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CompletedNCT00343863Updated Jul 11, 2017Results posted

Dexamethasone and Ondansetron Hydrochloride or Palonosetron Hydrochloride in Preventing Nausea and Vomiting in Patients Receiving Doxorubicin Hydrochloride and Cyclophosphamide For Early Stage Breast Cancer

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

Phase
Not applicable
Study type
Interventional
Enrollment
41
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

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

Read the detailed description

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.

02

Conditions studied

  • Male Breast Cancer
  • Nausea and Vomiting
  • Stage I Breast Cancer
  • Stage II Breast Cancer
  • Stage IIIA Breast Cancer
03

In context

Breast Neoplasms

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 →

Lead sponsor

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.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients must have a histologically confirmed diagnosis of primary breast carcinoma
  • Patient must be naive to chemotherapy at the time of enrollment
  • Patients must have prescribed weekly intravenous adriamycin (doxorubicin) and daily oral cyclophosphamide treatment for early breast cancer
  • The patient must be informed of the investigational nature of this study and must sign and give written informed consent in accordance with institutional and federal guidelines
  • Patients must have a Karnofsky index of greater than or equal to 50%
  • Known mild to moderate hepatic, renal or cardiovascular impairment may be enrolled at the discretion of the investigator

Exclusion criteria

Exclusion Criteria:

  • Receipt of investigational drug within 30 days before study entry
  • Received any drug with potential anti-emetic effect within 24 hours prior to the start of study-designated chemotherapeutic agent (with the exception of administration of the palonosetron/dexamethasone infusion solution), including the following: 5-HT3 receptor antagonists; dopamine receptor antagonists (metoclopramide); phenothiazine anti-emetics (prochlorperazine, thiethylperazine and perphenazine); diphenhydramine, scopolamine, chlorpheniramine maleate, trimethobenzamide (diphenhydramine will be allowed if given for prophylactic treatment of hypersensitivity reactions associated with the administration of Taxanes); all benzodiazepines; haloperidol, droperidol, tetrahydrocannabinol, or nabilone; any systemic corticosteroid (hydrocortisone, methylprednisolone, prednisone) (topical or inhaled preparations are allowed)
  • Any vomiting, retching or NCI Common Toxicity Criteria version 3.0 grade 2-4 nausea in the 24 hours preceding chemotherapy
  • Ongoing vomiting from any organic etiology
  • Need to receive systemic corticosteroids, except: a) when defined as part of the chemotherapy regimen as a preventative measure for chemotherapy toxicities; b) topical or inhaled preparations; and/or c) when used as rescue medication during the study
  • Known contraindication to 5-HT3 receptor antagonists (including palonosetron) or dexamethasone
  • Need to receive radiotherapy during the study
  • Inability to understand or cooperate with study procedures
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
41 participants (actual)

Study arms

  • Active comparator
    Dexamethasone + Ondansetron IV on Day 1

    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

  • Experimental
    Dexamethasone + Palonosetron IV on Day 1

    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

Interventions

  • Drugpalonosetron hydrochloride

    Given IV

    Also known as: Aloxi, RS 25259-197

  • Drugcyclophosphamide

    Given orally

    Also known as: CPM, CTX, Cytoxan, Endoxan, Endoxana

  • Drugdexamethasone

    Given orally or IV

    Also known as: Aeroseb-Dex, Decaderm, Decadron, DM, DXM

  • Drugdoxorubicin hydrochloride

    Given IV

    Also known as: ADM, ADR, Adria, Adriamycin PFS, Adriamycin RDF

  • Procedurequality-of-life assessment

    Ancillary studies

    Also known as: quality of life assessment

  • Procedurenausea and vomiting therapy

    Given IV

    Also known as: antiemetic support, management of nausea and vomiting, nausea and vomiting management, therapy, nausea and vomiting, vomiting and nausea management

  • Proceduremanagement of therapy complications

    Given IV

    Also known as: complications of therapy, management of

  • Drugondansetron hydrochloride

    Given IV

    Also known as: GR 38032F, GR-C507/75, SN-307, Zofran

  • Othersurvey administration

    Ancillary studies

06

What researchers measure

Primary outcomes

  1. Count of Patients Achieving a Complete Response

    Time frame: At 0-24 hours after weekly intravenous doxorubin

Secondary outcomes

  1. Count of Patients Achieving Complete Response

    Time frame: At 24-120 hours after weekly intravenous doxorubicin

  2. Number of Days With Emetic Episodes and Rescue Medicines

    Time frame: Up to 3 months

  3. 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

  4. 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

  5. Number of Doses of Rescue Medications Used

    Time frame: Days 1-7 of each cycle

  6. Side Effects of Antiemetic Medications Used

    Time frame: Up to 3 months

  7. Severity of Nausea

    Count of participants with severe nausea

    Time frame: Up to 3 months

  8. Quality of Life

    Time frame: Up to 3 months

07

Results

Posted Jul 11, 2017

Participant flow

Participant flow — Overall Study
MilestoneDexamethasone + Ondansetron IVDexamethasone + Palonosetron IV
Started734
Completed734
Not completed00

