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Chemotherapy-induced Nausea and VomitingPhase 3AOPDPCINVNCT02484911

Aprepitant ,Olanzapine,Palonosetron and Dexamethasone for the Prevention of Chemotherapy-induced Nausea and Vomiting

A Phase 3 study testing Olanzapine, Aprepitant and Palonosetron in people with Chemotherapy-induced Nausea and Vomiting, run by First Affiliated Hospital of Harbin Medical University at 1 site in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of the study is to mainly evaluate the efficacy and safety of aprepitant in combination with olanzapine ,palonosetron and dexamethasone for the prevention of chemotherapy-induced nausea and vomiting (CINV) in patients receiving highly or moderately emetogenic chemotherapy. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Chemotherapy-induced Nausea and Vomiting
What is being tested?
Olanzapine, Aprepitant and Palonosetron
Could I receive a placebo?
No, everyone receives an active treatment
How many people
120 participants
Where
1 siteChina
Study dates
May 2015to Jan 2017
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

  • 18 years of age or older
  • Histologically or cytologically confirmed malignant disease
  • Accept chemotherapy for the first time
  • Patients who will receive high emetogenic cancer chemotherapy (HEC) (cisplatin>=70mg/m2,adriamycin in combination with cyclophosphamide ,cyclophosphamide>=1500mg/m2,adriamycin>60mg/m2,epirubicin>90mg/m2,dacarbazine,ifosfamide>=2g/m2) or moderate emetogenic chemotherapy cancer (carboplatin>=300mg/m2,cyclophosphamide>=600-1000mg/m2,adriamycin>50mg/m2)
  • Written informed consent

Who cannot join

  • Pregnant or breast-feeding
  • Uncontrolled psychosis history
  • Inability or unwillingness to understand or cooperate with study procedures
  • Central nervous system tumors primary or secondary
  • Concurrent abdominal radiotherapy
  • History of uncontrolled diabetes mellitus
Show all 16Show fewer
  • Patients of prostatic hyperplasia ,paralytic ileus,narrow feet glaucoma.
  • Known cardiac arrhythmia, uncontrolled congestive heart failure ,or acute myocardial infarction with the previous six month
  • Pre-existing nausea or vomiting
  • Inadequate hematological function and abnormal liver and renal function.
  • History of sensitivity to olanzapine
  • Concurrent application of quinolone antibiotic therapy
  • Treatment with another antipsychotic agent such as risperidone,quetiapine, clozapine,phenothiazine,or butyrophenone for 30 days prior to or during the chemotherapy.
  • Cytochrome P450 3A4 substrates within 7 days (terfenadine, cisapride, astemizole, pimozide)
  • Concurrent application of systemic corticosteroids
  • Active infection or gastrointestinal dysfunction

Trial locations and contacts

1 site in 1 country.

China1 site
  • First Affiliated Hospital of Harbin Medical University

    Harbin, Heilongjiang, 150000

Other trials in China

About this study

Official title: Aprepitant ,Olanzapine,Palonosetron and Dexamethasone for the Prevention of Chemotherapy-induced Nausea and Vomiting---A Randomized Single Center Phase III Trial

The purpose of the study is to mainly evaluate the efficacy and safety of aprepitant in combination with olanzapine ,palonosetron and dexamethasone for the prevention of chemotherapy-induced nausea and vomiting (CINV) in patients receiving highly or moderately emetogenic chemotherapy.

Read the detailed description

Eligible patients will be randomized to receive different antiemetic regimens . In the experimental group,patients will receive aprepitant,olanzapine ,palonosetron and dexamethasone .In the other group,patients will accept the same dose of aprepitant ,palonosetron and dexamethasone .During the treatment, any grade of nausea and vomiting should be recorded in order to evaluate the complete response rate of CINV,nausea patients will be measured by a visual analogue scale (VAS) ,other adverse events should be recorded as well.

Being tested
Olanzapine, Aprepitant, Palonosetron, Dexamethasone
Keywords
chemotherapy nausea vomiting
Medical subject headings
Vomiting

What participants receive

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

  • OlanzapineDrug

    5mg,twice a day orally on day 1 to day 4

  • AprepitantDrug

    125 mg capsule per oral, 1 hour before chemotherapy on day 1, 80 mg capsule daily in the morning during days 2 to 3.

