1
|
Spartinou A, Nyktari V, Papaioannou A. Granisetron: a review of pharmacokinetics and clinical experience in chemotherapy induced - nausea and vomiting. Expert Opin Drug Metab Toxicol 2017; 13:1289-1297. [DOI: 10.1080/17425255.2017.1396317] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Anastasia Spartinou
- Department of Anesthesiology, University Hospital of Heraklion, Crete, Greece
| | - Vasileia Nyktari
- Department of Anesthesiology, University Hospital of Heraklion, Crete, Greece
| | - Alexandra Papaioannou
- Department of Anesthesiology, University Hospital of Heraklion, Crete, Greece
- Faculty of Medicine, University of Crete Greece
| |
Collapse
|
2
|
Abstract
Nausea and vomiting are common in cancer patients. The most common cause of nausea and vomiting is the administration of cytotoxic chemotherapy. Apart from chemotherapy-induced nausea and vomiting (CINV), biological agents may also cause these symptoms. In this review, discussion will be focused on management of nausea and vomiting due to antineoplastic therapies. The cornerstone of effective management of nausea and vomiting secondary to these antineoplastic drugs is the prevention with the use of appropriate guideline-directed combination antiemetic regimen. Type 3 serotonin receptor antagonists (5HT3RAs), neurokinin-1 receptor antagonists (NK1RAs), and dexamethasone are the backbone antiemetic drugs. In recent years, newer drugs and preparations have been introduced for clinical use and include second-generation 5HT3RA, palonosetron; granisetron transdermal patch; the recently introduced NK1RA rolapitant; and the novel oral combined drug NEPA (netupitant plus palonosetron); and last but not least, the atypical antipsychotic olanzapine.
Collapse
|
3
|
Papadima A, Gourgiotis S, Lagoudianakis E, Pappas A, Seretis C, Antonakis PT, Markogiannakis H, Makri I, Manouras A. Granisetron versus tropisetron in the prevention of postoperative nausea and vomiting after total thyroidectomy. Saudi J Anaesth 2013; 7:68-74. [PMID: 23717236 PMCID: PMC3657930 DOI: 10.4103/1658-354x.109817] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Background: Postoperative nausea and vomiting (PONV) are frequently encountered after thyroidectomy. For PONV prevention, selective serotonin 5-hydroxytryptamine type 3 (5-HT3) receptor antagonists are considered one of the first-line therapy. We report on the efficiency of granisetron and tropisetron, with that of placebo on the prevention of PONV in patients undergoing total thyroidectomy. Methods: One hundred twenty-seven patients were divided into three groups and randomized to receive intravenously, prior to induction of anesthesia, tropisetron 5 mg, or granisetron 3 mg, or normal saline. All patients received additionally 0.625 mg droperidol. All episodes of postoperative PONV during the first 24 h after surgery were evaluated. Results: Nausea visual analogue scale (VAS) score was lower in tropisetron and granisetron groups than the control group at all measurements (P<0.01) except for the 8-h measurement for tropisetron (P=0.075). Moreover, granisetron performed better than tropisetron (P<0.011 at 4 h and P<0.01 at all other points of time) apart from the 2-h measurement. Vomiting occurred in 22.2%, 27.5%, and 37.5% in granisetron, tropisetron, and control groups, respectively (P=0.43). Conclusions: The combination of the 5-HT3 antagonists with droperidol given before induction of anesthesia is well tolerated and superior to droperidol alone in preventing nausea but not vomiting after total thyroidectomy.