Outcome measures

PrimaryCount of Patients Achieving a Complete Response
Time frame:
At 0-24 hours after weekly intravenous doxorubin
Reported as:
Count of participants · Participants
Count of Patients Achieving a Complete Response
ParticipantsDexamethasone + Ondansetron IVDexamethasone + Palonosetron IV
Count of Patients Achieving a Complete Response315
SecondaryCount of Patients Achieving Complete Response
Time frame:
At 24-120 hours after weekly intravenous doxorubicin
Reported as:
Count of participants · Participants
Count of Patients Achieving Complete Response
ParticipantsDexamethasone + Ondansetron IVDexamethasone + Palonosetron IV
Count of Patients Achieving Complete Response315
SecondaryNumber of Days With Emetic Episodes and Rescue Medicines
Time frame:
Up to 3 months
Reported as:
Median · days
Number of Days With Emetic Episodes and Rescue Medicines
daysDexamethasone + Ondansetron IVDexamethasone + Palonosetron IV
Vomiting during neoadjuvant chemotherapy0 (0 to 51)0 (0 to 51)
Took rescue medicines2 (0 to 70)9.5 (0 to 70)
SecondaryNumber 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
Reported as:
Count of participants · Participants
Number of Participants That Had Emesis Within 48 Hours of Chemotherapy
ParticipantsDexamethasone + Ondansetron IVDexamethasone + Palonosetron IV
Number of Participants That Had Emesis Within 48 Hours of Chemotherapy01
SecondaryNumber 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
Reported as:
Count of participants · Participants
Number of Participants That Had First Administration of Rescue Medication Within 48 Hours
ParticipantsDexamethasone + Ondansetron IVDexamethasone + Palonosetron IV
Number of Participants That Had First Administration of Rescue Medication Within 48 Hours14
SecondaryNumber of Doses of Rescue Medications Used
Time frame:
Days 1-7 of each cycle

No measurements were reported for this outcome.

SecondarySide Effects of Antiemetic Medications Used
Time frame:
Up to 3 months
Reported as:
Count of participants · Participants
Side Effects of Antiemetic Medications Used
ParticipantsDexamethasone + Ondansetron IVDexamethasone + Palonosetron IV
Constipation215
Headaches02
SecondarySeverity of Nausea

Count of participants with severe nausea

Time frame:
Up to 3 months
Reported as:
Count of participants · Participants
Severity of Nausea
ParticipantsDexamethasone + Ondansetron IVDexamethasone + Palonosetron IV
Severity of Nausea14
SecondaryQuality of Life
Time frame:
Up to 3 months
Reported as:
Count of units · FLIE questionnaires
Quality of Life
FLIE questionnairesDexamethasone + Ondansetron IVDexamethasone + Palonosetron IV
FLIE Nausea — High impact (<36)444
FLIE Nausea — Medium impact (36-54)574
FLIE Nausea — No impact of daily life (>54)26248
FLIE Vomiting — High impact (<36)110
FLIE Vomiting — Medium impact (36-54)39
FLIE Vomiting — No impact of daily life (>54)31347

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Dexamethasone + Ondansetron IV—0/7 (0%)2/7 (28.6%)
Dexamethasone + Palonosetron IV—0/34 (0%)15/34 (44.1%)
Most frequent other events
Most frequent other events
EventDexamethasone + Ondansetron IVDexamethasone + Palonosetron IV
ConstipationGastrointestinal disorders2/715/34
HeadacheGeneral disorders0/72/34

Baseline characteristics

Age, Continuous
Age, Continuous(years)Dexamethasone + Ondansetron IVDexamethasone + Palonosetron IVTotal
Median54 (45 to 63)49 (29 to 69)50 (29 to 69)
Sex: Female, Male
Sex: Female, Male(Participants)Dexamethasone + Ondansetron IVDexamethasone + Palonosetron IVTotal
Female73441
Male000
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Dexamethasone + Ondansetron IVDexamethasone + Palonosetron IVTotal
Hispanic or Latino123
Not Hispanic or Latino63036
Unknown or Not Reported022
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Dexamethasone + Ondansetron IVDexamethasone + Palonosetron IVTotal
American Indian or Alaska Native101
Asian011
Native Hawaiian or Other Pacific Islander000
Black or African American000
White63137
More than one race000
Unknown or Not Reported022
08

Study locations

1 site
  • Fred Hutchinson Cancer Research Center/University of Washington Cancer Consortium
    Seattle, Washington 98109, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 11, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00343863
Lead sponsor
University of Washington
Collaborators
National Cancer Institute (NCI)
Responsible party
Hannah Linden (Principal Investigator, University of Washington) — Principal investigator
First posted
Jun 23, 2006
Start date
Jan 2006
Primary completion
Dec 2010
Completion
Dec 2010
Results posted
Jul 11, 2017
Last update
Jul 11, 2017

Study contacts

Hannah Linden
principal investigator · Fred Hutchinson Cancer Research Center/University of Washington Cancer Consortium

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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