Cancer (Solid Tumors), Cisplatin, Olanzapine, Vomiting
Conditions
Keywords
cisplatin, chemotherapy induced nausea vomiting, dexamethasone sparing, olanzapine
Brief summary
A phase II study evaluating dexamethasone sparing regimen with olanzapine and palonosetron for patients receiving high dose cisplatin to prevent chemotherapy induced nausea and vomiting
Interventions
omit dexamethasone on day 2-4
Sponsors
Study design
Eligibility
Inclusion criteria
* histologically confirmed solid malignancy * scheduled for first cycle of cisplatin at dosage of at least 50 mg/m2
Exclusion criteria
* pregnancy * pelvic or abdominal radiation within 4 weeks * uncontrolled brain metastasis * other moderate or high emetic risk chemotherapy on day 2-5 * untreated gut obstruction * known allergy or severe adverse effect from palonosetron or olanzapine * AST/ ALT \> 2.5x or serum creatinine clearance less than 50 ml/min
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| complete response rate | 5 days after receiving chemotherapy | no vomiting and no rescue therapy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| no -nausea rate | 5 days after receiving chemotherapy | no nausea symptom |
| degree of nausea vomiting | 5 days after receiving chemotherapy | grading of nausea vomiting |
| adverse effects | 5 days after receiving chemotherapy | adverse effects |
| rescue therapy | 5 days after chemotherapy | additional treatment for nausea or vomiting |
Countries
Thailand