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CancerPhase 3NCT00891761

A Study of IV Casopitant for the Prevention of Nausea and Vomiting Caused By Cisplatin-Based Highly Emetogenic Chemotherapy

A Phase 3 study testing Dexamethasone, IV casopitant (active) and Ondansetron in people with Cancer and Chemotherapy-Induced Nausea and Vomiting, run by GlaxoSmithKline at 3 sites in 2 countries.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

This is a phase III study designed to demonstrate the superiority of single-dose 90 mg intravenous (IV) casopitant over placebo, each in combination with ondansetron and dexamethasone, for the prevention of emesis over the first 0-120 hours (overall phase) following initiation of the cisplatin infusion in the first… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Dexamethasone, IV casopitant (active) and Ondansetron
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
0 participants
Where
3 sitesin 2 countries
Study dates
Sep 2009to Jul 2010
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • A subject will be considered eligible for initial inclusion in this study, and progression into subsequent cycles of therapy within the study, only if all of the following criteria apply:
  • Subject understands the nature and purpose of this study and the study procedures and has signed an informed consent form for this study to indicate this understanding.
  • At least 18 years of age.
  • Is scheduled to receive oxaliplatin at a dose between 85 mg/m2 and 130 mg/m2 in their first cycle of therapy for the treatment of colorectal cancer, administered as a single IV dose over 2-6 hours on Day 1 only, in combination with 5FU/LV, or in combination with capecitabine. Refer to Section 4.1 for the list of chemotherapy agents that may be added to oxaliplatin.
  • An Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2.
  • Hematologic and metabolic status adequate for receiving an oxaliplatin-based moderately emetogenic regimen and meeting the following criteria:
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  • Total Neutrophils ≥1500/mm3 (Standard units : ≥1.5 x 109/L)
  • Platelets ≥100,000/mm3 (Standard units: ≥100.0 x 109/L)
  • Bilirubin ≤1.5 x upper limit of normal (ULN)
  • Serum Creatinine ≤1.5 mg/dL (Standard units : ≤132.6 µmol/L) OR
  • Creatinine clearance ≥60 mL/min
  • Creatinine clearance must be calculated using the Cockcroft-Gault formula:
  • Clcreat (ml/min) = (140-age [yr]) x body wt [kg] / 72 x serum creatinine [mg/dl] For females: multiply creatinine clearance by a factor of 0.85. OR Clcreat (ml/min) = K x (140-age [yr]) x body wt [kg] / serum creatinine [µmol/L] K=1.05 for females K=1.23 for males
  • Liver enzymes must be below the following limits:
  • Without known liver metastases: Aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) ≤2.5 x ULN.
  • With known liver metastases: AST and/or ALT ≤5.0 x ULN.
  • Is willing and able to complete daily components of the Subject Diary for Cycle 1 and Cycle 2 without assistance from others.
  • A female subject is eligible to enter and participate in this study if she is of:
  • non-childbearing potential (i.e., physiologically incapable of becoming pregnant, including any female who is post-menopausal. For purposes of this study, postmenopausal is defined as one year without menses)
  • child-bearing potential: must have a negative serum pregnancy test result or negative urine dipstick pregnancy test within 24 hours prior to the first dose of investigational product on Cycle 1 Day 1. Women of childbearing potential must also commit to consistent and correct use of an acceptable method of birth control. GSK acceptable contraceptive methods, when used consistently and in accordance with both the product label and the instructions of the physician, are as follows:
  • male partner who is sterile prior to the female subject's entry into the study and is the sole sexual partner for that female subject;
  • oral contraceptives (e.g., oral, injectable, or implantable) with double-barrier method of contraception consisting of spermicide with either condom or diaphragm for a period after the trial to account for a potential drug interaction (minimum of six weeks);
  • double-barrier method of contraception consisting of spermicide with either condom or diaphragm;
  • intra-uterine device with a documented failure rate of less than 1% per year;
  • complete abstinence from intercourse for two weeks before exposure to the investigational product throughout the clinical trial, and for a period after the trial to account for elimination of the drug (minimum of 3 days);
  • if subject indicates they will remain abstinent during the period described above, they must agree to follow GSK guidelines for the consistent and correct use of an acceptable method of birth control should they become sexually active.

