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Vomiting clinical trials

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NCT ID: NCT02939287 Completed - Nausea Clinical Trials

Aprepitant- and Olanzapine- Containing Anti-emetic Regimens With High Dose Melphalan

Start date: September 23, 2017
Phase: Phase 3
Study type: Interventional

The purpose of this study is to help answer the following research question: - Whether administration of an aprepitant containing regimen, an olanzapine containing regimen or regimen containing both will prevent nausea and vomiting better for patients undergoing an autologous stem cell transplant with melphalan chemotherapy. Both of these medications are approved by the United States Food and Drug Administration (FDA) for nausea and vomiting. - Participants will be randomly assigned to one of the 3 treatment groups: - Arm A: aprepitant containing anti-emetic therapy - Arm B: olanzapine containing anti-emetic therapy - Arm C: Aprepitant plus olanzapine containing anti-emetic therapy

NCT ID: NCT02933099 Not yet recruiting - Clinical trials for Chemotherapy-induced Nausea and Vomiting

Aprepitant for the Prevention of Chemotherapy-induced Nausea and Vomiting

CINV
Start date: October 2016
Phase: Phase 3
Study type: Interventional

To compare the antiemetic combination of palonosetron, dexamethasone, and aprepitant (PDA) with antiemetic combination of palonosetron and dexamethasone (PD) in nasopharyngeal carcinoma patients receiving docetaxel, cisplatin, and 5-FU based chemotherapy.

NCT ID: NCT02920814 Completed - Clinical trials for Specific Phobia of Vomiting

Time Intensive CBT for a Specific Phobia of Vomiting

Start date: April 2016
Phase: Phase 1
Study type: Interventional

The aims of this project are to determine the effectiveness of a time intensive form of Cognitive Behavioural Therapy (CBT) for Specific Phobia of Vomiting (SPOV). Current research shows that this brief format can be effective in other specific phobias e.g. insects and animals. However, to date limited research has been conducted on the effectiveness of time intensive forms of CBT for SPOV. A single case experimental design will be used to analyse specific and idiosyncratic outcome measures in 6-8 cases of SPOV, referred to the Centre for Anxiety Disorders and Trauma (CADAT) for treatment. Specifically, the project will explore the effectiveness of CBT delivered in a time-intensive format and imagery rescripting elements of the treatment. This initial study will provide important information about which elements of CBT are most effective at reducing targeted symptoms and whether symptom reduction can be achieved in a shorter number of sessions. It represents a crucial step before this format of CBT can be more rigorously evaluated and compared to other treatment approaches by Randomised Controlled Trial.

NCT ID: NCT02909478 Completed - Colorectal Cancer Clinical Trials

Aprepitant Without Steroid in Preventing Chemotherapy-induced Nausea and Vomiting in Patients With Colorectal Cancer

Start date: September 1, 2017
Phase: Phase 3
Study type: Interventional

Addition of aprepitant, an NK1 receptor antagonist to a 5-HT3 receptor antagonist and dexamethasone regimen was shown to be effective for prevention of chemotherapy-induced nausea and vomiting (CINV) with moderately emetogenic chemotherapy (MEC). Little is known about the efficacy of aprepitant when used without dexamethasone. Dexamethasone is widely used to prevent both acute and delayed nausea and vomiting induced by chemotherapy. However, multi-period use of dexamethasone could be associated with side effect, such as hyperglycemia, dyspepsia and insomnia. This randomized phase III trial studies antiemetic therapy with aprepitant and tropisetron to see how well they work compared to dexamethasone plus tropisetron in preventing chemotherapy-induced nausea and vomiting in patients with colorectal cancer receiving FOLFOX(oxaliplatin, leuvovorin and 5-fluorouracil) chemotherapy.

NCT ID: NCT02882854 Completed - Pain, Postoperative Clinical Trials

Guanfacine for PONV and Pain After Sinus Surgery

Start date: November 2016
Phase: N/A
Study type: Interventional

Postoperative nausea and vomiting (PONV) and pain are the most common causes of Post Anesthesia Care Unit (PACU) discharge delay, with untreated PONV occurring in 20-30% of post-surgical patients. The effect of guanfacine (GF) administration on pain and nausea scores will be assessed with two groups. One group will receive 1 mg of GF to take orally and the other group will receive a similar appearing placebo (containing no drug) to take orally.

