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Olanzapine for Chemotherapy-induced Nausea and Vomiting Prophylaxis (OLN-EME)

Primary Purpose

Complete Response Rate to Chemotherapy-induced Nausea and Vomiting Prophylaxis

Status
Completed
Phase
Phase 3
Locations
Thailand
Study Type
Interventional
Intervention
Olanzapine 10 Mg ORAL TABLET
Olanzapine 5 Mg ORAL TABLET
Placebo ORAL TABLET
Sponsored by
Rajavithi Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Complete Response Rate to Chemotherapy-induced Nausea and Vomiting Prophylaxis focused on measuring Olanzapine, Chemotherapy-induced nausea and vomiting, Carboplatin, Gynecologic cancer

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Women with gynecological cancer receiving carboplatin-based chemotherapeutic regimen
  • ECOG performance status 0-1
  • Normal bone marrow, liver, and renal functions
  • Can speak and write in Thai language

Exclusion Criteria:

  • Women with nausea or vomiting prior to chemotherapeutic administration
  • Pregnant women
  • Women with active infection
  • Women with bowel obstruction
  • Women with symptomatic brain metastases
  • Women who received dopamine receptor antagonists within 1 week before chemotherapeutic administration
  • Women who received corticosteroid within 1 week before chemotherapeutic administration
  • Women with past history of chemotherapy or radiotherapy
  • Women with psychiatric disorders
  • Women with poor controlled diabetes mellitus
  • Women who received anticonvulsant medication
  • Women with history of neuroleptic malignant syndrome
  • Women with history of olanzapine allergy
  • Women with history of lactose intolerance

Sites / Locations

  • Rajavithi hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

OLN 0-5-10

OLN 5-10-0

OLN 10-0-5

Arm Description

Placebo tablet in chemotherapy cycle 1, olanzapine 5 mg tablet in chemotherapy cycle 2, and olanzapine 10 mg tablet in chemotherapy cycle 3

Olanzapine 5 mg tablet in chemotherapy cycle 1, olanzapine 10 mg tablet in chemotherapy cycle 2, and placebo tablet in chemotherapy cycle 3

Olanzapine10 tablet in chemotherapy cycle 1, placebo tablet in chemotherapy cycle 2, and olanzapine 5 mg tablet in chemotherapy cycle 3

Outcomes

Primary Outcome Measures

Complete response rate of chemotherapy-induced nausea and vomiting prophylaxis
No breakthrough vomiting and no using rescue therapy

Secondary Outcome Measures

Episodes of vomiting
Severity of nausea
Use of rescue drug
using of rescue anti-emetic medication
Quality of life associated with nausea and vomiting measured using Functional Living Index-Emesis (FILE)

Full Information

First Posted
January 14, 2020
Last Updated
January 20, 2022
Sponsor
Rajavithi Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT04232423
Brief Title
Olanzapine for Chemotherapy-induced Nausea and Vomiting Prophylaxis
Acronym
OLN-EME
Official Title
Efficacy and Dosage of Olanzapine for Chemotherapy-induced Nausea and Vomiting Prophylaxis in Women With Gynecologic Cancers Receiving Carboplatin-based Regimen : a Double-blind, Placebo-controlled, Randomized Crossover Trial
Study Type
Interventional

2. Study Status

Record Verification Date
July 2021
Overall Recruitment Status
Completed
Study Start Date
March 1, 2020 (Actual)
Primary Completion Date
June 30, 2021 (Actual)
Study Completion Date
September 30, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Rajavithi Hospital

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
To investigate that olanzapine can reduced side effect about nausea and vomiting in women with gynecologic cancers receiving carboplatin-based regimen by using olanzapine and placebo
Detailed Description
A double-blind, placebo-controlled, randomized crossover trial

