Phase 4 Trial to Evaluate the Efficacy and Safety of Sancuso Patch in CINV (Chemotherapy-induced Nausea and Vomiting) Associated With the Administration of MEC (Moderately Emetogenic Chemotherapy)
Primary Purpose
Chemotherapy-induced Acute or Delayed Nausea and Vomiting (CINV)
Status
Unknown status
Phase
Phase 4
Locations
Korea, Republic of
Study Type
Interventional
Intervention
Sancuso patch
Kytril inj.+Kytril tab.
Sponsored by
About this trial
This is an interventional treatment trial for Chemotherapy-induced Acute or Delayed Nausea and Vomiting (CINV)
Eligibility Criteria
Inclusion Criteria:
- Male or female aged over 20 yrs
- Histologically and/or cytologically proven cancer patients
- Eastern Cooperative Oncology Group performance status 0, 1, 2
- A cycle of moderately emetogenic chemotherapy(NCCN Guidelines)
- Life expectancy of ≥ 3 months
- Normal liver function and renal function(total bilirubin ≤ 1.5 ULN, AST/ALT ≤ 2.5 ULN, in case of liver metastases AST/ALT ≤ 5 ULN, serum creatinine ≤ 1.5 ULN) patients
- Patients who signed the informed consent form
Exclusion Criteria:
A. Previous History
- Hypersensitivity to adhesive plasters
- Contraindications to 5-HT3 receptor antagonists
- Any other relevant medical history (at the discretion of the investigator)
B. Concomitant Medical Condition
- Current alcohol, drug or medication abuse
- Currently pregnant or breast feeding women, including planning pregnancy
- Clinically relevant abnormal laboratory values (at the discretion of the investigator)
- Clinically relevant heart, hepatic, renal, infectious, neurological or psychiatric disorders, or any other major systemic illness (at the discretion of the investigator)
- Any cause for nausea and vomiting other than CINV
- Any episode of retching, vomiting or uncontrolled nausea in the 72 h period prior to the chemotherapy administration
- Clinically relevant abnormal ECG parameters (at the discretion of the investigator)
C. Concomitant Therapy/Medication
- Concomitant radiotherapy of total body, brain or upper abdomen within one week prior to the study entry or planned during the study
- Intake of medication to control the symptoms of a brain tumor, brain metastasis or seizure disorder or neuropathy (unless peripheral neuropathy at the discretion of the investigator)
- Patients using selective serotonin reuptake inhibitor (SSRI) antidepressants (unless a stable dose for the duration of the study)
- Receipt of a narcotic analgesics (acceptable at the discretion of the investigator)
- Receipt of any other clinical trial drug < 30 days before the study or during the study
- Scheduled to receive a neurokinin NK1 receptor antagonist, dopamine receptor antagonist or another 5-HT3 receptor antagonist at 72 h prior to the administration of the chemotherapy or scheduled to do those medication during chemotherapy duration
- Drugs known to increase the QTc interval (unless a stable dose for the duration of the study at the discretion of the investigator)
D. Other
- Patients unlikely to comply with the study protocol (at the discretion of the investigator), e.g. uncooperative attitude, inability to return for follow-up visits and unlikelihood of completing the study
- The patch adhesion level was not more than 50% on the day of chemotherapy or the patch was not attached within two days before the chemotherapy
Sites / Locations
- Samsung Medical CenterRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Sancuso patch
Kytril
Arm Description
Outcomes
Primary Outcome Measures
The percentage of patients achieving Complete Response (CR) without rescue therapy from the first administration until 24h after the start of the last day's administration of the ME chemotherapy regimen
Secondary Outcome Measures
The percentage of patients achieving Complete Response (CR)
The percentage of patients achieving Complete Control (CC) without rescue therapy from the first administration until 24h after the start of the last day's administration of the ME chemotherapy regimen
The percentage of patients achieving Complete Control (CC)
severity of nausea
severity of vomiting
Frequency of nausea from the first administration until 24h after the start of the last day's administration of the ME chemotherapy regimen
Frequency of vomiting from the first administration until 24h after the start of the last day's administration of the ME chemotherapy regimen
Patient's satisfaction with anti-emetic therapy (Changes from Baseline to Day 5)
The patient's response to anti-emetic therapy was assessed and recorded by patients at Visit 3 (Baseline) and Visit 7 (Day 5). The patient was asked to evaluate his/her satisfaction with the control of nausea and vomiting by marking the FLI-E (Functional Living Index - Emesis) with vertical lines.
