Could two common drugs stop Opioid-Induced nausea in cancer patients?
NCT ID NCT07208305
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 3 trial tests whether taking olanzapine and metoclopramide together can prevent nausea and vomiting caused by strong opioid painkillers in adults with advanced cancer. About 222 participants will either receive the drug combination or no preventive treatment for 7 days. The study tracks how many people avoid nausea and vomiting entirely, along with side effects and quality of life.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- olanzapine and metoclopramide
- What this could lead to
- If it works, this could provide a simple, affordable way to prevent nausea and vomiting in advanced cancer patients starting strong painkillers, improving their quality of life.
- What could go wrong
- This is a single-center trial with 222 participants, so results may not apply to all patients. The combination may cause side effects like drowsiness or movement problems, and it's unclear if it will outperform existing treatments.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 222 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2026
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion criteria 1. Patients with malignant tumors diagnosed by pathology or histology; 2. Patients diagnosed with locally advanced or advanced stages by imaging; 3. Age ≥ 18 years old; 4. The eastern cooperative oncology group (ECOG) performance status of 0-3; 5. The expected survival period shall be no less than 4 weeks; 6. Moderate or severe cancer pain with a Numerical Rating Scale (NRS) score of ≥ 4 points; 7. Be able to take oral medication; 8. Initial treatment with potent opioid painkillers (such as morphine, oxycodone, fentanyl, etc.); 9. No systemic chemotherapy or radiotherapy was received within one month prior to selection, and no drugs that may induce nausea and vomiting were used. 10. There were no gastrointestinal discomforts such as nausea or vomiting at the time of selection, and no intestinal obstruction. 11. Possess normal comprehension and communication skills, be capable of completing research evaluations and following research procedures. Exclusion criteria 1. Diabetic patients with a clear diagnosis and poorly controlled blood sugar levels; 2. There are symptoms of nausea or vomiting; 3. Symptomatic intracranial diseases, such as brain metastases or leptomeningeal metastasis; 4. Received chemotherapy drug treatment within one week before the trial medication or during the trial period; 5. Receive radiotherapy for the head, abdomen or pelvic cavity within one week before the trial or during the trial; 6. New drugs with emetic or antiemetic effects have been used within 48 hours before the start of the trial; 7. Patients with severe electrolyte imbalance, abnormal kidney or liver function; 8. Patients with gastrointestinal bleeding; 9. Pregnant or lactating women; 10. Patients diagnosed with breast cancer; 11. Those whose electrocardiogram examination indicates heart disease or prolonged QTc interval; 12. There is a history of allergy or contraindications to olanzapine or metoclopramide.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Qinghai University Affiliated Hospital
RECRUITINGXining, Qinghai, 810000, China
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