Olanzapine for Prevention of Vomiting in Children and Adolescents Receiving Highly Emetogenic Chemotherapy

Trial statusNot yet recruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age5-18
SponsorShanghai Children's Medical Center

About this trial

Breakthrough chemotherapy-induced vomiting (CIV) is defined as CIV occurring after adequate antiemetic prophylaxis. Olanzapine is recommended for the treatment of breakthrough CIV in children, without adequate evidence. We conducted an open-label, single-center, phase 3 randomized controlled trial comparing the safety and efficacy of olanzapine and metoclopramide for treating breakthrough CIV.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

None

Disqualifiers

Children with history of allergy to olanzapine or metoclopramide; patient with renal failure, congestive heart failure, or any uncontrolled disease except for malignancy; serum creatinine more than upper limit of normal (ULN) for age; serum aspartate aminotransferase (AST) and alanine aminotransferase (ALT) four times the ULN for age and serum bilirubin 1.5 times ULN for age; patient with history of central nervous system disease including brain metastasis, seizure disorder, or psychosis; patients on treatment with other antipsychotic agents such as risperidone, quetiapine, clozapine, or phenothiazine.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Olanzapine Tablets

    Drug

    Oral olanzapine tablets

  • Placebo

    Drug

    Oral placebo

Treatment groups

100 Participants
are divided into 2 treatment groups
Group A: Olanzapine groupExperimental treatment 1 intervention
Group B: Control groupPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

the CR rate for vomiting in the first 72 hours

The primary endpoint was the CR rate for vomiting in the first 72 hours of the initiation of olanzapine .

Time frame
in the first 72 hours of the initiation of olanzapine

Secondary outcomes

1

the CR rate for nausea in the first 72 hours of the initiation of olanzapine

The secondary endpoint was the CR rate for nausea in the first 72 hours of the initiation of olanzapine

Time frame
in the first 72 hours of the initiation of olanzapine

Other outcomes

Sponsors and contacts

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