Status:

RECRUITING

Evaluation of the Omission of Dexamethasone in Premedication Regimens During Paclitaxel Treatment

Lead Sponsor:

Erasmus Medical Center

Conditions:

Cancer

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

This prospective multicenter randomized non-inferiority trial aims to assess whether omitting dexamethasone from the premedication regimen during paclitaxel-based chemotherapy is non-inferior to the s...

Detailed Description

Rationale Dexamethasone is administered alongside a H1-antagonist (e.g. cetirizine) to prevent hypersensitivity reactions (HSRs) during paclitaxel chemotherapy. However, the rationale seems limited an...

Eligibility Criteria

Inclusion

  • Age ≥18 years;
  • Diagnosis of a solid tumor with planned treatment with paclitaxel-based chemotherapy for any indication and with any dose.
  • Mastery of Dutch language
  • Able and willing to give written informed consent.

Exclusion

  • Prior treatment with a paclitaxel-based regimen;
  • An indication for paclitaxel in combination with moderately or highly emetogenic chemotherapy that mandates the use of dexamethasone as an anti-emetic medication (e.g., carboplatin AUC\>4);
  • Known hypersensitivity to paclitaxel, carboplatin, cetirizine, granisetron, ondansetron or excipients (e.g., benzyl alcohol);
  • Concomitant use of any systemic corticosteroid for any indication other than paclitaxel premedication;
  • Women with confirmed and ongoing pregnancy;
  • Already participating in an exercise trial.

Key Trial Info

Start Date :

June 25 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

August 1 2027

Estimated Enrollment :

500 Patients enrolled

Trial Details

Trial ID

NCT06118710

Start Date

June 25 2024

End Date

August 1 2027

Last Update

September 25 2024

Active Locations (1)

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1

Erasmus MC

Rotterdam, South Holland, Netherlands, 3015 CN