Evidence map›Paper›PMID 38833659›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2024

Olanzapine Plus Triple Antiemetic Therapy for the Prevention of Carboplatin-Induced Nausea and Vomiting: A Randomized, Double-Blind, Placebo-Controlled Phase III Trial.

Naoki Inui, Takahito Suzuki, Kazuki Tanaka, Masato Karayama, Yusuke Inoue, Kazutaka Mori, Hideki Yasui, Hironao Hozumi, Yuzo Suzuki, Kazuki Furuhashi and 19 more

Abstract readRandomized Controlled TrialClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Olanzapine (10 mg vs 5 mg vs 2.5 mg) for the prophylaxis of chemotherapy-induced nausea and vomiting (CINV) - a systematic review and network meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Observational
  6. Postoperative nausea and vomiting as a predictor of chemotherapy-induced nausea and vomiting in gynecologic cancer: a retrospective cohort study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  7. 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

29 authors.

Naoki InuiSecond Division, Department of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.ORCID 0000-0002-4624-7119
Takahito SuzukiSecond Division, Department of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.ORCID 0000-0002-1991-3657
Kazuki TanakaSecond Division, Department of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.ORCID 0009-0000-4683-5968
Masato KarayamaSecond Division, Department of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.ORCID 0000-0003-0455-4070
Yusuke InoueSecond Division, Department of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.ORCID 0000-0001-8075-0597
Kazutaka MoriDepartment of Respiratory Medicine, Shizuoka City Shimizu Hospital, Shizuoka, Japan.ORCID 0000-0003-4438-8409
Hideki YasuiSecond Division, Department of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.ORCID 0000-0002-7134-3364
Hironao HozumiSecond Division, Department of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.ORCID 0000-0001-5439-1543
Yuzo SuzukiSecond Division, Department of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.ORCID 0000-0001-6154-9791
Kazuki FuruhashiSecond Division, Department of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Tomoyuki FujisawaSecond Division, Department of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.ORCID 0000-0002-8809-1781
Shun MatsuuraDepartment of Respiratory Medicine, Fujieda Municipal General Hospital, Fujieda, Japan.
Koji NishimotoDepartment of Respiratory Medicine, Iwata City Hospital, Iwata, Japan.ORCID 0000-0002-6515-4276
Takashi MatsuiDepartment of Respiratory Medicine, Seirei Mikatahara General Hospital, Hamamatsu, Japan.
Kazuhiro AsadaDepartment of Respiratory Medicine, Shizuoka General Hospital, Shizuoka, Japan.
Dai HashimotoDepartment of Respiratory Medicine, Seirei Hamamatsu General Hospital, Hamamatsu, Japan.
Masato FujiiDepartment of Respiratory Medicine, Shizuoka City Shizuoka Hospital, Shizuoka, Japan.
Mitsuru NiwaDepartment of Respiratory Medicine, Hamamatsu Medical Center, Hamamatsu, Japan.
Masahiro UeharaDepartment of Respiratory Medicine, Shimada General Medical Center, Shimada, Japan.
Hiroyuki MatsudaDepartment of Respiratory Medicine, Japanese Red Cross Shizuoka Hospital, Shizuoka, Japan.
Keigo KodaDepartment of Respiratory Medicine, Hamamatsu Rosai Hospital, Hamamatsu, Japan.
Masaki IkedaDepartment of Respiratory Medicine, Shizuoka Saiseikai General Hospital, Shizuoka, Japan.
Nao InamiDepartment of Respiratory Medicine, Shizuoka City Shimizu Hospital, Shizuoka, Japan.
Yutaro TamiyaDepartment of Respiratory Medicine, Chutoen General Medical Center, Kakegawa, Japan.ORCID 0000-0003-0283-2727
Masato KatoDepartment of Respiratory Medicine, Ensyu Hospital, Hamamatsu, Japan.
Hideki NakanoDepartment of Respiratory Medicine, Japanese Red Cross Hamamatsu Hospital, Hamamatsu, Japan.
Yasuaki MinoDepartment of Hospital Pharmacy, Hamamatsu University Hospital, Hamamatsu, Japan.ORCID 0000-0002-5706-1117
Noriyuki EnomotoSecond Division, Department of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.ORCID 0000-0003-3187-4264
Takafumi SudaSecond Division, Department of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe evaluated the efficacy and safety of antiemetic therapy with olanzapine, a neurokinin-1 receptor antagonist (RA), a 5-hydroxytryptamine-3 (5-HT PATIENTS AND

methodsChemotherapy-naïve patients scheduled to receive carboplatin (AUC ≥5) were randomly assigned to receive either olanzapine 5 mg once daily (olanzapine group) or placebo (placebo group) in combination with aprepitant, a 5-HT

resultsIn total, 355 patients (78.6% male, median age 72 years, 100% thoracic cancer), including 175 and 180 patients in the olanzapine and placebo groups, respectively, were evaluated. The overall CR rate was 86.9% in the olanzapine group versus 80.6% in the placebo group. The intergroup difference in the overall CR rate was 6.3% (95% CI, -1.3 to 13.9). The proportions of patients free of chemotherapy-induced nausea in the overall (88.6% in the olanzapine group

conclusionThe addition of olanzapine was not associated with a significant increase in the overall CR rate. Regarding the prevention of nausea, adding olanzapine provided better control in patients receiving carboplatin-containing chemotherapy, which needs further exploration.

Indexed as

AntiemeticsAprepitantCarboplatinDexamethasoneNauseaOlanzapineVomitingAdultAgedAged, 80 and overAntineoplastic AgentsBenzodiazepinesDouble-Blind MethodDrug Therapy, CombinationFemaleHumansAntiemeticsAntineoplastic AgentsAprepitantBenzodiazepinesCarboplatinDexamethasoneMorpholinesNeurokinin-1 Receptor AntagonistsOlanzapine

Identifiers

PMID38833659
PMCPMC11315403

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.