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Complete Response Rate to Chemotherapy-induced Nausea and Vomiting Prophylaxis
Keywords
Olanzapine, Chemotherapy-induced nausea and vomiting, Carboplatin, Gynecologic cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Crossover Assignment
Model Description
A Double-Blind, Placebo-Controlled, Randomized Crossover Trial
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
90 (Actual)

8. Arms, Groups, and Interventions

Arm Title
OLN 0-5-10
Arm Type
Experimental
Arm Description
Placebo tablet in chemotherapy cycle 1, olanzapine 5 mg tablet in chemotherapy cycle 2, and olanzapine 10 mg tablet in chemotherapy cycle 3
Arm Title
OLN 5-10-0
Arm Type
Experimental
Arm Description
Olanzapine 5 mg tablet in chemotherapy cycle 1, olanzapine 10 mg tablet in chemotherapy cycle 2, and placebo tablet in chemotherapy cycle 3
Arm Title
OLN 10-0-5
Arm Type
Experimental
Arm Description
Olanzapine10 tablet in chemotherapy cycle 1, placebo tablet in chemotherapy cycle 2, and olanzapine 5 mg tablet in chemotherapy cycle 3
Intervention Type
Drug
Intervention Name(s)
Olanzapine 10 Mg ORAL TABLET
Intervention Description
Olanzapine 10 mg orally, ondansetron 8 mg intravenously, and dexamethazone 8 mg intravenously 30 minutes before chemotherapeutic administration (day 1) Olanzapine 10 mg orally daily and dexamethazone 8 mg orally daily on day 2, 3, 4
Intervention Type
Drug
Intervention Name(s)
Olanzapine 5 Mg ORAL TABLET
Intervention Description
Olanzapine 5 mg orally, ondansetron 8 mg intravenously, and dexamethazone 8 mg intravenously 30 minutes before chemotherapeutic administration (day 1) Olanzapine 5 mg orally daily and dexamethazone 8 mg orally daily on day 2, 3, 4
Intervention Type
Drug
Intervention Name(s)
Placebo ORAL TABLET
Intervention Description
Placebo 1 tab orally, ondansetron 8 mg intravenously, and dexamethazone 8 mg intravenously 30 minutes before chemotherapeutic administration (day 1) Placebo 1 tab orally daily and dexamethazone 8 mg orally daily on day 2, 3, 4
Primary Outcome Measure Information:
Title
Complete response rate of chemotherapy-induced nausea and vomiting prophylaxis
Description
No breakthrough vomiting and no using rescue therapy
Time Frame
5 days after chemotherapeutic administration
Secondary Outcome Measure Information:
Title
Episodes of vomiting
Time Frame
5 days after chemotherapeutic administration
Title
Severity of nausea
Time Frame
5 days after chemotherapeutic administration
Title
Use of rescue drug
Description
using of rescue anti-emetic medication
Time Frame
5 days after chemotherapeutic administration
Title
Quality of life associated with nausea and vomiting measured using Functional Living Index-Emesis (FILE)
Time Frame
5 days after chemotherapeutic administration

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Women with gynecological cancer receiving carboplatin-based chemotherapeutic regimen ECOG performance status 0-1 Normal bone marrow, liver, and renal functions Can speak and write in Thai language Exclusion Criteria: Women with nausea or vomiting prior to chemotherapeutic administration Pregnant women Women with active infection Women with bowel obstruction Women with symptomatic brain metastases Women who received dopamine receptor antagonists within 1 week before chemotherapeutic administration Women who received corticosteroid within 1 week before chemotherapeutic administration Women with past history of chemotherapy or radiotherapy Women with psychiatric disorders Women with poor controlled diabetes mellitus Women who received anticonvulsant medication Women with history of neuroleptic malignant syndrome Women with history of olanzapine allergy Women with history of lactose intolerance
Facility Information:
Facility Name
Rajavithi hospital
City
Bangkok
ZIP/Postal Code
10400
Country
Thailand

12. IPD Sharing Statement

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Olanzapine for Chemotherapy-induced Nausea and Vomiting Prophylaxis

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