New cocktail aims to stop Chemo-Induced sickness in stem cell transplants
NCT ID NCT07413809
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether adding olanzapine to two standard anti-nausea drugs works better than the usual treatment for preventing delayed nausea and vomiting after high-dose chemotherapy. The trial involves 92 multiple myeloma patients undergoing autologous stem cell transplant. Researchers will compare how many patients have no vomiting and need no rescue medication in the days after chemo.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Fosaprepitant, tropisetron, olanzapine, and dexamethasone
- What this could lead to
- If successful, this could offer a better way to prevent severe nausea and vomiting after high-dose chemotherapy, improving comfort during stem cell transplant.
- What could go wrong
- This is a relatively small trial (92 people) and only tests one specific chemo regimen. The new combo may not work better than the standard, and olanzapine can cause side effects like drowsiness.
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 92 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2025
- Expected to finish
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Sep 2027
An estimate. End dates often move.
- Lead sponsor
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A government agency
The lead sponsor is a government body.
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 to 65 years
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients with multiple myeloma who are indicated for autologous hematopoietic stem cell transplantation; * Preconditioning regimen consists of melphalan at a dose of 200 mg/m²; * ECOG performance status score of 0 to 2; * Age \>18 years and \<65 years; * Expected survival time \>3 months; * Absence of intracranial hypertension, gastrointestinal obstruction, or other causes of refractory vomiting; * Ability to understand and provide written informed consent. Exclusion Criteria: * Presence of nausea or vomiting within 48 hours prior to enrollment, with prior use of antiemetic medications; * Current use or use within the past month of CYP3A4 inducers, inhibitors, or substrate drugs; * History of hypersensitivity to fosaprepitant or olanzapine; * Serum creatinine clearance \<60 mL/min; * Inability to receive treatment and follow-up at the designated study site, or inability to comprehend, comply with the study protocol, or provide informed consent.
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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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The Affiliated People's Hospital of Ningbo University
RECRUITINGNingbo, Zhejiang, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Cheap blood count ratios eyed as window into Myeloma's inflammatory grip
- Can a t-cell engager rescue myeloma that outsmarted CAR-T?
- Can myeloma treatment work without steroids?
- Double-Drug attack on Hard-to-Treat lymphomas
- Banking blood and bone marrow to decode plasma cell disorders
- Which scan sees hidden myeloma better: PET or MRI?