Status:

COMPLETED

Evaluation of the Incidence of Nausea and Vomiting in Patients With Colorectal Cancer Receiving Irinotecan-based Therapy

Lead Sponsor:

Steward St. Elizabeth's Medical Center of Boston, Inc.

Conditions:

Colorectal Cancer

Eligibility:

All Genders

18+ years

Brief Summary

This is a study to determine how much nausea and or vomiting is caused by irinotecan-based chemotherapy in patients with colorectal cancer. Patients with colorectal cancer scheduled to receive their f...

Detailed Description

Irinotecan is a camptothecin analog which exerts its cytotoxic effects by forming a covalent complex with topoisomerase I and DNA, resulting in inhibition of DNA re-ligation, accumulation of DNA doubl...

Eligibility Criteria

Inclusion

  • Patients with colorectal cancer receiving irinotecan in combination with infusional fluorouracil and leucovorin (FOLFRI) with or without bevacizumab or irinotecan in combination with cetuximab
  • All patients will receive the following standard antiemetic regimen prior to chemotherapy:
  • Dexamethasone 8 mg PO/IV
  • An approved dose of a 5HT3 receptor antagonist. Ondansetron 8mg IV or 24mg PO Dolasetron 100mg IV/PO Granisetron 1 mg IV or 2mg PO Use of palonosetron will be excluded on this trial No routine prophylaxis for delayed emesis will be given. Patients will be instructed in the use of rescue antiemetics if needed.
  • Minimum age of 18 years.
  • Premenopausal patients must demonstrate a negative serum or urine pregnancy test prior to receiving chemotherapy.
  • ECOG performance status of 0-2 (Appendix A)
  • Execution of written informed consent

Exclusion

  • Patients with history of moderate-severe nausea or any vomiting with prior chemotherapy including irinotecan based chemotherapy.
  • Concomitant use of any drug with potential antiemetic efficacy (Appendix B) 24 hours before chemotherapy and during the 120 hour study period. Chronic use (more than 2 weeks) of benzodiazepines is allowed.
  • Vomiting, retching or nausea (NCI \> 1) in the 24 hours preceding chemotherapy
  • Palliative surgery \< 2 weeks from study entry
  • Concurrent radiotherapy

Key Trial Info

Start Date :

April 1 2008

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

December 1 2009

Estimated Enrollment :

50 Patients enrolled

Trial Details

Trial ID

NCT00713128

Start Date

April 1 2008

End Date

December 1 2009

Last Update

April 12 2011

Active Locations (1)

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1

Caritas St. Elizabeth Medical Center

Brighton, Massachusetts, United States, 02135