Evidence map›Paper›PMID 21465325›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2012

Gabapentin for the prevention of chemotherapy- induced nausea and vomiting: a pilot study.

Felipe Melo Cruz, Daniel de Iracema Gomes Cubero, Patrícia Taranto, Tatiana Lerner, Andrea Thaumaturgo Lera, Michele da Costa Miranda, Mariana da Cunha Vieira, Angelo Bezerra de Souza Fêde, Fernanda Schindler, Mércia Maleckas Carrasco and 3 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04669132 (Efficacy of Olanzapine, Netupitant and Palonosetron in Controlling Nausea and Vomiting Associated With Highly Emetogenic Chemotherapy in Patients With Breast Cancer), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04669132 phase2completednot on this mapstarted 2020, after this paper: background citation

Efficacy of Olanzapine, Netupitant and Palonosetron in Controlling Nausea and Vomiting Associated With Highly Emetogenic Chemotherapy in Patients With Breast Cancer

TypeinterventionalSponsorInstituto Brasileiro de Controle do CancerRan2020 to 2022Enrolled50ConditionsNausea Post ChemotherapyArmsOlanzapine, Netupitant, Palonesetron
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Meta-analysis of adjunctive non-NK1 receptor antagonist medications for the control of acute and delayed chemotherapy-induced nausea and vomiting.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2015
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Carbamazepine for prevention of chemotherapy-induced nausea and vomiting: a pilot study.Sao Paulo medical journal = Revista paulista de medicina · 2014
    Trial
  7. Toxicity assessment of concurrent gabapentin/pregabalin administration with high-dose melphalan in autologous hematopoietic cell transplant recipients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  8. Article
  9. Article
  10. Newest Drugs for Chronic Unexplained Nausea and Vomiting.Current treatment options in gastroenterology · 2016
    Review
  11. Article
  12. Defining optimal control of chemotherapy-induced nausea and vomiting-based on patients' experience.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2015
    Article
  13. Article
  14. Observational
  15. Review
  16. Review
  17. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 3 countries.

Felipe Melo Cruzfelipemcruz@yahoo.com.br
Daniel de Iracema Gomes Cubero
Patrícia Taranto
Tatiana Lerner
Andrea Thaumaturgo Lera
Michele da Costa Miranda
Mariana da Cunha Vieira
Angelo Bezerra de Souza Fêde
Fernanda Schindler
Mércia Maleckas Carrasco
Samuel Oliveira de Afonseca
Hélio Pinczowski
Auro del Giglio
Faculdade de Medicina do ABC · BRYahoo (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChemotherapy-induced nausea and vomiting (CINV) is a distressing side effect that affects many patients undergoing emetogenic chemotherapy, despite the use of antiemetic medications. The purpose of this trial was to evaluate the efficacy and safety of gabapentin for the prevention of CINV during the first cycle of treatment in patients receiving moderately or highly emetogenic chemotherapy.

methodsEighty chemotherapy-naive patients, scheduled to receive moderately and highly emetogenic chemotherapy, were enrolled in this randomised, double-blind, placebo-controlled clinical trial. All patients received intravenous ondansetron 8 mg, dexamethasone 10 mg and ranitidine 50 mg before chemotherapy on day 1 and oral dexamethasone 4 mg twice a day on days 2 and 3. Patients were randomly assigned to take gabapentin 300 mg or placebo on the following schedule: 5 and 4 days before chemotherapy once daily, 3 and 2 days before chemotherapy twice daily, 1 day before to 5 days after chemotherapy thrice daily. The primary endpoint was complete overall protection from both vomiting and nausea over the course of the entire study (day 1 through day 5), and complete protection during the delayed period (24-120 h after chemotherapy).

resultsThe proportion of patients achieving complete response improved from 40% to 62.5%, (p = 0.04) when comparing the control group and the gabapentin group, respectively. In the subset of patients who achieved complete control in the acute phase, the percentage of patients who achieved delayed complete control was higher in the gabapentin group (89.3 × 60.7%, p = 0.01). Adverse events did not significantly differ between study arms.

conclusionsGabapentin is a low-cost strategy to improve complete control of CINV, specially delayed CINV control.

Indexed as

AminesAntiemeticsAntineoplastic Combined Chemotherapy ProtocolsCyclohexanecarboxylic AcidsDexamethasoneDouble-Blind MethodFemaleGABA AntagonistsGabapentingamma-Aminobutyric AcidHumansInjections, IntravenousMaleMiddle AgedNauseaOndansetronAminesAntiemeticsCyclohexanecarboxylic AcidsDexamethasoneGABA AntagonistsGabapentingamma-Aminobutyric AcidOndansetronRanitidine

Identifiers

PMID21465325
OpenAlexW2150019692

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.