Evidence map›Paper›PMID 27129842›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2016

Control of nausea with palonosetron versus granisetron, both combined with dexamethasone, in patients receiving cisplatin- or anthracycline plus cyclophosphamide-based regimens.

Kaoru Kubota, Mitsue Saito, Kenjiro Aogi, Ikuo Sekine, Hirohisa Yoshizawa, Yasuhiro Yanagita, Hiroshi Sakai, Kenichi Inoue, Chiyoe Kitagawa, Takashi Ogura

Open access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. MASCC antiemetic consensus recommendations: resource-limited settings.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  6. Article
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

10 authors at 9 institutions in 1 country.

Kaoru KubotaDepartment of Pulmonary Medicine and Oncology, Graduate School of Medicine, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, 113-8603, Japan. kkubota@nms.ac.jp.
Mitsue SaitoDepartment of Breast Oncology, Juntendo University Hospital, Tokyo, Japan.
Kenjiro AogiDepartment of Breast Oncology, National Hospital Organization Shikoku Cancer Center, Ehime, Japan.
Ikuo SekineDivision of Internal Medicine and Thoracic Oncology, National Cancer Centre Hospital, Tokyo, Japan.
Hirohisa YoshizawaBioscience Medical Research Centre, Niigata University Medical and Dental Hospital, Niigata, Japan.
Yasuhiro YanagitaDepartment of Breast Oncology, Gunma Cancer Centre, Gunma, Japan.
Hiroshi SakaiDepartment of Thoracic Oncology, Saitama Cancer Centre, Saitama, Japan.
Kenichi InoueDepartment of Breast Oncology, Saitama Cancer Centre, Saitama, Japan.
Chiyoe KitagawaDepartment of Respiratory Medicine, National Hospital Organization Nagoya Medical Centre, Aichi, Japan.
Takashi OguraDivision of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Centre, Kanagawa, Japan.
Saitama Cancer Center · JPGunma Children's Medical Center · JPJuntendo University Hospital · JPKanagawa Cardiovascular and Respiratory Center · JPNagoya Medical Center · JPNational Cancer Centre Japan · JPNiigata University Medical and Dental Hospital · JPNippon Medical School · JPShikoku Cancer Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn a comparative phase 3 study involving 1114 Japanese patients receiving highly emetogenic chemotherapy (HEC), palonosetron (PALO) was found to be superior to granisetron (GRA) for the prophylaxis of chemotherapy-induced nausea and vomiting (CINV) in the delayed phase. This post hoc analysis of the phase 3 study evaluated the efficacy of PALO for the control of nausea.

methodsThe proportion of patients without nausea was assessed at 24-h intervals during the acute phase (0-24 h), delayed phase (24-120 h), and overall (0-120 h). No nausea rates were also evaluated by sex, type of chemotherapy (cisplatin or doxorubicin/epirubicin plus cyclophosphamide [AC/EC]), and age (<55 vs. ≥55 years). Nausea severity was categorized using a 4-point Likert scale (0 = no nausea to 3 = severe nausea).

resultsThe proportion of patients without nausea was significantly higher in the PALO arm than in the GRA arm in the delayed phase (37.8 % vs. 27.2 %; p = 0.002) and overall (31.9 % vs. 25.0 %; p = 0.0117). When analyzed by stratification factors, the proportion of patients without nausea was significantly higher in the PALO arm in the delayed phase and overall in patients who were female, younger, or treated with cisplatin and in the delayed phase in patients who were older or treated with doxorubicin or epirubicin plus cyclophosphamide (all p < 0.05).

conclusionsPALO was more effective than GRA in prophylaxis of HEC-induced nausea in the delayed phase and overall. In addition, PALO was more effective than GRA in young and female patients, who are at high risk of CINV, both in the delayed phase and overall.

Indexed as

AnthracyclinesAntiemeticsAntineoplastic Combined Chemotherapy ProtocolsCisplatinCyclophosphamideDexamethasoneFemaleGranisetronHumansIsoquinolinesMaleMiddle AgedNauseaPalonosetronQuinuclidinesVomitingAnthracyclinesAntiemeticsCisplatinCyclophosphamideDexamethasoneGranisetronIsoquinolinesPalonosetronQuinuclidines5-HT3 receptor antagonistAntiemeticsChemotherapy-induced nausea and vomitingHighly emetic chemotherapyPalonosetron

Identifiers

PMID27129842
PMCPMC4967099
OpenAlexW2343167879

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.