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临床试验/NL-OMON50886
NL-OMON50886招募中3 期

DAVINCY trial: optimal Duration of (fos)aprepitant prophylaxis for nausea and Vomiting INduced by ChemotherapY in children: a double-blind placebo-controlled crossover randomized phase III trial* - DAVINCY

Prinses Máxima Centrum voor Kinderoncologie0 个研究点目标入组 76 人开始时间: 待定最近更新:
适应症

试验速览

阶段
3 期
状态
招募中
发起方
入组人数
76

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
0 至 17(—)

入选标准

  • these are the eligibility criteria:
  • - Age must be >= 6 months to <= 18 years at time of study entry and weight >=6kg
  • - a documented malignancy.
  • - Patients need to receive moderate or highly emetogenic chemotherapy blocks,
  • or chemotherapy not previously tolerated due to vomiting, for a minimum
  • duration of 4 days.
  • - Chemotherapy schedules need to contain two similar courses of chemotherapy,
  • which do not necessarily have to be consecutive courses.
  • - No symptomatic primary or metastatic CNS malignancy causing nausea or
  • - Patients do not receive scheduled blocks of chemotherapy containing
  • dexamethasone as part of anti-tumour treatment during the study period.
  • - Patients aged 16 and greater than 16y with a Karnofsky score of 60 or more or
  • patients aged 15y or less with a Lansky Play performance score of 60 or more.
  • - Patient must have a life expectancy of 3 months or more.
  • - Patients must not use antiemetic treatment within 48h before treatment (see
  • appendix B).
  • - Patients must not receive radiation therapy to the abdomen or pelvis in the
  • week before treatment.
  • - Patient must not use benzodiazepines or opioids initiated within 48h before
  • treatment, except for single doses of triazolam, temazepam, or midazolam.
  • - Continuation of chronic benzodiazepine or opioid therapy is permitted
  • provided it was initiated >=48 hours prior to study drug administration.
  • o In patients on chronic warfarin, acenocoumarol, tolbutamide or phenytoin
  • (metabolised by CYP2C9) therapy should be monitored closely during treatment
  • with (fos)aprepitant and for 14 days following each course of (fos)aprepitant.
  • o No use of CYP3A4 substrates/inhibitors within 7 days, or no CYP3A4 inducers
  • within 30 days of treatment (see appendix B).
  • - serum creatinine must be <= 1.5 x institutional upper limit of normal (ULN)
  • according to age.
  • - AST and ALT must be <= 5 x institutional ULN.
  • - total bilirubin must be <= 1.5 x institutional ULN
  • - no history of QT prolongation
  • - Female patients of childbearing potential must have a negative urine or serum
  • pregnancy test confirmed prior to enrollment.
  • -Female patients with infants must agree not to breastfeed their infants while
  • on this study.
  • -Male and female patients of child-bearing potential must agree to use a highly
  • effective method of contraception approved by the investigator during the
  • study, following the CTFG recommendations.
  • -Patients have no history of prior grade 3/4 allergic reaction to any of the
  • study drugs.
  • -Patients have no underlying gastrointestinal disease that may interfere with
  • the absorption of the medication.

排除标准

  • see eligibility criteria D4a.

研究者

发起方
Prinses Máxima Centrum voor Kinderoncologie

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