The aim of present study is to evaluate if the addition of Aprepitant to multiple doses of palonosetron IV enhances the efficacy of multiple doses of palonosetron IV alone, in preventing CINV in AML or High risk MDS patient, treated with multiple days chemotherapy.
This is an open-label, randomized, comparative, multicenter phase II study in patients with AML scheduled to receive multiple days chemotherapy. Patients will receive either PALO+APR or the PALO regimen in a 1:1 ratio according to a computer-generated, random allocation schedule. Below are described the details for both antiemetic regimens: PALO+APR regimen: oral aprepitant will be given on days 1-3 (day 1, 125 mg, days 2-3, 80 mg 1 hour before chemotherapy ) and multiple intravenous bolus of Palonosetron without dexamethasone, prior to the administration of chemotherapy, starting the first day of treatment. PALO regimen: multiple intravenous bolus of Palonosetron without dexamethasone, prior to the administration of chemotherapy, starting the first day of treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
134
Aloxi 0.25mg Emend 125/80/80 mg
Aloxi 0.25mg
Università-Azienda Policlinico di Bari
Bari, BA, Italy
ACTIVE_NOT_RECRUITINGOspedale Perrino
Brindisi, BR, Italy
RECRUITINGOspedale Pugliese-Ciacco
Complete Response
The primary endpoint is the overall rate of patients achieving a complete response (defined as no emetic episode and no use of rescue medication) during the overall phase.
Time frame: 5 days after chemotherapy
Complete Control
No emetic episode, no need for rescue medication, with a maximum grade of mild nausea
Time frame: 5 days after chemotherapy
Emesis-free
Percentage of patients without emetic episodes
Time frame: 5 days after chemotherapy
Presence of nausea
Presence of nausea graded according to Likert scale (none, mild, moderate and severe)
Time frame: 5 days after chemotherapy
Treatment failure
Time (days) to treatment failure (first emetic episode or first need of rescue medication, whichever occurs first)
Time frame: 5 days after chemotherapy
Patient global satisfaction
Patient global satisfaction with antiemetic therapy, as measured by a visual analogue scale (VAS)
Time frame: 5 days after chemotherapy
Safety and tolerability
Number of patients experienced at least one adverse events related to study drug administration.
Time frame: 5 days after chemotherapy
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Catanzaro, CZ, Italy
IRCCS Casa Sollievo della Sofferenza
San Giovanni Rotondo, FG, Italy
RECRUITINGOspedale Vito Fazzi
Lecce, LE, Italy
RECRUITINGOspedale "Cardinale Panico"
Tricase, LE, Italy
RECRUITINGA.O. Riuniti Papardo - Piemonte
Messina, ME, Italy
RECRUITINGCasa di Cura "La Maddalena"
Palermo, PA, Italy
RECRUITINGOspedale Ascoli Civico Palermo
Palermo, PA, Italy
RECRUITINGOspedale Moscati
Taranto, TA, Italy
RECRUITING...and 1 more locations