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OncoMatch/Clinical Trials/NCT04939090

Olanzapine Versus Megestrol Acetate for the Treatment of Loss of Appetite Among Advanced Cancer Patients

Is NCT04939090 recruiting? Yes, currently enrolling (May 2026). This Phase 3 trial studies multiple treatments including Olanzapine and Megestrol Acetate for advanced malignant solid neoplasm.

Phase 3RecruitingAlliance for Clinical Trials in OncologyNCT04939090Data as of May 2026

Treatment: Olanzapine · Megestrol AcetateThis phase III trial compares the effects of olanzapine versus megestrol acetate in treating loss of appetite in patients with cancer that has spread to other places in the body (advanced). Olanzapine may stimulate and increase appetite. This study aims to find out if olanzapine is better than the usual approach (megestrol acetate) for stimulating appetite and preventing weight loss.

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Extracted eligibility criteria

Cancer type

Tumor Agnostic

Acute Myeloid Leukemia

Acute Lymphoblastic Leukemia

Non-Hodgkin Lymphoma

Multiple Myeloma

Myelodysplastic Syndrome

Chronic Lymphocytic Leukemia

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Cannot have received: systemic adrenal steroids

Exception: short-term dexamethasone within 3 days of chemotherapy for control of chemotherapy side effects

Not currently using systemic adrenal steroids (with the exception of short-term dexamethasone within 3 days of chemotherapy for control of chemotherapy side effects)

Cannot have received: androgens

No use of androgens ... within the past month

Cannot have received: progesterone analogs

No use of ... progesterone analogs ... within the past month

Cannot have received: other appetite stimulants

No use of ... other appetite stimulants within the past month

Cannot have received: antipsychotic agent (olanzapine, risperidone, quetiapine, clozapine, butyrophenone)

Not currently using olanzapine for another medical condition or had previously used olanzapine for chronic nausea or for any pre-existing psychotic disorder; No treatment with another antipsychotic agent, such as risperidone, quetiapine, clozapine, butyrophenone within 30 days of enrollment

Cannot have received: tube feedings or parenteral nutrition

Not receiving ongoing tube feedings or parenteral nutrition at the time of registration

Lab requirements

Blood counts

Granulocytes > 1000/hpf

Kidney function

Serum creatinine <= 2.0 mg/dL

Liver function

AST or ALT <= 3 x upper limit of normal (ULN)

Serum creatinine <= 2.0 mg/dL; AST or ALT <= 3 x upper limit of normal (ULN); Granulocytes > 1000/hpf

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • Arizona Center for Cancer Care - Gilbert · Gilbert, Arizona
  • CTCA at Western Regional Medical Center · Goodyear, Arizona
  • Arizona Center for Cancer Care-Peoria · Peoria, Arizona
  • Arizona Center for Cancer Care - Phoenix · Phoenix, Arizona
  • Arizona Center for Cancer Care - Osborn · Scottsdale, Arizona

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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