ondansetron has been researched along with Hematologic Malignancies in 8 studies
Ondansetron: A competitive serotonin type 3 receptor antagonist. It is effective in the treatment of nausea and vomiting caused by cytotoxic chemotherapy drugs, including cisplatin, and has reported anxiolytic and neuroleptic properties.
Excerpt | Relevance | Reference |
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" Interestingly, none of the patients aged under 7 years, receiving divided dosing ondansetron, presented nausea symptoms compared with those receiving single daily dosing (p-value ." | 9.41 | Single daily dosing versus divided dosing intravenous ondansetron to prevent chemotherapy-induced nausea and vomiting among children: A comparative randomized double-blind controlled trial. ( Lertvivatpong, N; Monsereenusorn, C; Photia, A; Rujkijyanont, P; Ruktrirong, J; Traivaree, C, 2021) |
"Evidence supports olanzapine for prophylaxis of chemotherapy-induced nausea/vomiting (CINV) for highly emetogenic chemotherapy; however, most studies focus on solid malignancies and single-day regimens." | 9.27 | Randomized, Placebo-Controlled, Phase III Trial of Fosaprepitant, Ondansetron, Dexamethasone (FOND) Versus FOND Plus Olanzapine (FOND-O) for the Prevention of Chemotherapy-Induced Nausea and Vomiting in Patients with Hematologic Malignancies Receiving Hig ( Andrick, B; Clemmons, AB; DeRemer, D; Gandhi, A; Orr, J; Sportes, C, 2018) |
"Patients were assessed for nausea and vomiting on their infusion day using the Multinational Association of Supportive Care in Cancer Antiemesis Tool (MAT) at arrival, pre-ASCT infusion, pre-ondansetron administration, prior to the first bag, and after each bag of stem cells." | 9.17 | Prevention of dimethylsulfoxide-related nausea and vomiting by prophylactic administration of ondansetron for patients receiving autologous cryopreserved peripheral blood stem cells. ( Eisenberg, S; Gooley, T; Holmberg, L; Linenberger, M; Wickline, M, 2013) |
"The objective of this double blind parallel-group multicentre study was to compare the efficacy and safety of the combination ondansetron + methylprednisolone + lorazepam (O + M + L) in the prevention of emesis induced by chemotherapy with cyclophosphamide or adriamycin ." | 9.09 | [Improvement in the control of chemotherapy induced emesis with ondansetron, methylprednisolone and lorazepam combination in patients treated by a moderate emetic treatment and uncontrolled by a previous antiemetic combination]. ( Bonneterre, J; Harousseau, JL; Hedouin, M; Ouvry, J; Zittoun, R, 2000) |
"Aprepitant is a P/neurokinin-1 receptor antagonist approved for the prevention of CINV in moderate emetic risk chemotherapy." | 6.80 | Phase II, open label, randomized comparative trial of ondansetron alone versus the combination of ondansetron and aprepitant for the prevention of nausea and vomiting in patients with hematologic malignancies receiving regimens containing high-dose cytara ( Badar, T; Borthakur, G; Cortes, J; Ferrajoli, A; Garcia-Manero, G; Kadia, T; Kantarjian, H; Mattiuzzi, G; O'Brien, S; Poku, R; Wierda, W, 2015) |
" Interestingly, none of the patients aged under 7 years, receiving divided dosing ondansetron, presented nausea symptoms compared with those receiving single daily dosing (p-value ." | 5.41 | Single daily dosing versus divided dosing intravenous ondansetron to prevent chemotherapy-induced nausea and vomiting among children: A comparative randomized double-blind controlled trial. ( Lertvivatpong, N; Monsereenusorn, C; Photia, A; Rujkijyanont, P; Ruktrirong, J; Traivaree, C, 2021) |
