Table 1.
Study | Phase | N | CINV prophylaxis | Emesis | Nausea | |
---|---|---|---|---|---|---|
Day 1 CR | Days 1–5 CR | |||||
Einhorn et al., 1990 [14] | II | 36 | Ondansetron | 77% | 30% | NA |
| ||||||
Sledge et al., 1992 [15] | III | 45 | Ondansetron versus metoclopramide | 78% versus 14% (p < 0.001) | 30% versus 9% (p = 0.002) | VAS scores 8 versus 58.5 (p < 0.001) |
| ||||||
Bremer, 1992 [17] | III | 200 | Granisetron versus alizapride (substituted benzamide) + dexamethasone | 90% versus 66% (p < 0.001) | 49% versus 35%. | NA |
| ||||||
Fox et al., 1993 [21] | III | 45 | Ondansetron + dexamethasone + chlorpromazine versus ondansetron | 95% versus 82% | 55% versus 32% (p = 0.22) | VAS scores 5.5 versus 15 (p = 0.046) |
| ||||||
Noble et al., 1994 [18] | III | 200 | Ondansetron versus granisetron | NA | 40% versus 44% Patient preference, 34% versus 26% (p = 0.048) | NA |
| ||||||
Fauser et al., 2000 [22] | III | 210 | Dolasetron + dexamethasone versus dolasetron | NA | 73% versus 41% (p < 0.0001). CR rates on each study day were also significantly higher (p = 0.029) | VAS score of 0 (no nausea) day 1: 88% versus 60% (p < 0.001); day 5: 63% versus 37% (p = 0.017) |
| ||||||
Einhorn et al., 2007 [23] | II | 41 | Palonosetron + dexamethasone | 88% | 51% | No or mild nausea, self-reported 59% |
| ||||||
Albany et al., 2012 [24] | III | 69 | Aprepitant + 5-HT3 RA (other than palonosetron) + dexamethasone versus aprepitant + dexamethasone | NA | 47% versus 15% (p = 0.01) | VAS: aprepitant better than placebo on all 6 days |
| ||||||
Hamada et al., 2014 [25] | II | 30 | Aprepitant + palonosetron + dexamethasone | NA | 90% | Mild to no nausea 70% |
CR: complete response (no emesis and no need for rescue medication); VAS: visual analog scale for nausea; 5-HT3 RA: 5-hydroxytryptamine receptor antagonists; NA: not available.