Olanzapine Based Dexamethasone-sparing Regimen for Breast Cancer Patients With Metabolic-risk Factors

Summary

The aim of THE STUDY to determine whether an olanzapine-based dexamethasone-sparing antiemetic regimen is non-inferior to the standard dexamethasone-containing regimen in preventing delayed-phase Chemotherapy-induced nausea and vomiting while reducing metabolic toxicity in breast cancer patients with metabolic risk factors.

Eligibility

Inclusion Criteria:

* Female patients ≥18 years.
* Stage I-III breast cancer.
* Scheduled to receive AC chemotherapy.
* Presence of metabolic risk factors (diabetes, prediabetes, obesity, metabolic syndrome).
* ECOG performance status ≤2.

Exclusion Criteria:

* Recent systemic corticosteroid use.
* Active nausea or vomiting before chemotherapy.
* Severe renal or hepatic impairment.
* Uncontrolled diabetes or hypertension.
* Psychiatric illness affecting adherence.
* Pregnancy or lactation.
* Active infections or inflammatory diseases.
* Participation in another clinical trial

Conditions4

Interventions3

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