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. 2015 Sep 3;2015:943618. doi: 10.1155/2015/943618

Table 1.

Selected phases II and III trials of various agents for treatment of chemotherapy induced nausea and vomiting in patients undergoing multiday cisplatin based chemotherapy.

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.