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Petru, E; Andel, J; Angleitner-Boubenizek, L; Steger, G; Bernhart, M; Busch, K; Gehmacher, O; Hernler, T; Kastner, U; Lanz-Veit, A; Pluschnigg, U; Polachova, J; Rohde, M; Schiller, L; Schramböck, R; Stangl, W; Thödtmann, R; Zabernigg, A.
Early Austrian multicenter experience with palonosetron as antiemetic treatment for patients undergoing highly or moderately emetogenic chemotherapy.
Wien Med Wochenschr. 2008; 158(5-6): 169-173.
Doi: 10.1007/s10354-008-0515-1
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- Leading authors Med Uni Graz
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Petru Edgar
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- Abstract:
- BACKGROUND: Palonosetron is a new generation 5-HT3-receptor antagonist with a significantly prolonged half-life and a once-a-day administration compared to the conventional setrons. To evaluate the antiemetic efficacy of palonosetron in the daily hospital practice setting, a postmarketing study was carried out in Austria. METHODS: Palonosetron was administered at 0.25 mg on day 1 of each cycle to 135 cancer patients who received moderately or highly emetogenic chemotherapy either as an IV bolus or as a short-term infusion. Two thirds of these patients were females (n = 90), the majority had breast cancer (n = 38) and the majority received cisplatin, carboplatin, anthracyclines, 5-fluorouracil or cyclophosphamide. RESULTS: The complete antiemetic response rate was 68 % overall with 87 % efficacy on day 1 and 72 % efficacy on days 2 to 5. Higher antiemetic response was achieved in male patients, in patients being aged > or = 50 years, and in chemonaive patients. Twenty-four percent of patients needed rescue medication. Only 1.5 % of patients reported mild adverse events. CONCLUSIONS: Palonosetron resulted in high antiemetic efficacy in this study. Female gender and age < or = 50 years should be particularly considered when the antiemetic regimen is selected.
- Find related publications in this database (using NLM MeSH Indexing)
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Adult -
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Age Factors -
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Aged -
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Antiemetics - administration and dosage
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Antineoplastic Agents - adverse effects
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Austria - adverse effects
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Breast Neoplasms - drug therapy
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Cancer Care Facilities - drug therapy
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Female - drug therapy
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Humans - drug therapy
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Isoquinolines - administration and dosage
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Male - administration and dosage
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Middle Aged - administration and dosage
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Nausea - chemically induced
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Neoplasms - drug therapy
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Practice Guidelines as Topic - drug therapy
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Product Surveillance, Postmarketing - drug therapy
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Questionnaires - drug therapy
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Quinuclidines - administration and dosage
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Receptors, Serotonin, 5-HT3 - antagonists and inhibitors
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Serotonin Antagonists - administration and dosage
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Sex Factors - administration and dosage
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Time Factors - administration and dosage
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Vomiting - chemically induced