"Evidence supports olanzapine for prophylaxis of chemotherapy-induced nausea/vomiting (CINV) for highly emetogenic chemotherapy; however, most studies focus on solid malignancies and single-day regimens." | 5.27 | Randomized, Placebo-Controlled, Phase III Trial of Fosaprepitant, Ondansetron, Dexamethasone (FOND) Versus FOND Plus Olanzapine (FOND-O) for the Prevention of Chemotherapy-Induced Nausea and Vomiting in Patients with Hematologic Malignancies Receiving Hig ( Andrick, B; Clemmons, AB; DeRemer, D; Gandhi, A; Orr, J; Sportes, C, 2018) |
"Patients were assessed for nausea and vomiting on their infusion day using the Multinational Association of Supportive Care in Cancer Antiemesis Tool (MAT) at arrival, pre-ASCT infusion, pre-ondansetron administration, prior to the first bag, and after each bag of stem cells." | 5.17 | Prevention of dimethylsulfoxide-related nausea and vomiting by prophylactic administration of ondansetron for patients receiving autologous cryopreserved peripheral blood stem cells. ( Eisenberg, S; Gooley, T; Holmberg, L; Linenberger, M; Wickline, M, 2013) |
"The objective of this double blind parallel-group multicentre study was to compare the efficacy and safety of the combination ondansetron + methylprednisolone + lorazepam (O + M + L) in the prevention of emesis induced by chemotherapy with cyclophosphamide or adriamycin ." | 5.09 | [Improvement in the control of chemotherapy induced emesis with ondansetron, methylprednisolone and lorazepam combination in patients treated by a moderate emetic treatment and uncontrolled by a previous antiemetic combination]. ( Bonneterre, J; Harousseau, JL; Hedouin, M; Ouvry, J; Zittoun, R, 2000) |
"Aprepitant is a P/neurokinin-1 receptor antagonist approved for the prevention of CINV in moderate emetic risk chemotherapy." | 2.80 | Phase II, open label, randomized comparative trial of ondansetron alone versus the combination of ondansetron and aprepitant for the prevention of nausea and vomiting in patients with hematologic malignancies receiving regimens containing high-dose cytara ( Badar, T; Borthakur, G; Cortes, J; Ferrajoli, A; Garcia-Manero, G; Kadia, T; Kantarjian, H; Mattiuzzi, G; O'Brien, S; Poku, R; Wierda, W, 2015) |
" We evaluated the possibility of a pharmacokinetic (PK) drug-drug interaction between the antiemetic agents and high-dose cyclophosphamide, cisplatin and BCNU (CPA/cDDP/BCNU)." | 2.69 | Modification of the pharmacokinetics of high-dose cyclophosphamide and cisplatin by antiemetics. ( Bearman, SI; Cagnoni, PJ; Day, TC; Jones, RB; Matthes, S; Shpall, EJ, 1999) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 0 (0.00) | 18.7374 |
1990's | 1 (12.50) | 18.2507 |
2000's | 1 (12.50) | 29.6817 |
2010's | 4 (50.00) | 24.3611 |
2020's | 2 (25.00) | 2.80 |
Authors | Studies |
---|---|
França de Moraes, GH | 1 |
Lima, LC | 1 |
Couceiro, TCM | 1 |
Lins, MM | 1 |
Cumino, DO | 1 |
Simões, LABM | 1 |
Mello, MJG | 1 |
Ruktrirong, J | 1 |
Traivaree, C | 1 |
Monsereenusorn, C | 1 |
Photia, A | 1 |
Lertvivatpong, N | 1 |
Rujkijyanont, P | 1 |
Clemmons, AB | 1 |
Orr, J | 1 |
Andrick, B | 1 |
Gandhi, A | 1 |
Sportes, C | 1 |
DeRemer, D | 1 |
Eisenberg, S | 1 |
Wickline, M | 1 |
Linenberger, M | 1 |
Gooley, T | 1 |
Holmberg, L | 1 |
Badar, T | 1 |
Cortes, J | 1 |
Borthakur, G | 1 |
O'Brien, S | 1 |
Wierda, W | 1 |
Garcia-Manero, G | 1 |
Ferrajoli, A | 1 |
Kadia, T | 1 |
Poku, R | 1 |
Kantarjian, H | 1 |
Mattiuzzi, G | 1 |
Stiff, PJ | 1 |
Fox-Geiman, MP | 1 |
Kiley, K | 1 |
Rychlik, K | 1 |
Parthasarathy, M | 1 |
Fletcher-Gonzalez, D | 1 |
Porter, N | 1 |
Go, A | 1 |
Smith, SE | 1 |
Rodriguez, TE | 1 |
Cagnoni, PJ | 1 |
Matthes, S | 1 |
Day, TC | 1 |
Bearman, SI | 1 |
Shpall, EJ | 1 |
Jones, RB | 1 |
Harousseau, JL | 1 |
Zittoun, R | 1 |
Bonneterre, J | 1 |
Hedouin, M | 1 |
Ouvry, J | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
Addition of Olanzapine to Standard CINV Prophylaxis in Hematopoietic Stem Cell Transplant[NCT04535141] | Phase 3 | 91 participants (Actual) | Interventional | 2020-08-18 | Completed | ||
