UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000010317
Receipt number R000012072
Scientific Title Efficacy of olanzapine for relief of nausea with incomplete bowel obstruction in advanced cancer patient: pragmatic randomized controlled trial
Date of disclosure of the study information 2013/03/26
Last modified on 2018/02/20 15:47:22

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Basic information

Public title

Efficacy of olanzapine for relief of nausea with incomplete bowel obstruction in advanced cancer patient: pragmatic randomized controlled trial

Acronym

Olanzapine for nausea with incomplete bowel obstruction

Scientific Title

Efficacy of olanzapine for relief of nausea with incomplete bowel obstruction in advanced cancer patient: pragmatic randomized controlled trial

Scientific Title:Acronym

Olanzapine for nausea with incomplete bowel obstruction

Region

Japan


Condition

Condition

Nausea with incomplete bowel obstruction

Classification by specialty

Medicine in general Hematology and clinical oncology Surgery in general

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To confirm the efficacy of olanzapine for relief of nausea with incomplete bowel obstruction in advanced cancer patient

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Phase III


Assessment

Primary outcomes

Changes in the average value of nausea for 24 hours with Numeric Rating Scale (NRS)

Key secondary outcomes

Proportion of patients with average value of nausea reduced more than 30% in NRS, number of vomit, satisfaction rating and intention to continue treatment


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

NO

Institution consideration

Institution is considered as a block.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Group A:
olanzapine (5 mg) Zydis or tablet
5mg/day (evening) orally

Interventions/Control_2

Group B:
1) metoclopramide (5 mg) tablet 30 mg/day (morning/noon/evening) orally
or
2) metoclopramide (10 mg) injectable solution 20 mg/day (intermittent or continuous) subcutaneous or drip infusion

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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Patients with metastatic or locally advanced cancer
2) Patients with incomplete bowel obstruction due to malignant tumor
3) Patients with NRS of nausea >=4
4) Patients with nausea not due to hypercalcemia, brain hypertension or drugs
5) Patients who can take oral medication
6) Patients aged 20 or above at the time of obtaining informed consent
7) Patients who agree to participate the study with written consent under a sufficient explanation and understanding
8) Hospitalized patients

Key exclusion criteria

1) Patients received chemotherapy or radiation therapy within 28 days
2) Patients diagnosed diabetes mellitus or having history of diabetes mellitus (possibility of worsening diabetes mellitus) Diagnosis of diabetes mellitus is on the basis of 1. fasting blood sugar >=126 mg/dl, 2. 2-hour blood sugar level after 75g glucose tolerance test >=200 mg/dl or 3. random blood sugar >=200 mg/dl and HbA1c >=6.5%
3) Patients administrated with dopaminergic drugs such as phenothiazine, butyrophenone and atypical antipsychotic within 3 days
4) Patients with nasogastric tube, percutaneous endoscopic gastrostomy and percutaneous trans-esophageal gastro-tubing
5) Patients with indication of surgery or chemotherapy
6) Patients with bowel obstruction due to non malignant disease
7) Patients with complete bowel obstruction
8) Patients with signs of gastrointestinal tract perforation or sepsis
9) Patients with incidence of colic pain (paroxysmal and repetitive abdominal pain) within 48 hours
10) Patients with high risk of colic pain according to metoclopramide
11) Patients who are judged to be inappropriate for the study by the responsible researcher
12) Patients lacking in ability to make suitable decisions
13) Patients who are judged to be inappropriate for the study by the physician

Target sample size

40


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Keisuke Kaneishi

Organization

Japan Community Health care Organization Tokyo Shinjuku Medical Center

Division name

Department of Palliative Care Unit

Zip code


Address

5-1 Tsukudo-cho, Shinjuku-ku, Tokyo 162-8543, Japan

TEL

03-3269-8111

Email

kaneishi@tkn-hosp.gr.jp


Public contact

Name of contact person

1st name
Middle name
Last name Keisuke Kaneishi

Organization

Japan Community Health care Organization Tokyo Shinjuku Medical Center

Division name

Department of Palliative Care Unit

Zip code


Address

5-1 Tsukudo-cho, Shinjuku-ku, Tokyo 162-8543, Japan

TEL

03-3269-8111

Homepage URL

http://www.jortc.jp/

Email

kaneishi@tkn-hosp.gr.jp


Sponsor or person

Institute

Non-Profit Organization JORTC

Institute

Department

Personal name



Funding Source

Organization

Japanese Society for Palliative Medicine

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)

Japan Agency for Medical Research and Development


IRB Contact (For public release)

Organization


Address


Tel


Email



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

2013 Year 03 Month 26 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

Terminated

Date of protocol fixation

2012 Year 10 Month 03 Day

Date of IRB


Anticipated trial start date

2013 Year 08 Month 05 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2013 Year 03 Month 26 Day

Last modified on

2018 Year 02 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000012072


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name