Collapse
Affiliation(s)
- Artemisia Papadima
- Department of Anesthesiology, Hippocrateion Hospital, Athens Medical School, University of Athens, Athens, Greece
| | | | | | | | | | | | | | | | | |
Collapse
|
4
|
Zhao N, Cun D, Li W, Ma X, Sun L, Xi H, Li L, Fang L. In vitro percutaneous absorption enhancement of granisetron by chemical penetration enhancers. Drug Dev Ind Pharm 2012; 39:561-8. [DOI: 10.3109/03639045.2012.665924] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Nanxi Zhao
- School of Pharmacy, Shenyang Pharmaceutical University,
Shenyang, Liaoning, China
| | - Dongmei Cun
- School of Pharmacy, Shenyang Pharmaceutical University,
Shenyang, Liaoning, China
| | - Wei Li
- School of Pharmacy, Shenyang Pharmaceutical University,
Shenyang, Liaoning, China
| | - Xu Ma
- School of Pharmacy, Shenyang Pharmaceutical University,
Shenyang, Liaoning, China
| | - Lin Sun
- School of Pharmacy, Shenyang Pharmaceutical University,
Shenyang, Liaoning, China
| | - Honglei Xi
- School of Pharmacy, Shenyang Pharmaceutical University,
Shenyang, Liaoning, China
| | - Li Li
- School of Pharmaceutical Sciences, Liaoning University,
Shenyang, Liaoning, China
| | - Liang Fang
- School of Pharmacy, Shenyang Pharmaceutical University,
Shenyang, Liaoning, China
| |
Collapse
|
5
|
Saito M, Tsukuda M. Review of palonosetron: emerging data distinguishing it as a novel 5-HT(3) receptor antagonist for chemotherapy-induced nausea and vomiting. Expert Opin Pharmacother 2010; 11:1003-14. [PMID: 20307224 DOI: 10.1517/14656561003705746] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
IMPORTANCE OF THE FIELD Since the advent of the 5-hydroxytryptamine 3 receptor antagonists (5-HT3RAs) in the 1990s, dramatic improvements have been achieved in the field of antiemetic therapy. The enhanced prevention of delayed and overall chemotherapy-induced nausea and vomiting (CINV) offered by palonosetron, a second-generation 5-HT3RA and aprepitant, the first neurokinin-1 receptor antagonists (NK-1RA) represent the only significant treatment advances in the past decade. While initial trials of single-dose palonosetron indicated a potential benefit over first-generation 5-HT3RAs, only recently have new data become available, increasing the weight of evidence distinguishing it as a new 5-HT3RA in the class. AREAS COVERED IN THIS REVIEW History of antiemetics and palonosetron, including clinical trials and pharmacological research, and literature published between 1981 and 2010 are covered. WHAT THE READER WILL GAIN Unique pharmacological characteristics of palonosetron exhibiting prolonged half-life, high receptor affinity, allosteric interactions and positive cooperativity with 5-HT3 receptor resulting in long-term alteration and internalization of this receptor may explain the clinical observation of palonosetron. TAKE HOME MESSAGE This review of recent progress in antiemetic therapy focuses on the newest data on palonosetron and discusses future trials and implications for clinical practice, with the overall goal of learning from history.
Collapse
Affiliation(s)
- Mitsue Saito
- Juntendo University - Breast Oncology, 3-1-3 Hongo Bunkyo-ku, Tokyo 113- 8431, Japan.
| | | |
Collapse
|
6
|
Naeim A, Dy SM, Lorenz KA, Sanati H, Walling A, Asch SM. Evidence-Based Recommendations for Cancer Nausea and Vomiting. J Clin Oncol 2008; 26:3903-10. [DOI: 10.1200/jco.2007.15.9533] [Citation(s) in RCA: 93] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
The experience of patients living with cancer and being treated with chemotherapy often includes the symptoms of nausea and vomiting. To provide a framework for high-quality management of these symptoms, we developed a set of key targeted evidence-based standards through an iterative process of targeted systematic review, development, and refinement of topic areas and standards and consensus ratings by a multidisciplinary expert panel as part of the RAND Cancer Quality–Assessing Symptoms Side Effects and Indicators of Supportive Treatment Project. For nausea and vomiting, key clinical standards included screening at the initial outpatient and inpatient visit, prophylaxis for acute and delayed emesis in patients receiving moderate to highly emetic chemotherapy, and follow-up after treatment for nausea and vomiting symptoms. In addition, patients with cancer and small bowel obstruction were examined as a special subset of patients who present with nausea and vomiting. The standards presented here for preventing and managing nausea and vomiting in cancer care should be incorporated into care pathways and should become the expectation rather than the exception.
Collapse
Affiliation(s)
- Arash Naeim
- From the David Geffen School of Medicine at University of California at Los Angeles; VA Greater Los Angeles Healthcare System, Los Angeles; RAND Health, Santa Monica; University of California, Irvine, Irvine, CA; and Johns Hopkins University, Baltimore, MD
| | - Sydney M. Dy
- From the David Geffen School of Medicine at University of California at Los Angeles; VA Greater Los Angeles Healthcare System, Los Angeles; RAND Health, Santa Monica; University of California, Irvine, Irvine, CA; and Johns Hopkins University, Baltimore, MD
| | - Karl A. Lorenz
- From the David Geffen School of Medicine at University of California at Los Angeles; VA Greater Los Angeles Healthcare System, Los Angeles; RAND Health, Santa Monica; University of California, Irvine, Irvine, CA; and Johns Hopkins University, Baltimore, MD
| | - Homayoon Sanati
- From the David Geffen School of Medicine at University of California at Los Angeles; VA Greater Los Angeles Healthcare System, Los Angeles; RAND Health, Santa Monica; University of California, Irvine, Irvine, CA; and Johns Hopkins University, Baltimore, MD
| | - Anne Walling
- From the David Geffen School of Medicine at University of California at Los Angeles; VA Greater Los Angeles Healthcare System, Los Angeles; RAND Health, Santa Monica; University of California, Irvine, Irvine, CA; and Johns Hopkins University, Baltimore, MD
| | - Steven M. Asch
- From the David Geffen School of Medicine at University of California at Los Angeles; VA Greater Los Angeles Healthcare System, Los Angeles; RAND Health, Santa Monica; University of California, Irvine, Irvine, CA; and Johns Hopkins University, Baltimore, MD
| |
Collapse
|
7
|
Affiliation(s)
- Paul J Hesketh
- Caritas St. Elizabeth's Medical Center, Boston, MA 02135, USA.
