Aprepitant vs. Desloratadine in EGFR-TKIs Related Pruritus Treatment
- Conditions
- Non-small Cell Lung Cancer
- Interventions
- Registration Number
- NCT02646020
- Lead Sponsor
- Sun Yat-sen University
- Brief Summary
Study hypothesis is that aprepitant is more effective than desloratadine in relieving pruritus caused by EGFR TKIs. Primary endpoint is the effective rate of pruritus, effective treatment defined as visual analogue scale (VAS) decrease ≥ 50% after treatment compared to baseline score. 130 NSCLC patients undertaken EGFR-TKI and suffer from moderate or severe pruritus (VAS score ≥ 4) will be enrolled in this study, and stratified (gender, VAS 4-6 or 7-10, and 2nd generation TKI or non 2nd generation) randomized (1:1) into aprepitant or desloratadine treatment. VAS investigation will be taken once a week to treatment end (4 weeks).
- Detailed Description
This is a prospective, randomized control, double-blinded, phase II clinical trial. Study hypothesis is that aprepitant is more effective than desloratadine in relieving pruritus caused by EGFR TKIs. Primary endpoint is the effective rate of pruritus, effective treatment defined as visual analogue scale (VAS) decrease ≥ 50% after treatment (1 week) compared to baseline score. The VAS inquiry will be taken once a week for 4 weeks. Quality of life investigation will be performed at baseline, 1 week and 4 weeks after treatment using SKINDEX-16 questionnaire. 130 NSCLC patients undertaken EGFR-TKI and suffer from moderate or severe pruritus (VAS score ≥ 4) will be enrolled in this study, and stratified (gender,and VAS 4-6 or 7-10, and 2nd generation TKI or non 2nd generation) randomized (1:1) into aprepitant or desloratadine treatment. Aprepitant arm will be administrated aprepitant 125mg d1, 80mg d3 and d5, along with placebo 5mg d1-d28; desloratadine arm will be administrated placebo 125mg d1, 80mg d3 and d5, along with desloratadine 5mg d1-d28. Tolerance evaluation will be taken according to National Cancer Institute (NCI)-Common Terminology Criteria (CTC) For Adverse Events (AE) V4.03.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 138
-
Advanced or metastatic non small cell lung cancer
-
Undertaken EGFR TKIs treatment (gefitinib, erlotinib, icotinib, afatinib, etc)
- 18 years old
-
Eastern Cooperative Oncology Group (ECOG) performance score 0-2
-
Moderate or severe pruritus (VAS score ≥ 4) first occur after EGFR TKIs treatment
-
Life expectancy ≥ 3 months
-
Orally drug administration with no difficulty
-
pregnancy test negative in 7 days for women of child-bearing age; willing to take contraception measures.
-
Signed informed consent form (ICF)
- Systemically treatment with Neurokinin-1 (NK-1) receptor inhibitors, antihistamines drugs, antibiotics, cortical hormone therapy, antiepileptic drugs, immunosuppressive agents or other drugs might affect treatment in 4 weeks; or locally used of these drug in 2 weeks.
- Existing skin lesions not EGFR TKIs related, such as skin infection, chronic dermatitis, Systemic Lupus Erythematosus (SLE), lymphoma or other diseases.
- Total bilirubin ≥ 1.5 Upper Limit Of Normal (ULN)
- Serum creatinine ≥mg/dl
- AST or ALT ≥ 2.5 ULN without liver metastasis; or ≥ 5 ULN with liver metastasis.
- Residual toxicity event ≥ CTC-AE grade 2, except peripheral neurotoxicities.
- Central nervous system (CNS) metastasis or spinal compression; except no symptoms and with no cortical hormonotherapy in 4 weeks.
- Clinical evidence of interstitial lung disease
- Any severe or uncontrolled systemic diseases judged by investigators.
- Any contraindication of Neurokinin-1 receptor inhibitors and desloratadine.
Discontinuation Criteria
- Invalid subject after randomization
- Major protocol violations judged by investigators.
- Poor compliance
- Intolerable adverse events
- Subject withdraw ICF
- Any pregnancy events
- No clinical benefits due to clinical adverse events, laboratory abnormalities or other medical conditions
- Other reasons of treatment discontinuation judged by investigators.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Aprepitant and placebo Placebo of desloratadine aprepitant 125mg d1, 80mg d3 and d5, along with placebo 5mg d1-d28; Aprepitant and placebo Aprepitant aprepitant 125mg d1, 80mg d3 and d5, along with placebo 5mg d1-d28; desloratadine and placebo Placebo of aprepitant placebo 125mg d1, 80mg d3 and d5, along with desloratadine 5mg d1-d28 desloratadine and placebo Desloratadine placebo 125mg d1, 80mg d3 and d5, along with desloratadine 5mg d1-d28
- Primary Outcome Measures
Name Time Method effective rate of pruritus relieving day 28 at the treatment ends effective treatment of pruritus relieving defined as visual analogue scale (VAS) decrease ≥ 50% after treatment compared to baseline score
- Secondary Outcome Measures
Name Time Method duration of pruritus relieving 12 weeks at the follow-up end the time from pruritus effective relief to VAS score increase ≥ baseline level, the VAS inquiry will be taken once a week.
Change from baseline quality of life assessment at treatment ends baseline, 28 days at the treatment ends using SKINDEX-16 questionnaire to assess patients quality of life
Trial Locations
- Locations (1)
Cancer Center of Sun-Yat Sen University (CCSYSU)
🇨🇳GuangZhou, Guangdong, China