Unique ID issued by UMIN | UMIN000024676 |
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Receipt number | R000028387 |
Scientific Title | A randomized, double-blind, placebo-controlled phase III trial evaluating olanzapine 5mg combined with standard antiemetic therapy for the prevention of chemotherapy-induced nausea and vomiting in patients receiving cisplatin-based highly emetogenic chemotherapy: J-SUPPORT 1604 |
Date of disclosure of the study information | 2016/11/01 |
Last modified on | 2019/05/04 13:08:34 |
A randomized, double-blind, placebo-controlled phase III trial evaluating olanzapine 5mg combined with standard antiemetic therapy for the prevention of chemotherapy-induced nausea and vomiting in patients receiving cisplatin-based highly emetogenic chemotherapy: J-SUPPORT 1604
J-FORCE STUDY: J-SUPPORT and the Fourth agent Olanzapine Resist Cisplatin Emetogenesity.
A randomized, double-blind, placebo-controlled phase III trial evaluating olanzapine 5mg combined with standard antiemetic therapy for the prevention of chemotherapy-induced nausea and vomiting in patients receiving cisplatin-based highly emetogenic chemotherapy: J-SUPPORT 1604
J-FORCE STUDY: J-SUPPORT and the Fourth agent Olanzapine Resist Cisplatin Emetogenesity.
Japan |
Malignant solid tumor
Gastroenterology | Pneumology | Obstetrics and Gynecology |
Urology |
Malignancy
NO
The objective of this randomized, double-blind, placebo-controlled phase III trial is to confirm the efficacy of olanzapine 5mg combined with aprepitant, palonosetron, dexamethasone for the prevention of chemotherapy-induced nausea and vomiting in patients receiving cisplatin-based highly emetogenic chemotherapy.
Efficacy
Confirmatory
Phase III
Complete response (CR: no emesis, no rescue medication) rate during the delayed phase (24-120h post-cisplatin administration).
1. Complete response rate during the acute (0-24h post-cisplatin administration) phase and for the overall phase (0-120h post-cisplatin administration).
2. Complete control (defined as no emetic episodes, no rescue medication, and no more than mild nausea) rate for the overall phases and in daily period.
3. Total control rate (defined as no emetic episodes, no rescue medication, and no nausea) rate for the overall phase and in daily period.
4. Time to treatment failure (i.e., time to first emetic episode or time to administration of rescue therapy, whichever occurred first).
5. Severity of nausea.
6. Severity of anorexia.
7. Severity and influence to daily life of sleepiness.
8. Adverse event.
Interventional
Parallel
Randomized
Individual
Double blind -all involved are blinded
Placebo
YES
YES
Institution is not considered as adjustment factor.
Central registration
2
Treatment
Medicine |
Olanzapine 5mg+Aprepitant+Palonosetron+Dexamethasone
Placebo +Aprepitant+Palonosetron+Dexamethasone
20 | years-old | <= |
75 | years-old | >= |
Male and Female
1. Malignant tumor patients except for hematopoietic malignancy.
2. Cisplatin-naive patients who receive the cisplatin (>=50mg/m2)-based chemotherapy.
3. Patients who are 20-75 years old at the enrollment.
4. ECOG performance status 0-2.
5. Patients with no symptomatic brain metastasis/carcinomatosis.
6. Patients who do not take a medicine regularly, for example, 5HT3 receptor antagonists, NK1 receptor antagonists, corticosteroids, antidopamine agonists, phenothiazine tranquilizers, antihistamine drugs, benzodiazepine agents, etc. within 48 hours prior to enrollment.
7. Adequate organ function as defined by (each of the following values are examined within 7 days before prior to entry) ;1) T-Bil <=2.0 mg/dL, 2) AST <=100 IU/L, 3) ALT <=100 IU/L.
8. Written informed consent.
1. History of hypersensitivity or allergy for study drugs or similar compounds.
2. Patients who need antiemetics at the enrollment.
3. Patients who start taking opioids within 48 hours prior to enrollment.
4. Patient who suffered from ischemic heart disease, cerebral hemorrhage or apoplexy, active gastric or duodenum ulcer within 6 months prior to enrollment.
5. Patients who has a convulsive disorders that need anticonvulsants therapy.
6. Patients with symptomatic ascites that need therapeutic drainage.
7. Patients with gastro-intestinal stenosis or obstruction.
8. Pregnant, breastfeeding or expecting woman.
9. Psychotic patients using antipsychotic drug.
10. Patient who received abdominal or pelvic irradiation within 6 days prior to enrollment or patients who receive abdominal or pelvic concurrent chemoradiotherapy.
11. Patients who had diabetes mellitus with use of antidiabetics and patients with HbA1c (NGSP) >= 6.5 or HbA1c (JDS) >= 6.1.
12. Patients who cannot be hospitalized during 6 days (0-120 h post-cisplatin administration).
13. Habitual smoker at the enrollment.
14. Patients judged by the investigator to be inappropriate for this study.
690
1st name | Masakazu |
Middle name | |
Last name | Abe |
Shizuoka Cancer Center
Department of Gynecologic Oncology
411-8777
1007, Shimonagakubo, Nagaizumicho, Suntogun, Shizuoka
055-989-5222
ma.abe@scchr.jp
1st name | Hironobu |
Middle name | |
Last name | Hashimoto |
National Cancer Center Hospital
Department of Pharmacy
104-0045
5-1-1 Tsukiji, Chuo-ku, Tokyo
03-3542-2511
http://www.j-support.org
hhashimo@ncc.go.jp
AMED (Japan Agency for Medical Research and Development)
AMED (Japan Agency for Medical Research and Development)
Japanese Governmental office
Shizuoka Cancer Center
1007, Shimonagakubo, Nagaizumicho, Suntogun, Shizuoka
055-989-5222
rinsho_office@scchr.jp
YES
NCCH1604
National Cancer Center Hospital
2016 | Year | 11 | Month | 01 | Day |
Unpublished
Completed
2016 | Year | 11 | Month | 01 | Day |
2017 | Year | 01 | Month | 17 | Day |
2017 | Year | 02 | Month | 02 | Day |
2018 | Year | 07 | Month | 30 | Day |
2018 | Year | 10 | Month | 15 | Day |
2018 | Year | 11 | Month | 30 | Day |
2019 | Year | 01 | Month | 15 | Day |
2016 | Year | 11 | Month | 01 | Day |
2019 | Year | 05 | Month | 04 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000028387
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