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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
11
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pubmed:dateCreated |
1995-2-22
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pubmed:abstractText |
We carried out a randomized, single-blind, cross-over trial to compare the antiemetic effect, for both acute and delayed emesis, of granisetron plus dexamethasone (GRN+Dx) with that of high-dose metoclopramide plus dexamethasone (HDMP+Dx). Fifty-four patients with primary or metastatic lung cancer, given single-dose cisplatin (> 80 mg/m2) chemotherapy more than twice, were enrolled in this study. They were treated with both HDMP+Dx and GRN+Dx in two consecutive chemotherapy courses. On day 1, patients experienced a mean of 2.5 (SD = 4.3) and 0.1 (SD = 0.4) episodes of vomiting in the HDMP+Dx and the GRN+Dx groups, respectively (P = 0.0008). Complete response rate on day 1 was 45 and 90% in the HDMP+Dx and the GRN+Dx groups, respectively (P = 0.0001). Patients treated with GRN+Dx had a tendency to suffer more episodes of vomiting than the HDMP+Dx group on days 2-5, but it was not statistically significant. Twenty-four patients (57%) preferred the GRN+Dx treatment and 14 patients (33%), HDMP+Dx. In the HDMP+Dx group, nine patients (21%) had an extrapyramidal reaction, and 5 patients (12%) had constipation that lasted for at least two days. In contrast, no patients had extrapyramidal reactions, and 18 patients (43%) had constipation in the GRN+Dx group (P < 0.01). GRN+Dx was more effective than HDMP+Dx only in preventing the acute emesis induced by cisplatin. An effective treatment for delayed emesis is still needed.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0910-5050
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
85
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pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
1151-8
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:7829401-Adult,
pubmed-meshheading:7829401-Aged,
pubmed-meshheading:7829401-Cisplatin,
pubmed-meshheading:7829401-Cross-Over Studies,
pubmed-meshheading:7829401-Dexamethasone,
pubmed-meshheading:7829401-Drug Therapy, Combination,
pubmed-meshheading:7829401-Female,
pubmed-meshheading:7829401-Granisetron,
pubmed-meshheading:7829401-Humans,
pubmed-meshheading:7829401-Lung Neoplasms,
pubmed-meshheading:7829401-Male,
pubmed-meshheading:7829401-Metoclopramide,
pubmed-meshheading:7829401-Middle Aged,
pubmed-meshheading:7829401-Multivariate Analysis,
pubmed-meshheading:7829401-Nausea,
pubmed-meshheading:7829401-Single-Blind Method,
pubmed-meshheading:7829401-Vomiting
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pubmed:year |
1994
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pubmed:articleTitle |
A randomized cross-over study of high-dose metoclopramide plus dexamethasone versus granisetron plus dexamethasone in patients receiving chemotherapy with high-dose cisplatin.
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pubmed:affiliation |
Department of Internal Medicine and Thoracic Oncology, National Cancer Center Central Hospital, Tokyo.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
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