Who cannot join

  • A subject will not be eligible for initial inclusion in this study if any of the following criteria apply, or will not be eligible for subsequent cycles of therapy if any of the following criteria become applicable:
  • Has received cytotoxic chemotherapy prior to the first study cycle of chemotherapy, with the exception that previous adjuvant therapy with 5FU/LV or capecitabine is permitted, provided that the last dose of adjuvant therapy was completed at least 6 months prior to receiving the first dose of study medication or investigational product. Previous biological or hormonal therapy completed at any time is permitted.
  • Scheduled to receive chemotherapy with any cytotoxic agents (e.g., irinotecan, gemcitabine) or biological agents (e.g., cetuximab, panitumimab) other than the protocol allowed chemotherapy described in Inclusion Criterion 3.
  • Is a female subject who is pregnant or lactating.
  • Has received radiation therapy in the 10 days prior to the first dose of study medication or investigational product and/or is scheduled to receive such radiation therapy in the 6 days following the first dose of study medication or investigational product in the first cycle of chemotherapy. Radiation therapy may be added in subsequent cycles of chemotherapy.
  • Has experienced emesis (i.e., vomiting and/or retching) or clinically significant nausea in the 24 hours preceding the first dose of study medication or investigational product for each cycle of chemotherapy.
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  • Has known central nervous system metastasis, unless previously successfully treated with excision or radiation, and has been stable for at least 1 week immediately prior to receiving the first dose of study medication or investigational product.
  • Has increased intracranial pressure, hypercalcemia, an active systemic infection, or any uncontrolled medical condition (other than malignancy) which in the opinion of the Investigator may confound the results of the study, represent another potential etiology for emesis and nausea (other than CINV) or pose an unwarranted risk to the subject.
  • Has a known hypersensitivity or contraindication to ondansetron, another 5-HT3 receptor antagonist, dexamethasone, or any component of casopitant.
  • Has received an NK-1 receptor antagonist prior to the first study cycle of chemotherapy.
  • Has received an investigational drug within the previous 30 days or 5 half-lives (whichever is longer) prior to receiving the first dose of study medication or investigational product, or is scheduled to receive any investigational drug other than casopitant/placebo during the study period.
  • Has taken/received any medication of moderate or high emetogenic potential (including antineoplastic agents [see Appendix 2]) within the 48 hours prior to the first dose of study medication or investigational product in each cycle. However, opioid narcotics will be permitted if the subject has been on such medication for at least 7 days at a stable dose prior to the start of each cycle, and has not experienced emesis or nausea from the narcotics.
  • Has taken/received any medication with known or potential antiemetic activity within the 24-hour period (unless otherwise stated) prior to receiving the first dose of study medication or investigational product or is expected to require use of such medication during the 120 hour assessment period for Cycle 1 of therapy only. This includes, but is not limited to:
  • 5-HT3 receptor antagonists (e.g., additional ondansetron, or granisetron, dolasetron, tropisetron, ramosetron). Palonosetron is not permitted within 7 days prior to administration of study medication or investigational product;
  • benzamide / benzamide derivatives (e.g., metoclopramide, alizapride);
  • benzodiazepines (except if the subject is receiving such medication for sleep or anxiety and has been on a stable dose for at least 7 days prior to the first dose of investigational product; however, lorazepam is prohibited 24 hours prior to receiving study drug regardless of reason for use);
  • phenothiazines (e.g., prochlorperazine, promethazine, fluphenazine, perphenazine, thiethylperazine, chlorpromazine);
  • butyrophenones (e.g., haloperidol, droperidol);
  • corticosteroids within 72 hours prior to the first dose of study medication or investigational product (e.g., dexamethasone, methylprednisolone); with the exception that topical steroids for skin disorders including eye and ear drops, and inhaled steroids for respiratory disorders at no more than 10 mg prednisone daily or its equivalent are permitted;
  • anticholinergics (e.g., scopolamine); with the exception that anticholinergics for the treatment of respiratory disorders and the management of diarrhea (e.g., ipratropium bromide, and hyoscyamine) and anticholinergic eye drops are permitted;
  • first-generation antihistamines (e.g., cyclizine, hydroxyzine, diphenhydramine) except for topical use which is permitted;
  • domperidone;
  • cannabinoids;
  • mirtazapine;
  • olanzapine.
  • Has taken/received strong or moderate inhibitors of CYP3A4 and CYP3A5 for a specified period prior to administration of investigational product in each cycle of therapy.
  • Has taken/received inducers of CYP3A4 and CYP3A5 within 14 days prior to the administration of investigational product in each cycle of therapy.
  • Is currently taking, or plans to take the following CYP2C8 substrates at any time during the study: the anti-diabetic agent repaglinide or the diuretic torsemide.
  • Is currently taking, or plans to take any of the following CYP3A4 substrates at any time during the study: astemizole, cisapride, pimozide, terfenadine.

