title: Oral medium-dosed metoclopramide versus placebo as highly effective antiemetic prophylaxis in in- and outpatients on noncisplatin chemotherapy.
abstract: The antiemetic effect of oral medium-dosed metoclopramide (MCL, 3.5 mg/kg b.w./cycle) and placebo for chemotherapy-induced emesis of a noncisplatin regimen was assessed for inpatients and outpatients in two double-blind placebo-controlled sequential analyses according to Bross (1952). MCL was given in 5 single doses of 0.7 mg/kg b.w. at 0 h (loading) and at 2 h (i.e. start of chemotherapy) and 6, 10 and 14 h (as maintenance doses). Both studies ended after 8 sequential pairs in favor of MCL (2 alpha = 2 beta = 0.05). Major antiemetic protection (< 2 emetic episodes per 26 h) was achieved for 8/8 of inpatients and 7/8 of outpatients (placebo 0/8 and 0/8). Side effects neither required discontinuation of the antiemetic regimen nor additional therapy. The median of MCL plasma levels ranged from 150 to 750 ng/ml and terminal half-lives from 3.9 to 8.9 h.
authors.affiliation: Center of Gynecology and Obstetrics, University Clinics, Frankfurt am Main, FRG.
authors.forename: C
authors.initials: C
authors.lastname: Vogt
authors.forename: D
authors.initials: D
authors.lastname: Hellenbrecht
authors.forename: R
authors.initials: R
authors.lastname: Saller
authors.forename: G
authors.initials: G
authors.lastname: Achtert
authors.forename: P
authors.initials: P
authors.lastname: Brockmann
authors.forename: H
authors.initials: H
authors.lastname: Hausleiter
mesh_terms: D000284:Administration, Oral; D000293:Adolescent; D000328:Adult; D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000009:adverse effects* / Q000627:therapeutic use; D002945:Cisplatin / Q000008:administration & dosage / Q000378:metabolism; D004305:Dose-Response Relationship, Drug; D004311:Double-Blind Method; D006801:Humans; D007297:Inpatients; D008175:Lung Neoplasms / Q000188:drug therapy; D008228:Lymphoma, Non-Hodgkin / Q000188:drug therapy; D008787:Metoclopramide / Q000009:adverse effects / Q000493:pharmacokinetics / Q000627:therapeutic use*; D008875:Middle Aged; D010045:Outpatients; D010919:Placebos; D014839:Vomiting / Q000139:chemically induced / Q000517:prevention & control*; D014983:Xeroderma Pigmentosum / Q000188:drug therapy
chemical_list: D010919:Placebos; D008787:Metoclopramide; D002945:Cisplatin