UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000012008
Receipt number R000014035
Scientific Title Randomized study of prochlorperazine for the prophylaxis of oxycodon induced nausea in patients with cancer related pain
Date of disclosure of the study information 2013/10/10
Last modified on 2018/02/20 15:46:58

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Basic information

Public title

Randomized study of prochlorperazine for the prophylaxis of oxycodon induced nausea in patients with cancer related pain

Acronym

Prophylaxis use of prochloroperazine

Scientific Title

Randomized study of prochlorperazine for the prophylaxis of oxycodon induced nausea in patients with cancer related pain

Scientific Title:Acronym

Prophylaxis use of prochloroperazine

Region

Japan


Condition

Condition

advanced cancer

Classification by specialty

Medicine in general

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficacy of prophylaxis use of prochlorperazine in cancer patient with the first use of opioid (oxycodone)

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Phase III


Assessment

Primary outcomes

The worst value of nausea (evaluated by NRS 0-10 of MDASI) during the first 7 days after the start of protocol treatment.

Key secondary outcomes

1) Number of vomiting during the first 7 days after the start of protocol treatment.
2) Proportion of patients who could not continue taking oxycodone due to nausea
3) The worst value of pain, sleepness, malaise, sleep disorder, and loss of appetite (evalueted by NRS 0-10 of MDASI) during the first 7 days after the start of protocol treatment.
4) Proportion of patients using anti-emesis medication
5) Adverse events of prochlorperazine


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Combination group
Oxycontine 5mgq12hr in combination with
prochlorperazine maleate 5mg t.i.d.

Interventions/Control_2

Standard group
Oxycontine 5mgq12hr after the emergence of nausea,
prochlorperazine maleate 5mg

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) Agreement by patients to participate in this study.
2) Histologically or cytologically confirmed cancer.
3) ECOG performance status 0-3.
4) More than 7 days lapse after chemotherapy or radiation therapy.
5) Patient to start the opioid treatment (morphine, oxycodone, fentanyl) for the treatment of cancer pain and start periodic use of oxycodone 5mg bid (As needed use of potent opioid is permitted).
6) 20 years old or older.
7) Patient who can safely take oral mediation.
8) Expected survival of >= 4 weeks.
9) Patient who can keep a patient diary.
10) Patient has the following blood chemistry levels at baseline:
AST (SGOT) <= 100IU/L
ALT (SGPT) <= 100 IU/L
TB <= 2.25 mg/dL
creatinine <= 2.0 mg/dL.

Key exclusion criteria

1) Patients in need of anti-emesis medication (roughly >= NRS 3)
Anti-emesis medication: prochlorperazine, metoclopramide, itopride, Mosapride citrate hydrate, Sulpiride, steroid
2) Episode of vomiting within 48hrs before registration
3) Patients with dementia, delirium, depressed level of consciousness, communication disorder due to aphasia, dyslexia, dysarthria etc
4) Patients with severe infection
5) Hypercalcemia (adjusted Ca conc (Ca mg/dL +(4-Alb)>11mg/dL)
6) Patient with ileus
7) Symptomatic brain metastasis
8) Patients who are planned to start chemotherapy or radiation therapy in purpose for palliation cancer pain, before the improvement of cancer pain by this protocol treatment.
9) Comorbidity which treatments take priority over cancer treatment.
10) Increase, decrease, cessation of hyptonic, anti-anxiety agent (tricyclic or tetracyclic, anti depressant, SNRI, SSRI, etc), psychotropic agent, anticonvulsant agent, ketamine hydrochloride) within 24hrs before registration
11) Patients taking adrenalin
12) Patients who are suspicious of sub-cortex brain disorder
13) Patients taking anticholinergic agent, triazole antifungal antibiotics
14) Patient who were judged to be ineligible by the doctor

Target sample size

80


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yasushi Goto

Organization

National Cancer Center Hospital

Division name

Department of Thoracic Oncology

Zip code


Address

5-1-1 Tsukiji, Chuo-ku, Tokyo, JAPAN

TEL

03-3542-2511

Email

ygoto-tky@umin.net


Public contact

Name of contact person

1st name
Middle name
Last name Yasushi Goto

Organization

National Cancer Center Hospital

Division name

Department of Thoracic Oncology

Zip code


Address

5-1-1 Tsukiji, Chuo-ku, Tokyo, JAPAN

TEL

03-3542-2511

Homepage URL

http://www.jortc.jp/

Email

ygoto-tky@umin.net


Sponsor or person

Institute

Non-Profit Organization JORTC

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical Research and Development

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



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 10 Month 10 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

2013 Year 04 Month 25 Day

Date of IRB


Anticipated trial start date

2013 Year 11 Month 01 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 10 Month 10 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=R000014035


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name