemotherapy regimens including cisplatin, cisplatin: 25mg/m2 d1-3
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients diagnosed with malignant tumors who can receive 3-day chemotherapy regimens defined by the protocol; * The two-cycle sequential chemotherapy must be the same in drugs, dosage, sequence and routes of administration; * Patients are prohibited from any other chemotherapy drugs during the study, as well as other antiemesis, sedative and psychotropic drugs within 5 days after chemotherapy; * Life expectancy ≥ 3 months; * Adequate hematologic function; * Adequate hepatic function; * Adequate renal function; * At least 2 weeks away from the last chemotherapy; * Patients signed written informed consent.
Exclusion criteria
* Pregnant or lactating women; * History of anticipatory vomiting; * Radiation therapy on the abdomen or pelvis within one week prior to study entry; * Concomitant use of other drugs which may affect the antiemetic effects (such as omeprazole, amifostine, etc.); * Patients with gastrointestinal obstruction; * Patients with severe heart disease, liver or renal disease, or metabolism disorders; * Patients with epilepsy or using sedative or psychotropic drugs; * Patients with diabetes or with contraindication for corticosteroids; * Patients who received antiemetic drugs or experienced nausea or vomiting within 24 hours prior to study entry; * Patients with brain metastasis or intracranial hypertension; * Hypersensitivity to 5-HT3 receptor antagonist; * Patients with active infection; * Other conditions that the investigator considered as unsuitable for chemotherapy; * Subjects participating in other clinical trials.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Complete Response(CR) within 24-120 hours after chemotherapy | 24-120 hours |
Secondary
| Measure | Time frame |
|---|---|
| CR within 0-120 hours after chemotherapy | 0-120 hours |
| CR within 0-24 hours after chemotherapy | 0-24 hours |
| Incidence of Adverse events | up to 3 months |
Countries
China