Evidence map›Paper›PMID 30094732›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2019

Risk factors associated with chemotherapy-induced nausea and vomiting in the triplet antiemetic regimen including palonosetron or granisetron for cisplatin-based chemotherapy: analysis of a randomized, double-blind controlled trial.

Daiki Tsuji, Kenichi Suzuki, Yohei Kawasaki, Koichi Goto, Reiko Matsui, Nobuhiko Seki, Hironobu Hashimoto, Toshihiro Hama, Takeharu Yamanaka, Nobuyuki Yamamoto and 1 more

Abstract readClinical Trial, Phase IIIRandomized 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, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 10% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
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  6. TTD expert consensus on emesis in gastric cancer: evidence-based strategies for prevention and treatment.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  7. Article
  8. Evaluation of chemotherapy-induced nausea and vomiting in low, moderate, and highly emetogenic schemes between sexes.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Observational
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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

11 authors at 8 institutions in 1 country.

Daiki TsujiDepartment of Clinical Pharmacology & Genetics, University of Shizuoka, 52-1, Yada, Surugaku, Shizuoka, 422-8526, Japan. d-tsuji@u-shizuoka-ken.ac.jp.
Kenichi SuzukiDepartment of Pharmacy, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan.
Yohei KawasakiClinical Research Center, Chiba University Hospital, Chiba, Japan.
Koichi GotoDepartment of Thoracic Oncology, National Cancer Center Hospital East, Tokyo, Japan.
Reiko MatsuiDepartment of Pharmacy, National Cancer Center Hospital East, Tokyo, Japan.
Nobuhiko SekiDivision of Medical Oncology, Teikyo University School of Medicine, Tokyo, Japan.
Hironobu HashimotoDepartment of Pharmacy, National Cancer Center Hospital, Tokyo, Japan.
Toshihiro HamaDepartment of Pharmacy, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan.
Takeharu YamanakaDepartment of Biostatistics, Yokohama City University School of Medicine, Yokohama, Japan.
Nobuyuki YamamotoThird Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan.
Kunihiko ItohDepartment of Clinical Pharmacology & Genetics, University of Shizuoka, 52-1, Yada, Surugaku, Shizuoka, 422-8526, Japan.
Japanese Foundation For Cancer Research · JPNational Cancer Center Hospital East · JPUniversity of Shizuoka · JPChiba University Hospital · JPTeikyo University · JPTokyo National Hospital · JPWakayama Medical University · JPYokohama City University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe triplet antiemetic regimen is recommended for cisplatin-based highly emetogenic chemotherapy, in the current guidelines for antiemetic prophylaxis. Although risk factors related to chemotherapy-induced nausea and vomiting (CINV) have been identified by several prior studies, there are only few studies evaluating risk factors associated with the prophylactic triplet antiemetic therapy, particularly in palonosetron use. The present study aimed to reveal the risk factors related to CINV development in patients receiving cisplatin and to compare CINV risk factors between palonosetron and granisetron use.

methodsIn total, 825 patients in a phase III trial receiving palonosetron with graniestron were evaluated. Multivariate logistic regression models were used to predict risk factors associated with CINV development. Additionally, risk factors associated with CINV development were separately evaluated in each treatment group.

resultsMultivariate analysis of the entire study group revealed that sex, age, cisplatin dose, and granisetron use were significant and independent factors affecting CINV development in the overall phase. Similarly, sex and age were risk factors for CINV in both treatment groups. Kaplan-Meier curves classified by each treatment group showed no significant difference between the groups among patients without any risk factors for CINV (P = 0.353). Conversely, complete response rates for patients with at least one risk factor were higher in patients receiving palonosetron (P = 0.049).

conclusionsThis analysis revealed the importance of previously reported CINV risk factors when using triplet antiemetics. Palonosetron might be preferred for patients with at least one risk factor.

Indexed as

AdultAgedAged, 80 and overAntiemeticsAntineoplastic AgentsAprepitantCisplatinDouble-Blind MethodDrug Therapy, CombinationFemaleGranisetronHumansJapanLogistic ModelsMaleMiddle AgedAntiemeticsAntineoplastic AgentsAprepitantCisplatinGranisetronPalonosetronAprepitantChemotherapy-induced nausea and vomiting (CINV)GranisetronPalonosetronRisk factors

Identifiers

PMID30094732
OpenAlexW2887961254

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.