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Ondansetron in Treating Patients With Advanced Cancer and Chronic Nausea and Vomiting Not Caused by Cancer Treatment

Phase 3
Completed
Conditions
Lymphoma
Unspecified Childhood Solid Tumor, Protocol Specific
Chronic Myeloproliferative Disorders
Nausea and Vomiting
Precancerous Condition
Myelodysplastic Syndromes
Leukemia
Multiple Myeloma and Plasma Cell Neoplasm
Small Intestine Cancer
Unspecified Adult Solid Tumor, Protocol Specific
Interventions
Other: placebo
Registration Number
NCT00006348
Lead Sponsor
Alliance for Clinical Trials in Oncology
Brief Summary

RATIONALE: Antiemetic drugs, such as ondansetron, may help to reduce or prevent nausea and vomiting in patients with advanced cancer.

PURPOSE: This randomized phase III trial is studying how well ondansetron works compared to a placebo in treating patients with advanced cancer and chronic nausea and vomiting that is not caused by cancer therapy.

Detailed Description

OBJECTIVES: I. Compare the antiemetic effect of ondansetron vs placebo in patients with advanced cancer who suffer from chronic nausea and emesis that is not due to antineoplastic therapy (i.e., chemotherapy, radiotherapy, immunotherapy, biologic therapy). II. Determine the toxicity of ondansetron in these patients. III. Evaluate the use of other concurrent antiemetics in these patients when treated with this regimen.

OUTLINE: This is a randomized, double blind, placebo controlled, multicenter study. Patients are stratified according to abdominal carcinomatosis (yes vs no), renal insufficiency (creatinine less than 2.0 mg/dL vs creatinine at least 2.0 mg/dL), type of cancer (brain vs gastrointestinal vs other), and narcotic use (yes vs no). Patients are randomized to one of two treatment arms. Arm I: Patients receive oral ondansetron twice daily on days 1-7 and oral placebo twice daily on days 8-14 in the absence of unacceptable toxicity. Arm II: Patients receive oral placebo twice daily on days 1-7 and oral ondansetron twice daily on days 8-14 in the absence of unacceptable toxicity.

PROJECTED ACCRUAL: A total of 100 patients (50 per arm) will be accrued for this study within 1 year.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
100
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm 2: ondansetron + placeboplaceboPatients receive oral placebo twice daily on days 1-7 and oral ondansetron twice daily on days 8-14 in the absence of unacceptable toxicity.
Arm 1: ondansetron + placeboondansetronPatients receive oral ondansetron twice daily on days 1-7 and oral placebo twice daily on days 8-14 in the absence of unacceptable toxicity.
Arm 1: ondansetron + placeboplaceboPatients receive oral ondansetron twice daily on days 1-7 and oral placebo twice daily on days 8-14 in the absence of unacceptable toxicity.
Arm 2: ondansetron + placeboondansetronPatients receive oral placebo twice daily on days 1-7 and oral ondansetron twice daily on days 8-14 in the absence of unacceptable toxicity.
Primary Outcome Measures
NameTimeMethod
responseUp to 12 months
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (12)

CCOP - Scottsdale Oncology Program

🇺🇸

Scottsdale, Arizona, United States

Rapid City Regional Hospital

🇺🇸

Rapid City, South Dakota, United States

Altru Health Systems

🇺🇸

Grand Forks, North Dakota, United States

CCOP - Carle Cancer Center

🇺🇸

Urbana, Illinois, United States

Siouxland Hematology-Oncology

🇺🇸

Sioux City, Iowa, United States

Medcenter One Health System

🇺🇸

Bismarck, North Dakota, United States

Mayo Clinic Cancer Center

🇺🇸

Rochester, Minnesota, United States

CCOP - Iowa Oncology Research Association

🇺🇸

Des Moines, Iowa, United States

CCOP - Missouri Valley Cancer Consortium

🇺🇸

Omaha, Nebraska, United States

CCOP - Sioux Community Cancer Consortium

🇺🇸

Sioux Falls, South Dakota, United States

CCOP - Wichita

🇺🇸

Wichita, Kansas, United States

CCOP - Toledo Community Hospital Oncology Program

🇺🇸

Toledo, Ohio, United States

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