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Phamacokinetic and Pharmacodynamic Study of Ramosetron in Chemotherapy Induced Nasea and Vomiting

Not Applicable
Completed
Conditions
Colon Cancer
Interventions
Registration Number
NCT02076529
Lead Sponsor
Chonnam National University Hospital
Brief Summary

This study is designted to know optimal dose of Ramosteron to control for chemotherapy induced nasea and vomoting (CINV)based on its pharmacokinetics, pharmacodynamic study and clinilcal parameters using Rhodes Index.

Detailed Description

Nausea and vomiting is a common adverse event during chemotherapy treatment. Even if preventive medicines such as dopamine receptor antagonist, corticosteroid, serotonin receptor antagonist, has been developed and used, there is residual nausea and/or vomiting in a significant percentage of patients treated for cancer. Serotonin receptor antagonist is the most potent antiemetic agent and has been used widely. However, the optimal dose of serotonin antagnosit based on individual symptoms is not defined. Therefore, this study was conducted to design standardization model for optiomal serotonin antagonist concentration using pharmacodynamic study and Rhodes Index as a suggogate marker for CINV.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
51
Inclusion Criteria
  • Patients who recevied moderate emetogenic chemotherapy
  • Age between 18-75
  • ECOG PS 0-2
  • Adequate organ fuction including bone marrow, liver and kidney
Exclusion Criteria
  • Gastrointestinal obstruction or carcinomatosis peritonei
  • CNS metastasis or disability in CNS
  • Intractable medical illness
  • Pregnancy or inadequate contraception

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Ramosetron 0.3mgRamosetron 0.3mgRamosetron 0.3mg intravenous injection 30 min before chemotherapy
Ramosetron 0.6mgRamosetron 0.6mgRamosetron 0.6mg intravenous injection 30min before chemotherapy
Ramosetron 0.45mgRamosetron 0.45mgRamosetron 0.45mg intravenous injection 30min before chemotherapy
Primary Outcome Measures
NameTimeMethod
Pharmacokinetic profile of Ramosetron according to 3 level of dose10min to 48 hours post-dose

Pharmacokinectics using NONMEM will be analyzed from serum after Ramosetron injection from 10 min to 48 hours (10min, 1hr, 6hr, 24hr, 48hr)

Secondary Outcome Measures
NameTimeMethod
Rhodes Index1 hour to seven days post-dose

Monitor using Rhodes Index will be performed each time at 1hour, 6hour, 24hour, 48hour and seven dyas after Ramosetron injection

Trial Locations

Locations (1)

Chonnam National University Hwasun Hospital

🇰🇷

Gwangju, Jeollanamdo, Korea, Republic of

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