New combo reduces steroid use in chemo side effect prevention
NCT ID NCT06331520
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether using less dexamethasone (a steroid) along with two other anti-nausea drugs (NEPA and olanzapine) works as well as the standard full-dose steroid approach. 644 adults receiving strong chemotherapy were enrolled. The goal was to see if the reduced-steroid combo could still prevent vomiting and the need for rescue medication.
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
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
644 people
The number who actually took part.
- Started
-
May 2024
- Finished
-
Aug 2025
- Lead sponsor
-
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
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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. Male or female patients ≥18 years old 2. Patients who receive the high-emetic-risk anticancer agents. 3. Patients who do not take a medicine, for example, 5HT3 receptor antagonists, NK1 receptor antagonists, or research related agents, within 3 weeks prior to enrollment. 4. No nausea or vomiting (grade II or above) within 72 hours before the start of chemotherapy. 5. Subject has Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2. 6. Subject has a life Expectation of at least 12 weeks. 7. In accordance with the indication of chemotherapy and basic requirements: Peripheral haematology: Hb ≥9.0g/dL; absolute neutrophil count ≥1.5×109/L; Platelet count ≥80×109/L Blood biochemistry: Total bilirubin \< 1.25×ULN, ALT and AST ≤ 2.5×ULN; If liver metastasis, ALT and AST \< 5×ULN, Creatinine ≤ 1×ULN, basic normal serum electrolyte (Na, Ka, Cl, Ca) Other important organs function normally. 8. Female patients of either non-childbearing potential or child-bearing potential use contraceptive methods throughout the clinical trial. 9. Female patients with child-bearing potential must is negative of pregnancy test. 10. Subjects voluntarily and strictly comply with the research protocol requirements and sign a written informed consent 11. Subjects can independently fill out patient diaries. Exclusion Criteria: 1. Patients receiving moderate or high emetic radioation therapy within 1 week before chemotherapy or day 1 to 5 after chemotherapy. 2. Within 24 hours after chemotherapy, patients receiving any known or potential antiemetic agents and appearing symptoms vomiting, nausea, or mild nausea symptoms. 3. Scheduled to receive inducer or substrate or strong / moderate inhibitor of cytocrome P450 3A4 (CYP3A4) within 3 weeks prior to day 1. 4. Patients who cannot tolerate chemotherapy drugs. 5. Serious cardiovascular, pulmonary disease, diabetes, mental and other diseases. 6. Pregnant , breastfeeding and woman with child-bearing potential who are unwilling or unable to take effective contraceptive measures. 7. Drug addict or alcohol abuse. 8. Hypocalcemia or any other condition that may cause vomiting. 9. Patients has significant factors that affect the absorption of oral medication, such as chronic diarrhea or obstruction. 10. Subjects has hypersensitivity to netupitant/palonostron capsules or any of its excipients. 11. Scheduled to receive any antiemetic agents within 3 weeks prior to day 1(including but not limited to: neurokin-1 (NK1) receptor antagonist, 5-HT3 receptor antagonists, olanzapine, scopolamine,et al.). 12. Scheduled to receive benzodiazepine, opioid or opioid derivatives (except midazolam, temazepam or triazolam)within 1 week before chemotherapy or day 1 to 5 after chemotherapy. 13. Subjects are currently enrolled in an other clinical study with any other clinical trials, investigational drugs or observational studies within 21 days of baseline. 14. Investigators judged other situations that may affect the progress and results of clinical research.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Chemotherapy induced nausea and vomiting are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
Contacts and locations
Locations
-
Fudan University Shanghai Cancer Cancer
Shanghai, Shanghai Municipality, 200043, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Ear acupressure: a new weapon against chemotherapy side effects?
- Gaming away chemo sickness: iPad game tested in seniors
- Stress balls tested as Low-Tech relief for chemo side effects
- Laser acupuncture may ease chemo sickness in kids
- New hope for chemo patients: drug combo aims to stop nausea before it starts
- AI predicts vomiting in young cancer patients to stop sickness before it starts