Double-blind, randomized crossover study of metoclopramide and batanopride for prevention of cisplatin-induced emesis.

Abstract:

:We conducted a double-blind, randomized crossover study to compare the toxicity and antiemetic efficacy of the 5-hydroxytryptamine3 receptor antagonist batanopride with that of metoclopramide in 21 chemotherapy-naive patients receiving at least 70 mg/m2 cisplatin. The study was terminated when hypotension was observed following the infusion of batanopride at other institutions testing similar drug schedules. Although we observed no hypotension following treatment with batanopride in this trial, we did note asymptomatic prolongation of the corrected QT interval (QTc), PR interval, and QRS complex on the EKG in the batanopride arm. Of 15 evaluable patients, 8 experienced less than or equal to 2 episodes of emesis within 24 h of the first batanopride infusion, whereas 9/15 subjects experienced less than or equal to 2 emetic episodes following the administration of metoclopramide. Overall, the evidence suggests that this dosing schedule for batanopride may be too toxic for clinical use.

authors

Fleming GF,Vokes EE,McEvilly JM,Janisch L,Francher D,Smaldone L

doi

10.1007/BF00685516

subject

Has Abstract

pub_date

1991-01-01 00:00:00

pages

226-7

issue

3

eissn

0344-5704

issn

1432-0843

journal_volume

28

pub_type

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