Evidence map›Paper›PMID 35999527›Full record

Trial reportBMC cancer2022

Evaluating the impact of chemotherapy-induced nausea and vomiting on daily functioning in patients receiving dexamethasone-sparing antiemetic regimens with NEPA (netupitant/palonosetron) in the cisplatin setting: results from a randomized phase 3 study.

Luigi Celio, Diego Cortinovis, Alessio Aligi Cogoni, Luigi Cavanna, Olga Martelli, Simona Carnio, Elena Collovà, Federica Bertolini, Fausto Petrelli, Alessandra Cassano and 11 more

2 registry-linked trialsOpen access · goldAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in BMC cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 9% 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.

NCT04201769 phase3unknown statusnot on this map

A Standard Regimen of Dexamethasone in Comparison to Two Dex-sparing Regimens in Addition to NEPA in Preventing CINV in naïve NSCLC Patients to be Treated With Cisplatin Based Chemotherapy: a Three-arm, Open-label, Randomized Study

TypeinterventionalSponsorConsorzio OncotechRan2016 to 2020Enrolled261ConditionsChemotherapy-induced Nausea and VomitingArmsNetupitant/Palonosetron, Dexamethasone
NCT07699276 phase2recruitingnot on this mapstarted 2026, after this paper: background citation

Steroid-sparing Regimen With Olanzapine and Ondansetron to Prevent Emesis Caused by High Dose Cisplatin in Solid Cancer Patient : A Single Arm Phase II Study

TypeinterventionalSponsorMahidol UniversityRan2026 to 2027Enrolled95ConditionsCancer (Solid Tumors), Vomiting, Cisplatin, OlanzapineArmsdexamethasone sparing
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. 2023 updated MASCC/ESMO consensus recommendations: prevention of nausea and vomiting following high-emetic-risk antineoplastic agents.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Pooled it
  3. Trial
  4. Global inequitable distribution of seminal studies of chemotherapy-induced nausea and vomiting.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Review
  5. Article
  6. RIP3 regulates doxorubicin-induced intestinal mucositis via FUT2-mediated α-1,2-fucosylation.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2024
    Article
  7. Article
  8. Article
  9. 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

21 authors at 20 institutions in 1 country.

Luigi CelioMedical Oncology Unit, ASST del Garda, Desenzano del Garda Hospital, Località Montecroce 1, 25015, Desenzano del Garda, BS, Italy. luigicelio346@gmail.com.
Diego CortinovisMedical Oncology Department, ASST Monza San Gerardo Hospital, Monza, Italy.
Alessio Aligi CogoniMedical Oncology Department, Azienda Ospedaliero-Universitaria di Sassari, Sassari, Italy.
Luigi CavannaOncology Department, Azienda Ospedaliera di Piacenza, Piacenza, Italy.
Olga MartelliMedical Oncology, ASL Frosinone, Frosinone, Italy.
Simona CarnioDepartment of Oncology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Turin, Italy.
Elena CollovàCancer Centre Department - Oncology Unit, ASST Ovest Milanese - Legnano Hospital, Legnano, Milan, Italy.
Federica BertoliniDepartment of Oncology and Hematology, AOU Policlinico di Modena, Modena, Italy.
Fausto PetrelliMedical Oncology Unit, ASST Bergamo Ovest, Treviglio, Bergamo, Italy.
Alessandra CassanoComprehensive Cancer Center, Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Rome, Italy.
Rita ChiariOncology Unit, AULSS6 Euganea, Padova, Italy.
Francesca ZanelliMedical Oncology Unit, IRCCS Santa Maria Nuova, Reggio Emilia, Italy.
Salvatore PiscontiMedical Oncology Department, San Giuseppe Moscati Hospital, Statte, Taranto, Italy.
Isabella VittimbergaDepartment of Oncology, ASST Lecco, Lecco, Italy.
Antonietta LetiziaDepartment of Pneumology and Oncology, AORN dei Colli-Ospedale Monaldi, Naples, Italy.
Andrea MisinoMedical Oncology, Clinical Cancer Center "Giovanni Paolo II" - IRCCS, Bari, Italy.
Angela GernoneMedical Oncology Unit, University of Bari, Policlinico di Bari, Bari, Italy.
Erminio BonizzoniDepartment of Clinical Science and Community, Section of Medical Statistics, Biometry and Epidemiology "G.A. Maccacaro", Faculty of Medicine and Surgery, University of Milan, Milan, Italy.
Sara PilottoSection of Oncology, Department of Medicine, University and Hospital Trust of Verona, Verona, Italy.
Sabino De PlacidoClinical Medicine and Surgery Department, University of Naples "Federico II", Naples, Italy.
Emilio BriaComprehensive Cancer Center, Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Rome, Italy.
Accademia di Belle Arti di Frosinone · ITAgostino Gemelli University Polyclinic · ITAzienda Ospedaliera San Gerardo · ITAzienda Ospedaliera S.Giuseppe Moscati · ITAzienda Ospedaliero Universitaria di Sassari · ITAzienda Socio Sanitaria Territoriale di Bergamo OvestAziende Socio Sanitarie Territoriale Ovest MilaneseAziende Socio Sanitarie Territoriali di LeccoCasa di Cura Villa Garda · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITIstituto Tumori Bari · ITOspedale Monaldi · ITOspedale San Luigi Gonzaga · ITOspedaliera di Piacenza · ITPoliclinico di Modena · ITUniversità Cattolica del Sacro Cuore · ITUniversity of Bari Aldo Moro · ITUniversity of Milan · ITUniversity of Naples Federico II · ITUniversity of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe non-inferiority of dexamethasone (DEX) on day 1, with or without low-dose DEX on days 2 and 3, combined with oral NEPA (netupitant/palonosetron), compared with the guideline-consistent use of DEX was demonstrated in cisplatin. Here, we complete the analysis by assessing the impact of emesis on daily lives of patients receiving DEX-sparing regimens using the Functional Living Index-Emesis (FLIE).

methodsChemotherapy-naïve patients undergoing cisplatin (≥70 mg/m

resultsIn the DEX1 group, no significant differences were observed in the FLIE nausea score (48.9 [±1.8; SE] vs. 53.7 [±1.5]), vomiting score (56.6 [±1.4] vs. 58.7 [±0.8]) and overall score (105.6 [±2.8] vs.112.4 [±1.9]) versus DEX4 control; similar results were observed in the DEX3 group for nausea score (49.6 [±1.7]), vomiting score (58.2 [±1]) and overall score (107.8 [±2.4]) versus control. There were no significant between-group differences in the proportion of patients reporting NIDL.

conclusionReducing DEX, when administered with NEPA, does not seem to adversely impact the daily functioning in patients undergoing cisplatin.

trial registrationClinicalTrials.gov NCT04201769 . Registration date: 17/12/2019 - Retrospectively registered.

Indexed as

AntiemeticsAntineoplastic AgentsBenzeneacetamidesCisplatinDexamethasoneHumansNauseaPalonosetronPiperazinesPyridinesQuinuclidinesVomitingAntiemeticsAntineoplastic AgentsBenzeneacetamidesCisplatinDexamethasonenetupitantPalonosetronPiperazinesPyridinesQuinuclidinesChemotherapy-induced nausea and vomiting (CINV)CisplatinDexamethasoneFunctional living index-EmesisNEPAQuality of life

Identifiers

PMID35999527
PMCPMC9400287
OpenAlexW4293105408

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.