The percentage of patients achieving Complete Response (CR)
The percentage of patients achieving Complete Control (CC)
severity of nausea
severity of vomiting
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01662687
Brief Title
Phase 4 Trial to Evaluate the Efficacy and Safety of Sancuso Patch in CINV (Chemotherapy-induced Nausea and Vomiting) Associated With the Administration of MEC (Moderately Emetogenic Chemotherapy)
Official Title
Randomized Study of the Efficacy and Safety of Transdermal Granisetron Compared With Intravenous and Oral Agent in the Control of Nausea and Vomiting Induced by Moderately Emetogenic Chemotherapy
Study Type
Interventional
2. Study Status
Record Verification Date
August 2012
Overall Recruitment Status
Unknown status
Study Start Date
February 2012 (undefined)
Primary Completion Date
October 2012 (Anticipated)
Study Completion Date
November 2012 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
LG Life Sciences
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
Multicenter, randomized, open-label, paralled-group, active-controlled study. The study is to demonstrate non-inferiority of the Granisetron Transdermal Delivery System (GTDS) compared with the intravenous and oral Granisetron in the prevention of CINV associated with moderately emetogenic Chemotherapy.
Patients scheduled to receive the one cycle of a ME chemotherapy regimen administered for 1-4 days will attend a Screening Visit 2 to 28 days before start of ME chemotherapy. Eligible patients will be randomized to 1 of 2 treatment groups at the Randomization Visit (1 to 2 days prior to ME chemotherapy).
Sancuso patch
Kytril inj.+Kytril tab.
The patch will be applied 2days (48-24h) prior to first daily dose of the moderately emetogenic chemotherapy regimen and remain in place for 6 days. The patient will be assessed daily until 4days after first chemotherapy administration. Adverse Events (AEs) will be collected until 14 days after the final dose of IP. Non-serious AEs will be followed-up until 14 days after the final dose of IP. Serious adverse events will be followed-up until they are resolved, stable or until the patient is lost to follow-up.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chemotherapy-induced Acute or Delayed Nausea and Vomiting (CINV)
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
276 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Sancuso patch
Arm Type
Experimental
Arm Title
Kytril
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
Sancuso patch
Intervention Description
Eligible patients were randomized to Sancuso patch or Kytril groups and received the assigned treatment for 4days.
Experimental arm: Sancuso patch (34.3mg) applied to upper, outer arm 2days (48-24 hours) prior to start of chemotherapy.
Intervention Type
Drug
Intervention Name(s)
Kytril inj.+Kytril tab.
Intervention Description
Eligible patients were randomized to Sancuso patch or Kytril groups and received the assigned treatment for 4days.
Active Comparator arm:
Kytril inj. 3mg: administered by intravenous infusion at least 5 minutes, just before the first chemotherapy (Day 1).
Kytril tab. 1mg: administered twice a day by orally at Day 2~4.