NCT ID: NCT02881840 Completed - Clinical trials for Post-operative Nausea and Vomiting

Mass-balance Study of [14C]-APD421 in Healthy Volunteers

Start date: August 2016
Phase: Phase 1
Study type: Interventional

Open-label, non-randomised, single dose study in 6 healthy male subjects to assess the mass balance recovery, metabolite profile, metabolite identification and pharmacokinetics of 14C-labelled APD421

NCT ID: NCT02872935 Terminated - Nausea Clinical Trials

Minimizing Nausea and Vomiting During Spinals for CS

Start date: May 15, 2015
Phase: Phase 4
Study type: Interventional

In parturients undergoing Cesarean section under spinal anesthesia, co-loading of 1 liter of crystalloids, with placing the spinal, along with administering a phenylephrine infusion and glycopyrrolate, enables placing a spinal with minimal perioperative nausea and vomiting and good intra and post-operative pain relief.

NCT ID: NCT02861859 Completed - Breast Cancer Clinical Trials

Individualised Versus Standard Care for Breast Cancer Patients at High-risk for Chemotherapy-induced Nausea and Vomiting The ILIAD Study

Start date: December 2016
Phase: Phase 3
Study type: Interventional

The purpose of this study is to evaluate whether adding olanzapine 5mg to standard antiemetic medication can significantly reduce chemotherapy-induced nausea and vomiting in breast cancer patients receiving emetogenic chemotherapy regimens such as anthracycline with cyclophosphamide-based chemotherapy and platinum-based chemotherapy. To help clinicians prescribe antiemetic medications in a more patient-centered, evidence-based and cost-effective manner, we've developed the world's first validated risk-stratification tool for chemotherapy-induced nausea and vomiting (CINV) and because of this, it is now possible to perform a trial of personalized precision antiemetic therapy for breast cancer patients. Despite widespread antiemetic use, chemotherapy-induced nausea and vomiting (CINV) remains among the most feared and expected side effects of chemotherapy for breast cancer. Inadequately controlled CINV can significantly reduce a patient's quality of life, impair functional activity, lead to chemotherapy dose delays and reductions, and even discontinuation of treatment. The merit of current antiemetic medications is based on their ability to control chemotherapy-induced vomiting, but not necessarily nausea, and nausea is the major issue for breast cancer patients. With olanzapine demonstrating significant promise in preventing acute and delayed nausea, the investigators are proposing to evaluate guideline-recommended aprepitant-based triple regimen compared to the same regimen plus olanzapine (5 mg) for patients at high personal risk for CINV. For patients at low personal risk for CINV the investigators will also evaluate guideline-recommended double antiemetic regimen compared to the same regimen plus olanzapine (5 mg).

NCT ID: NCT02849483 Recruiting - Clinical trials for Postoperative Nausea and Vomiting

Effect of Ramosetron on Bowel Motility After Gynecological Surgery

Start date: July 2016
Phase: Phase 4
Study type: Interventional

Ramosetron is effective in preventing postoperative nausea and vomiting. Several studies reported that ramosetron is also effective treatment of irritable bowel syndrome. The investigators examine the effect of ramosetron on postoperative bowel motility.

NCT ID: NCT02842307 Completed - Clinical trials for Chemotherapy-induced Nausea and Vomiting

Acupuncture for Chemical Therapy Induced Nausea and Vomiting

Start date: January 2010
Phase: N/A
Study type: Interventional

This is an expertise-based randomized controlled trial. The hypothesis of this study is that the differences in expertise of acupuncturist may impact clinical effect. In this study, patients will be randomized to 4 group, receiving the treatment from senior acupuncturist, junior acupuncturist, junior acupuncturist by only acupuncture Neiguan(P6), or not receive the acupuncture. All patients receive the basic cisplatin chemotherapy. The duration of treatment is from the first day receiving cisplatin until two days after cisplatin on each group. NCI and Rhode scale will be used to measure the control of nausea and vomiting.