Evidence map›Paper›PMID 28198358›Full record

Trial reportMedical science monitor : international medical journal of experimental and clinical research2017

Combination of Aprepitant, Azasetron, and Dexamethasone as Antiemetic Prophylaxis in Women with Gynecologic Cancers Receiving Paclitaxel/Carboplatin Therapy.

Masafumi Koshiyama, Noriomi Matsumura, Saeko Imai, Koji Yamanoi, Kaoru Abiko, Yumiko Yoshioka, Ken Yamaguchi, Junzo Hamanishi, Tsukasa Baba, Ikuo Konishi

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Medical science monitor : international medical journal of experimental and clinical research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 43% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
  3. Long Noncoding RNA FEZF1-AS1 Promotes Proliferation and Inhibits Apoptosis in Ovarian Cancer by Activation of JAK-STAT3 Pathway.Medical science monitor : international medical journal of experimental and clinical research · 2018
    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 1 institution in 1 country.

Masafumi KoshiyamaDepartment of Gynecology and Obstetrics, Kyoto University, Graduate School of Medicine, Kyoto, Japan.
Noriomi MatsumuraDepartment of Gynecology and Obstetrics, Kyoto University, Graduate School of Medicine, Kyoto, Japan.
Saeko ImaiDepartment of Gynecology and Obstetrics, Kyoto University, Graduate School of Medicine, Kyoto, Japan.
Koji YamanoiDepartment of Gynecology and Obstetrics, Kyoto University, Graduate School of Medicine, Kyoto, Japan.
Kaoru AbikoDepartment of Gynecology and Obstetrics, Kyoto University, Graduate School of Medicine, Kyoto, Japan.
Yumiko YoshiokaDepartment of Gynecology and Obstetrics, Kyoto University, Graduate School of Medicine, Kyoto, Japan.
Ken YamaguchiDepartment of Gynecology and Obstetrics, Kyoto University, Graduate School of Medicine, Kyoto, Japan.
Junzo HamanishiDepartment of Gynecology and Obstetrics, Kyoto University, Graduate School of Medicine, Kyoto, Japan.
Tsukasa BabaDepartment of Gynecology and Obstetrics, Kyoto University, Graduate School of Medicine, Kyoto, Japan.
Ikuo KonishiDepartment of Gynecology and Obstetrics, Kyoto University, Graduate School of Medicine, Kyoto, Japan.
Kyoto University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND The aim of this study was to evaluate the antiemetic effect of aprepitant and to determine how to provide triple combination therapy (aprepitant/azasetron/dexamethasone) to women receiving paclitaxel/carboplatin moderately emetogenic chemotherapy (MEC). MATERIAL AND METHODS The current study was a prospective study of 163 women with gynecologic cancers. We compared the digestive symptoms scores (nausea, vomiting, appetite loss, and dietary intake) of 37 women with ovarian cancers before and after aprepitant administration. We also compared these symptoms in women who underwent 193 cycles of triple combination therapy with symptoms of women who underwent 226 cycles of double combination therapy. For triple combination therapy, azasetron, dexamethasone (reduced dose: 40% of 20 mg), and aprepitant (125 mg) were administered on Day 1, followed by only aprepitant (80 mg) administration on Days 2 and Day 3. RESULTS In 37 women with ovarian cancer, three symptoms, nausea, appetite loss, and dietary intake, were significantly improved by primarily adding aprepitant to double combination therapy in the delayed phase of MEC. Upon comparing their digestive symptoms in all cycles, however, these three symptoms were not significantly different in the delayed phase. Furthermore, all four symptoms in all cycles were worse following triple combination therapy than following double combination therapy in the acute phase (p<0.02). The control of digestive symptoms was generally insufficient without the administration of dexamethasone. CONCLUSIONS Primary aprepitant as an addition to MEC demonstrated efficacy in improving digestive symptoms in the delayed phase. However, its effect may decrease with repeated use. To improve the antiemetic effect, the dose reduction of dexamethasone should be restricted on Day 1 and dexamethasone should be used throughout the delayed phase as well.

Indexed as

AdultAntiemeticsAntineoplastic Combined Chemotherapy ProtocolsAprepitantBridged Bicyclo Compounds, HeterocyclicCarboplatinDexamethasoneFemaleHumansMiddle AgedMorpholinesNauseaOvarian NeoplasmsOxazinesPaclitaxelPre-Exposure ProphylaxisAntiemeticsAprepitantazasetronBridged Bicyclo Compounds, HeterocyclicCarboplatinDexamethasoneMorpholinesOxazinesPaclitaxel

Identifiers

PMID28198358
PMCPMC5322867
OpenAlexW2588425675

What OpenQuestion holds

Textmetadata
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.