Abstract | BACKGROUND: PATIENTS AND METHODS: A total of 493 patients with solid tumors receiving a first cycle of cisplatin > or =70 mg/m(2) were randomly assigned among six treatment arms. The primary analysis compared a control arm [ ondansetron/ dexamethasone (Ond/Dex)] with three investigational treatments (Ond/Dex plus oral casopitant 50, 100, or 150 mg administered daily for 3 days). Two exploratory arms were included: one evaluating a single oral casopitant dose of 150 mg added to standard Ond/Dex and another with 3-day oral aprepitant-based therapy (Ond/Dex plus aprepitant 125 mg day 1, 80 mg days 2-3). RESULTS: The complete response (CR) rate (defined as no vomiting, retching, rescue therapy, or premature discontinuation) was significantly increased in each casopitant arm relative to control over the 120-h evaluation period: 76% (50 mg), 86% (100 mg), 77% (150 mg), and 60% with control (P = 0.0036). The CR rate for the single oral dose regimen was similar to the CR rate reported for the 3-day regimens. No differences were observed in the incidence of nausea or significant nausea among groups in the primary analysis. The most common adverse events related to treatment included headache (n = 10) and hiccups (n = 14). CONCLUSION: All doses of oral casopitant as a 3-day regimen (and likely as a 150-mg single oral dose) in combination with Ond/Dex provided significant improvement in the prevention of cisplatin-induced emesis.
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Authors | F Roila, J Rolski, R Ramlau, M Dediu, M W Russo, R R Bandekar, S M Grunberg |
Journal | Annals of oncology : official journal of the European Society for Medical Oncology
(Ann Oncol)
Vol. 20
Issue 11
Pg. 1867-73
(Nov 2009)
ISSN: 1569-8041 [Electronic] England |
PMID | 19541792
(Publication Type: Clinical Trial, Phase II, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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Chemical References |
- Antiemetics
- Antineoplastic Agents
- Neurokinin-1 Receptor Antagonists
- Piperazines
- Piperidines
- Receptors, Neurokinin-1
- casopitant
- Ondansetron
- Dexamethasone
- Cisplatin
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Topics |
- Administration, Oral
- Adult
- Aged
- Aged, 80 and over
- Antiemetics
(therapeutic use)
- Antineoplastic Agents
(adverse effects)
- Cisplatin
(adverse effects)
- Dexamethasone
(administration & dosage)
- Double-Blind Method
- Drug Therapy, Combination
- Female
- Humans
- Male
- Middle Aged
- Nausea
(chemically induced, prevention & control)
- Neoplasms
(drug therapy)
- Neurokinin-1 Receptor Antagonists
- Ondansetron
(administration & dosage)
- Piperazines
(therapeutic use)
- Piperidines
(therapeutic use)
- Receptors, Neurokinin-1
(drug effects)
- Vomiting
(chemically induced, prevention & control)
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