Randomized, Placebo Controlled Study of FOND (Fosaprepitant, Ondansetron, Dexamethasone) Versus FOND+O (FOND Plus Olanzapine) for the Prevention of Chemotherapy Induced Nausea and Vomiting in Hematology Patients Receiving Highly Emetogenic Chemotherapy Re[NCT02635984] | Phase 3 | 108 participants (Actual) | Interventional | 2015-11-30 | Completed | ||
Randomized Phase 3 Study of Aprepitant Versus Placebo in Chinese Advanced Non-small Cell Lung Cancer Who Received Highly Emetogenic Chemotherapy[NCT02161991] | Phase 3 | 244 participants (Actual) | Interventional | 2014-02-01 | Completed | ||
Aprepitant- and Olanzapine- Containing Regimens for Prevention of Acute and Delayed Nausea and Vomiting Associated With High Dose Melphalan and BEAM in Autologous Stem Cell Transplant Patients[NCT02939287] | Phase 3 | 429 participants (Actual) | Interventional | 2017-09-23 | Completed | ||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
"The total number of rescue medications needed for breakthrough chemotherapy-induced nausea and vomiting were calculated, starting from the second day after the completion of highly or moderately emetogenic conditioning chemotherapy and continuing through the fifth day after the completion of highly or moderately emetogenic chemotherapy.~The rescue medication is defined as documented administration of an anti-emetic agent other than those that are scheduled for CINV prophylaxis." (NCT04535141)
Timeframe: Day 1 to 5 days after end of the chemotherapy ( Days 2-12).
Intervention | number of rescue medication (Mean) |
---|---|
Usual Care | 0.47 |
Olanzapine | 1.17 |
"The total number of rescue medications needed acute was calculated, starting from the first dose of highly or moderately emetogenic conditioning chemotherapy and continuing for one day after the last dose of highly or moderately emetogenic conditioning chemotherapy.~The rescue medication is defined as documented administration of an anti-emetic agent other than those that are scheduled for chemotherapy-induced nausea and vomiting (CINV) prophylaxis." (NCT04535141)
Timeframe: End of day 1 following last chemotherapy administration. (Up to day 2)
Intervention | number of rescue medication (Mean) |
---|---|
Usual Care | 0.08 |
Olanzapin | 0.10 |
"Starting with the first dose of highly or moderately emetogenic conditioning chemotherapy and continuing for one day after the last dose of highly or moderately emetogenic conditioning chemotherapy.~Nausea was assessed using subjects' responses to the Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE) nausea questions. Scale: Never, Rarely, Occasionally, Frequently, Almost constantly.~To meet this endpoint the score reported for the Pro-CTCAE question for nausea frequency cannot exceed rarely in the first 24 hours following receipt of chemotherapy." (NCT04535141)
Timeframe: End of day 1 following last chemotherapy administration (Up to day 2)
Intervention | Participants (Count of Participants) | |
---|---|---|
Met endpoint | Did not meet endpoint | |
Olanzapine | 44 | 1 |
Usual Care | 43 | 3 |
The frequency of somnolence was determined as the number of patients who experienced somnolence based on Common Terminology Criteria for Adverse Events version 5 (CTCAE v5). The number of subjects has somnolence during the study period was counted. (NCT04535141)
Timeframe: Day 2-12
Intervention | Participants (Count of Participants) | |
---|---|---|
subjects have somnolence | subjects do not have somnolence | |
Olanzapine | 1 | 42 |
Usual Care | 0 | 46 |
The number of emesis episodes in acute phase was defined as the number of subjects with no emesis, 1 emesis, and 2 or more emesis. (NCT04535141)
Timeframe: Day 1 to 5 days after end of the chemotherapy ( Days 2-12).
