Patient with cancer who will receive high dose cisplatin chemotherapy. Age ≥ 18 years old no previously treat with chemotherapy NK1 receptor antagonist Serotonin receptor antagonist Netupitant Palonosetron High emetic chemotherapy(HEC)
Conditions
Interventions
Sponsors
None listed
Eligibility
Inclusion criteria
Inclusion criteria: Be ≥18 years of age on day of signing informed consent. ECOG performance status of 0 or 1 Has histologically or cytologically confirmed diagnosis of cancer - Have received no prior systemic chemotherapy - Subjects scheduled to receive at least 2 consecutive cycles of a high dose cisplatin regimen (cisplatin > 75 mg/m2) - Demonstrates adequate organ function - CrCl > 30mL/min - SGOT or SGPT 1500/mm3 - Provide written informed consent/assent for the trial
Exclusion criteria
Exclusion criteria: - Any vomiting or nausea within 24 hours prior to the start of cisplatin chemotherapy - Is pregnant or breastfeeding - Psychiatric disorder or severe amnesia - Symptomatic primary or metastatic central nervous system (CNS) malignancy. - Has current use other antipsychotic, eg. risperidone, quetiapine, clozapine, phenothiazine, or butyrophenone within 30 days prior to the start of cisplatin chemotherapy - Severe or uncontrolled cardiovascular diseases, eg. Cardiac arrhythmia, heart failure or myocardial infraction - Difficult control diabetic mellitus or has history of hyperglycemic emergency - Has active upper gastrointestinal cancer
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| complete response 0-120 hours after chemotherapy treatment no vomiting and no rescue medication use | — |
Secondary
| Measure | Time frame |
|---|---|
| Quality of life evaluate before and after chemotherapy treatment EORTC QLQ C-30,QTc prologation evaluate before and after chemotherapy treatment EKG 12 leads | — |
Countries
Thailand
Contacts
Medical oncology department, faculty of medicine, Chulalongkorn university