Olanzapine (ZYPREXA) versus Haloperidol (Novo-Peridol) for the relief of Nausea and Vomiting (N&V) in patients with advanced cancer

ISRCTN ISRCTN58624349
DOI https://doi.org/10.1186/ISRCTN58624349
ClinicalTrials.gov number NCT00124930
Secondary identifying numbers MCT-71119
Submission date
07/06/2005
Registration date
23/06/2005
Last edited
01/02/2019
Recruitment status
Stopped
Overall study status
Stopped
Condition category
Signs and Symptoms
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Not provided at time of registration

Contact information

Dr Gillian Mary Fyles
Scientific

BCCA - Centre for the Southern Interior
399 Royal Avenue
Kelowna, British Columbia
V1Y 5L3
Canada

Phone +1 250 712 3994
Email gfyles@bccancer.bc.ca

Study information

Study designMulticentre two arm randomised parallel trial using placebo, with study participant, study investigator, and caregiver blinding
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleA randomised double-blind, parallel-group study comparing Olanzapine (ZYPREXA) with Haloperidol (Novo-Peridol) for the relief of Nausea and Vomiting (N&V) in patients with advanced cancer
Study acronymOHN - 1
Study hypothesisThe objective of this study is to compare the efficacy and safety of haloperidol and olanzapine in the control of chronic nausea in patients with advanced cancer who have failed first line anti-emetic therapy with metoclopramide or domperidone.

Please note that as of 28/01/2008 this trial record was updated. All updates to this trial record have been performed under the date 28/01/2008 in the relevant section of the trial record. Please also note that as of 2006 the contact and sponsor of this trial also changed. The previous contact for scientific queries was Dr Jose Pereira, and the previous sponsor was the University of Calgary (Canada).
Ethics approval(s)Health Research Ethics Board, University of Calgary, Calgary, Alberta (Canada) approved on the 31st May 2005 (ref: # 18371)
ConditionNausea in patients with advanced cancer
Intervention1. Olanzapine (Zyprexa)
2. Haldol (haloperidol)

Added as of 28/01/2008:
Both patients and investigators will be blinded as to which medication the patients will be receiving. Medications will be inserted in opaque capsules to ensure blinding.

Added as of 22/08/2008:
This trial was stopped early due to poor recruitment. The actual end date of this trial was 30/06/2008, and the previous anticipated end date was 31/12/2008.

Contact for public queries:
Carla Stiles
RM 374, HMRB
3330 Hospital Dr. NW
Calgary, AB, T2N 4N1
Canada
Email: carlasti@cancerboard.ab.ca
Tel: +1 403 210 8423
Fax: +1 403 283 8727
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Olanzapine (ZYPREXA), Haloperidol (Novo-Peridol)
Primary outcome measureSeverity of nausea on days 3 and 5 as determined by patient self-report Edmonton Symptom Assessment Scale (ESAS) (Visual Analogue Scale).
Secondary outcome measures1. Treatment satisfaction as assessed by patients (daily)
2. Frequency of adverse events caused by olanzapine and haloperidol as indicated by the Adverse Events Questionnaire
3. Spontaneous report of adverse events by patients and the modified St Hans Rating Scale (daily)
4. Changes in appetite
5. Depression
6. Anxiety as assessed by the ESAS
7. Changes in quality of life parameters as assessed by the Functional Assessment of Cancer Therapy - General (FACT-G) (days 3 and 5)
Overall study start date13/06/2005
Overall study end date30/06/2008
Reason abandoned (if study stopped)Poor recruitment

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants80
Participant inclusion criteriaCurrent inclusion criteria as of 28/01/2008:
1. Male or female 18 years or older
2. Significant nausea or vomiting
3. An expressed need for nausea or vomiting to be relieved with medication
4. Patient has failed a prior trial with metoclopramide or domperidone
5. Attempts at addressing probable and possible underlying causes of nausea have been attempted and failed
6. Sufficient cognitive function
7. Ability to communicate well with the study personnel and comply with the requirements of the study
8. Willingness to give written informed consent
9. Able to take oral medications
10. Life expectancy estimated to be greater than 2 weeks

Previous inclusion criteria:
1. Male or female 18 years or older
2. Significant nausea or vomiting
3. An expressed need for nausea or vomiting to be relieved with medication
4. Patient has failed a prior trial with metoclopramide or domperidone
5. Attempts at addressing probable and possible underlying causes of nausea have been attempted and failed
6. Sufficient cognitive function
7. Ability to communicate well with the study personnel and comply with the requirements of the study
8. Willingness to give written informed consent
Participant exclusion criteriaCurrent exclusion criteria as of 28/01/2008:
1. Has partial or complete bowel obstruction
2. Currently taking haloperidol or olanzapine
3. Has drug-induced extrapyramidal side effects (as identified by the screening and/or baseline examinations and Modified St. Hans Rating Scale)
4. Has a known hypersensitivity to haloperidol or olanzapine
5. Has documented Parkinson's disease
6. Is undergoing chemotherapy or radiation therapy that includes abdomen, brain, oesophagus or stomach in its field
7. Has experienced extrapyramidal syndromes (EPS) or intolerance in the past to olanzapine or haloperidol
8. Concurrently receiving or has received in the last 28 days an investigational drug
9. Has previously participated in this trial

Previous exclusion criteria:
1. Has partial or complete bowel obstruction
2. Currently taking haloperidol or olanzapine
3. Has drug-induced extrapyramidal side effects (as identified by the screening and/or baseline examinations and Modified St. Hans Rating Scale)
4. Has a known hypersensitivity to haloperidol or olanzapine
5. Has documented Parkinson’s disease
6. Is undergoing chemotherapy or radiation therapy that includes abdomen, brain, oesophagus or stomach in its field
Recruitment start date13/06/2005
Recruitment end date30/06/2008

Locations

Countries of recruitment

  • Canada

Study participating centre

BCCA - Centre for the Southern Interior
Kelowna, British Columbia
V1Y 5L3
Canada

Sponsor information

University of British Columbia (Canada)
University/education

305-2075 Wesbrook Mall
Vancouver, British Columbia
V6T 1Z4
Canada

Website http://www.ubc.ca/
ROR logo "ROR" https://ror.org/03rmrcq20

Funders

Funder type

Research organisation

Canadian Institutes of Health Research (CIHR) (Canada) - http://www.cihr-irsc.gc.ca (ref: MCT-71119)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Editorial Notes

01/02/2019: Clinicaltrials.gov states that this trial was terminated by January 2012 due to low accrual