UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000050958
Receipt number R000057909
Scientific Title Palonosetron for prevention of delayed chemotherapy-induced nausea and vomiting in pediatric patients: a meta-analysis
Date of disclosure of the study information 2023/05/01
Last modified on 2024/04/15 08:33:20

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Basic information

Public title

Palonosetron for prevention of delayed chemotherapy-induced nausea and vomiting in pediatric patients: a meta-analysis

Acronym

Palonosetron for prevention of delayed chemotherapy-induced nausea and vomiting in pediatric patients: a meta-analysis

Scientific Title

Palonosetron for prevention of delayed chemotherapy-induced nausea and vomiting in pediatric patients: a meta-analysis

Scientific Title:Acronym

Palonosetron for prevention of delayed chemotherapy-induced nausea and vomiting in pediatric patients: a meta-analysis

Region

Japan


Condition

Condition

Chemotherapy-induced nausea and vomiting

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

This study aims to evaluate the efficacy of palonosetron for CINV in pediatric patients.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Others

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

Complete response (CR: defined as no emesis and no rescue medication) rate for delayed CINV, defined as occurring CINV after 24 hours from chemotherapy, between palonosetron and first-generation 5-HT3 receptor antagonist in pediatric patients.

Key secondary outcomes

CR for overall CINV
CR for acute CINV, defined as CINV occurring within 24 hours from chemotherapy
Incidence of adverse events


Base

Study type

Others,meta-analysis etc


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit

18 years-old >=

Gender

Male and Female

Key inclusion criteria

We will include randomized controlled trials (RCT) comparing palonosetron with first-generation 5-HT3 receptor antagonists for CINV, evaluating CR in pediatric patients.

Key exclusion criteria

Exclude the following
1. Clinical trials comparing different combination regimens including 5-HT3 receptor antagonists and other antiemetics.
2. Incomplete information or data.

Target sample size



Research contact person

Name of lead principal investigator

1st name Atsushi
Middle name
Last name Yamaguchi

Organization

Hokkaido University Hospital

Division name

Department of Pharmacy

Zip code

060-8648

Address

Kita-14-jo, Nishi-5-chome, Kita-ku, Sapporo, Japan

TEL

011-706-5681

Email

y-atsushi@huhp.hokudai.ac.jp


Public contact

Name of contact person

1st name Atsushi
Middle name
Last name Yamaguchi

Organization

Hokkaido University Hospital

Division name

Department of Pharmacy

Zip code

060-8648

Address

Kita-14-jo, Nishi-5-chome, Kita-ku, Sapporo, Japan

TEL

011-706-5681

Homepage URL


Email

y-atsushi@huhp.hokudai.ac.jp


Sponsor or person

Institute

Department of Pharmacy, Hokkaido University Hospital

Institute

Department

Personal name



Funding Source

Organization

Self funding

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Not applicable.

Address

Not applicable

Tel

Not applicable

Email

Not applicable


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2023 Year 05 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2023 Year 04 Month 12 Day

Date of IRB

2023 Year 04 Month 12 Day

Anticipated trial start date

2023 Year 04 Month 12 Day

Last follow-up date

2023 Year 10 Month 12 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

We will perform a meta-analysis according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement. We will develop a search strategy to identify related records, with no language restriction, for MEDLINE/PubMed, Embase, Cochrane Library, Web of Science from database inception to March 31, 2023. The search terms will include palonosetron, chemotherapy-induced nausea and vomiting, and randomized controlled trial. Screening and data extraction will be conducted two individuals. We will extract the following data: author, publication year, study design, intervention, CR, incidence of adverse events. Data will be analyze using Review Manager 5.4 software and R. Meta-analysis will be performed using the fixed or random effects model and the Mantel-Haenszel (M-H) method. We will calculate the odds ratio (OR) and 95% confidence interval (95% CI). Statistical significance will be defined as a Z index p-value<0.05. The heterogeneity among studies will be assessed using the Cochran Q test (Chi2) and the I2 statistics: Chi2 p-value <0.1 will correlate high heterogeneity; I2<25%, 25%-50%, and >50% will indicate low, moderate, and high heterogeneity, respectively. To explore the possibility of publication bias, we will generate funnel plots (visual inspection) and will perform Begg's test (rank correlation) and Egger's test (linear regression); an asymmetric funnel plot and a p-value<0.1 implied potential publication bias. Bias risk will be assess using Cochrane Risk of Bias (RoB) Tool.


Management information

Registered date

2023 Year 04 Month 28 Day

Last modified on

2024 Year 04 Month 15 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000057909