Unique ID issued by UMIN | UMIN000008867 |
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Receipt number | R000010408 |
Scientific Title | Placebo-controlled,double-blind,randomized study of comparing NK1 receptor antagonist/ palonosetoron/ dexamethasone on day 1+-dexamethasone on day2/3 in high emetogenic chemotherapy |
Date of disclosure of the study information | 2012/11/01 |
Last modified on | 2017/09/11 07:10:56 |
Placebo-controlled,double-blind,randomized study of comparing NK1 receptor antagonist/ palonosetoron/ dexamethasone on day 1+-dexamethasone on day2/3 in high emetogenic chemotherapy
DEX-1
Placebo-controlled,double-blind,randomized study of comparing NK1 receptor antagonist/ palonosetoron/ dexamethasone on day 1+-dexamethasone on day2/3 in high emetogenic chemotherapy
DEX-1
Japan |
Malignancy
Gastroenterology | Hepato-biliary-pancreatic medicine | Pneumology |
Hematology and clinical oncology | Gastrointestinal surgery | Hepato-biliary-pancreatic surgery |
Chest surgery | Breast surgery | Obstetrics and Gynecology |
Oto-rhino-laryngology | Urology |
Malignancy
NO
To clarify that noninferiority of NK1 receptor antagonist/palonosetron/dexamethasone on day1 to NK1 receptor antagonist/palonosetron/dexamethasone on day1 to 3 in preventing acute chemotherapy-induced emesis for highly emetogenic chemotherapy regimens.
Efficacy
Confirmatory
Explanatory
Phase III
Percentage of patients with complete response (no vomiting and no rescue medication use) during the 120 hours observation period after the infusion of chemotherapy.
(1) Complete response rate during acute phase (0-24hr) and delayed phase (24-120hr).
(2) Severity of nausea on/using Likert scale from day1 to 5 study period.
(3) Adverse events related to steroid administrarion.
(4) Quality of life score using EORCT QLQ-C30 on the day before chemotherapy administration and overall five days study period.
(5) Adverse events defined as grade3 or higher/more on CTCAE ver 4.0
Interventional
Parallel
Randomized
Individual
Double blind -all involved are blinded
Active
YES
YES
Institution is considered as adjustment factor in dynamic allocation.
YES
Central registration
2
Treatment
Medicine |
NK1 receptor antagonist+palonosetoron+dexamethasone day 1-3
NK1 receptor antagonist+palonosetoron+dexamethasone day 1
20 | years-old | <= |
Not applicable |
Male and Female
(1) Patients receiving highly emetogenic chemotherapy (cisplatin>=50mg/m2 or combination of anthracycline and cyclophosphamide) only day1
(2) Patients receiving highly emetogenic chemotherapy for malignant disease
(3) Patients >=20 years old who can be obtained informed consent.
(4) G0 of nausea and vomiting by CTCAE ver4.0 within 24 houres before entry
(5) Eastern Cooperative Oncology Group(ECOG)performance status(PS) of 0 or 1
(6) Adequate organ function defined as;(each of following values are examined within 2 weeks prior to entry)
ALT 100<=IU/L
AST 100<=IU/L
T-Bil 2.0<=mg/dL
Cr 1.5<=mg/dL
(7) Patient with more than three months of life expectancy.
(8) All subjects must be provided written informed consent prior to entry (including QOL questionnaire).
(1) Hematopoietic malignancy
(2) Known brain metastasis
(3) Patients who cannot use cortico steroid
(4) Patients taking systemic corticosteroid (topical and inhaled steroid are allowed).
(5) Patients with a history of administration of highly emetogenic chemotherapy
(6) Patients scheduled to receive moderately to highly emetogenic chemotherapy six days before and six after the day of highly emetogenic agent administration. (Minimally to low emetogenic agents are allowed).
(7) Patients with history of or scheduled to receive radiation therapy to abdomen (below diagphram) or to pelvis from six days before chemotherapy to six days after chemotherapy.
(8) Patient taking antiemetics other than study drug.
(9) Patients who had a hypersensitivity reaction to NK1 receptor antagonist or palonosetoron or dexamethasone
(10) Patients who are intolerant to chemotherapy
(11) Pregnant, breastfeeding or expecting woman
(12) Patients with uncontrolled diabetes
(13) HBs are positive
(14) Patients with active infection
(15) Patients who are inappropriate to enter this study with any safety reasons, judged by the treating physician
400
1st name | |
Middle name | |
Last name | Takako Nakajima |
St.Marianna University School
Clinical oncology
2-16-1 Sugao Miyamae-ku Kawasaki-shi,Kanagawa,216-8511,Japan
044-977-8111
n.boku@marianna-u.ac.jp
1st name | |
Middle name | |
Last name | Yuka Ito |
St.Marianna University School of Medicine Hospital
Department of Pharmacy
2-16-1 Sugao Miyamae-ku Kawasaki-shi,Kanagawa,216-8511,Japan
044-977-8111
koganzai@marianna-u.ac.jp
St.Marianna University School of Medicine Hospital
None
Self funding
Graduate School of Medicine,Yokohama City University Department of Biostatistics and Epidemiology
Center for Advanced Medicine and Clinical Research, Nagoya University Graduate School of Medicine
NO
2012 | Year | 11 | Month | 01 | Day |
Published
Main results already published
2012 | Year | 09 | Month | 12 | Day |
2012 | Year | 10 | Month | 01 | Day |
2016 | Year | 10 | Month | 31 | Day |
2012 | Year | 09 | Month | 06 | Day |
2017 | Year | 09 | Month | 11 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000010408
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