Unique ID issued by UMIN | UMIN000005431 |
---|---|
Receipt number | R000006444 |
Scientific Title | Multicenter Randomized Controlled Trial of Combination Antiemetic Therapy with Aprepitant/Fosaprepitant in Patients with Colorectal Cancer Receiving Oxaliplatin-based chemotherapy |
Date of disclosure of the study information | 2011/04/14 |
Last modified on | 2019/05/15 16:11:40 |
Multicenter Randomized Controlled Trial of Combination Antiemetic Therapy with Aprepitant/Fosaprepitant in Patients with Colorectal Cancer Receiving Oxaliplatin-based chemotherapy
Study of Aprepitant/Fosaprepitant for the Prevention of Chemotherapy-induced Nausea and Vomiting in Colorectal Cancer Patients (SENRI)
Multicenter Randomized Controlled Trial of Combination Antiemetic Therapy with Aprepitant/Fosaprepitant in Patients with Colorectal Cancer Receiving Oxaliplatin-based chemotherapy
Study of Aprepitant/Fosaprepitant for the Prevention of Chemotherapy-induced Nausea and Vomiting in Colorectal Cancer Patients (SENRI)
Japan |
colorectal cancer
Gastrointestinal surgery |
Malignancy
NO
To evaluate the superiority of aprepitant/fosaprepitant therapy with a 5HT3-receptor antagonist, dexamethasone and aprepitant/fosaprepitant compared to standard therapy with a 5HT3-receptor antagonist and dexamethasone for prevention of nausea and vomiting in first course chemotherapy.
Efficacy
Proportion of patients with "No emesis"
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
YES
YES
Institution is considered as adjustment factor in dynamic allocation.
YES
Central registration
2
Treatment
Medicine |
For aprepitant therapy
Aprepitant; 125 mg PO on day 1, 80 mg PO on days 2 to 3
5HT3-receptor antagonist; IV administration on day 1
Dexamethasone; 6.6 mg IV on day 1, 4 mg PO on days 2 to 3
For fosaprepitant therapy
Fosaprepitant; 150 mg IV on day 1
5HT3-receptor antagonist; IV administration on day 1
Dexamethasone; 6.6 mg IV on day 1, 4 mg PO on day 2 and 8mg PO on day 3
5HT3-receptor antagonist; IV administration on day 1
Dexamethasone; 9.9 mg IV on day 1, 8 mg PO on days 2 to 3
20 | years-old | <= |
Not applicable |
Male and Female
1) Patient is 20 years and over
2) Patients with colon/rectal cancer who first underwent FOLFOX, XELOX or SOX regimen including oxaliplatin at 85 mg/m2 or more, or those who had already started chemotherapy and had nausea of Grade 2 or higher in the last course or an earlier course
3) Stage: not specified
4) Combination of molecular targeted therapy: allowable
1) Patient has a serious hepatic insufficiency or renal failure
2) Patient has nausea or vomiting within 24 hours prior to chemotherapy
3) Patient has been treated with antiemetic agents within 48 hours prior to chemotherapy
4) Patient has any illness (e.g. central nervous system tumors, gastrointestinal obstruction, active peptic ulcer, brain metastasis) caused nausea or vomiting except for chemotherapy-induced nausea and vomiting
5) Patient is unable to be administered dexamethasone for 3 days due to associated illnesses such as out-of-control diabetes mellitus
6) Patient is pregnant or lactating woman, and woman who plans to become pregnant
7) Patient is receiving treatment with pimozide
8) Patient is judged inappropriate by the investigator as subject for this study
400
1st name | Junichi |
Middle name | |
Last name | Nishimura |
Osaka University (postgraduate course)
Department of Gastroenterological Surgery
565-0871
2-2 Yamadaoka, Suita, Osaka
06-6879-3251
jnishimura@gesurg.med.osaka-u.ac.jp
1st name | Junichi |
Middle name | |
Last name | Nishimura |
Osaka University (postgraduate course)
Department of Gastroenterological Surgery
565-0871
2-2 Yamadaoka, Suita, Osaka
06-6879-3251
jnishimura@gesurg.med.osaka-u.ac.jp
Multicenter Clinical Study Group of Osaka, Colorectal Cancer Treatment Group
The Supporting Center for Clinical Research and Education (SCCRE)
Non profit foundation
Japan
Osaka University Hospital
2-15 Yamadaoka Suita city Osaka
06-6879-5111
rinri@hp-crc.med.osaka-u.ac.jp
NO
2011 | Year | 04 | Month | 14 | Day |
NA
Published
https://www.sciencedirect.com/science/article/pii/S0959804915002919?via%3Dihub
413
Combination antiemetic therapy with aprepitant/fosaprepitant in patients with colorectal cancer receiving oxaliplatin-based chemotherapy (SENRI trial): a multicentre, randomised, controlled phase 3 trial. Eur J Cancer. 2015 Jul;51(10):1274-82.
Combination antiemetic therapy with aprepitant/fosaprepitant in patients with colorectal cancer receiving oxaliplatin-based chemotherapy in the SENRI trial: analysis of risk factors for vomiting and nausea. Int J Clin Oncol 2017;22(1):88-95.
2019 | Year | 05 | Month | 15 | Day |
2015 | Year | 04 | Month | 24 | Day |
Patients were randomly allocated to either the aprepitant group or the control group.
A total of 413 patients entered this clinical trial from 25 centers in Japan.
Adverse events were not signficant between the groups.
Significantly more patients in the aprepitant group achieved no vomiting than those in the control group (95.7 % vs. 83.6 %; P<0.0001).
Completed
2011 | Year | 03 | Month | 17 | Day |
2011 | Year | 04 | Month | 14 | Day |
2011 | Year | 04 | Month | 14 | Day |
2013 | Year | 10 | Month | 31 | Day |
2014 | Year | 09 | Month | 01 | Day |
2014 | Year | 09 | Month | 01 | Day |
2015 | Year | 12 | Month | 31 | Day |
Takemoto H, Nishimura J, Komori T, Kim HM, Ota H, Suzuki R, et al. Combination antiemetic therapy with aprepitant/fosaprepitant in patients with colorectal cancer receiving oxaliplatin-based chemotherapy in the SENRI trial: analysis of risk factors for vomiting and nausea. Int J Clin Oncol 2017;22(1):88-95.
2011 | Year | 04 | Month | 13 | Day |
2019 | Year | 05 | Month | 15 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006444