About this trial
The incidence of oxaliplatin allergy reactions is between 12-15%, while the incidence of severe (grade 3-4) allergic reactions is between 0.5-2%. The purpose of this study is to prospectively investigate the incidence of oxaliplatin allergy and neurotoxicity, and to evaluate the use of effective anti-allergic and desensitization therapies to enable patients who are already allergic to oxaliplatin to complete their prescribed doses smoothly.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients who plan to receive oxaliplatin treatment;
Male or female aged 18-75 year;
ECOG PS 0-2;
The expected survival time is more than 3 months;
Disqualifiers
None
Trial design
Single group
Treatments tested in this trial
Anti-allergic treatment
Combination productFor grade I-III hypersensitivity to oxaliplatin, oxa 0.01 mg/ml, 0.1 mg/ml and 5 mg/ml were used in sequence for skin test. 5% GS was used as a negative control. Test results are read within 15 to 20 minutes. Grade IV: Permanently stop using oxaliplatin; Grade I-II: Take orally (cetirizine 10 mg bid, dexamethasone 8 mg bid, ranitidine 150 mg bid\*3dose) the day before the next cycle of oxaliplatin. The infusion rate is 50% of the original rate; if a grade II hypersensitivity reaction occurs again, the treatment method is the same as that of a grade III hypersensitivity reaction. Grade III: Oral drugs are the same as above. 0.5h before oxaliplatin: dexamethasone 10mg iv, cimetidine 40mg iv, promethazine 25mg im. The first bag of 10% total amount of oxaliplatin + 5% GS500ml: 5ml/h\*1h, 45ml/h\*1h, then 225ml/h\*2 hours; then dexamethasone 10mg iv; the second bag of 90% total Oxa +5%GS500ml: 100ml/h\*0.5h, then 150ml/h\*3 hours.
Treatment groups
Trial outcomes
Primary outcomes
Completion rate of 3 cycles of re-chemotherapy with oxaliplatin
Completion rate of 3 cycles of re-chemotherapy with oxaliplatin
Secondary outcomes
Concordance rate between oxaliplatin skin test results and clinicians' judgment
Concordance rate between oxaliplatin skin test results and clinicians' judgment
Locations
Sponsors and contacts
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