Oral Versus Transdermal Ondansetron for Women With Cervical Cancer Receiving Chemoradiation
Conditions
Cancer of the Cervix
Conditions: official terms
Uterine Cervical Neoplasms
Conditions: Keywords
Cancer of the Cervix, Anti-emetic therapy, Granisetron, Transdermal patch, Ondansetron, Zofran, Questionnaires, Surveys, Study Drug Diary
Study Type
Interventional
Study Phase
Phase 3
Study Design
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Intervention
Name: Granisetron Type: Drug
Name: Ondansetron Type: Drug
Name: Questionnaires Type: Behavioral
Name: Study Drug Diary Type: Behavioral
Overall Status
Recruiting
Summary
The goal of this clinical research study is to compare granisetron (when given through a patch) to ondansetron (when taken by mouth) for reducing nausea and vomiting in women with cervical cancer having chemoradiation.

Granisetron and ondansetron are designed to help reduce nausea and vomiting.
Detailed Description
Study Groups:

If you agree to take part in this study, and you are among the first 40 participants, you will have an equal chance of being in either group. If you enroll after that, you will have a higher chance (51%-100%) of being assigned to the group that had better results.

- If you are in Group 1, you will receive granisetron by patch.

- If you are in Group 2, you will receive ondansetron by mouth.

Study Drug Administration:

If you are in Group 1, you will receive ondansetron by vein at your first visit only, which is standard of care. Then, you will receive cisplatin by vein over about 1 hour as part of the chemoradiation. A granisetron patch will then be placed on your skin before the chemotherapy . The patch will be replaced every 7 days before the chemotherapy.

If you are in Group 2, you will receive ondansetron by vein before cisplatin. Then, you will receive cisplatin by vein over about 1 hour. Then you will take ondansetron by mouth with a cup of water (8 ounces) 3 times a day for 3 days. Ondansetron is a tablet that you can take with or without food and is best taken at least 30 minutes before eating.

Both groups will be given a study drug diary to record the times that you take the study drugs. You will also record any nausea or vomiting that you may have. You should bring the diary to each study visit. You should also bring your study drug bottles/packages to each study visit.

Study Visits:

The visits for this study will be at the same time as your chemoradiation therapy visits over 5 weeks.

You will complete 3 questionnaires at your study visits and then again 1 week after the last chemotherapy. The last questionnaires will be completed by phone. The questionnaires ask about how easy or difficult it is to use your assigned study drug, your level of nausea and vomiting, and your quality of life. It should take about 5 minutes to complete these questionnaires each time.

Length of Treatment:

You may continue using the study drug up to 5 weeks during your chemoradiation treatment. You will no longer be able to take the study drug if the disease gets worse, if intolerable side effects occur, or if you are unable to follow study directions.

Your participation on the study will be over when you have completed 5 weeks of chemoradiation treatments.

This is an investigational study. Both granisetron and ondansetron are FDA approved and commercially available for the treatment of nausea and vomiting. It is investigational to compare these drugs administered in different ways.

Up to 150 patients will take part in this study. Up to 120 participants will take part at MD Anderson. Up to 30 will be enrolled at the Harris Health System.
Criteria for eligibility
Healthy Volunteers: No
Maximum Age: N/A
Minimum Age: 18 Years
Gender: Female
Criteria: Inclusion Criteria:

1. Women with biopsy-proven, locally advanced (stages IA2-IVA) cervical cancer dispositioned to receive definitive pelvic radiation therapy with concurrent cisplatin administration.

2. Women receiving primary or adjuvant pelvic radiation with concurrent cisplatinum postoperatively for cervical or endometrial cancer.

3. Women must be at least 18 years of age.

4. Women must be able to read English or Spanish at a sixth grade level.

5. Women with childbearing potential must have a negative pregnancy test within 1 week of starting chemoradiation therapy

Exclusion Criteria:

1. Women with cervical or endometrial cancer who are receiving chemotherapy and/or radiation therapy for recurrent disease.

2. Women with cervical or endometrial cancer who are receiving extended field radiation therapy

3. Women with cervical or endometrial cancer who are receiving chemotherapy and/or radiation therapy in a palliative setting
Locations
Lyndon B. Johnson General Hospital
Houston, Texas, United States
Status: Recruiting
University of Texas MD Anderson Cancer Center
Houston, Texas, United States
Status: Recruiting
Start Date
March 2012
Sponsors
M.D. Anderson Cancer Center
Source
M.D. Anderson Cancer Center
Record processing date
ClinicalTrials.gov processed this data on July 28, 2015
ClinicalTrials.gov page