An interventional study of palonosetron hydrochloride and cyclophosphamide in Male Breast Cancer, Nausea and Vomiting and Stage I Breast Cancer, sponsored by University of Washington. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-07-11.
Sponsored by University of Washington · Not applicable, Interventional, and Supportive care
RATIONALE: Antiemetic drugs, such as dexamethasone, ondansetron hydrochloride, and palonosetron hydrochloride, may help lessen or prevent nausea and vomiting caused by chemotherapy.
PURPOSE: This clinical trial studies how well giving dexamethasone together with ondansetron hydrochloride or palonosetron hydrochloride works in preventing nausea and vomiting in patients receiving doxorubicin hydrochloride and cyclophosphamide for early stage breast cancer
PRIMARY OBJECTIVES:
I. To determine the proportion of patients achieving a complete response (CR), defined as no emesis and no rescue medications in the 0-24 hour time period following weekly intravenous doxorubicin.
SECONDARY OBJECTIVES:
I. To determine the proportion of patients achieving a complete response (CR), defined as no emesis and no rescue medications in the 24-120 hour time period following weekly intravenous doxorubicin.
II. To determine the proportion of patients achieving a complete response (CR), defined as no emesis and no rescue medications in the 0-120 hour time period following weekly intravenous doxorubicin.
III. To determine the number of emetic episodes daily and cumulatively for the 24-120, and 0-120 hour time periods.
IV. To determine the time to first emetic episode. V. To determine the time to first administration of rescue medication. VI. To determine the time to treatment failure (time to first emetic episode or administration of rescue medication, whichever occurred first).
VII. To determine the number of doses of rescue medications used. VIII. To determine the side effects of antiemetic medications used. IX. To determine theseverity of nausea. X. To evaluate quality of life.
OUTLINE: Patients are assigned to 1 of 2 treatment groups.
All patients receive doxorubicin hydrochloride IV on day 1 and oral cyclophosphamide on days 1-7.
GROUP I: Patients receive dexamethasone IV or orally and ondansetron IV on day 1 (prior to each dose of doxorubicin hydrochloride).
GROUP II: Patients receive dexamethasone IV or orally and palonosetron IV on day 1 (prior to each dose of doxorubicin hydrochloride).
Treatment repeats every 7 days for 12-15 courses in the absence of disease progression or unacceptable toxicity.
12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.
This study's enrollment of 41 is below the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.
Browse Breast Neoplasms studies →University of Washington is the lead sponsor of 1,397 studies on the registry; 225 are open to participants now.
Of its 154 completed or terminated interventional studies of FDA-regulated products, 132 (86%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
All patients receive doxorubicin hydrochloride IV on day 1 and oral cyclophosphamide on days 1-7. Patients receive dexamethasone IV or orally and ondansetron IV on day 1 (prior to each dose of doxorubicin hydrochloride).
Drug: cyclophosphamide · Drug: dexamethasone · Drug: doxorubicin hydrochloride · Procedure: quality-of-life assessment · Procedure: nausea and vomiting therapy · Procedure: management of therapy complications · Drug: ondansetron hydrochloride · Other: survey administration
All patients receive doxorubicin hydrochloride IV on day 1 and oral cyclophosphamide on days 1-7. Patients receive dexamethasone IV or orally and palonosetron IV on day 1 (prior to each dose of doxorubicin hydrochloride).
Drug: palonosetron hydrochloride · Drug: cyclophosphamide · Drug: dexamethasone · Drug: doxorubicin hydrochloride · Procedure: quality-of-life assessment · Procedure: nausea and vomiting therapy · Procedure: management of therapy complications · Other: survey administration
Given IV
Also known as: Aloxi, RS 25259-197
Given orally
Also known as: CPM, CTX, Cytoxan, Endoxan, Endoxana
Given orally or IV
Also known as: Aeroseb-Dex, Decaderm, Decadron, DM, DXM
Given IV
Also known as: ADM, ADR, Adria, Adriamycin PFS, Adriamycin RDF
Ancillary studies
Also known as: quality of life assessment
Given IV
Also known as: antiemetic support, management of nausea and vomiting, nausea and vomiting management, therapy, nausea and vomiting, vomiting and nausea management
Given IV
Also known as: complications of therapy, management of
