Analysis of the Efficacy and Safety of Palonosetron Hydrochloride in Preventing Nausea And Vomiting After TACE: A Retrospective Analysis

Haohao Lu; Chuansheng Zheng; Bin Liang; Xiangwen Xia

doi:10.2174/0118744710261186231026062257

Analysis of the Efficacy and Safety of Palonosetron Hydrochloride in Preventing Nausea And Vomiting After TACE: A Retrospective Analysis

Curr Radiopharm. 2023 Nov 13. doi: 10.2174/0118744710261186231026062257. Online ahead of print.

Authors

Haohao Lu^{1

2}, Chuansheng Zheng^{1

2}, Bin Liang^{1

2}, Xiangwen Xia^{1

2}

Affiliations

¹ Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue #1277, Wuhan, 430022, China.
² Hubei Province Key Laboratory of Molecular Imaging, Wuhan, 430022, China.

PMID: 38037910
DOI: 10.2174/0118744710261186231026062257

Abstract

Purpose: To investigate the mechanism of nausea and vomiting after TACE, and analyze the efficacy and safety of palonosetron hydrochloride in the prevention of nausea and vomiting after TACE.

Methods: The data of 221 patients who underwent TACE in the Department of Intervention Therapy from August 2018 to August 2020 were collected. The patients were divided into two groups: those who did not use palonosetron hydrochloride before TACE (TACE group, N=116); and those who used palonosetron hydrochloride before TACE (TACE+palonosetron group, N=105). Primary study endpoint: The control rate of nausea and vomiting in the two groups at 0-24 h (acute), 24-120 h (delayed), and 0-120 h. Secondary Study Endpoints: Adverse events of palonosetron hydrochloride.

Results: TACE group vs TACE+palonosetron group: 0-24h, 74 vs 44 patients with nausea (63.8% vs 41.9%); 24-120 h, 50 vs 16 patients with nausea (43.1% vs 15.2%); 0-120 h after TACE, 81 vs 50 patients with nausea (69.8% vs 47.6%). 0-24h, 52 vs 26 patients with vomiting (44.8% vs 24.8%); 24-120 h, 24 vs 8 patients with vomiting (20.7% vs 7.6%); 0-120 h after TACE, 64 vs 26 patients with vomiting (55.2% vs 24.8%). The incidence of nausea and vomiting after TACE was significantly lower in the TACE+palonosetron group than in the TACE group (p < 0.05).

Conclusion: Palonosetron hydrochloride can significantly reduce the incidence of nausea and vomiting in patients after TACE, with exact effect and high safety.

Keywords: PONV; Palonosetron hydrochloride; TACE; adverse drug reaction; mechanism; nausea and vomiting; retrospective study.; transarterial chemoembolization.