Tropisetron (Navoban) in the prevention of chemotherapy-induced nausea and vomiting: the Nordic experience
1994 (English)In: Supportive Care in Cancer, ISSN 0941-4355, E-ISSN 1433-7339, Vol. 2, no 6, 393-399 p.Article in journal (Refereed) Published
An open, noncomparative, Nordic multicenter study was carried out during 1991-1992 to evaluate the 5-HT3 receptor antagonist tropisetron (Navoban) as an antiemetic agent for various types of cancer chemotherapy. A total of 630 patients were recruited from 15 centers in Sweden, Denmark, and Finland. Gynecological cancers (60%), breast cancer (15%), and lung cancer (10%) were the main diagnoses. Prior experience of chemotherapy was documented in 338 patients (54%). In 260 patients (41%), cisplatin was part of the cytostatic regimen. Carboplatin (23%), doxorubicin (27%), and epidoxorubicin (24%) were also frequently included. In all, 23 cytostatic agents were used in various combinations. The mean number of courses studied was 4.6 (range 1-19). Altogether, 394 of 619 evaluable patients (64%) were completely protected from acute nausea and vomiting during the first course of chemotherapy. Delayed nausea and vomiting were completely prevented in 45%-73% (days 2-6) in the complete series. Treatment efficacy remained stable (60%-79%) during ten consecutive courses of chemotherapy. With noncisplatin regimens, complete protection from acute nausea and vomiting was achieved in 72% compared with 52% for cisplatin regimens (P < 0.0001). Patients without prior experience of chemotherapy had higher control rates of acute nausea and vomiting (72%) compared to patients treated before (57%) during the first course, but not later on. There were no differences in delayed nausea and vomiting.
Place, publisher, year, edition, pages
1994. Vol. 2, no 6, 393-399 p.
Adult, Aged, Aged; 80 and over, Antiemetics/adverse effects/*therapeutic use, Antineoplastic Combined Chemotherapy Protocols/*adverse effects, Female, Finland, Humans, Indoles/adverse effects/*therapeutic use, Male, Middle Aged, Nausea/chemically induced/*prevention & control, Neoplasms/drug therapy, Scandinavia, Sex Factors, Treatment Outcome, Vomiting/chemically induced/*prevention & control
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-21443DOI: 10.1007/BF00344055PubMedID: 7858934OAI: oai:DiVA.org:uu-21443DiVA: diva2:49216