Clinical trial

Phase II Trial Testing the Antiemetic Efficacy of a Single-day Low Dose Aprepitant (or Fosaprepitant) Added to a 5-HT3 Receptor Antagonist Plus Dexamethasone in Patients Receiving Carboplatin

Name
2015-5109
Description
This study evaluates a simple one day prophylaxis of nausea and vomiting for patients who are getting carboplatin based chemotherapy. In addition to standard oral Dexamethasone and oral Ondansetron, participants will be given a third neurokinin 1 (NK1) antagonist agent, either a single dose of oral Aprepitant or intravenous (IV) Fosaprepitant (they have been shown to be equally effective) to improve prevention of nausea and vomiting. No medications need to be taken beyond day 1.
Trial arms
Trial start
2018-10-30
Estimated PCD
2021-02-11
Trial end
2021-02-11
Status
Terminated
Phase
Early phase I
Treatment
Aprepitant 125 mg
Patient scheduled for the first cycle of carboplatin-based chemotherapy will be offered to receive low doses of aprepitant (125mg of oral aprepitant) or 115mg of fosaprepitant intravenously for prevention of chemotherapy-induced nausea and vomiting
Arms:
low dose aprepitant or fosaprepitant
Fosaprepitant 115 MG
Patient scheduled for the first cycle of carboplatin-based chemotherapy will be offered to receive low doses of aprepitant (125mg of oral aprepitant) or 115mg of fosaprepitant intravenously for prevention of chemotherapy-induced nausea and vomiting
Arms:
low dose aprepitant or fosaprepitant
Dexamethasone
Dexamethasone will be given as a part of standard CINV prophylaxis for patients receiving carboplatin-based chemotherapy, dosed at 20mg on day 1 of chemotherapy
Arms:
low dose aprepitant or fosaprepitant
Ondansetron 16 MG
Ondansetron will be given as a part of standard CINV prophylaxis for patients receiving carboplatin-based chemotherapy, dosed at 16mg on day 1 of chemotherapy
Arms:
low dose aprepitant or fosaprepitant
Size
15
Primary endpoint
Complete Control Rate of Chemotherapy-induced Nausea and Vomiting (CINV) Following 1st Cycle of Chemotherapy
24 hours following the first cycle of chemotherapy
Complete Control Rate of Chemotherapy-induced Nausea and Vomiting (CINV) Following 1st Cycle of Chemotherapy
From 24 to 120 hours following the first cycle of chemotherapy, approximately 5 days
Eligibility criteria
Inclusion Criteria: * No prior chemotherapy * Confirmed malignancy, scheduled to receive carboplatin monotherapy, or carboplatin in combination with agents of minimal, low, or moderate emetic potential * Laboratory parameters adequate for chemotherapy Exclusion Criteria: * Patients with Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) of 3 or 4 * Presence of nausea and vomiting or use of major antiemetic agents during the 24 hours before chemotherapy administration * Patients receiving radiotherapy within 5 days prior to the carboplatin * Pregnancy or lactation * Known allergy to any of the 3 antiemetics
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2'], 'designInfo': {'allocation': 'NA', 'interventionModel': 'SINGLE_GROUP', 'interventionModelDescription': 'Patient scheduled for the first cycle of carboplatin-based chemotherapy will be offered to receive 125mg of oral aprepitant or 115mg of fosaprepitant intravenously for prevention of chemotherapy-induced nausea and vomiting', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 15, 'type': 'ACTUAL'}}
Updated at
2023-11-13

1 organization

4 products

1 indication

Product
Aprepitant