Abstract |
In this randomized study, the efficacy of a single dose of three serotonin antagonists were compared in prophylaxis of acute and delayed vomiting induced by moderately emetogenic, single-day chemotherapy in chemotherapy-naïve patients. A total of 54 patients were entered. Eighteen patients received ondansetron, 17 received tropisetron, and 19 received granisetron. Antiemetics were administered as 15-minute intravenous infusion before chemotherapy. Complete control of acute vomiting was achieved in 38.8% with ondansetron, 58.8% with tropisetron, and 73.7% with granisetron. Major response rates were 83.3%, 82.3%, and 89.5%, respectively. For the delayed control of emesis, complete control of delayed vomiting was achieved in 38.8% with ondansetron, 52.9% with tropisetron, and 73.7% with granisetron. The major response rates were 71.8%, 70.5%, and 100%, respectively. The adverse effects were rare and mild in all groups. The authors conclude that there may be clinically important differences among serotonin antagonists used for chemotherapy-induced emesis.
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Authors | S Yalçin, G Tekuzman, E Baltali, Y Ozişik, I Barişta |
Journal | American journal of clinical oncology
(Am J Clin Oncol)
Vol. 22
Issue 1
Pg. 94-6
(Feb 1999)
ISSN: 0277-3732 [Print] United States |
PMID | 10025391
(Publication Type: Clinical Trial, Comparative Study, Journal Article, Randomized Controlled Trial)
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Chemical References |
- Antiemetics
- Antineoplastic Agents
- Indoles
- Serotonin Antagonists
- Ondansetron
- Tropisetron
- Granisetron
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Topics |
- Adult
- Aged
- Antiemetics
(therapeutic use)
- Antineoplastic Agents
(adverse effects)
- Female
- Granisetron
(therapeutic use)
- Humans
- Indoles
(therapeutic use)
- Male
- Middle Aged
- Ondansetron
(therapeutic use)
- Prospective Studies
- Serotonin Antagonists
(therapeutic use)
- Tropisetron
- Vomiting
(chemically induced, prevention & control)
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