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Safety and Pharmacokinetics of Sancuso and IV Granisetron in Patients Aged 13 to 17 Years

Primary Purpose

Chemotherapy Induced Nausea and Vomiting

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
granisetron transdermal system
Granisetron IV
Sponsored by
Kyowa Kirin Pharmaceutical Development Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chemotherapy Induced Nausea and Vomiting focused on measuring CINV

Eligibility Criteria

13 Years - 17 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. 13 to 17 years of age inclusive at screening.
  2. Written patient or parental (or appropriate legal representative) IRB approved informed consent as appropriate.
  3. Written patient assent (as appropriate).
  4. Confirmed malignancy.
  5. Scheduled to receive 2 or more cycles* of emetogenic chemotherapy requiring 5-HT3 antagonist treatment.
  6. Scheduled to receive one or more consecutive days of 5-HT3 antagonist treatment, per cycle, as CINV prophylaxis.

    • The cycles of chemotherapy must be consecutive (i.e. one followed by the other) but do not have to be the first and second cycle of a line of treatment.

Exclusion Criteria:

  1. Hypersensitivities, allergies or contraindications to study medications; intolerance of medical tape or sticking plaster.
  2. Clinical or laboratory signs and symptoms of significant cerebral, cardiovascular, respiratory, renal, hepatobiliary, pancreatic or infectious disease, which in the Investigator's judgment may interfere with the study assessment or completion of the study.
  3. Patients with a known history or predisposition to cardiac conduction interval abnormalities, including QT Syndrome, or known family history of long QT Syndrome or taking medications that are known to prolong the QT interval.
  4. Patients scheduled to have routine surgery during the study duration.
  5. Patients with a life expectancy of < 6 months.
  6. Scarring or significant skin disease on both upper arms.
  7. Female patients who are pregnant or breast-feeding. All post menarche female patients must have a pregnancy test at screening.
  8. Patients who are known or thought to be sexually active must use effective birth control.**
  9. Administration of other investigational drugs within 30 days preceding the screening visit, except for anticancer treatments.
  10. Any conditions associated with non-compliance.

    • Effective birth control includes absolute abstinence, or double barrier birth control methods, i.e. condom and one of the following: combined oral contraceptive, diaphragm, depot contraceptive injection.

Sites / Locations

  • David Geffen School of Medicine at UCLA
  • Children's Hospital of Orange County
  • Children's Hospital Colorado, Center for Cancer and Blood Disorders
  • University of Florida
  • Nemours Children's Clinic
  • University of South Florida
  • University of Mississippi Medical Center
  • Penn State Milton S. Hershey Medical Center
  • UTSW/Childrens Medical Center
  • UT Southwestern Medical Center
  • Providence Sacred Heart Medical Center and Children's Hospital
  • Madigan Army Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Sancuso Arm

IV Granisetron Arm

Arm Description

IV

Outcomes

Primary Outcome Measures

Plasma concentration
Analysis of the plasma concentration of Intravenous granisetron vs transdermal granisetron in pediatric patients receiving chemotherapy over two sequential cycles.

Secondary Outcome Measures

Safety
Safety: based on medical review of adverse event reports and the results of vital sign measurements, electrocardiograms (ECGs)

Full Information

First Posted
April 26, 2012
Last Updated
July 11, 2017
Sponsor
Kyowa Kirin Pharmaceutical Development Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT01596400
Brief Title
Safety and Pharmacokinetics of Sancuso and IV Granisetron in Patients Aged 13 to 17 Years
Official Title
An Open-label, Cross-over, Pharmacokinetic Study to Assess the Safety and Pharmacokinetics of Transdermal Granisetron (Sancuso® Patch) and IV Granisetron in a Pediatric Oncology Population (Aged 13 to 17 Years)
Study Type
Interventional

2. Study Status

Record Verification Date
July 2017
Overall Recruitment Status
Completed
Study Start Date
May 2012 (undefined)
Primary Completion Date
August 2015 (Actual)
Study Completion Date
December 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Kyowa Kirin Pharmaceutical Development Ltd

4. Oversight

5. Study Description

Brief Summary
The purpose of this study is to determine the dosing strategy for adolescents aged 13 to 17 years.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chemotherapy Induced Nausea and Vomiting
Keywords
CINV

