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Phase 3 Completed N=108 Randomized Triple-blind Supportive Care

Study of FOND Versus FOND+O for the Prevention of CINV in Hematology Patients Receiving Highly Emetogenic Chemotherapy Regimens

Complications of Bone Marrow Transplant · Hematologic Neoplasms
Source: ClinicalTrials.gov NCT02635984 ↗
Enrolled (actual)
108
Serious AEs
Results posted
Aug 2018
Primary outcomePrimary: Overall Percentage of Patients Who Had a Complete Response — 13; 28 Participants — p=0.003
◆ Published Evidence
Established
55citations · ~7 / year
Randomized, Placebo-Controlled, Phase III Trial of Fosaprepitant, Ondansetron, Dexamethasone (FOND) Versus FOND Plus Olanzapine (FOND-O) for the Prevention of Chemotherapy-Induced Nausea and Vomiting in Patients with Hematologic Malignancies Receiving Highly Emetogenic Chemotherapy and Hematopoietic Cell Transplantation Regimens: The FOND-O Trial.
Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2018 · Open access · Likely link

Summary

The objective of this study is to compare the effectiveness of olanzapine added to standard triplet therapy (fosaprepitant, ondansetron, and dexamethasone) versus triplet therapy alone in preventing chemotherapy-induced nausea and vomiting (CINV) in hematology patients receiving highly or moderately emetogenic chemotherapy regimens.

Linked Publications

  • Randomized, Placebo-Controlled, Phase III Trial of Fosaprepitant, Ondansetron, Dexamethasone (FOND) Versus FOND Plus Olanzapine (FOND-O) for the Prevention of Chemotherapy-Induced Nausea and Vomiting in Patients with Hematologic Malignancies Receiving Highly Emetogenic Chemotherapy and Hematopoietic Cell Transplantation Regimens: The FOND-O Trial.
    Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2018 · 55 citations · Open access · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Overall Percentage of Patients Who Had a Complete Response
13; 28 0.003 sig
SECONDARY
Percent of Patients With no Significant Nausea in Overall Assessment Period
14; 30 0.001 sig
SECONDARY
Percent of Patients Achieving Complete Protection in Overall Assessment Phase
6; 13 0.11
SECONDARY
Percent of Participants With no Significant Nausea in Acute Phase
33; 39 0.28
SECONDARY
Percent of Participants With no Significant Nausea in Delayed Phase
16; 34 0.002 sig
SECONDARY
Percent of Patients With no Nausea in Overall Assessment Period
6; 18 0.006 sig
SECONDARY
Percent of Patients With Complete Response in Acute Phase
31; 39 0.13
SECONDARY
Percent of Patients With Complete Response in Delayed Phase
15; 31 0.001 sig

Eligibility Criteria

Inclusion Criteria

  • Inpatient or outpatient hematology patient receiving one of the following regimens:
  • Chemotherapy for hematologic malignancy:
  • ABVD
  • ICE ± R
  • 7+3
  • Conditioning therapy for stem cell transplantation:
  • BEAM
  • Bu/Cy ± ATG
  • Bu/Flu ± ATG
  • FluCy ± ATG
  • FluCy + TBI
  • BuMel
  • FluBuCy
  • Melphalan
  • Etoposide + TBI
  • Cyclophosphamide + TBI

Exclusion Criteria

  • Allergy to olanzapine
  • Documented nausea or vomiting ≤24 hours prior to enrollment
  • Treatment with other antipsychotic agents such as risperidone, quetiapine, clozapine, phenothiazine or butyrophenone ≤30 days prior to enrollment or planned during protocol therapy
  • Chronic alcoholism
  • Pregnant
  • Declined or unable to provide an informed consent
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02635984) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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