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临床试验/NCT02400866
NCT02400866Unknown2 期

A Randomized Study of Olanzapine for the Prevention of CINV in Patients Receiving Moderately Emetogenic Chemotherapy

Korean South West Oncology Group0 个研究点目标入组 58 人开始时间: 2015年5月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
发起方
入组人数
58
主要终点
complete response rate for the acute phase (0-24 hours) after chemotherapy

研究概览

简要总结

This aim of study is to evaluate the safety and efficacy of olanzapine for the prevention of chemotherapy-induced nausea and vomiting in patients receiving moderately emetogenic chemotherapy by a randomized, double-blind, placebo-controlled trial.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Participant, Investigator)

入排标准

年龄范围
19 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • over 19 years of age
  • no history of receiving moderately or highly emetogenic chemotherapy during last 6 months, and is to receive a first course of MEC including one or more of following agents: Carboplatin, Cyclophosphamide ≤ 1,500 mg/m2, Daunorubicin, Doxorubicin < 60 mg/m2, Epirubicin ≤ 90 mg/m2, Irinotecan, Oxaliplatin, Melphalan, Methotrexate ≥ 250 mg/m2
  • ECOG performance status 0-2
  • predicted life expectancy ≥ 3 months
  • adequate bone marrow, kidney, and liver functionas evidenced by: ANC ≥ 1,500/mm3, platelet count ≥ 100,000/mm3, total bilirubine ≤ 2 x ULN, AST ≤ 3 x ULN, ALT ≤ 3 x ULN (for subjects with known liver metastases, total bilirubin ≤ 3 x ULN, AST ≤ 5 x ULN, ALT ≤ 5 x ULN), Creatinine ≤ 1.5 x ULN or Ccr ≥ 50 ml/min
  • no episodes of nausea and vomiting during last 24 hours before enrollment
  • subjects provides written informed consent
  • Exclusion criteria:
  • subjects with uncontrolled neuro-psychiatric disease (alcohol abuse, seizure, psychosis etc) except malignant tumor
  • subject is scheduled to receive highly emetogenic chemotherapeutic agents: Doxorubicin or Epirubicin + cyclophosphamide, Cisplatin ≥ 50 mg/m2, Carmustine > 250 mg/m2, Cisplatin ≥ 50 mg/m2, Cyclophosphamide > 1,500 mg/m2, Dacarbazine, Doxurubicine ≥ 60 mg/m2, Epirubicine > 90 mg/m2, Ifosfamide ≥ 2 g/m2 per dose, Mechlorethamine, Streptozocin
  • contraindication to the administration of palonosetron, dexamethasone, and olanzapine due to hypersensitivity or any other reasons
  • subject has severe cognitive impairment
  • subjects has symptomatic or uncontrolled brain metastasis or brain tumor
  • female subjects of childbearing potential who dose not agree to use a proper contraceptive methods or to limit breast feeding
  • subject has taken the following agents: risperidone, quetiapine, clozapine, phenothiazine, butyrophenone, 5-HT3 antagonist, bezamides, domperidone, cannabinoids, NK1 antagonist, bezodiazepines
  • subject has a plan to receive other chemotherapy, abdomial radiation, surgery, or immunotherapy
  • any history of arrhythmia, uncontrolled congestive heart failure, acute myocardial infarction durting last 6 months
  • history of uncontrolled diabetes
  • subject who has used any investigational drugs within 30 days of randomization

排除标准

  • 未提供

研究组 & 干预措施

Experimental

Experimental

palonosetron + dexamethasone + olanzapine

干预措施: Olanzapine (Drug)

结局指标

主要结局

complete response rate for the acute phase (0-24 hours) after chemotherapy

时间窗: during 24 hours after first cycle of moderately emetogenic chemotherapy (MEC)

次要结局

  • effects on quality of life by FLIE questionnaire(during 0-120 hours after first cycle of MEC)
  • no vomiting for the overall phase(during 0-120 hours after first cycle of MEC)
  • complete response rate for the delayed phase (24-120 hours) and overall phase (0-120 hours) after chemotherapy(during 0-120 hours after first cycle of MEC)
  • numbers and time for rescue medicaions(during 0-120 hours after first cycle of MEC)
  • significant emesis for the overall phase(during 0-120 hours after first cycle of MEC)

研究者

发起方
Korean South West Oncology Group
申办方类型
Network
责任方
Principal Investigator
主要研究者

Hwan Jung Yun

Professor

Korean South West Oncology Group

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