Actively Recruiting

Phase 4
Age: 18Years +
All Genders
NCT06118710

Evaluation of the Omission of Dexamethasone in Premedication Regimens During Paclitaxel Treatment

Led by Erasmus Medical Center · Updated on 2024-09-25

500

Participants Needed

1

Research Sites

161 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This prospective multicenter randomized non-inferiority trial aims to assess whether omitting dexamethasone from the premedication regimen during paclitaxel-based chemotherapy is non-inferior to the standard of care regimen that includes dexamethasone, based on the incidence of clinically relevant hypersensitivity reactions (HSRs) of grade ≥3 as per CTCAE v5.0. With a study population of 500 adult patients with solid tumors, the trial will also investigate secondary endpoints including the severity and incidence of HSRs of any grade, the number of paclitaxel administrations until the first HSR, the impact on patients' quality of life, adverse events related to dexamethasone, and the cost-effectiveness of the two premedication regimens from healthcare and societal perspectives.

CONDITIONS

Official Title

Evaluation of the Omission of Dexamethasone in Premedication Regimens During Paclitaxel Treatment

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older
  • Diagnosis of a solid tumor with planned paclitaxel-based chemotherapy for any indication and dose
  • Mastery of Dutch language
  • Able and willing to provide written informed consent
Not Eligible

You will not qualify if you...

  • Prior treatment with a paclitaxel-based regimen
  • Need for dexamethasone as anti-emetic with moderately or highly emetogenic chemotherapy (e.g., carboplatin AUC>4)
  • Known hypersensitivity to paclitaxel, carboplatin, cetirizine, granisetron, ondansetron, or related excipients
  • Use of systemic corticosteroids for any indication other than paclitaxel premedication
  • Confirmed and ongoing pregnancy
  • Currently participating in an exercise trial

AI-Screening

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Trial Site Locations

Total: 1 location

1

Erasmus MC

Rotterdam, South Holland, Netherlands, 3015 CN

Actively Recruiting

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How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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