Unique ID issued by UMIN | UMIN000005551 |
---|---|
Receipt number | R000006583 |
Scientific Title | Preventive effect of combination therapy with aprepitant, palonosetron and dexamethasone on chemotherapy-induced nausea and vomiting (CINV) in esophageal cancer patients receiving 5-FU plus cisplatin: a prospective phase II study |
Date of disclosure of the study information | 2011/06/01 |
Last modified on | 2015/05/10 16:36:53 |
Preventive effect of combination therapy with aprepitant, palonosetron and dexamethasone on chemotherapy-induced nausea and vomiting (CINV) in esophageal cancer patients receiving 5-FU plus cisplatin: a prospective phase II study
Preventive effect of combination therapy with aprepitant, palonosetron and dexamethasone on CINV in esophageal cancer patients receiving 5-FU plus cisplatin: a prospective phase II study
Preventive effect of combination therapy with aprepitant, palonosetron and dexamethasone on chemotherapy-induced nausea and vomiting (CINV) in esophageal cancer patients receiving 5-FU plus cisplatin: a prospective phase II study
Preventive effect of combination therapy with aprepitant, palonosetron and dexamethasone on CINV in esophageal cancer patients receiving 5-FU plus cisplatin: a prospective phase II study
Japan |
Esophageal cancer
Gastroenterology | Hematology and clinical oncology |
Malignancy
NO
To evaluate the efficacy and safety of combination therapy with aprepitant, palonosetron and dexamethasone on CINV in esophageal cancer patients receiving 5-FU plus cisplatin.
Safety,Efficacy
Exploratory
Pragmatic
Phase II
The proportion of patients with a complete response (defined as no vomiting and no rescue medication) during the delayed phase after administration of 5-FU plus cisplatin
1. The proportion of patients with a complete response during the acute phase and overall phases after administration of 5-FU plus cisplatin
2. The proportion of patients with a complete control (defined as no vomiting, no rescue medication, and no more than mild nausea) during the acute phase, the delayed phase and overall phases
3. The degree of nausea during the acute phase, the delayed phase and overall phases
4. Safety
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
1. 5-FU plus cisplatin
Cisplatin is administered at a dose of 80 mg/m2 by slow drip infusion for 2h on day 1, and 5-FU is administered at a dose of 800 mg/m2 per day by continuous infusion for 24 h on days 1-5
2. Antiemetic drugs
1) Aprepitant is given at a dose of 125mg orally before the cisplatin administration on day 1, and 80mg orally on days 2-3
2) Palonosetron is given at a dose of 0.75mg intravenously before the cisplatin administration on day 1
3) Dexamethasone is given at a dose of 9.9mg intravenously before the cisplatin administration on day 1, and 6.6mg on days 2-5
20 | years-old | <= |
75 | years-old | >= |
Male and Female
1. Histologically confirmed esophageal carcinoma
2. Patients who receive chemotherapy consists of 5-FU plus cisplatin
3. ECOG performance status of 0-2
4. Adequate organ function
5. Sufficient oral intake
6. Written informed consent
1. Severe complications (intestinal paralysis, symptomatic cardiovascular disease, pulmonary fibrosis, uncontrollable diabetes mellitus, active peptic ulcer, psychiatric disorder, cerebrovascular disorder)
2. Brain metastasis
3. Seizure disorder needing anticonvulsants
4. Massive ascites or pleural effusion
5. Intestinal obstruction
6. Vomiting, or grade 2 or higher nausea according to CTCAE ver4.0
7. QTc>470msec (examined within 28 days before registration)
8. Hypersensitivity or severe drug allergy to aprepitant, palonosetron or other 5-HT3-receptor antagonists
9. Hypersensitivity or severe drug allergy to dexamethasone
10. Pregnant or breast-feeding woman
11. Men of wishing fertility
12. Administration of pimozide
13. Not appropriate for the study at the physician's assessment
40
1st name | |
Middle name | |
Last name | Ayumu Hosokawa |
University of Toyama
Department of Gastroenterology and Hematology, Faculty of Medicine
2630 Sugitani, Toyama, 930-0194, Japan
076-434-7301
ayhosoka@med.u-toyama.ac.jp
1st name | |
Middle name | |
Last name | Ayumu Hosokawa |
University of Toyama
Department of Gastroenterology and Hematology, Faculty of Medicine
2630 Sugitani, Toyama, 930-0194, Japan
076-434-7301
ayhosoka@med.u-toyama.ac.jp
University of Toyama
None
Self funding
NO
2011 | Year | 06 | Month | 01 | Day |
Unpublished
Completed
2011 | Year | 01 | Month | 04 | Day |
2011 | Year | 01 | Month | 01 | Day |
2011 | Year | 05 | Month | 03 | Day |
2015 | Year | 05 | Month | 10 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006583