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
19 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Sancuso Arm
Arm Type
Experimental
Arm Title
IV Granisetron Arm
Arm Type
Active Comparator
Arm Description
IV
Intervention Type
Drug
Intervention Name(s)
granisetron transdermal system
Other Intervention Name(s)
Sancuso
Intervention Description
patch
Intervention Type
Drug
Intervention Name(s)
Granisetron IV
Intervention Description
IV
Primary Outcome Measure Information:
Title
Plasma concentration
Description
Analysis of the plasma concentration of Intravenous granisetron vs transdermal granisetron in pediatric patients receiving chemotherapy over two sequential cycles.
Time Frame
Up to 7 days
Secondary Outcome Measure Information:
Title
Safety
Description
Safety: based on medical review of adverse event reports and the results of vital sign measurements, electrocardiograms (ECGs)
Time Frame
Up to 7 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
13 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 13 to 17 years of age inclusive at screening. Written patient or parental (or appropriate legal representative) IRB approved informed consent as appropriate. Written patient assent (as appropriate). Confirmed malignancy. Scheduled to receive 2 or more cycles* of emetogenic chemotherapy requiring 5-HT3 antagonist treatment. Scheduled to receive one or more consecutive days of 5-HT3 antagonist treatment, per cycle, as CINV prophylaxis. The cycles of chemotherapy must be consecutive (i.e. one followed by the other) but do not have to be the first and second cycle of a line of treatment. Exclusion Criteria: Hypersensitivities, allergies or contraindications to study medications; intolerance of medical tape or sticking plaster. Clinical or laboratory signs and symptoms of significant cerebral, cardiovascular, respiratory, renal, hepatobiliary, pancreatic or infectious disease, which in the Investigator's judgment may interfere with the study assessment or completion of the study. Patients with a known history or predisposition to cardiac conduction interval abnormalities, including QT Syndrome, or known family history of long QT Syndrome or taking medications that are known to prolong the QT interval. Patients scheduled to have routine surgery during the study duration. Patients with a life expectancy of < 6 months. Scarring or significant skin disease on both upper arms. Female patients who are pregnant or breast-feeding. All post menarche female patients must have a pregnancy test at screening. Patients who are known or thought to be sexually active must use effective birth control.** Administration of other investigational drugs within 30 days preceding the screening visit, except for anticancer treatments. Any conditions associated with non-compliance. Effective birth control includes absolute abstinence, or double barrier birth control methods, i.e. condom and one of the following: combined oral contraceptive, diaphragm, depot contraceptive injection.
Facility Information:
Facility Name
David Geffen School of Medicine at UCLA
City
Los Angeles
State/Province
California
ZIP/Postal Code
90095-1690
Country
United States
Facility Name
Children's Hospital of Orange County
City
Orange
State/Province
California
ZIP/Postal Code
92868
Country
United States
Facility Name
Children's Hospital Colorado, Center for Cancer and Blood Disorders
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80045
Country
United States
Facility Name
University of Florida
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32610-0296
Country
United States
Facility Name
Nemours Children's Clinic
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32207
Country
United States
Facility Name
University of South Florida
City
Tampa
State/Province
Florida
ZIP/Postal Code
33606
Country
United States
Facility Name
University of Mississippi Medical Center
City
Jackson
State/Province
Mississippi
ZIP/Postal Code
39216
Country
United States
Facility Name
Penn State Milton S. Hershey Medical Center
City
Hershey
State/Province
Pennsylvania
ZIP/Postal Code
17033-0850
Country
United States
Facility Name
UTSW/Childrens Medical Center
City
Dallas
State/Province
Texas
ZIP/Postal Code
75390-9063
Country
United States
Facility Name
UT Southwestern Medical Center
City
Dallas
State/Province
Texas
ZIP/Postal Code
75390
Country
United States
Facility Name
Providence Sacred Heart Medical Center and Children's Hospital
City
Spokane
State/Province
Washington
ZIP/Postal Code
99201
Country
United States
Facility Name
Madigan Army Medical Center
City
Tacoma
State/Province
Washington
ZIP/Postal Code
98431
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Safety and Pharmacokinetics of Sancuso and IV Granisetron in Patients Aged 13 to 17 Years

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