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Alternate Title Phase III Randomized Study of Different Combinations of Granisetron Hydrochloride, Dexamethasone, Prochlorperazine, Aprepitant, and Palonosetron Hydrochloride in Preventing Delayed Nausea in Patients Undergoing Chemotherapy for Chemotherapy-Naive Breast Cancer
Special Category: NCI Web site featured trial Trial Description Antiemetic drugs, such as granisetron, dexamethasone, prochlorperazine, aprepitant, and palonosetron, may help lessen or prevent nausea. It is not yet known which combination of antiemetic drugs is more effective in preventing nausea caused by chemotherapy. This randomized phase III trial is comparing different combinations of granisetron, dexamethasone, prochlorperazine, aprepitant, and palonosetron to see how well they work in preventing nausea in patients undergoing chemotherapy for breast cancer. Eligibility criteria include the following:
Final eligibility for a clinical trial is determined by the health professionals conducting the trial. Patients will be randomly assigned (have an equal chance of being placed) to one of four treatment groups. Patients will begin treatment approximately 30 minutes before their first chemotherapy treatment. Patients in group one will receive infusions of palonosetron and dexamethasone and a placebo by mouth once on day 1. They will also receive prochlorperazine by mouth three times a day and a different placebo by mouth once a day on days 2 and 3. Patients in group two will receive infusions of granisetron and dexamethasone and a placebo by mouth once on day 1. They will also receive prochlorperazine by mouth three times a day and a different placebo by mouth once a day on days 2 and 3. Patients in group three will receive infusions of palonosetron and dexamethasone once on day 1. They will also receive aprepitant by mouth once a day on days 1-3, and dexamethasone by mouth once a day and a placebo by mouth twice a day on days 2 and 3. Patients in group four will receive infusions of palonosetron and dexamethasone and a placebo by mouth once on day 1. They will also receive prochlorperazine by mouth three times a day and dexamethasone by mouth once a day on days 2 and 3. Quality of life will be assessed at the beginning of the study and on day 4. Nausea and vomiting, fatigue, sleep quality, exercise, and the need for metoclopramide will be assessed on days 1-4. Important: For more details about this trial, refer to the Health Professional version of the trial summary. If you are interested in participating in a clinical trial, contact your doctor for a referral or call a trial contact person listed below. You may see the same contact person listed at more than one site, however, if you call the number listed you can ask to speak to the study coordinator or person involved with the specific trial you are interested in. If you have questions about cancer or clinical trials, call the Cancer Information Service at 1-800-4-CANCER (1-800-422-6237). General information about clinical trials, including risks, benefits, and costs, can be found on NCI's Web site. Trial Lead Organizations University of Rochester Cancer Center CCOP Research Base
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