The efficacy and safety of the addition of olanzapine to ondansetron and dexamethasone for prevention of chemotherapy-induced nausea and vomiting in patients receiving highly emetogenic chemotherapy

Autor: Chanida Vinayanuwatikun, Ploytuangporn Wongchanapai, Wilai Thawinwisan, Napa Parinyanitikun, Piyachut Chenaksara, Suebpong Tanasanvimon, Virote Sriuranpong, Siwat Sakdejayont, Nattaya Poovorawan, Pattama Angspatt, Shama Sukprakun, Veerisa Vimolchalao
Rok vydání: 2019
Předmět:
Zdroj: International journal of clinical oncology. 25(2)
ISSN: 1437-7772
Popis: To evaluate the efficacy and safety of the addition of olanzapine to ondansetron and dexamethasone for chemotherapy-induced nausea vomiting (CINV) prevention in patients receiving highly emetogenic chemotherapy (HEC). In this randomized, double-blind, placebo-controlled, crossover study, we randomly assigned chemotherapy-naive patients receiving HEC to receive olanzapine or placebo in addition to ondansetron and dexamethasone. All subjects were crossed over to another treatment arm on second-cycle chemotherapy. The primary endpoint was complete response (CR) rate defined as no vomiting and no use of rescue drugs. At the first cycle, there were significantly more patients with CR in the olanzapine group than in the placebo group in overall phase (68.7% vs. 25.0%, p
Databáze: OpenAIRE