About 30 min before chemotherapy, and dexamethasone 8 mg orally twice daily on days 2-4. Patients who we're administered taxanes received doses of dexamethasone according to the package insert. Every cycle was a minimum of 14 day, as specified in the protocol. The study protocol allowed for the investigator either to prescribe rescue medications at any time when medically indicated or to withdraw the patient from the study and administer aprepitant with subsequent chemotherapy cycles. At the end of cycle 1 we allowed eligible patients to continue the same randomized treatment regimen for chemotherapy-induced nausea and vomittng for up to five additional cycle, irrespective of whether they had attained a complete response in cycle 1.treatment eligibility for subsequent cycles was evaluated on day 19-29.