Evaluating Aprepitant single-dose plus granisetron and dexamethasone in children receiving highly emetogenic chemotherapy for the prevention of chemotherapy-induced nausea and vomiting: A triple-blinded randomized clinical trial
Hematol., Transfus. Cell Ther. (Impr.)
;
45(3): 281-289, July-Sept. 2023. tab, graf
Article
in English
| LILACS
| ID: biblio-1514162
ABSTRACT
ABSTRACT Introduction:
This study was performed to evaluate the degree of 3-day chemotherapy-induced nausea and vomiting (CINV) in children with cancer who received highly emetogenic chemotherapy (HEC) to ascertain the efficacy of aprepitant single-dose on dayL 1 plus granisetron and dexamethasone (DEX).Methods:
This clinical trial study was conducted on 120 patients in the age range of 5 to 18 years old who received chemotherapy. Patients were divided into two groups; Group A received aprepitant at 125 mg/kg on day 1 orally, followed by 80 mg/kg daily on days 2 and 3 and Group B received a single dose of aprepitant 125 mg/kg on day 1 orally and placebo on days 2 and 3. All groups received granisetron 3 mg/m2 on day 1 and DEX on days 1 to 3. The primary and secondary endpoints were to evaluate the proportion of patients with acute, delayed and overall CINV within each group.Results:
There were no significant differences between the two groups for vomiting, nausea or the use of rescue therapy. The number of patients without vomiting on day 1 was similar in both groups (96.5% vs. 98.3%, respectively; p = 0.848).Conclusion:
According to the results of this study, a single dose of aprepitant 125 mg/kg was as effective as administering three doses of aprepitant on 3 days. Therefore, the use of a single dose of aprepitant in combination with other standard treatment regimens to prevent CINV in children who received HEC was safe and efficacious and can be beneficial.
Full text:
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Index:
LILACS (Americas)
Main subject:
Vomiting
/
Dexamethasone
/
Granisetron
/
Aprepitant
/
Nausea
Limits:
Adolescent
/
Child
/
Child, preschool
/
Humans
Language:
English
Journal:
Hematol., Transfus. Cell Ther. (Impr.)
Journal subject:
Hematologia
/
TransfusÆo de Sangue
Year:
2023
Type:
Article
Affiliation country:
Iran
Institution/Affiliation country:
Arak University of Medical Sciences/IR
/
Iran University of Medical Sciences/IR
/
Khomein University of Medical Sciences/IR
/
Semnan University of Medical Sciences/IR
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