RecruitingPhase IIIEN originalPancreatic cancer

Auricular Point Stimulation Plus Dexamethasone Versus Standard Antiemetic Regimen for Nausea and Vomiting Caused by Gemcitabine Combined With Paclitaxel Protein-bound

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This is not medical advice. AI-assisted translation — inaccuracies may occur. Always verify the original and consult your oncologist before taking any steps.

About the trial

This study aims to evaluate whether the preventive and suppressive effects of auricular point stimulation combined with dexamethasone on nausea and vomiting induced by the gemcitabine plus paclitaxel protein-bound regimen are non-inferior to the standard antiemetic regimen in pancreatic cancer treatment. Additionally, it will assess patients' appetite, gastrointestinal function, and other related indicators, and explore the significant role of integrated traditional Chinese medicine and Western medicine interventions in improving patients' quality of life during chemotherapy, thereby providing a clinical reference for optimizing the management of adverse reactions of this chemotherapy regimen. The main questions it aims to answer are: Whether the preventive and suppressive effects of auricular point stimulation combined with dexamethasone on nausea and vomiting induced by the gemcitabine plus paclitaxel protein-bound regimen are non-inferior to the standard antiemetic regimen? In comparison with a standard pharmacologic antiemetic regimen, does auricular point stimulation plus dexamethasone effectively reduce the incidence of appetite loss, weakened or disordered gastrointestinal function, and other uncomfortable conditions? Pancreatic cancer patients receiving adjuvant or palliative chemotherapy with the gemcitabine plus paclitaxel protein-bound regimen after surgery will be randomly assigned in a 1:1 ratio to either the auricular point stimulation group or the standard pharmacologic antiemetic regimen group. Patients in the auricular point stimulation group will: Receive auricular acupressure with bean seeds on specific points of one ear, plus intravenous injection of dexamethasone as a preventive antiemetic treatment within half an hour before chemotherapy. Starting from the day of chemotherapy (Day 1) to the following five days (Day 1-Day 5), provide regular stimulation at the acupressure points daily by themselves according to the protocol provided in this trial. Record their nausea and vomiting status, appetite, and gastrointestinal function-related symptomatic indicators from Day 1 to Day 5. Oral antiemetics are also prepared. If nausea and vomiting are significant or the patient feels the need, they may be temporarily administered as an adjunct. Patients in the standard pharmacologic antiemetic regimen group will: Receive the standard pharmacologic antiemetic regimen chosen by their physicians according to clinical guidelines.

Original English text from ClinicalTrials.gov

Who can (and can't) join

✓ Qualifies

  • Wiek od 18 do 85 lat
  • Rak trzustki - operacyjnie usunięty lub zaawansowany, wymagający chemioterapii
  • Dobrze funkcjonujący organizm (ocena ECOG 0-2)
  • Prawidłowe wyniki morfologii krwi i funkcji wątroby
  • Brak wodniaków, niedrożności żołądka i prawidłowa krzepliwość krwi
  • Prawidłowa funkcja nerek

✗ Disqualifies

  • Zmiany zapalne lub infekcja ucha
  • Tendencja do krwawień lub zaburzenia krzepliwości
  • Poważne wodniak lub niedrożność przewodu pokarmowego
  • Niekontrolowany wysoki ciśnienie krwi lub poudar
  • Poważne choroby układu krążenia (zawał, udar w ciągu 6 miesięcy)
  • Choroby mózgu lub przerzuty do mózgu w historii
  • Uczulenie na leki używane w badaniu
  • Ciąża lub karmienie piersią

Simplified criteria — AI translation

Trial details

Minimum age
18 Years
Maximum age
85 Years
Last updated (source)
July 21, 2026
Sex
No restrictions

Therapies / drugs in trial

Locations (1)

Second Affiliated Hospital of Zhejiang University School of Medicine

Hangzhou, China

Trial contact

Contact information from ClinicalTrials.gov. Contact in English.

Share this trial

Data from ClinicalTrials.gov. AI-assisted translation, last sync: 7/22/2026.

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