Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
1996-1-25
pubmed:abstractText
The object of the study was to determine whether dexamethasone improved the efficacy of the serotonin receptor (5-HT3) antagonist granisetron in controlling acute (within 24 h) emesis in cancer patients receiving high-dose cisplatin chemotherapy and to ascertain whether continuation of granisetron after 24 h reduces the occurrence of delayed emesis. This randomised, double-blind, multicentre, three-arm study was conducted at 21 medical centres. A group of 292 nausea- and emesis-free patients with cancer, who had never had chemotherapy and were scheduled to receive at least 50 mg/m2 cisplatin, were given 3 mg granisetron i.v. in a 15-min infusion with or without 10 mg dexamethasone i.v. completed 5 min prior to high-dose cisplatin and 1 mg granisetron p.o. at +6 h and +12 h. Primary study end-points were control of emesis and nausea. Patients completed a self-report diary every 6 h for the first 24 h. At the end of the 24-h period, the patients who received dexamethasone had a significantly higher complete protection rate from emesis (64% compared to 39%) than those who received no steroid. Similarly, the dexamethasone-treated group had a significantly higher complete plus partial (0-2 emetic episodes) protection rate (84% compared to 64%). This study shows that dexamethasone markedly enhances the antiemetic efficacy of granisetron for acute-onset emesis in high-dose cisplatin chemotherapy.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0941-4355
pubmed:author
pubmed:issnType
Print
pubmed:volume
3
pubmed:owner
NLM
pubmed:authorsComplete
N
pubmed:pagination
307-12
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:8520877-Acute Disease, pubmed-meshheading:8520877-Adolescent, pubmed-meshheading:8520877-Adult, pubmed-meshheading:8520877-Antiemetics, pubmed-meshheading:8520877-Antineoplastic Agents, pubmed-meshheading:8520877-Canada, pubmed-meshheading:8520877-Chi-Square Distribution, pubmed-meshheading:8520877-Cisplatin, pubmed-meshheading:8520877-Dexamethasone, pubmed-meshheading:8520877-Double-Blind Method, pubmed-meshheading:8520877-Drug Synergism, pubmed-meshheading:8520877-Drug Therapy, Combination, pubmed-meshheading:8520877-Female, pubmed-meshheading:8520877-Granisetron, pubmed-meshheading:8520877-Humans, pubmed-meshheading:8520877-Linear Models, pubmed-meshheading:8520877-Logistic Models, pubmed-meshheading:8520877-Male, pubmed-meshheading:8520877-Middle Aged, pubmed-meshheading:8520877-Serotonin Antagonists, pubmed-meshheading:8520877-Vomiting
pubmed:year
1995
pubmed:articleTitle
Dexamethasone improves the efficacy of granisetron in the first 24 h following high-dose cisplatin chemotherapy.
pubmed:affiliation
Hematology-Oncology Division, Hôtel-Dieu de Montréal, Québec, Canada.
pubmed:publicationType
Journal Article, Clinical Trial, Randomized Controlled Trial, Research Support, Non-U.S. Gov't, Multicenter Study