Intervention | Participants (Count of Participants) | ||
---|---|---|---|
No emesis episodes | 1 emesis episode | 2 or more emesis episodes | |
Olanzapine | 36 | 6 | 3 |
Usual Care | 32 | 9 | 5 |
: The number of subjects who did not experience emesis, starting from the first dose of highly or moderately emetogenic conditioning chemotherapy and continuing for one day after the last dose of highly or moderately emetogenic conditioning chemotherapy. Met endpoint = 0 emesis. (NCT04535141)
Timeframe: End of day 1 following last chemotherapy administration. (Up to day 2)
Intervention | Participants (Count of Participants) | |
---|---|---|
Met endpoint | Did not meet endpoint | |
Olanzapine | 45 | 0 |
Usual Care | 45 | 1 |
"Nausea was assessed using subjects' responses to the Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE) nausea questions, starting the second day after the completion of highly or moderately emetogenic conditioning chemotherapy and continuing through the fifth day after the completion of highly or moderately emetogenic chemotherapy.~Scale: Never, Rarely, Occasionally, Frequently, Almost constantly.~The number of subjects who experienced never or rarely nausea were considered as met the endpoint while those who experienced occasionally, frequently or almost constantly were considered as not met the endpoint." (NCT04535141)
Timeframe: Day 1 to 5 days after end of the chemotherapy (Days 2-12).
Intervention | Participants (Count of Participants) | |
---|---|---|
Met endpoint | Did not meet endpoint | |
Olanzapine | 27 | 18 |
Usual Care | 19 | 27 |
"To determine the number of subjects achieving minimal nausea was defined as the frequency of participants responded to the Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE) nausea question In the last 24 hours, how often did you have nausea? as rarely or less Starting with the first dose of chemotherapy and continuing for one day after the last dose of highly or moderately emetogenic conditioning chemotherapy.~PRO-CTCAE of nausea scale includes categories: Never, Rarely, Occasionally, Frequently, Almost constantly To meet this endpoint the score reported for the Pro-CTCAE question for nausea frequency cannot exceed rarely and the score reported for the Pro-CTCAE question for nausea severity cannot exceed mild" (NCT04535141)
Timeframe: Day 2-12
Intervention | Participants (Count of Participants) | |
---|---|---|
Yes | No | |
Olanzapine | 25 | 20 |
Usual Care | 15 | 31 |
Prolongation of corrected QTc interval graded as defined in Common Terminology Criteria for Adverse Events (CTCAE) v5.0. Corrected QTc was calculated using Fredericia's Formula. Corrected QT interval (QTc) = QT interval / (60/Heart rate)^0.33. (NCT04535141)
Timeframe: Day 1 to 5 days after end of the chemotherapy (Days 2- 12).
Intervention | Participants (Count of Participants) | |||||
---|---|---|---|---|---|---|
Grade 1 | Grade 2 | Grade 3 | Grade 4 | Grade 5 | None | |
Baseline Olanzapine | 4 | 0 | 0 | 0 | 0 | 41 |
Baseline Usual Care | 3 | 0 | 0 | 0 | 0 | 43 |
Olanzapine Post-chemo Day 1 | 3 | 0 | 0 | 0 | 0 | 42 |
Olanzapine- End of Study | 3 | 0 | 1 | 0 | 0 | 41 |
Usual Care End of Study | 3 | 0 | 1 | 0 | 0 | 42 |
Usual Care Post-chemo Day 1 | 2 | 0 | 0 | 0 | 0 | 44 |
"The severity of nausea in the delayed phase was defined as the response of the subject to the PRO- CTCAE nausea question.~Starting the second day after the completion of highly or moderately emetogenic conditioning chemotherapy and continuing through the fifth day after the completion of highly or moderately emetogenic chemotherapy (PRO-CTCAE) Scale: Never, Rarely, Occasionally, Frequently, Almost constantly~o meet the endpoint, the subject could not have answered a score as higher than mild in the period of time starting 24 hours after the last dose of chemotherapy and continuing until the 5th day following receipt of chemotherapy ." (NCT04535141)