Given IV
Also known as: GR 38032F, GR-C507/75, SN-307, Zofran
Ancillary studies
Count of Patients Achieving a Complete Response
Time frame: At 0-24 hours after weekly intravenous doxorubin
Count of Patients Achieving Complete Response
Time frame: At 24-120 hours after weekly intravenous doxorubicin
Number of Days With Emetic Episodes and Rescue Medicines
Time frame: Up to 3 months
Number of Participants That Had Emesis Within 48 Hours of Chemotherapy
Count of patients that had emesis within 48 hours of chemotherapy
Time frame: Up to 48 hours of chemotherapy
Number of Participants That Had First Administration of Rescue Medication Within 48 Hours
Count of patients that had first administration of rescue medication within 48 Hours
Time frame: up to 48 hours of chemotherapy
Number of Doses of Rescue Medications Used
Time frame: Days 1-7 of each cycle
Side Effects of Antiemetic Medications Used
Time frame: Up to 3 months
Severity of Nausea
Count of participants with severe nausea
Time frame: Up to 3 months
Quality of Life
Time frame: Up to 3 months
| Milestone | Dexamethasone + Ondansetron IV | Dexamethasone + Palonosetron IV |
|---|---|---|
| Started | 7 | 34 |
| Completed | 7 | 34 |
| Not completed | 0 | 0 |
| Participants | Dexamethasone + Ondansetron IV | Dexamethasone + Palonosetron IV |
|---|---|---|
| Count of Patients Achieving a Complete Response | 3 | 15 |
| Participants | Dexamethasone + Ondansetron IV | Dexamethasone + Palonosetron IV |
|---|---|---|
| Count of Patients Achieving Complete Response | 3 | 15 |
| days | Dexamethasone + Ondansetron IV | Dexamethasone + Palonosetron IV |
|---|---|---|
| Vomiting during neoadjuvant chemotherapy | 0 (0 to 51) | 0 (0 to 51) |
| Took rescue medicines | 2 (0 to 70) | 9.5 (0 to 70) |
Count of patients that had emesis within 48 hours of chemotherapy
| Participants | Dexamethasone + Ondansetron IV | Dexamethasone + Palonosetron IV |
|---|---|---|
| Number of Participants That Had Emesis Within 48 Hours of Chemotherapy | 0 | 1 |
Count of patients that had first administration of rescue medication within 48 Hours
| Participants | Dexamethasone + Ondansetron IV | Dexamethasone + Palonosetron IV |
|---|---|---|
| Number of Participants That Had First Administration of Rescue Medication Within 48 Hours | 1 | 4 |
No measurements were reported for this outcome.
| Participants | Dexamethasone + Ondansetron IV | Dexamethasone + Palonosetron IV |
|---|---|---|
| Constipation | 2 | 15 |
| Headaches | 0 | 2 |
Count of participants with severe nausea
| Participants | Dexamethasone + Ondansetron IV | Dexamethasone + Palonosetron IV |
|---|---|---|
| Severity of Nausea | 1 | 4 |
| FLIE questionnaires | Dexamethasone + Ondansetron IV | Dexamethasone + Palonosetron IV |
|---|---|---|
| FLIE Nausea — High impact (<36) | 4 | 44 |
| FLIE Nausea — Medium impact (36-54) | 5 | 74 |
| FLIE Nausea — No impact of daily life (>54) | 26 | 248 |
| FLIE Vomiting — High impact (<36) | 1 | 10 |
| FLIE Vomiting — Medium impact (36-54) | 3 | 9 |
| FLIE Vomiting — No impact of daily life (>54) | 31 | 347 |
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Dexamethasone + Ondansetron IV | — | 0/7 (0%) | 2/7 (28.6%) |
| Dexamethasone + Palonosetron IV | — | 0/34 (0%) | 15/34 (44.1%) |
| Event | Dexamethasone + Ondansetron IV | Dexamethasone + Palonosetron IV |
|---|---|---|
| ConstipationGastrointestinal disorders | 2/7 | 15/34 |
| HeadacheGeneral disorders | 0/7 | 2/34 |
| Age, Continuous(years) | Dexamethasone + Ondansetron IV | Dexamethasone + Palonosetron IV | Total |
|---|---|---|---|
| Median | 54 (45 to 63) | 49 (29 to 69) | 50 (29 to 69) |
| Sex: Female, Male(Participants) | Dexamethasone + Ondansetron IV | Dexamethasone + Palonosetron IV | Total |
|---|---|---|---|
| Female | 7 | 34 | 41 |
| Male | 0 | 0 | 0 |
| Ethnicity (NIH/OMB)(Participants) | Dexamethasone + Ondansetron IV | Dexamethasone + Palonosetron IV | Total |
|---|---|---|---|
| Hispanic or Latino | 1 | 2 | 3 |
| Not Hispanic or Latino | 6 | 30 | 36 |
| Unknown or Not Reported | 0 | 2 | 2 |
| Race (NIH/OMB)(Participants) | Dexamethasone + Ondansetron IV | Dexamethasone + Palonosetron IV | Total |
|---|---|---|---|
| American Indian or Alaska Native | 1 | 0 | 1 |
| Asian | 0 | 1 | 1 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 0 |
| White | 6 | 31 | 37 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 2 | 2 |
This study is completed, as verified in Jun 2017. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
University of Washington