Palonosetron Prevents Highly Emetogenic Chemotherapy-induced Nausea and Vomiting in Oral Cancer Patients

Anticancer Res. 2017 Dec;37(12):6977-6981. doi: 10.21873/anticanres.12165.

Abstract

Background/aim: To evaluate the efficacy of palonosetron in preventing acute and delayed nausea and vomiting in patients receiving highly emetogenic chemotherapy (HEC) in oral cancer patients.

Patients and methods: Oral cancer patients receiving HEC were enrolled; among the 40 patients, 87 courses of chemotherapy were administered. On day 1, 0.75 mg palonosetron was intravenously administrated just before chemotherapy.

Results: The primary endpoint was the proportion of patients with a complete response (CR) and the secondary endpoint was the proportion of patients with complete control (CC) during the acute and delayed phase. During the acute phase, 86 of 87 courses (98.9%) had CR and 84 of 87 courses (96.6%) had CC. During the delayed phase, 84 of 87 courses (96.6%) had CR and 70 of 87 courses (80.5%) had CC.

Conclusion: Palonosetron is effective at preventing HEC-induced chemotherapy-induced nausea and vomiting (CINV) in oral cancer chemotherapeutic regimens in the acute and delayed phases.

Keywords: Chemotherapy; antiemetic therapy; nausea; oral cancer; palonosetron; vomiting.

Publication types

  • Clinical Trial
  • Multicenter Study

MeSH terms

  • Administration, Intravenous
  • Adult
  • Aged
  • Aged, 80 and over
  • Antineoplastic Agents / adverse effects
  • Antineoplastic Agents / therapeutic use*
  • Cisplatin / administration & dosage
  • Cisplatin / adverse effects
  • Drug Therapy, Combination
  • Female
  • Humans
  • Isoquinolines / administration & dosage
  • Isoquinolines / therapeutic use*
  • Male
  • Middle Aged
  • Mouth Neoplasms / drug therapy*
  • Nausea / chemically induced
  • Nausea / prevention & control*
  • Palonosetron
  • Quinuclidines / administration & dosage
  • Quinuclidines / therapeutic use*
  • Serotonin Antagonists / administration & dosage
  • Serotonin Antagonists / therapeutic use
  • Treatment Outcome
  • Vomiting / chemically induced
  • Vomiting / prevention & control*

Substances

  • Antineoplastic Agents
  • Isoquinolines
  • Quinuclidines
  • Serotonin Antagonists
  • Palonosetron
  • Cisplatin