| |
Collapse
|
8
|
Jordan K, Schmoll HJ, Aapro MS. Comparative activity of antiemetic drugs. Crit Rev Oncol Hematol 2007; 61:162-75. [PMID: 17208005 DOI: 10.1016/j.critrevonc.2006.08.003] [Citation(s) in RCA: 73] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2005] [Revised: 08/25/2006] [Accepted: 08/25/2006] [Indexed: 11/16/2022] Open
Abstract
Nausea and vomiting continues to be an important problem for cancer patients receiving chemotherapy. Chemotherapy-induced nausea and vomiting (CINV) are classified as acute, occurring within the first 24h, or delayed, occurring after the first 24h. A number of antiemetic agents are available for the management of nausea and vomiting, including 5-HT3-receptor-antagonists, corticosteroids, NK-1-receptor-antagonists, dopamine-receptor antagonists, benzodiazepines, neuroleptics and cannabinoids. With modern antiemetic therapy, vomiting can be prevented in 70-80% of patients, whereas the control of nausea remains suboptimal. The development of acute emesis is known to depend on serotonin. The pathophysiology of delayed emesis is less well understood, and multiple mechanisms may contribute, including substance P. Here, the most recent developments in the antiemetic therapy, including new antiemetic drugs and the latest guidelines for antiemetic prophylaxis, are reviewed.
Collapse
Affiliation(s)
- Karin Jordan
- Department of Internal Medicine IV, Haematology/Oncology, Martin-Luther-University Halle/Wittenberg, Ernst-Grube-Str. 40, 06120 Halle/Saale, Germany.
| | | | | |
Collapse
|
9
|
Kris MG, Hesketh PJ, Somerfield MR, Feyer P, Clark-Snow R, Koeller JM, Morrow GR, Chinnery LW, Chesney MJ, Gralla RJ, Grunberg SM. American Society of Clinical Oncology guideline for antiemetics in oncology: update 2006. J Clin Oncol 2006; 24:2932-47. [PMID: 16717289 DOI: 10.1200/jco.2006.06.9591] [Citation(s) in RCA: 497] [Impact Index Per Article: 27.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
PURPOSE To update the 1999 American Society of Clinical Oncology guideline for antiemetics in oncology. UPDATE METHODOLOGY The Update Committee completed a review and analysis of data published from 1998 thru February 2006. The literature review focused on published randomized controlled trials, and systematic reviews and meta-analyses of published phase II and phase III randomized controlled trials. RECOMMENDATIONS The three-drug combination of a 5-hydroxytryptamine-3 (5-HT(3)) serotonin receptor antagonist, dexamethasone, and aprepitant is recommended before chemotherapy of high emetic risk. For persons receiving chemotherapy of high emetic risk, there is no group of patients for whom agents of lower therapeutic index are appropriate first-choice antiemetics. These agents should be reserved for patients intolerant of or refractory to 5-HT3 serotonin receptor antagonists, neurokinin-1 receptor antagonists, and dexamethasone. The three-drug combination of a 5-HT3 receptor serotonin antagonist, dexamethasone, and aprepitant is recommended for patients receiving an anthracycline and cyclophosphamide. For patients receiving other chemotherapy of moderate emetic risk, the Update Committee continues to recommend the two-drug combination of a 5-HT3 receptor serotonin antagonist and dexamethasone. In all patients receiving cisplatin and all other agents of high emetic risk, the two-drug combination of dexamethasone and aprepitant is recommended for the prevention of delayed emesis. The Update Committee no longer recommends the combination of a 5-HT3 serotonin receptor antagonist and dexamethasone for the prevention of delayed emesis after chemotherapeutic agents of high emetic risk. CONCLUSION The Update Committee recommends that clinicians administer antiemetics while considering patients' emetic risk categories and other characteristics.
Collapse
|