Trial locations and contacts

3 sites in 2 countries.

3 sites in 2 countries

United States2 sites
  • GSK Investigational Site

    Robbinsdale, Minnesota, 55422

  • GSK Investigational Site

    Tampa, Florida, 33614

Other trials in United States

Canada1 site
  • GSK Investigational Site

    Sherbrooke, Quebec, J1H 5N4

Other trials in Canada

About this study

Official title: A Study of Single Dose Intravenous Casopitant in Combination With Ondansetron and Dexamethasone for the Prevention of Cisplatin-Induced Nausea and Vomiting

This is a phase III study designed to demonstrate the superiority of single-dose 90 mg intravenous (IV) casopitant over placebo, each in combination with ondansetron and dexamethasone, for the prevention of emesis over the first 0-120 hours (overall phase) following initiation of the cisplatin infusion in the first cycle of highly emetogenic chemotherapy (HEC). Eligibility is limited to subjects who are scheduled to receive their first cycle of chemotherapy which includes at least 60 mg/m2 of cisplatin administered on Day 1 only of a 21 day or 28 day cycle. All subjects will receive IV ondansetron and oral dexamethasone on Day 1 prior to initiation of the cisplatin infusion, followed by oral dexamethasone on Days 2-4. Additionally, subjects will be randomized to receive single-dose 90 mg IV casopitant or matching placebo prior to initiation of a cisplatin-based HEC regimen.

Being tested
Dexamethasone, IV casopitant (placebo), IV casopitant (active), Ondansetron
Keywords
cisplatin, nausea, vomiting, cancer, lung cancer
Medical subject headings
Neoplasms, Vomiting, Nausea, Lung Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • DexamethasoneDrug

    16 mg administered orally within 75 minutes prior to the initiation of cisplatin on Day 1, followed by 8 mg doses twice daily (bid) at approximately 12+/-4 hour intervals on days 2, 3, and 4, starting at approximately the same time of day as the Day 1 dose was administered.

  • DexamethasoneDrug

    20 mg administered orally within 75 minutes prior to the initiation of cisplatin on Day 1, followed by 8 mg doses twice daily (bid) at approximately 12+/-4 hour intervals on days 2, 3, and 4, starting at approximately the same time of day as the Day 1 dose was administered.

  • IV casopitant (placebo)Drug

    IV casopitant (placebo) administered within 75 minutes prior to the start of cisplatin-based highly emetogenic chemotherapy on study day 1.

  • IV casopitant (active)Drug

    Single-dose 90 mg IV casopitant administered within 75 minutes prior to the start of cisplatin-based highly emetogenic chemotherapy on study Day 1.

  • OndansetronDrug

    32mg IV ondansetron administered over not less than 15 minutes, with administration started and completed within the 75 minutes prior to the initiation of cisplatin therapy on study Day 1.

