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Comparison of oral versus intravenous ramosetron in prevention of acute cisplatin-induced emesis: a randomized controlled trial.
J Med Assoc Thai 2004; 87(2):119-25JM

Abstract

OBJECTIVE

To compare the antiemetic efficacy of a single oral versus intravenous (i.v.) ramosetron, a new class of selective 5-HT3 receptor antagonists, in gynecologic cancer patients receiving high-dose cisplatin.

METHOD

Between February 2003 and July 2003, 109 patients with gynecologic cancer scheduled to receive single agent cisplatin chemotherapy at a dose of 75 mg/m2 were randomized to receive either 0.2 mg oral (51 cases) or 0.3 mg i.v. (58 cases) ramosetron 1 h and 30 min respectively before chemotherapy. Patients were evaluated for 24 h after chemotherapy. The number of nausea and vomiting including adverse events were recorded every 6 h.

RESULTS

51 and 58 patients received oral and i.v. ramosetron respectively. Both groups were similar regarding age, performance status, body mass index and diagnosis of gynecologic cancer. 95 per cent of cases were cervical cancer. Antiemetic effect was significantly higher in the oral group when compared with the i.v. group during the first 6 hours and during the period of 18 to 24 hours after administration of cisplatin chemotherapy. Overall in 24 h, patients receiving oral ramosetron experienced no emesis slightly higher than that of the i.v. group (55% and 36% respectively, p = 0.05). Adverse events were mild and transient and were not significantly different in both groups, except tiredness which was more frequent in the i.v. group.

CONCLUSION

Oral ramosetron at a dosage of 0.2 mg is as effective as 0.3 mg of intravenous ramosetron in prevention of acute emesis in patients receiving 75 mg/m2 of cisplatin chemotherapy.

Authors+Show Affiliations

Department of Obstetrics & Gynecology, Faculty of Medicine, Chiang Mai University, 50200 Thailand.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

15061293

Citation

Tantipalakorn, Charuwan, et al. "Comparison of Oral Versus Intravenous Ramosetron in Prevention of Acute Cisplatin-induced Emesis: a Randomized Controlled Trial." Journal of the Medical Association of Thailand = Chotmaihet Thangphaet, vol. 87, no. 2, 2004, pp. 119-25.
Tantipalakorn C, Srisomboon J, Thienthong H, et al. Comparison of oral versus intravenous ramosetron in prevention of acute cisplatin-induced emesis: a randomized controlled trial. J Med Assoc Thai. 2004;87(2):119-25.
Tantipalakorn, C., Srisomboon, J., Thienthong, H., Pantusart, A., Suprasert, P., Saereesongkhun, C., ... Pautad, N. (2004). Comparison of oral versus intravenous ramosetron in prevention of acute cisplatin-induced emesis: a randomized controlled trial. Journal of the Medical Association of Thailand = Chotmaihet Thangphaet, 87(2), pp. 119-25.
Tantipalakorn C, et al. Comparison of Oral Versus Intravenous Ramosetron in Prevention of Acute Cisplatin-induced Emesis: a Randomized Controlled Trial. J Med Assoc Thai. 2004;87(2):119-25. PubMed PMID: 15061293.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of oral versus intravenous ramosetron in prevention of acute cisplatin-induced emesis: a randomized controlled trial. AU - Tantipalakorn,Charuwan, AU - Srisomboon,Jatupol, AU - Thienthong,Hunsa, AU - Pantusart,Aree, AU - Suprasert,Prapaporn, AU - Saereesongkhun,Chanram, AU - Eamtang,Saisunee, AU - Sutthichat,Amphika, AU - Pautad,Nuthaya, PY - 2004/4/6/pubmed PY - 2004/4/24/medline PY - 2004/4/6/entrez SP - 119 EP - 25 JF - Journal of the Medical Association of Thailand = Chotmaihet thangphaet JO - J Med Assoc Thai VL - 87 IS - 2 N2 - OBJECTIVE: To compare the antiemetic efficacy of a single oral versus intravenous (i.v.) ramosetron, a new class of selective 5-HT3 receptor antagonists, in gynecologic cancer patients receiving high-dose cisplatin. METHOD: Between February 2003 and July 2003, 109 patients with gynecologic cancer scheduled to receive single agent cisplatin chemotherapy at a dose of 75 mg/m2 were randomized to receive either 0.2 mg oral (51 cases) or 0.3 mg i.v. (58 cases) ramosetron 1 h and 30 min respectively before chemotherapy. Patients were evaluated for 24 h after chemotherapy. The number of nausea and vomiting including adverse events were recorded every 6 h. RESULTS: 51 and 58 patients received oral and i.v. ramosetron respectively. Both groups were similar regarding age, performance status, body mass index and diagnosis of gynecologic cancer. 95 per cent of cases were cervical cancer. Antiemetic effect was significantly higher in the oral group when compared with the i.v. group during the first 6 hours and during the period of 18 to 24 hours after administration of cisplatin chemotherapy. Overall in 24 h, patients receiving oral ramosetron experienced no emesis slightly higher than that of the i.v. group (55% and 36% respectively, p = 0.05). Adverse events were mild and transient and were not significantly different in both groups, except tiredness which was more frequent in the i.v. group. CONCLUSION: Oral ramosetron at a dosage of 0.2 mg is as effective as 0.3 mg of intravenous ramosetron in prevention of acute emesis in patients receiving 75 mg/m2 of cisplatin chemotherapy. SN - 0125-2208 UR - https://www.unboundmedicine.com/medline/citation/15061293/Comparison_of_oral_versus_intravenous_ramosetron_in_prevention_of_acute_cisplatin_induced_emesis:_a_randomized_controlled_trial_ L2 - https://medlineplus.gov/nauseaandvomiting.html DB - PRIME DP - Unbound Medicine ER -