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Last Modified: 6/9/2008     First Published: 6/23/2003  
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Phase II Randomized Study of Ginger in Patients With Cancer and Chemotherapy-Induced Nausea and Vomiting

Alternate Title
Basic Trial Information
Objectives
Entry Criteria
Expected Enrollment
Outcomes
Outline
Trial Contact Information
Related Information
Registry Information

Alternate Title

Ginger in Treating Nausea and Vomiting in Patients Receiving Chemotherapy for Cancer

Basic Trial Information

PhaseTypeStatusAgeSponsorProtocol IDs
Phase IISupportive careCompleted18 and overNCCAM, NCICCUM-0201
NCT00064272

Special Category: NCI Web site featured trial

Objectives

Primary

  1. Compare the prevalence and severity of delayed nausea and vomiting in patients with cancer undergoing chemotherapy treated with lower-dose ginger vs higher-dose ginger vs placebo.

Secondary

  1. Compare the prevalence and severity of acute nausea and vomiting in patients treated with these regimens.
  2. Compare the safety of these regimens in these patients.
  3. Determine whether patients can determine if they are receiving placebo or study drug, and by which variable (e.g., taste, smell, or decrease in nausea and vomiting).

Entry Criteria

Disease Characteristics:

  • Histologically confirmed diagnosis of cancer


  • Currently receiving chemotherapy* containing any chemotherapeutic agent at any dose and experiencing nausea and/or vomiting of any severity (delayed or acute)
    • Chemotherapy regimens may be given orally, IV, or by continuous infusion (single day regimens only)


  • Must have received at least 1 prior chemotherapy* course containing any chemotherapeutic agent and meets the following criteria:
    • Agent is the same that is scheduled for the next round of chemotherapy
    • Experienced nausea and/or vomiting of any severity (delayed or acute)


  • Must be planning to receive a concurrent 5-HT3 receptor antagonist antiemetic (e.g., ondansetron, granisetron, dolasetron mesylate, or palanosetron) or antiemetic aprepritant (e.g., Emend®) while on chemotherapy


  • No symptomatic brain metastases


 [Note: *Chemotherapy may be adjuvant, neoadjuvant, curative, or palliative]

Prior/Concurrent Therapy:

Biologic therapy

  • Not specified

Chemotherapy

  • See Disease Characteristics
  • No prior chemotherapy regimens with multiple day doses

Endocrine therapy

  • Not specified

Radiotherapy

  • No concurrent radiotherapy that is classified as high or intermediate risk of causing vomiting, including radiotherapy to any of the following areas:
    • Total body irradiation
    • Hemi-body
    • Upper abdomen
    • Abdominal-pelvic mantle
    • Cranium (radiosurgery)
    • Craniospinal radiotherapy

Surgery

  • Not specified

Other

  • More than 1 week since prior ginger (teas, capsules, tinctures)
  • No other concurrent ginger (teas, capsules, tinctures)
    • Concurrent foods made with small amounts (no more than ¼ teaspoon) of ginger (powdered or fresh) allowed
  • No concurrent therapeutic-doses of warfarin, aspirin, or heparin
    • Concurrent low-dose warfarin to maintain peripheral or central venous access, low-dose aspirin (≤ 81 mg), or low-dose heparin allowed

Patient Characteristics:

Age

  • 18 and over

Performance status

  • Not specified

Life expectancy

  • Not specified

Hematopoietic

  • No history of bleeding disorder
  • No thrombocytopenia

Hepatic

  • Not specified

Renal

  • Not specified

Gastrointestinal

  • Able to swallow capsules
  • No gastric ulcer
  • No clinical evidence of current or impending bowel obstruction

Other

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • Able to understand English
  • Able to complete study questionnaires
  • No allergy to ginger

Expected Enrollment

180

A total of 180 patients (60 per treatment arm) will be accrued for this study.

Outcomes

Primary Outcome(s)

Most efficacious dose
Safety
Ability to distinguish between receiving placebo or study drug and variables involved (e.g., taste, smell, or decrease in nausea and vomiting)

Outline

This is a randomized, double-blind, placebo-controlled, multicenter study. Patients are randomized to 1 of 3 treatment arms. Patients are stratified according to concurrent antiemetic type (5-HT3 antagonist vs NK1 antagonist).

  • Arm I: Patients receive lower-dose oral ginger twice daily.


  • Arm II: Patients receive higher-dose oral ginger twice daily.


  • Arm III: Patients receive oral placebo twice daily.


In all arms, treatment begins immediately after the chemotherapy treatment and continues for 3 days.

Patients are followed at 1 week.

Trial Contact Information

Trial Lead Organizations

University of Michigan Cancer Center CCOP Research Base

Suzanna Zick, MPH, ND, Protocol chair
Ph: 734-998-0028; 800-865-1125
Email: szick@umich.edu

Related Information

Featured trial article

Registry Information
Official Title Phase II Trial Of Encapsulized Ginger As A Treatment For Chemotherapy-Induced Nausea and Vomiting
Trial Start Date 2003-05-27
Trial Completion Date 2007-05-31
Registered in ClinicalTrials.gov NCT00064272
Date Submitted to PDQ 2003-05-29
Information Last Verified 2007-10-11
NCI Grant/Contract Number CA46592, CA100612

Note: The purpose of most clinical trials listed in this database is to test new cancer treatments, or new methods of diagnosing, screening, or preventing cancer. Because all potentially harmful side effects are not known before a trial is conducted, dose and schedule modifications may be required for participants if they develop side effects from the treatment or test. The therapy or test described in this clinical trial is intended for use by clinical oncologists in carefully structured settings, and may not prove to be more effective than standard treatment. A responsible investigator associated with this clinical trial should be consulted before using this protocol.

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