Study groups in NCT00891761
Study groupRoleWhat they receive
Active ComparatorActive comparatorPatients receive IV casopitant (active), IV ondansetron and oral dexamethasone on Day 1 as well as oral dexamethasone on Days 2-4 of each cycle of cisplatin-based highly emetogenic chemotherapy for the prevention of chemotherapy induced nausea and vomiting.
Receives: Drug: Dexamethasone; Drug: IV casopitant (active); Drug: Ondansetron
Placebo ComparatorPlacebo comparatorPatients receive IV casopitant (placebo), IV ondansetron and oral dexamethasone on Day 1 as well as oral dexamethasone on Days 2-4 of each cycle of cisplatin-based highly emetogenic chemotherapy for the prevention of chemotherapy induced nausea and vomiting.
Receives: Drug: Dexamethasone; Drug: IV casopitant (placebo); Drug: Ondansetron

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The proportion of subjects who achieve a complete response (defined as no vomiting/retching and no rescue therapy).

    Measured: Overall phase (0-120 hours) following initiation of the first cycle of a cisplatin-based HEC regimen.

Secondary outcomes (15)
  1. The proportion of subjects who vomit/retch

    Measured: Acute, delayed and overall phases of Cycle 1

  2. The proportion of subjects who receive anti-emetic rescue medication

    Measured: Acute, delayed and overall phases of Cycle 1

  3. Maximum nausea score (to assess the severity of nausea), assessed by a Visual Analogue Scale (VAS).

    Measured: Acute, delayed and overall phases of Cycle 1

  4. The proportion of subjects reporting significant nausea, defined as a maximum nausea score of at least 25 mm on the VAS.

    Measured: Acute, delayed and overall phases of Cycle 1

  5. The proportion of subjects who achieve a complete response

    Measured: Acute (0-24 hrs) and delayed (24-120 hrs) phases of Cycle 1

  6. The proportion of subjects reporting nausea, defined as a maximum nausea score of at least 5 mm on the VAS.

    Measured: Acute, delayed and overall phases of Cycle 1

  7. The proportion of subjects achieving complete protection, defined as complete responders who had no significant nausea.

    Measured: Acute, delayed and overall phases of Cycle 1

  8. The proportion of subjects achieving total control, defined as complete responders who had no nausea.

    Measured: Acute, delayed and overall phases of Cycle 1

  9. Time to first anti-emetic rescue medication.

    Measured: Acute, delayed and overall phases of Cycle 1

  10. Time to first emetic event.

    Measured: Acute, delayed and overall phases of Cycle 1

  11. Time to loss of complete response.

    Measured: Acute, delayed and overall phases of Cycle 1

  12. The proportion of subjects who achieve a complete response.

    Measured: Extended overall phase (0-216 hrs) of Cycle 1

  13. The proportion of subjects who achieve a complete response.

    Measured: Overall (0-120 hrs), acute and delayed phases of Cycle 2

  14. The impact on subjects' daily life activities, as assessed by the FLIE questionnaire.

    Measured: Overall phase (0-120 hrs) of Cycle 1.

  15. Assessment of the safety and tolerability of casopitant through routine physical exam, routine clinical laboratory tests, clinical monitoring and AE reporting.

    Measured: All cycles

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 May 2009 (estimated)
  2. Study startSep 2009
  3. Primary completionJul 2010 (estimated)
  4. Study completionJul 2010 (estimated)

Why it stopped: This study has been cancelled prior to enrollment.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00891761
Sponsor's protocol ID
112512
Status last verified
Apr 2015
First submitted
30 Apr 2009
Last updated
17 Apr 2015
Results posted
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Dexamethasone, IV casopitant (active) and Ondansetron in people with Cancer and Chemotherapy-Induced Nausea and Vomiting, run by GlaxoSmithKline at 3 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 26 inclusion and 29 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: withdrawn, as of the sponsor's last update on 17 Apr 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was withdrawn before enrolling participants, so there are no results.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The proportion of subjects who achieve a complete response (defined as no vomiting/retching and no rescue therapy). (time frame: Overall phase (0-120 hours) following initiation of the first cycle of a cisplatin-based HEC regimen.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Apr 2015.

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