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Evaluation of the Omission of Dexamethasone in Premedication Regimens During Paclitaxel Treatment
Sponsor: Erasmus Medical Center
Summary
This prospective multicenter randomized non-inferiority trial aims to assess whether omitting dexamethasone from the premedication regimen during paclitaxel-based chemotherapy is non-inferior to the standard of care regimen that includes dexamethasone, based on the incidence of clinically relevant hypersensitivity reactions (HSRs) of grade ≥3 as per CTCAE v5.0. With a study population of 500 adult patients with solid tumors, the trial will also investigate secondary endpoints including the severity and incidence of HSRs of any grade, the number of paclitaxel administrations until the first HSR, the impact on patients' quality of life, adverse events related to dexamethasone, and the cost-effectiveness of the two premedication regimens from healthcare and societal perspectives.
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
500
Start Date
2024-06-25
Completion Date
2027-08-01
Last Updated
2024-09-25
Healthy Volunteers
No
Conditions
Interventions
Dexamethasone
Dexamethasone prior to paclitaxel infusion according to local care standards.
H1 Antihistaminics
Clemastine or Cetirizine prior to paclitaxel infusion according to local care standards
Locations (1)
Erasmus MC
Rotterdam, South Holland, Netherlands