  • PalonosetronDrug

    0.25mg IV 30-60min before chemotherapy on day 1

  • DexamethasoneDrug

    6mg IV on day 1 ,3.75mg IV on day 2 to 4

Study groups in NCT02484911
Study groupRoleWhat they receive
Olanzapine regimenExperimentalOlanzapine in combination with aprepitant ,palonosetron and dexamethasone.
Receives: Drug: Olanzapine; Drug: Aprepitant; Drug: Palonosetron; Drug: Dexamethasone
Control regimenOtherAprepitant in combination with palonosetron and dexamethasone
Receives: Drug: Aprepitant; Drug: Palonosetron; Drug: Dexamethasone

What is being measured

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

  1. Proportion of Participants Receiving HEC With Complete Response in Overall Phase

    Overall phase was defined as 0 to 120 hours following initiation of chemotherapy.

    Complete response was defined as no vomiting with no rescue therapy.

    Measured: 0 to 120 hours

  2. Proportion of Participants Receiving MEC With Complete Response in Overall Phase

    Overall phase was defined as 0 to 120 hours following initiation of chemotherapy.

    Complete response was defined as no vomiting with no rescue therapy.

    Measured: 0 to 120 hours

Secondary outcomes (10)
  1. Proportion of Participants Receiving HEC With Complete Response in the Acute Phase

    Acute phase was defined as 0 to 24 hours following initiation of chemotherapy. Complete response was defined as no vomiting with no rescue therapy.

    Measured: 0 to 24 hours

  2. Proportion of Participants Receiving HEC With Complete Response in the Delayed Phase

    Delayed phase was defined as 24 to 120 hours following initiation of chemotherapy.

    Complete response was defined as no vomiting with no rescue therapy.

    Measured: 24 to 120 hours

  3. Proportion of Participants Receiving HEC With No Vomiting in the Overall Phase

    Overall phase was defined as 0 to 120 hours following initiation of chemotherapy.

    No vomiting was defined as no vomiting or retching or dry heaves (included participants who received rescue therapy).

    Measured: 0 to 120 hours

  4. Proportion of Participants Receiving HEC With No Vomiting in the Acute Phase

    Overall Phase was defined as 0 to 120 hours following initiation of chemotherapy.

    No vomiting was defined as no vomiting or retching or dry heaves (included participants who received rescue )

    Measured: 0 to 24 hours

  5. Proportion of Participants Receiving HEC With No Vomiting in the Delayed Phase

    Overall Phase was defined as 24 to 120 hours following initiation of chemotherapy.

    No vomiting was defined as no vomiting or retching or dry heaves (included participants who received rescue therapy).

    Measured: 24 to 120 hours

  6. Proportion of Participants Receiving MEC With Complete Response in the Acute Phase

    Acute phase was defined as 0 to 24 hours following initiation of chemotherapy. Complete response was defined as no vomiting with no rescue therapy.

    Measured: 0 to 24 hours

  7. Proportion of Participants Receiving MEC With Complete Response in the Delayed Phase

    Delayed phase was defined as 24 to 120 hours following initiation of chemotherapy.

    Complete response was defined as no vomiting with no rescue therapy.

    Measured: 24 to 120 hours

  8. Proportion of Participants Receiving MEC With No Vomiting in the Overall Phase

    Overall Phase was defined as 0 to 120 hours following initiation of chemotherapy.

    No vomiting was defined as no vomiting or retching or dry heaves (included participants who received rescue therapy).

    Measured: 0-120 hours

  9. Proportion of Participants Receiving MEC With No Vomiting in the Acute Phase

    Overall Phase was defined as 0 to 24 hours following initiation of chemotherapy.

    No vomiting was defined as no vomiting or retching or dry heaves (included participants who received rescue therapy).

    Measured: 0 to 24 hours

  10. Proportion of Participants Receiving MEC With No Vomiting in the Delayed Phase

    Overall Phase was defined as 24 to 120 hours following initiation of chemotherapy.

    No vomiting was defined as no vomiting or retching or dry heaves (included participants who received rescue therapy).

