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Efficacy and Safety of Palonosetron Hydrochloride in the Prevention of Nausea and Vomiting (ESPNV)

28. december 2012 opdateret af: Zhan Wang, Shanghai Changzheng Hospital

A Multi-center, Stratified Randomized, Controlled Study to Evaluate the Efficacy and Safety of Palonosetron Hydrochloride in the Prevention of Nausea and Vomiting Associated With Moderate and Highly Emetogenic Chemotherapy in China

This purpose of this study is to evaluate the efficacy and safety of single and repeated doses of palonosetron hydrochloride in preventing nausea and vomiting caused by moderate and highly emetogenic chemotherapy in patients.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Group I (Highly Emetogenic Chemotherapy): Patients that accepted chemotherapy including Cisplatin≥50mg/m2, Carmustine>250mg/m2, Cyclophosphamide>1500mg/m2, Dacarbazine>60mg/m2, Doxorubicin>60mg/m2, Epirubicin>90mg/m2, IFO≥10g/m2 or AC program.

Group II (Moderately Emetogenic Chemotherapy): Patients that accepted chemotherapy including any dose of Carboplatin, Daunorubicin, Oaliplatin, Irinotecan, or Doxorubicin<60mg/m2(not include liposomal doxorubicin), Epirubicin≤90mg/m2, Carmustine≤250mg/m2, Methotrexate≥250mg/m2, Cyclophosphamide≤1500mg/m2, Arabinoside>200mg/m2, IFO<10g/m2, Cisplatin≥50mg/m2.

Total subjects: 1000, single dose of palonosetron group of 500 patients, repeated doses of palonosetron group of 500 patients. According to the study subjects receiving highly emetogenic chemotherapy or moderately emetogenic chemotherapy, subjects are stratified randomize.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

599

Fase

  • Fase 4

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • Anhui
      • Hefei, Anhui, Kina
        • Anhui Provincial Hospital
    • Beijing
      • Beijing, Beijing, Kina
        • Chinese Academy of Medical Sciences Cancer Hospital
      • Beijing, Beijing, Kina
        • Chinese PLA 301 Hospital
      • Beijing, Beijing, Kina
        • Chinese PLA 307 Hospital
      • Beijing, Beijing, Kina
        • Chinese PLA Navy General Hospital
    • Fujian
      • Fuzhou, Fujian, Kina
        • Fuzhou General hospital of Nanjing Military Command
    • Guangxi
      • Nanning, Guangxi, Kina
        • Guangxi Cancer Hospital
    • Hunan
      • Changsha, Hunan, Kina
        • The Second Xiangya Hospital of Central South University
    • Jiangsu
      • Changzhou, Jiangsu, Kina
        • The First People's Hospital of Changzhou
      • Nanjing, Jiangsu, Kina
        • Nanjing General Hospital of Nanjing Military Command
      • Suzhou, Jiangsu, Kina
        • The First Affiliated Hospital of Soochow University
      • Wuxi, Jiangsu, Kina
        • The Fourth People's Hospital of Wuxi
    • Shandong
      • Jinan, Shandong, Kina
        • Shandong Provincial Hospital
      • Jinan, Shandong, Kina
        • Shandong Cancer Hospital
      • Qingdao, Shandong, Kina
        • The Affiliated Hospital of Medical College Qingdao University
    • Shanghai
      • Shanghai, Shanghai, Kina
        • Shanghai Changzheng Hospital
      • Shanghai, Shanghai, Kina
        • Shanghai Xinhua hospital
    • Shanxi
      • Xian, Shanxi, Kina
        • Tangdu Hospital of Fourth Military Medical University

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år til 75 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  1. Patients candidates to a chemotherapy treatment, with histologically or cytologically confirmed malignant disease;
  2. The concrete chemotherapy plan does not limited, group I (Highly Emetogenic Chemotherapy), group II (Moderately Emetogenic Chemotherapy);
  3. Male or female aged 18-75 years, ECOG≤2, estimates survival time≥3 months;
  4. WBC≥3.0×109/L, ANC≥1.5×109/L, PLT≥80×109/L, total bilirubin≤1.5×ULN(Normal value upper limit), AST and ALT≤2.5×ULN(With transferability liver cancer≤5×ULN), Cr and BUN≤1.5×ULN, electrolyte and electrocardiogram are normal, conforms to the chemotherapy adaptation;
  5. Patients have been apart from the previous chemotherapy to finish above 2 weeks (including 2 weeks);
  6. Patients that voluntarily sign the consent form.

Exclusion Criteria:

  1. Pregnancy, or patients during breast feeding;
  2. Patients have accepted any radiotherapy during the experimental period;
  3. Gastric outlet or intestinal obstruction;
  4. Patients have serious heart diseases, liver kidney diseases, or metabolism function disorder;
  5. Patients have epilepsy, or have been used psychotropic drug and calm drug;
  6. Received any drugs with potential anti-emetic efficacy, or experienced any vomiting, nausea or retching in the 24 hours prior to chemotherapy;
  7. Patients with transferability brain tumor, have vomiting caused by skull high pressure, or can not speak sickness situation and adverse reactions by self;
  8. Patients have known hypersensitivity to 5-HT3 antagonists;
  9. Patients have chemotherapy contraindications;
  10. Patients are participating, or have participated in other Clinical studies of new drugs within 2 weeks.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Aktiv komparator: H PALO day 1
Highly Emetogenic Arm, Palonosetron 0.25mg IV*1 dose on day 1
0.25 mg IV*1 dose on day 1, 30 minutes prior to the administration of the major chemotherapeutic agent.
0.25mg IV*3 doses on days 1,3 and 5,30 minutes prior to the administration of the major chemotherapeutic agent.
Eksperimentel: H PALO day 1,3,5
Highly Emetogenic Arm, Palonosetron 0.25mg IV*3 doses on days 1,3 and 5
0.25 mg IV*1 dose on day 1, 30 minutes prior to the administration of the major chemotherapeutic agent.
0.25mg IV*3 doses on days 1,3 and 5,30 minutes prior to the administration of the major chemotherapeutic agent.
Aktiv komparator: M PALO day 1
Moderately Emetogenic Arm, Palonosetron 0.25mg IV*1 dose on day 1
0.25 mg IV*1 dose on day 1, 30 minutes prior to the administration of the major chemotherapeutic agent.
0.25mg IV*3 doses on days 1,3 and 5,30 minutes prior to the administration of the major chemotherapeutic agent.
Eksperimentel: M PALO day 1,3,5
Moderately Emetogenic Arm, Palonosetron 0.25mg IV*3 doses on days 1,3 and 5
0.25 mg IV*1 dose on day 1, 30 minutes prior to the administration of the major chemotherapeutic agent.
0.25mg IV*3 doses on days 1,3 and 5,30 minutes prior to the administration of the major chemotherapeutic agent.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Complete Response rate
Tidsramme: 2-7 days
defined as no emetic episode and no use of rescue medication
2-7 days

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Complete Response rate
Tidsramme: 0-24 hours, 0-7 days
defined as no emetic episode and no use of rescue medication
0-24 hours, 0-7 days

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Samarbejdspartnere

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. juli 2011

Primær færdiggørelse (Faktiske)

1. august 2012

Datoer for studieregistrering

Først indsendt

28. oktober 2011

Først indsendt, der opfyldte QC-kriterier

27. november 2011

Først opslået (Skøn)

30. november 2011

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Skøn)

31. december 2012

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

28. december 2012

Sidst verificeret

1. december 2012

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • zhiruo

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