Antiemetics: ASCO guideline update
Purpose: To update the guideline to include new anticancer agents, antiemetics, and antiemetic regimens and to provide recommendations on the use of dexamethasone as a prophylactic antiemetic in patients receiving checkpoint inhibitors (CPIs). Methods: ASCO convened an Expert Panel and updated the s...
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| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
July 13, 2020
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| In: |
Journal of clinical oncology
Year: 2020, Volume: 38, Issue: 24, Pages: 2782-2797 |
| ISSN: | 1527-7755 |
| DOI: | 10.1200/JCO.20.01296 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1200/JCO.20.01296 Verlag, lizenzpflichtig, Volltext: https://ascopubs.org/doi/10.1200/JCO.20.01296 |
| Author Notes: | Paul J. Hesketh, Mark G. Kris, Ethan Basch, Kari Bohlke, Sally Y. Barbour, Rebecca Anne Clark-Snow, Michael A. Danso, Kristopher Dennis, L. Lee Dupuis, Stacie B. Dusetzina, Cathy Eng, Petra C. Feyer, Karin Jordan, Kimberly Noonan, Dee Sparacio, and Gary H. Lyman |
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| 245 | 1 | 0 | |a Antiemetics |b ASCO guideline update |c Paul J. Hesketh, Mark G. Kris, Ethan Basch, Kari Bohlke, Sally Y. Barbour, Rebecca Anne Clark-Snow, Michael A. Danso, Kristopher Dennis, L. Lee Dupuis, Stacie B. Dusetzina, Cathy Eng, Petra C. Feyer, Karin Jordan, Kimberly Noonan, Dee Sparacio, and Gary H. Lyman |
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| 520 | |a Purpose: To update the guideline to include new anticancer agents, antiemetics, and antiemetic regimens and to provide recommendations on the use of dexamethasone as a prophylactic antiemetic in patients receiving checkpoint inhibitors (CPIs). Methods: ASCO convened an Expert Panel and updated the systematic review to include randomized controlled trials (RCTs) and meta-analyses of RCTs published between June 1, 2016, and January 24, 2020. To address the dexamethasone and CPI question, we conducted a systematic review of RCTs that evaluated the addition of a CPI to chemotherapy. Results: The systematic reviews included 3 publications from the updated search and 10 publications on CPIs. Two phase III trials in adult patients with non-small-cell lung cancers evaluating a platinum-based doublet with or without the programmed death 1 (PD-1) inhibitor pembrolizumab recommended that all patients receive dexamethasone as a component of the prophylactic antiemetic regimen. In both studies, superior outcomes were noted in the PD-1 inhibitor-containing arms. Other important findings address olanzapine in adults and fosaprepitant in pediatric patients. Recommendations: Recommendations for adults are unchanged with the exception of the option of adding olanzapine in the setting of hematopoietic stem cell transplantation. Dosing information now includes the option of a 5-mg dose of olanzapine in adults and intravenous formulations of aprepitant and netupitant-palonosetron. The option of fosaprepitant is added to pediatric recommendations. There is no clinical evidence to warrant omission of dexamethasone from guideline-compliant prophylactic antiemetic regimens when CPIs are administered to adults in combination with chemotherapy. CPIs administered alone or in combination with another CPI do not require the routine use of a prophylactic antiemetic. Additional information is available at www.asco.org/supportive-care-guidelines. | ||
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| 700 | 1 | |a Basch, Ethan |e VerfasserIn |4 aut | |
| 700 | 1 | |a Bohlke, Kari |e VerfasserIn |4 aut | |
| 700 | 1 | |a Barbour, Sally Y. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Clark-Snow, Rebecca Anne |e VerfasserIn |4 aut | |
| 700 | 1 | |a Danso, Michael A. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Dennis, Kristopher |e VerfasserIn |4 aut | |
| 700 | 1 | |a Dupuis, L. Lee |e VerfasserIn |4 aut | |
| 700 | 1 | |a Dusetzina, Stacie B. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Eng, Cathy |e VerfasserIn |4 aut | |
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| 700 | 1 | |a Sparacio, Dee |e VerfasserIn |4 aut | |
| 700 | 1 | |a Lyman, Gary H. |e VerfasserIn |4 aut | |
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