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Aprepitant and olanzapine have been recommended for emesis prevention from highly emetogenic chemotherapy. We hypothesized that olanzapine may lead to less nausea compared to aprepitant based on previous study. However, data of combination of olanzapine and ondansetron is scarce.
Aprepitant and olanzapine have been recommended for emesis prevention from highly emetogenic chemotherapy. We hypothesized that olanzapine may lead to less nausea compared to aprepitant based on previous study. However, data on efficacy and adverse effects of combination of olanzapine and ondansetron which is only serotonin antagonist in Thai national essential drug list, is scarce. Also, we aims to assess the efficacy of olanzapine dosage of 5 mg which is more commonly used in Thai patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| aprepitant | Active Comparator | aprepitant / dexamethasone/ ondansetron |
|
| olanzapine 10 mg | Experimental | olanzapine 10 mg/dexamethasone/ ondansetron |
|
| olanzapine 5 mg | Experimental | olanzapine 5 mg/dexamethasone/ ondansetron |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| aprepitant | Drug | aprepitant 125 mg orally, dexamethasone 12 mg iv, ondansetron 8 mg iv before chemotherapy aprepitant 80 mg orally D2-4, dexamethasone 8 mg/day orally D2-4 |
|
| Measure | Description | Time Frame |
|---|---|---|
| no nausea rate | proportion of patients report no nausea | Days 1-5 of chemotherapy |
| Measure | Description | Time Frame |
|---|---|---|
| complete remission | no episode of vomiting | Days 1-5 of chemotherapy |
| >= grade 3 vomiting | higher than grade 3 vomiting | Days 1-5 of chemotherapy |
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Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Suthinee Ithimakin, MD | Contact | +6624194489 | aesi105@yahoo.co.th |
| Name | Affiliation | Role |
|---|---|---|
| Suthinee Ithimakin, MD | Mahidol University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Division of medical oncology, department of medicine Siriraj Hospital | Recruiting | Bangkok | 10700 | Thailand |
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| ID | Term |
|---|---|
| D000077608 | Aprepitant |
| D000077152 | Olanzapine |
| ID | Term |
|---|---|
| D009025 | Morpholines |
| D010078 | Oxazines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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| olanzapine 10 mg | Drug | olanzapine 10 mg orally, dexamethasone 12 mg iv, ondansetron 8 mg iv before chemotherapy olanzapine 10 mg orally D2-4, dexamethasone 8 mg/day orally D2-4 |
|
| olanzapine 5 mg | Drug | olanzapine 5 mg orally, dexamethasone 12 mg iv, ondansetron 8 mg iv before chemotherapy olanzapine 5 mg orally D2-4, dexamethasone 8 mg/day orally D2-4 |
|
| Siriraj Hospital | Recruiting | Bangkok | 10700 | Thailand |
|
| D001569 |
| Benzodiazepines |
| D001552 | Benzazepines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |