Olanzapine for Cancer Related Anorexia-cachexia Syndrome

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorMahidol University

About this trial

Cancer anorexia-cachexia syndrome is one of the common conditions in cancer patients. Olanzapine has been demonstrated to reduce chemotherapy-induced anorexia. However, there is scarce information regarding olanzapine as a treatment of cancer anorexia among patients who does not receive chemotherapy. Therefore, this randomized controlled trial aims to evaluate the efficacy of olanzapine to lessen cancer cachexia-anorexia syndrome.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

pathologically or cytologically metastatic or locally advanced cancer

anorexia and >=5% weight loss during the past 6 months or anorexia with numerical scale of anorexia >=5

ECOG performance status 0-3

able to complete questionaire and able to swallow pills

Disqualifiers

receiving chemotherapy or anti-cancer systemic therapy

life expectancy longer than 1 month

received radiotherapy at head/neck or thoracic or upper abdomen in the past 2 weeks

surgery within 4 weeks

Trial design

Design model

Parallel

Treatments tested in this trial

  • Olanzapine 2.5 MG

    Drug

    olanzapine 2.5 mg/day for 28 days

  • Olanzapine 5 MG

    Drug

    olanzapine 5 mg/day for 28 days

  • Placebo

    Drug

    placebo 1 tab/day for 28 days

Treatment groups

138 Participants
are divided into 3 treatment groups
Group A: placeboPlacebo comparator 1 intervention
Group B: olanzapine 2.5Active comparator 1 intervention
Group C: olanzapine 5Active comparator 1 intervention

Trial outcomes

Primary outcomes

1

no greater than 5% weight loss in olanzapine 2.5 mg versus placebo

proportion of patients with olanzapine 2.5 mg without greater or equal to 5% weight loss compared to placebo

Time frame
4 weeks

Secondary outcomes

1

no greater than 5% weight loss in olanzapine 5 mg versus placebo

proportion of patients with olanzapine 5 mg without greater or equal to 5% weight loss compared to placebo

Time frame
4 weeks
2

numerical scale of anorexia

proportion of patients with decreased numerical scale of anorexia

Time frame
4 weeks
3

body weight

body weight change from baseline

Time frame
week 2 and 4
4

adverse effects

adverse effects

Time frame
week 1, 2, 3, 4

Other outcomes

Sponsors and contacts

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