Timeframe: Day 2-12
Intervention | Participants (Count of Participants) | |
---|---|---|
Met endpoint | Did not meet endpoint | |
Olanzapine | 31 | 24 |
Usual Care | 23 | 23 |
Overall percentage of patients who had a complete response (CR) defined as no emesis and minimal nausea (< 25 mm on a 100 mm visual analog scale [VAS]) during the overall assessment period (starting day 1 of chemotherapy and continuing for 5 days after discontinuation of chemotherapy) for the first cycle of chemotherapy. (NCT02635984)
Timeframe: Until study completion; estimated 1.5 years
Intervention | Participants (Count of Participants) |
---|---|
Triplet Therapy Plus Placebo | 13 |
Triplet Therapy Plus Olanzapine | 28 |
Reported as acute [chemotherapy days]. All assessment with all VAS < 25 mm on days of chemotherapy (NCT02635984)
Timeframe: Until study completion; estimated 1.5 years
Intervention | Participants (Count of Participants) |
---|---|
Triplet Therapy Plus Placebo | 33 |
Triplet Therapy Plus Olanzapine | 39 |
Reported for delayed [5 days after chemotherapy administration] All assessment with all VAS < 25 mm (NCT02635984)
Timeframe: Until study completion; estimated 1.5 years
Intervention | Participants (Count of Participants) |
---|---|
Triplet Therapy Plus Placebo | 16 |
Triplet Therapy Plus Olanzapine | 34 |
(CP = no emesis, no breakthrough antiemetic use, no significant nausea). To be reported as overall phases [chemotherapy days plus 5 days after] (NCT02635984)
Timeframe: Until study completion; estimated 1.5 years
Intervention | Participants (Count of Participants) |
---|---|
Triplet Therapy Plus Placebo | 6 |
Triplet Therapy Plus Olanzapine | 13 |
Complete response (no emesis and no more than minimal nausea, defined as < 25 mm on a 100 mm visual analog scale [VAS]) in acute phase (days of chemotherapy) (NCT02635984)
Timeframe: Until study completion; estimated 1.5 years
Intervention | Participants (Count of Participants) |
---|---|
Triplet Therapy Plus Placebo | 31 |
Triplet Therapy Plus Olanzapine | 39 |
Complete response (no emesis and no more than minimal nausea, defined as < 25 mm on a 100 mm visual analog scale [VAS]) in delayed phase (5 days after chemotherapy) (NCT02635984)
Timeframe: Until study completion; estimated 1.5 years
Intervention | Participants (Count of Participants) |
---|---|
Triplet Therapy Plus Placebo | 15 |
Triplet Therapy Plus Olanzapine | 31 |
No nausea (all VAS <5 mm) in overall assessment period (days of chemotherapy plus five days after) (NCT02635984)
Timeframe: Until study completion; estimated 1.5 years
Intervention | Participants (Count of Participants) |
---|---|
Triplet Therapy Plus Placebo | 6 |
Triplet Therapy Plus Olanzapine | 18 |
Reported for overall phases [chemotherapy days plus 5 days after] where all VAS < 25 mm (NCT02635984)
Timeframe: Until study completion; estimated 1.5 years
Intervention | Participants (Count of Participants) |
---|---|
Triplet Therapy Plus Placebo | 14 |
Triplet Therapy Plus Olanzapine | 30 |
7 trials available for ondansetron and Hematologic Malignancies
Article | Year |
---|---|
Single daily dosing versus divided dosing intravenous ondansetron to prevent chemotherapy-induced nausea and vomiting among children: A comparative randomized double-blind controlled trial.
