A RANDOMIZED, DOUBLE-BLIND COMPARISON OF GRANISETRON WITH HIGH-DOSE METOCLOPRAMIDE, DEXAMETHASONE AND DIPHENHYDRAMINE FOR CISPLATIN-INDUCED EMESIS - AN NCI CANADA CLINICAL-TRIALS GROUP PHASE-III TRIAL

被引:33
作者
WARR, D
WILAN, A
VENNER, P
PATER, J
KAIZER, L
LABERGE, F
LATREILLE, J
STEWART, D
OCONNELL, G
OSOBA, D
WILSON, K
DAVIS, A
JOHNSTON, D
机构
[1] MCMASTER UNIV, DEPT CLIN EPIDEMIOL & BIOSTAT, HAMILTON L8S 4L8, ONTARIO, CANADA
[2] CROSS CANC INST, DEPT MED, EDMONTON T6G 1Z2, ALBERTA, CANADA
[3] NATL CANC INST CANADA, CLIN TRIALS GRP, KINGSTON, ONTARIO, CANADA
[4] CREDIT VALLEY HOSP, DEPT MED, MISSISSAUGA, ONTARIO, CANADA
[5] HOP LAVAL, DEPT MED, QUEBEC CITY, QUEBEC, CANADA
[6] HOP HOTEL DIEU, DEPT MED, MONTREAL H2W 1T8, QUEBEC, CANADA
[7] OTTAWA GEN HOSP, OTTAWA REG CANC CTR, OTTAWA K1H 8L6, ONTARIO, CANADA
[8] HENDERSON GEN HOSP, DIV GYNECOL ONCOL, HAMILTON L8V 1C3, ONTARIO, CANADA
[9] BRITISH COLUMBIA CANC AGCY, DIV MED ONCOL, VANCOUVER, BC, CANADA
[10] BRITISH COLUMBIA CANC AGCY, DEPT MED, VICTORIA, BC, CANADA
[11] SMITHKLINE BEECHAM PHARMACEUT CO, MISSISSAUGA, ONTARIO, CANADA
关键词
D O I
10.1016/0959-8049(93)90572-W
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
151 patients (149 evaluable) receiving their first course of chemotherapy containing cisplatin in a dose of at least 50 mg/m2 were randomised to receive either a single dose of intravenous granisetron 80 mug/kg or intravenous metoclopramide 2 mg/kg every 2 h for five doses plus a single dose of dexamethasone 10 mg and diphenhydramine. After 24 h, there was no significant difference between groups with respect to nausesa or vomiting: in the granisetron group 46% of patients had no emesis, versus 44% of the standard group. Granisetron is an antiemetic agent with efficacy similar to that of high-dose metoclopramide plus dexamethasone.
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页码:33 / 36
页数:4
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