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Sponsored by: |
S. Maria Hospital, Terni |
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Information provided by: | S. Maria Hospital, Terni |
ClinicalTrials.gov Identifier: | NCT00869973 |
The aim of the study is to compare efficacy and tolerability of aprepitant versus dexamethasone in the prevention of delayed emesis induced by moderately emetogenic chemotherapy (cyclophosphamide plus anthracyclines) in breast cancer patients.
Condition | Intervention | Phase |
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Emesis |
Drug: Aprepitant Drug: dexamethasone |
Phase III |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Double Blind (Subject, Investigator), Active Control, Parallel Assignment, Safety/Efficacy Study |
Official Title: | Aprepitant in the Prevention of Delayed Emesis Induced by Moderately Emetogenic Chemotherapy (Cyclophosphamide Plus Anthracyclines) in Breast Cancer Patients: a Double-Blind Randomized Study |
Estimated Enrollment: | 800 |
Study Start Date: | April 2009 |
Estimated Study Completion Date: | May 2010 |
Estimated Primary Completion Date: | May 2010 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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1: Experimental
Aprepitant
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Drug: Aprepitant
Aprepitant 80 mg orally: 24 hours after chemotherapy on day 2 and then at 8 am on day 3
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2: Active Comparator
dexamethasone
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Drug: dexamethasone
dexamethasone 4 mg orally: 24 hours after chemotherapy and at 8 pm on day 2, then at 8 am and 8 pm on day 3
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This is a phase III, double-blind, randomized trial, to evaluated the efficacy and safety of aprepitant for the prevention of delayed emesis in patients with breast cancer submitted for the first time to chemotherapy with cyclophosphamide plus anthracyclines. The study will be carried out during the first cycle of chemotherapy.
For the prevention of acute emesis, all patients will receive, before chemotherapy:
After 24 hours from chemotherapy administration, patients will be randomized to receive:
A) dexamethasone 4 mg orally: 24 hours after chemotherapy and at 8 pm on day 2, then at 8 am and 8 pm on day 3. B) Aprepitant 80 mg orally: 24 hours after chemotherapy on day 2 and then at 8 am on day 3.
The patients will receive prochlorperazine suppositories as rescue medication, for important nausea and vomiting (> 2 episodes) during days 1-5 after chemotherapy.
The patients will receive a diary, which includes a Visual Analogue Scale (VAS) for nausea and vomiting evaluation. All patients will fill out the diary in which, for 6 consecutive days (days 1-6), patients will report for each day the number of vomiting episodes, the intensity and duration of nausea, any antiemetic rescue medication and any adverse event and its treatment.
In addition, on day 1 before chemotherapy and then on day 6, patients will fill out the FLIE (Functional Living Index-Emesis), a questionnaire concerning the impact of nausea and vomiting on their quality of life.
Primary end point is the percentage of complete responses (no vomiting and no rescue treatment) on days 2-5 after chemotherapy administration
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Female |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Every other anticancer drug in the first 24 hours will be administered after the end of cyclophosphamide plus anthracycline.
Exclusion Criteria:
Contact: Fausto Roila, MD | +39(0)744205631 | roila.fausto@libero.it |
Italy | |
Fausto Roila | |
Terni, Italy, 05100 |
Principal Investigator: | Fausto Roila, MD | Oncology Division, S. Maria Hospital, Terni, Italy |
Responsible Party: | Oncology Division, S.Maria Hospital, Terni, Italy ( Roila Fausto ) |
Study ID Numbers: | IGAR-02-2009, 2008-001237-95 |
Study First Received: | March 25, 2009 |
Last Updated: | March 25, 2009 |
ClinicalTrials.gov Identifier: | NCT00869973 History of Changes |
Health Authority: | Italy: Ministry of Health |
aprepitant delayed emesis cyclophosphamide plus anthracyclines breast cancer antiemetic |
Anti-Inflammatory Agents Dexamethasone Vomiting Antineoplastic Agents, Hormonal Skin Diseases Signs and Symptoms, Digestive Immunologic Factors Hormone Antagonists Hormones, Hormone Substitutes, and Hormone Antagonists Breast Neoplasms Antiemetics Cyclophosphamide |
Hormones Glucocorticoids Immunosuppressive Agents Signs and Symptoms Peripheral Nervous System Agents Antineoplastic Agents, Alkylating Antirheumatic Agents Alkylating Agents Breast Diseases Dexamethasone acetate Aprepitant |
Anti-Inflammatory Agents Dexamethasone Vomiting Signs and Symptoms, Digestive Immunologic Factors Molecular Mechanisms of Pharmacological Action Antineoplastic Agents Physiological Effects of Drugs Hormones, Hormone Substitutes, and Hormone Antagonists Antiemetics Cyclophosphamide Hormones Signs and Symptoms Neoplasms by Site Therapeutic Uses |
Alkylating Agents Dexamethasone acetate Breast Diseases Aprepitant Antineoplastic Agents, Hormonal Skin Diseases Gastrointestinal Agents Breast Neoplasms Glucocorticoids Immunosuppressive Agents Pharmacologic Actions Neoplasms Autonomic Agents Myeloablative Agonists Peripheral Nervous System Agents |