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성인 급성 백혈병 환자의 항암화학요법 유발 오심 구토(chemotherapy-induced nausea and vomiting) 예방에 있어서 granisetron transdermal system patch제의 효과 분석

The Effect of Granisetron Transdermal System Patch for the Prevention of Chemotherapy-induced Nausea and Vomiting in Adult Patients with Acute Leukemia

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Background : Granisetron transdermal system patch offers convenient non-invasiveoption and could enable continuous antiemetic effects during multi-day chemotherapy for acuteleukemia patients. This study compare the effect and costs of granisetron transdermal systempatch with ramosetron treatment for control chemotherapy-induced nausea and vomiting. Methods : From January 2011 to September 2013, one-hundred fifty acute leukemia patientswere prescribed with antiemetic prophylaxis granisetron transdermal system patch andramosetron. These patients were classified into granisetron group(n=82) and ramosetrongroup(n=68) and the effect and costs of each group were evaluated. Results : Total response was achieved by 51.2% of granisetron group and 45.6% of ramosetrongroup, but the difference not statistically significant(p=0.492). The first emetic episode occurred median Day1(1-9) granisetron group and median Day3(1-7) ramosetron group including patientswith failure to emetic control. Conclusions : ranisetron transdermal system patch offers reliable antiemetic effect and preferabledosing for patients receiving multi-day chemotherapy with acute leukemia, and close dosingcontrol pharmacist is to achieve higher response.

Abstract

Background : Granisetron transdermal system patch offers convenient non-invasiveoption and could enable continuous antiemetic effects during multi-day chemotherapy for acuteleukemia patients. This study compare the effect and costs of granisetron transdermal systempatch with ramosetron treatment for control chemotherapy-induced nausea and vomiting. Methods : From January 2011 to September 2013, one-hundred fifty acute leukemia patientswere prescribed with antiemetic prophylaxis granisetron transdermal system patch andramosetron. These patients were classified into granisetron group(n=82) and ramosetrongroup(n=68) and the effect and costs of each group were evaluated. Results : Total response was achieved by 51.2% of granisetron group and 45.6% of ramosetrongroup, but the difference not statistically significant(p=0.492). The first emetic episode occurred median Day1(1-9) granisetron group and median Day3(1-7) ramosetron group including patientswith failure to emetic control. Conclusions : ranisetron transdermal system patch offers reliable antiemetic effect and preferabledosing for patients receiving multi-day chemotherapy with acute leukemia, and close dosingcontrol pharmacist is to achieve higher response.

참고문헌 (10)

  1. Tuca A, "Use of granisetron transdermal system in the prevention of chemotherapyinduced nausea and vomiting: a review", Cancer Management and Research, 2, pp.1~12 (2010)
  2. Boccia R.V, "Efficacy and tolerability of transdermal granisetron for the control of chemotherapy-induced nausea and vomiting associated with moderately and highly emetogenic multi-day chemotherapy : a randomized, double-blind, phase Ⅲ study", Support Care Cancer, 19, pp.1609~1617 (2011)
  3. Boccia R.V, "Use of transdermal and intravenous granisetron and the ability of the Hesketh score to assess nausea and vomiting induced by multiday chemotherapy", Cancer Management and Research, 4, pp.171~176 (2012)
  4. Mattiuzzi G.N, "Daily palonosetron is superior to ondansetron in the prevention of delayed chemotherapyinduced nausea and vomiting in patients with acute myelogenous leukemia", Cancer, 116(24), pp.5659~5666 (2010)
  5. clinical practice guideline in oncology v.1, "NCCN", ~ (2014)
  6. Schwartzberg L., "Chemotherapy-induced nausea and vomiting: state of art in 2006", J Support Oncol, 4(suppl 1), pp.003~008 (2006)
  7. Lopez-Jimenez J., "Chemotherpayinduced nausea and vomiting in acute leukemia and stem cell transplant patients:results of a multicenter, observational study", Haematologica, 91(1), pp.84~91 (2006)
  8. Cheirsilpa A., "Comparison of ramosetron and granisetron for the prevention of acute and delayed emesis in cisplatin-based chemotherapy: a randomized controlled trial", Jpn J Clin Oncol, 35(12), pp.695~699 (2005)
  9. Rabasseda X., "Ramosetron, a 5-TH3 receptor antagonist for the control of nausea and vomiting", Drug Today(Barc)., 38(2), pp.75~89 (2002)
  10. Howell J., "Pharmacokinetics of a granisetron transdermal system for the treatment of chemotherapy-induced nausea and vomiting", J Oncol Pharm Pract, 15(4), pp.223~231 (2009)

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