Chemotherapy Induced Nausea and Vomiting Clinical Trial
Official title:
Phase II Randomized Study of Multiple Doses of Palonosetron Plus Aprepitant Versus Multiple Doses of Palonosetron Alone in Preventing CINV in Patients With Newly Diagnosed AML or High-risk MDS Receiving Multiple Days Chemotherapy
The aim of present study is to evaluate if the addition of Aprepitant to multiple doses of palonosetron IV enhances the efficacy of multiple doses of palonosetron IV alone, in preventing CINV in AML or High risk MDS patient, treated with multiple days chemotherapy.
This is an open-label, randomized, comparative, multicenter phase II study in patients with
AML scheduled to receive multiple days chemotherapy.
Patients will receive either PALO+APR or the PALO regimen in a 1:1 ratio according to a
computer-generated, random allocation schedule. Below are described the details for both
antiemetic regimens:
PALO+APR regimen: oral aprepitant will be given on days 1-3 (day 1, 125 mg, days 2-3, 80 mg
1 hour before chemotherapy ) and multiple intravenous bolus of Palonosetron without
dexamethasone, prior to the administration of chemotherapy, starting the first day of
treatment.
PALO regimen: multiple intravenous bolus of Palonosetron without dexamethasone, prior to the
administration of chemotherapy, starting the first day of treatment.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Supportive Care
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