Dexamethasone-induced Hiccup in Chemotherapy Patients Treated by Methylprednisolone Rotation
Antiemetic Corticosteroid Rotation From Dexamethasone to Methylprednisolone to Prevent Dexamethasone-Induced Hiccup in Cancer Patients Treated With Chemotherapy: A Randomized, Single-Blind, Crossover Phase III Trial
1 other identifier
interventional
65
1 country
2
Brief Summary
The aims of this study were to investigate the feasibility of methylprednisolone rotation as treatment of DIH.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started Oct 2013
Typical duration for phase_3
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2013
CompletedFirst Submitted
Initial submission to the registry
October 28, 2013
CompletedFirst Posted
Study publicly available on registry
November 1, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
July 31, 2016
CompletedApril 28, 2017
April 1, 2017
2.7 years
October 28, 2013
April 27, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The intensities of hiccups
Clinically assessed every cycles(2-4weeks). The intensities of hiccups were assessed using a NRS.
2 months
Secondary Outcomes (1)
The intensities of emesis
2 months
Study Arms (2)
Methylprednisolone
EXPERIMENTALDexamethasone was replaced with methylprednisolone as an antiemetic.
Dexamethasone
ACTIVE COMPARATORDexamethasone was re-administered in the cycle.
Interventions
Adult patients who experienced DIH within 3 days after the administration of dexamethasone as an antiemetic were screened. Eligible patients were randomly assigned to receive dexamethasone or methylprednisolone as an antiemetic (randomization phase). In the next cycle of chemotherapy, the dexamethasone group received methylprednisolone and vice versa in the methylprednisolone group (crossover phase).
Eligibility Criteria
You may qualify if:
- all solid cancer patients on chemotherapy
- age \>18 years
- received dexamethasone as an antiemetic
You may not qualify if:
- brain metastases
- hiccups before dexamethasone administration
- uncontrolled diabetes mellitus
- uncontrolled esophagitis or peptic ulcer
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Chung-Ang Universitylead
- Gyeongsang National University Hospitalcollaborator
- Dong-A University Hospitalcollaborator
- Samsung Medical Centercollaborator
Study Sites (2)
Gyeongsang National University Hospital
Chiram-dong, Jinju-si, Gyeongsangnam-do, 660-702, South Korea
Chungang University Hospital
Dongjak-gu, Seoul, 156-755, South Korea
Related Publications (1)
Go SI, Koo DH, Kim ST, Song HN, Kim RB, Jang JS, Oh SY, Lee KH, Lee SI, Kim SG, Park LC, Lee SC, Park BB, Ji JH, Yi SY, Lee YG, Yun J, Bruera E, Hwang IG, Kang JH. Antiemetic Corticosteroid Rotation from Dexamethasone to Methylprednisolone to Prevent Dexamethasone-Induced Hiccup in Cancer Patients Treated with Chemotherapy: A Randomized, Single-Blind, Crossover Phase III Trial. Oncologist. 2017 Nov;22(11):1354-1361. doi: 10.1634/theoncologist.2017-0129. Epub 2017 Jul 7.
PMID: 28687626DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Jung Hun Kang, M.D.
Gyeongsang National University Hospital
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- In Gyu Hwang/Associate Professor
Study Record Dates
First Submitted
October 28, 2013
First Posted
November 1, 2013
Study Start
October 1, 2013
Primary Completion
June 30, 2016
Study Completion
July 31, 2016
Last Updated
April 28, 2017
Record last verified: 2017-04