Randomized, multicenter comparison of oral granisetron and oral ondansetron for emetogenic chemotherapy.

Abstract:

STUDY OBJECTIVES:To compare the antiemetic effectiveness and safety of oral granisetron plus dexamethasone with those of oral ondansetron plus dexamethasone administered before emetogenic chemotherapy. DESIGN:Randomized, prospective, multicenter, open-label study. SETTINGS:University-teaching hospital and veterans health care system. PATIENTS:Sixty-one chemotherapy-naïve patients scheduled to receive emetogenic antineoplastic agents. INTERVENTION:A single-dose oral granisetron 1 mg and dexamethasone 12 mg or single-dose oral ondansetron 16 mg and dexamethasone 12 mg was administered before chemotherapy. MEASUREMENTS AND RESULTS:Twenty-four hours after administration patients were contacted to assess nausea, emesis, and adverse events. There were no statistical differences in frequency of nausea or emesis between groups. Seventy-six percent and 82% of patients receiving ondansetron and granisetron, respectively, experienced no emesis 24 hours after chemotherapy. Complete protection from nausea occurred in 58% and 46% of patients receiving the drugs, respectively. Adverse events were similar between groups. CONCLUSION:Oral granisetron 1 mg and ondansetron 16 mg plus dexamethasone are safe and effective in preventing nausea and vomiting related to emetogenic chemotherapy.

journal_name

Pharmacotherapy

journal_title

Pharmacotherapy

authors

Herrington JD,Kwan P,Young RR,Lagow E,Lagrone L,Riggs MW

doi

10.1592/phco.20.17.1318.34894

subject

Has Abstract

pub_date

2000-11-01 00:00:00

pages

1318-23

issue

11

eissn

0277-0008

issn

1875-9114

journal_volume

20

pub_type

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