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A randomized, double-blind, placebo-controlled phase III trial evaluating olanzapine 5mg combined with standard antiemetic therapy for the prevention of chemotherapy-induced nausea and vomiting in patients receiving cisplatin-based highly emetogenic chemotherapy: J-SUPPORT 1604

Phase 3
Conditions
Malignant solid tumor
Registration Number
JPRN-UMIN000024676
Lead Sponsor
AMED (Japan Agency for Medical Research and Development)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete: follow-up complete
Sex
All
Target Recruitment
690
Inclusion Criteria

Not provided

Exclusion Criteria

1. History of hypersensitivity or allergy for study drugs or similar compounds. 2. Patients who need antiemetics at the enrollment. 3. Patients who start taking opioids within 48 hours prior to enrollment. 4. Patient who suffered from ischemic heart disease, cerebral hemorrhage or apoplexy, active gastric or duodenum ulcer within 6 months prior to enrollment. 5. Patients who has a convulsive disorders that need anticonvulsants therapy. 6. Patients with symptomatic ascites that need therapeutic drainage. 7. Patients with gastro-intestinal stenosis or obstruction. 8. Pregnant, breastfeeding or expecting woman. 9. Psychotic patients using antipsychotic drug. 10. Patient who received abdominal or pelvic irradiation within 6 days prior to enrollment or patients who receive abdominal or pelvic concurrent chemoradiotherapy. 11. Patients who had diabetes mellitus with use of antidiabetics and patients with HbA1c (NGSP) >= 6.5 or HbA1c (JDS) >= 6.1. 12. Patients who cannot be hospitalized during 6 days (0-120 h post-cisplatin administration). 13. Habitual smoker at the enrollment. 14. Patients judged by the investigator to be inappropriate for this study.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Complete response (CR: no emesis, no rescue medication) rate during the delayed phase (24-120h post-cisplatin administration).
Secondary Outcome Measures
NameTimeMethod
1. Complete response rate during the acute (0-24h post-cisplatin administration) phase and for the overall phase (0-120h post-cisplatin administration). 2. Complete control (defined as no emetic episodes, no rescue medication, and no more than mild nausea) rate for the overall phases and in daily period. 3. Total control rate (defined as no emetic episodes, no rescue medication, and no nausea) rate for the overall phase and in daily period. 4. Time to treatment failure (i.e., time to first emetic episode or time to administration of rescue therapy, whichever occurred first). 5. Severity of nausea. 6. Severity of anorexia. 7. Severity and influence to daily life of sleepiness. 8. Adverse event.
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