A Single Arm Study to Evaluate the Control of Chemotherapy Induced Nausea and Vomiting in Non-Hodgkin Lymphoma Patients Receiving R-CHOP.
The aim of this study will be to investigate the incidence and severity of CINV in patients
receiving R-CHOP for the treatment of non-Hodgkin lymphoma and standardised antiemetic
prophylaxis.
The study hypothesises that the control of delayed nausea and emesis is suboptimal in a
proportion of patients receiving R-CHOP regimens and that delayed CINV is not prevented by
use of 5HT3 antagonists beyond the first day of use post-chemotherapy administration.
Participating institutions will prospectively collect data on the incidence of CINV, the
severity of CINV, the use of break through/rescue medication for episodes of CINV
uncontrolled by prescribed regular antiemetics, the effectiveness of additional measures
used when previous CINV control has been inadequate (for example the use of aprepitant as an
additional measure in subsequent cycles) and the major side-effects likely to be related to
the antiemetics.
The analysis of these results will determine the incidence and severity of CINV in patients
receiving R-CHOP and the effectiveness of the prescribed antiemetic regimens. Analysis will
also determine if the control and incidence of CINV is a significant problem in defined
subgroups of patients receiving R-CHOP and could inform the design of future research (or an
extension of the current protocol) in this area. Sub groups for investigation will include
patients with advanced disease, those with abdominal involvement, those receiving R-CHOP
every 14 days versus every 21 days (R-CHOP14 versus R-CHOP21), those receiving 6 or 8
treatment cycles of R-CHOP, older patients, younger females etc. A potential randomised
study evaluating the role of aprepitant could be contemplated in high risk groups.
Interventional
Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Supportive Care
Complete Response, Acute Phase (Day 1), Cycle 1
The proportion of patients experiencing a complete response defined as no vomiting and no use of breakthrough medication in the acute phase (day 1: 0 - 24 hours) of the first cycle of R-CHOP chemotherapy
Day 1
No
Andrew Grigg, Professor
Principal Investigator
Director of Clinical Haematology, Austin Hospital, Australia
Australia: Department of Health and Ageing Therapeutic Goods Administration
ALLG SC03
NCT01843868
May 2013
December 2015
Name | Location |
---|