    Measured: 24 to 120 hours

Timeline

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

  1. First posted30 Jun 2015 (estimated)
  2. Study startMay 2015
  3. Primary completionSep 2016
  4. Study completionJan 2017

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
120 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02484911
Sponsor's protocol ID
GHYDZ-1225
Acronym
AOPDPCINV
Status last verified
Jun 2016
First submitted
22 Jun 2015
Last updated
30 Mar 2017
Data monitoring committee
Yes

Publications

  • Andrews PL, Naylor RJ, Joss RA. Neuropharmacology of emesis and its relevance to anti-emetic therapy. Consensus and controversies. Support Care Cancer. 1998 May;6(3):197-203. doi: 10.1007/s005200050154.

    PubMed 9629870
  • Matsuki N, Torii Y, Saito H. Effects of iron and deferoxamine on cisplatin-induced emesis: further evidence for the role of free radicals. Eur J Pharmacol. 1993 Dec 1;248(4):329-31. doi: 10.1016/0926-6917(93)90008-e.

    PubMed 8181539
  • Tattersall FD, Rycroft W, Cumberbatch M, Mason G, Tye S, Williamson DJ, Hale JJ, Mills SG, Finke PE, MacCoss M, Sadowski S, Ber E, Cascieri M, Hill RG, MacIntyre DE, Hargreaves RJ. The novel NK1 receptor antagonist MK-0869 (L-754,030) and its water soluble phosphoryl prodrug, L-758,298, inhibit acute and delayed cisplatin-induced emesis in ferrets. Neuropharmacology. 2000 Feb 14;39(4):652-63. doi: 10.1016/s0028-3908(99)00172-0.

    PubMed 10728886
  • Hesketh PJ, Van Belle S, Aapro M, Tattersall FD, Naylor RJ, Hargreaves R, Carides AD, Evans JK, Horgan KJ. Differential involvement of neurotransmitters through the time course of cisplatin-induced emesis as revealed by therapy with specific receptor antagonists. Eur J Cancer. 2003 May;39(8):1074-80. doi: 10.1016/s0959-8049(02)00674-3.

    PubMed 12736106
  • Grunberg SM, Hesketh PJ. Control of chemotherapy-induced emesis. N Engl J Med. 1993 Dec 9;329(24):1790-6. doi: 10.1056/NEJM199312093292408.

    PubMed 8232489
  • Grunberg SM, Slusher B, Rugo HS. Emerging treatments in chemotherapy-induced nausea and vomiting. Clin Adv Hematol Oncol. 2013 Feb;11(2 Suppl 1):1-18; quiz 2 p following 18.

    PubMed 23598819
  • Diemunsch P, Grelot L. Potential of substance P antagonists as antiemetics. Drugs. 2000 Sep;60(3):533-46. doi: 10.2165/00003495-200060030-00002.

    PubMed 11030465
  • Gao HF, Liang Y, Zhou NN, Zhang DS, Wu HY. Aprepitant plus palonosetron and dexamethasone for prevention of chemotherapy-induced nausea and vomiting in patients receiving multiple-day cisplatin chemotherapy. Intern Med J. 2013 Jan;43(1):73-6. doi: 10.1111/j.1445-5994.2011.02637.x.

    PubMed 22141732
  • Tan L, Liu J, Liu X, Chen J, Yan Z, Yang H, Zhang D. Clinical research of Olanzapine for prevention of chemotherapy-induced nausea and vomiting. J Exp Clin Cancer Res. 2009 Sep 23;28(1):131. doi: 10.1186/1756-9966-28-131.

    PubMed 19775450
  • Navari RM, Gray SE, Kerr AC. Olanzapine versus aprepitant for the prevention of chemotherapy-induced nausea and vomiting: a randomized phase III trial. J Support Oncol. 2011 Sep-Oct;9(5):188-95. doi: 10.1016/j.suponc.2011.05.002. Epub 2011 Sep 24.

    PubMed 22024310

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Olanzapine, Aprepitant and Palonosetron in people with Chemotherapy-induced Nausea and Vomiting, run by First Affiliated Hospital of Harbin Medical University at 1 site in China.

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 5 inclusion and 16 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: finished, as of the sponsor's last update on 30 Mar 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. 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. 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?

Yes. Results are posted in the registry (first posted 30 Mar 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Proportion of Participants Receiving HEC With Complete Response in Overall Phase (time frame: 0 to 120 hours). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02484911, which also lists 10 linked publications.

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 30 Mar 2017.

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