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一项关于大剂量多潘立酮作为顺铂治疗患者止吐药的初步研究。

A pilot study of high-dose domperidone as an antiemetic in patients treated with cisplatin.

作者信息

Tonato M, Roila F, del Favero A, Tognoni G, Franzosi M G, Pampallona S

出版信息

Eur J Cancer Clin Oncol. 1985 Jul;21(7):807-10. doi: 10.1016/0277-5379(85)90219-6.

DOI:10.1016/0277-5379(85)90219-6
PMID:4043169
Abstract

A dose-finding multicenter study was undertaken to evaluate the antiemetic efficacy of domperidone, an antidopaminergic drug, which has been proposed as a suitable alternative to high-dose metoclopramide in the control of cisplatin-induced nausea and vomiting. Forty-five patients were treated with different increasing high doses of domperidone (30, 60, 120 or 150 mg) administered by i.v. infusion over 20 min every 2 hr for a total of four doses for each patient, starting 30 min before chemotherapy. The number of episodes of emesis, the duration of nausea and vomiting and side-effects were recorded. Results do not suggest any specific difference in protective effect between the regimens tested. Moreover, occurrence of serious side-effects indicated that the safety of high-dose domperidone is doubtful.

摘要

开展了一项剂量探索性多中心研究,以评估多潘立酮(一种抗多巴胺能药物)的止吐疗效,该药物已被提议作为高剂量甲氧氯普胺在控制顺铂引起的恶心和呕吐方面的合适替代药物。45名患者接受了不同递增高剂量的多潘立酮(30、60、120或150毫克)治疗,通过静脉输注,每2小时一次,每次20分钟,每位患者共接受四剂,在化疗前30分钟开始给药。记录呕吐发作次数、恶心和呕吐持续时间以及副作用。结果并未表明所测试方案在保护作用方面存在任何特定差异。此外,严重副作用的发生表明高剂量多潘立酮的安全性存疑。

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A pilot study of high-dose domperidone as an antiemetic in patients treated with cisplatin.一项关于大剂量多潘立酮作为顺铂治疗患者止吐药的初步研究。
Eur J Cancer Clin Oncol. 1985 Jul;21(7):807-10. doi: 10.1016/0277-5379(85)90219-6.
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引用本文的文献

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A History of Drug Discovery for Treatment of Nausea and Vomiting and the Implications for Future Research.治疗恶心和呕吐的药物发现史及其对未来研究的启示
Front Pharmacol. 2018 Sep 4;9:913. doi: 10.3389/fphar.2018.00913. eCollection 2018.
2
An open study to assess the safety, tolerance and pharmacokinetics of an intravenous infusion of granisetron given at 3 mg over 30 s in patients receiving chemotherapy for malignant disease.一项开放性研究,旨在评估在接受恶性疾病化疗的患者中,静脉输注3毫克格拉司琼(历时30秒)的安全性、耐受性及药代动力学。
Cancer Chemother Pharmacol. 1995;37(1-2):134-8. doi: 10.1007/BF00685640.
3
Inhibition of cisplatin-induced vomiting by selective 5-hydroxytryptamine M-receptor antagonism.
选择性5-羟色胺M受体拮抗作用对顺铂所致呕吐的抑制作用
Br J Pharmacol. 1986 Jul;88(3):497-9. doi: 10.1111/j.1476-5381.1986.tb10228.x.
4
Evidence that 5-hydroxytryptamine3 receptors mediate cytotoxic drug and radiation-evoked emesis.5-羟色胺3受体介导细胞毒性药物和辐射诱发呕吐的证据。
Br J Cancer. 1987 Aug;56(2):159-62. doi: 10.1038/bjc.1987.177.