ClinicalTrials.gg
RecruitingNCT06517199Updated Jul 24, 2024

Olanzapine for Cancer Related Anorexia-cachexia Syndrome

A Phase 3 interventional study of Olanzapine 2.5 MG and Olanzapine 5 MG in Anorexia and Cachexia, sponsored by Mahidol University. Recruiting at 2 sites in Thailand. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-07-24.

Sponsored by Mahidol University · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jan 2026, 9 months ago, but the record still lists the study as recruiting.
  • Registered 5 months after the study started (first participant enrolled Jan 2024, registered Jul 2024).
  • Started Jan 2024; still recruiting 2 years 9 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
138
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

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.

02

Conditions studied

  • Anorexia
  • Cachexia

Browse trials for

Keywords

  • cancer anorexia
  • olanzapine
03

In context

Anorexia

163 studies on the registry are indexed under Anorexia; 25 are open to participants now.

This study's planned enrollment of 138 is above the median of 48 across 125 interventional studies indexed under Anorexia.

Browse Anorexia studies →

Lead sponsor

Mahidol University is the lead sponsor of 747 studies on the registry; 119 are open to participants now.

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • pathologically or cytologically or locally advanced cancer
  • anorexia and >=5% weight loss during the past 6 months or anorexia with numerical scale of anorexia >=5
  • performance status 0-3
  • able to complete questionaire and able to swallow pills

Exclusion criteria

Exclusion Criteria:

  • receiving chemotherapy or anti-cancer systemic therapy
  • longer than 1 month
  • received radiotherapy at head/neck or thoracic or upper abdomen in the past 2 weeks
  • surgery within 4 weeks
  • pregnancy
  • serum > 2 mg/dl or serum Cr > 2 mg/dl
  • current use of olanzapine or other antipsychotic drug
  • known cardiac arrhythmia, uncontrolled , history of seizure or acute coronary event in the past 6 months
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
138 participants (estimated)

Study arms

  • Placebo comparator
    placebo

    placebo 1 tablet/day for 28 days

    Drug: Placebo

  • Active comparator
    olanzapine 2.5

    olanzapine 2.5 mg/day for 28 days

    Drug: Olanzapine 2.5 MG

  • Active comparator
    olanzapine 5

    olanzapine 5 mg/day for 28 days

    Drug: Olanzapine 5 MG

Interventions

  • olanzapine 2.5 mg/day for 28 days

    Also known as: OLN2.5

  • olanzapine 5 mg/day for 28 days

    Also known as: OLN5

  • DrugPlacebo

    placebo 1 tab/day for 28 days

    Also known as: PLC

06

What researchers measure

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

07

Study locations

2 of 2 sites recruiting
  • Faculty of Medicine Siriraj Hospital
    Bangkok, 10260, Thailand
    Recruiting
  • Division of medical oncology, department of medicine Siriraj Hospital
    Bangkok, 10700, Thailand
    Recruiting
    • Suthinee Ithimakin, MD · Contactaesi105@yahoo.co.th · 662-419-4489
    • Suthinee Ithimakin, MD · Principal investigator
    • Apirom Laocharoenkeat, MS · Sub investigator
    • Akarin Nimmannit, MD · Sub investigator
    • Ruamporn Kaewvichit, MD · Sub investigator
    • Pinyo Sriveerachai, MD · Sub investigator
    • Pornpoj Pramyothin, MD · Sub investigator
08

References and documents

Publications

  • Navari RM, Brenner MC. Treatment of cancer-related anorexia with olanzapine and megestrol acetate: a randomized trial. Support Care Cancer. 2010 Aug;18(8):951-6. doi: 10.1007/s00520-009-0739-7. Epub 2009 Sep 11. PubMed 19756773 ↗
  • Sandhya L, Devi Sreenivasan N, Goenka L, Dubashi B, Kayal S, Solaiappan M, Govindarajalou R, Kt H, Ganesan P. Randomized Double-Blind Placebo-Controlled Study of Olanzapine for Chemotherapy-Related Anorexia in Patients With Locally Advanced or Metastatic Gastric, Hepatopancreaticobiliary, and Lung Cancer. J Clin Oncol. 2023 May 10;41(14):2617-2627. doi: 10.1200/JCO.22.01997. Epub 2023 Mar 28. PubMed 36977285 ↗
  • Arends J, Strasser F, Gonella S, Solheim TS, Madeddu C, Ravasco P, Buonaccorso L, de van der Schueren MAE, Baldwin C, Chasen M, Ripamonti CI; ESMO Guidelines Committee. Electronic address: clinicalguidelines@esmo.org. Cancer cachexia in adult patients: ESMO Clinical Practice Guidelines☆. ESMO Open. 2021 Jun;6(3):100092. doi: 10.1016/j.esmoop.2021.100092. PubMed 34144781 ↗
  • Roeland EJ, Bohlke K, Baracos VE, Bruera E, Del Fabbro E, Dixon S, Fallon M, Herrstedt J, Lau H, Platek M, Rugo HS, Schnipper HH, Smith TJ, Tan W, Loprinzi CL. Management of Cancer Cachexia: ASCO Guideline. J Clin Oncol. 2020 Jul 20;38(21):2438-2453. doi: 10.1200/JCO.20.00611. Epub 2020 May 20. PubMed 32432946 ↗

Individual participant data

Plan to share: No — not yet decided

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jan 2024 (actual). Primary completion is estimated for Jan 2026, 23 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 18, 2024
First posted
Jul 24, 2024
StartActual
Jan 22, 2024
Primary completionEst.
Jan 21, 2026
CompletionEst.
Jan 21, 2026
Last update
Jul 24, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 24, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06517199
Lead sponsor
Mahidol University
Responsible party
Sponsor
First posted
Jul 24, 2024
Start date
Jan 22, 2024
Primary completion
Jan 21, 2026 (estimated)
Completion
Jan 21, 2026 (estimated)
Last update
Jul 24, 2024

Study contacts

Suthinee Ithimakin, MD
Contact
aesi105@yahoo.co.th
+66824194489

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Discussion

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Studies of the drug tested here: Olanzapine

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