Supportive Care in Cancer

, Volume 17, Issue 5, pp 563–572

Phase II trial of encapsulated ginger as a treatment for chemotherapy-induced nausea and vomiting

Authors

    • Departments of Family MedicineUniversity of Michigan
    • University of Michigan Medical Center
  • Mack T. Ruffin
    • Departments of Family MedicineUniversity of Michigan
  • Julia Lee
    • Biostatistics Unit of the Comprehensive Cancer CenterUniversity of Michigan
  • Daniel P. Normolle
    • Biostatistics Unit of the Comprehensive Cancer CenterUniversity of Michigan
  • Rivka Siden
    • Department of Pharmacy ServicesUniversity of Michigan
  • Sara Alrawi
    • Departments of Family MedicineUniversity of Michigan
  • Dean E. Brenner
    • Division of Hematology/Oncology, Department of Internal MedicineUniversity of Michigan
Original Article

DOI: 10.1007/s00520-008-0528-8

Cite this article as:
Zick, S.M., Ruffin, M.T., Lee, J. et al. Support Care Cancer (2009) 17: 563. doi:10.1007/s00520-008-0528-8

Abstract

Goals of work

Ginger has been used to treat numerous types of nausea and vomiting. Ginger has also been studied for its efficacy for acute chemotherapy-induced nausea and vomiting (CINV). However, its efficacy for delayed CINV in a diverse oncology population is unknown.

Materials and methods

We performed a randomized, double-blind, placebo-controlled trial in 162 patients with cancer who were receiving chemotherapy and had experienced CINV during at least one previous round of chemotherapy. All participants were receiving a 5-HT3 receptor antagonists and/or aprepitant. Participants were randomized to receive either 1.0 g ginger, 2.0 g ginger daily, or matching placebo for 3 days. The primary outcome was change in the prevalence of delayed CINV. Secondary outcomes included acute prevalence of CINV, acute and delayed severity of CINV, and assessment of blinding.

Main results

There were no differences between groups in the prevalence of delayed nausea or vomiting, prevalence of acute CINV, or severity of delayed vomiting or acute nausea and vomiting. Participants who took both ginger and aprepitant had more severe acute nausea than participants who took only aprepitant. Participants were able to accurately guess which treatment they had received. Ginger appeared well tolerated, with no difference in all adverse events (AEs) and significantly less fatigue and miscellaneous AEs in the ginger group.

Conclusions

Ginger provides no additional benefit for reduction of the prevalence or severity of acute or delayed CINV when given with 5-HT3 receptor antagonists and/or aprepitant.

Keywords

GingerApripetantChemotherapy-induced nausea and vomiting

Copyright information

© Springer-Verlag 2008