지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.6
- 수록면
- 47 - 52 (6page)
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초록· 키워드
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Purpose: There have been fever studies about the effectiveness of aprepitant in the first cycle of moderately emetogenic chemotherapy. The aim of this study was to determine whether aprepitant shows the effectiveness for prevention of chemotherapy-induced nausea and vomiting in the first cycle of moderately emetogenic chemotherapy in colon cancer patients.
Methods: A total of 131 patients who received their first chemotherapy (FOLFOX4, mFOLFOX6, or FOLFIRI regimen) for colon cancer were retrospectively analyzed. Eighty-one patients received aprepitant, 5HT3-receptor antagonist and dexamethasone (aprepitant group) and 50 patients received 5HT3-receptor antagonist and dexamethasone without aprepitant (control group) in the first cycle of moderately emetogenic chemotherapy. We compared the outcomes of the response and the incidence of adverse events.
Results: Both groups were similar in baseline characteristics. The complete response rate was significantly higher in the aprepitant group during 24 hours postchemotherapy (98.8% vs. 90.0%, P=0.02), between 24 to 120 hours postchemotherapy (96.3% vs. 86.0%, P=0.031), and during the 120 hours postchemotherapy (96.3% vs. 82.0%, P=0.006). The overall incidence of adverse events was similar between the aprepitant and the control group as 30% vs. 26%, respectively.
Conclusion: The use of aprepitant combination with 5HT3-receptor antagonist and dexamethasone showed a significant difference in response rate of chemotherapy-induced nausea and vomiting in the first cycle, suggesting that aprepitant would be necessary as a standard antiemetic agent from the first cycle of moderately emetogenic chemotherapy in colon cancer patients.
Methods: A total of 131 patients who received their first chemotherapy (FOLFOX4, mFOLFOX6, or FOLFIRI regimen) for colon cancer were retrospectively analyzed. Eighty-one patients received aprepitant, 5HT3-receptor antagonist and dexamethasone (aprepitant group) and 50 patients received 5HT3-receptor antagonist and dexamethasone without aprepitant (control group) in the first cycle of moderately emetogenic chemotherapy. We compared the outcomes of the response and the incidence of adverse events.
Results: Both groups were similar in baseline characteristics. The complete response rate was significantly higher in the aprepitant group during 24 hours postchemotherapy (98.8% vs. 90.0%, P=0.02), between 24 to 120 hours postchemotherapy (96.3% vs. 86.0%, P=0.031), and during the 120 hours postchemotherapy (96.3% vs. 82.0%, P=0.006). The overall incidence of adverse events was similar between the aprepitant and the control group as 30% vs. 26%, respectively.
Conclusion: The use of aprepitant combination with 5HT3-receptor antagonist and dexamethasone showed a significant difference in response rate of chemotherapy-induced nausea and vomiting in the first cycle, suggesting that aprepitant would be necessary as a standard antiemetic agent from the first cycle of moderately emetogenic chemotherapy in colon cancer patients.
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