Topics: Adolescent; Antiemetics; Antineoplastic Agents; Antineoplastic Combined Chemotherapy Protocols; Chil | 2021 |
Randomized, Placebo-Controlled, Phase III Trial of Fosaprepitant, Ondansetron, Dexamethasone (FOND) Versus FOND Plus Olanzapine (FOND-O) for the Prevention of Chemotherapy-Induced Nausea and Vomiting in Patients with Hematologic Malignancies Receiving Hig
Topics: Adult; Aged; Antiemetics; Antineoplastic Combined Chemotherapy Protocols; Carmustine; Cytarabine; Fe | 2018 |
Randomized, Placebo-Controlled, Phase III Trial of Fosaprepitant, Ondansetron, Dexamethasone (FOND) Versus FOND Plus Olanzapine (FOND-O) for the Prevention of Chemotherapy-Induced Nausea and Vomiting in Patients with Hematologic Malignancies Receiving Hig
Topics: Adult; Aged; Antiemetics; Antineoplastic Combined Chemotherapy Protocols; Carmustine; Cytarabine; Fe | 2018 |
Randomized, Placebo-Controlled, Phase III Trial of Fosaprepitant, Ondansetron, Dexamethasone (FOND) Versus FOND Plus Olanzapine (FOND-O) for the Prevention of Chemotherapy-Induced Nausea and Vomiting in Patients with Hematologic Malignancies Receiving Hig
Topics: Adult; Aged; Antiemetics; Antineoplastic Combined Chemotherapy Protocols; Carmustine; Cytarabine; Fe | 2018 |
Randomized, Placebo-Controlled, Phase III Trial of Fosaprepitant, Ondansetron, Dexamethasone (FOND) Versus FOND Plus Olanzapine (FOND-O) for the Prevention of Chemotherapy-Induced Nausea and Vomiting in Patients with Hematologic Malignancies Receiving Hig
Topics: Adult; Aged; Antiemetics; Antineoplastic Combined Chemotherapy Protocols; Carmustine; Cytarabine; Fe | 2018 |
Prevention of dimethylsulfoxide-related nausea and vomiting by prophylactic administration of ondansetron for patients receiving autologous cryopreserved peripheral blood stem cells.
Topics: Antiemetics; Blood Transfusion, Autologous; Cohort Studies; Cryoprotective Agents; Dimethyl Sulfoxid | 2013 |
Phase II, open label, randomized comparative trial of ondansetron alone versus the combination of ondansetron and aprepitant for the prevention of nausea and vomiting in patients with hematologic malignancies receiving regimens containing high-dose cytara
Topics: Adult; Aged; Antineoplastic Combined Chemotherapy Protocols; Aprepitant; Cytarabine; Dose-Response R | 2015 |
Prevention of nausea and vomiting associated with stem cell transplant: results of a prospective, randomized trial of aprepitant used with highly emetogenic preparative regimens.
Topics: Adult; Aged; Antiemetics; Aprepitant; Dexamethasone; Female; Hematologic Neoplasms; Hematopoietic St | 2013 |
Prevention of nausea and vomiting associated with stem cell transplant: results of a prospective, randomized trial of aprepitant used with highly emetogenic preparative regimens.
Topics: Adult; Aged; Antiemetics; Aprepitant; Dexamethasone; Female; Hematologic Neoplasms; Hematopoietic St | 2013 |
Prevention of nausea and vomiting associated with stem cell transplant: results of a prospective, randomized trial of aprepitant used with highly emetogenic preparative regimens.
Topics: Adult; Aged; Antiemetics; Aprepitant; Dexamethasone; Female; Hematologic Neoplasms; Hematopoietic St | 2013 |
Prevention of nausea and vomiting associated with stem cell transplant: results of a prospective, randomized trial of aprepitant used with highly emetogenic preparative regimens.
Topics: Adult; Aged; Antiemetics; Aprepitant; Dexamethasone; Female; Hematologic Neoplasms; Hematopoietic St | 2013 |
Modification of the pharmacokinetics of high-dose cyclophosphamide and cisplatin by antiemetics.
Topics: Adult; Antiemetics; Antineoplastic Agents; Antineoplastic Agents, Alkylating; Carmustine; Cisplatin; | 1999 |
[Improvement in the control of chemotherapy induced emesis with ondansetron, methylprednisolone and lorazepam combination in patients treated by a moderate emetic treatment and uncontrolled by a previous antiemetic combination].
Topics: Adult; Antiemetics; Breast Neoplasms; Double-Blind Method; Drug Therapy, Combination; Female; Hemato | 2000 |
1 other study available for ondansetron and Hematologic Malignancies
Article | Year |
---|---|
Vomiting after intrathecal chemotherapy under anesthesia in pediatric patients with hematologic cancers: A cohort study.
Topics: Anesthesia; Antiemetics; Child; Cohort Studies; Double-Blind Method; Female; Hematologic Neoplasms; | 2024 |