Primary Outcome Measure Information:
Title
The percentage of patients achieving Complete Response (CR) without rescue therapy from the first administration until 24h after the start of the last day's administration of the ME chemotherapy regimen
Time Frame
from the first administration until 24h after the start of the last day's administration of the ME chemotherapy regimen
Secondary Outcome Measure Information:
Title
The percentage of patients achieving Complete Response (CR)
Time Frame
overall (Day 1~4)
Title
The percentage of patients achieving Complete Control (CC) without rescue therapy from the first administration until 24h after the start of the last day's administration of the ME chemotherapy regimen
Time Frame
from the first administration until 24h after the start of the last day's administration of the ME chemotherapy regimen
Title
The percentage of patients achieving Complete Control (CC)
Time Frame
overall (Day 1~4)
Title
severity of nausea
Time Frame
overall (Day 1~4)
Title
severity of vomiting
Time Frame
overall (Day 1~4)
Title
Frequency of nausea from the first administration until 24h after the start of the last day's administration of the ME chemotherapy regimen
Time Frame
from the first administration until 24h after the start of the last day's administration of the ME chemotherapy regimen
Title
Frequency of vomiting from the first administration until 24h after the start of the last day's administration of the ME chemotherapy regimen
Time Frame
from the first administration until 24h after the start of the last day's administration of the ME chemotherapy regimen
Title
Patient's satisfaction with anti-emetic therapy (Changes from Baseline to Day 5)
Description
The patient's response to anti-emetic therapy was assessed and recorded by patients at Visit 3 (Baseline) and Visit 7 (Day 5). The patient was asked to evaluate his/her satisfaction with the control of nausea and vomiting by marking the FLI-E (Functional Living Index - Emesis) with vertical lines.
Time Frame
from baseline to Day 5
Title
The percentage of patients achieving Complete Response (CR)
Time Frame
per day (Day 1, 2, 3, 4)
Title
The percentage of patients achieving Complete Control (CC)
Time Frame
per day (Day 1, 2, 3, 4)
Title
severity of nausea
Time Frame
per day (Day 1, 2, 3, 4)
Title
severity of vomiting
Time Frame
per day (Day 1, 2, 3, 4)
10. Eligibility
Sex
All
Minimum Age & Unit of Time
20 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male or female aged over 20 yrs
Histologically and/or cytologically proven cancer patients
Eastern Cooperative Oncology Group performance status 0, 1, 2
A cycle of moderately emetogenic chemotherapy(NCCN Guidelines)
Life expectancy of ≥ 3 months
Normal liver function and renal function(total bilirubin ≤ 1.5 ULN, AST/ALT ≤ 2.5 ULN, in case of liver metastases AST/ALT ≤ 5 ULN, serum creatinine ≤ 1.5 ULN) patients
Patients who signed the informed consent form
Exclusion Criteria:
A. Previous History
Hypersensitivity to adhesive plasters
Contraindications to 5-HT3 receptor antagonists
Any other relevant medical history (at the discretion of the investigator)
B. Concomitant Medical Condition
Current alcohol, drug or medication abuse
Currently pregnant or breast feeding women, including planning pregnancy
Clinically relevant abnormal laboratory values (at the discretion of the investigator)
Clinically relevant heart, hepatic, renal, infectious, neurological or psychiatric disorders, or any other major systemic illness (at the discretion of the investigator)
Any cause for nausea and vomiting other than CINV
Any episode of retching, vomiting or uncontrolled nausea in the 72 h period prior to the chemotherapy administration
Clinically relevant abnormal ECG parameters (at the discretion of the investigator)
C. Concomitant Therapy/Medication
Concomitant radiotherapy of total body, brain or upper abdomen within one week prior to the study entry or planned during the study
Intake of medication to control the symptoms of a brain tumor, brain metastasis or seizure disorder or neuropathy (unless peripheral neuropathy at the discretion of the investigator)
Patients using selective serotonin reuptake inhibitor (SSRI) antidepressants (unless a stable dose for the duration of the study)
Receipt of a narcotic analgesics (acceptable at the discretion of the investigator)
Receipt of any other clinical trial drug < 30 days before the study or during the study
Scheduled to receive a neurokinin NK1 receptor antagonist, dopamine receptor antagonist or another 5-HT3 receptor antagonist at 72 h prior to the administration of the chemotherapy or scheduled to do those medication during chemotherapy duration
Drugs known to increase the QTc interval (unless a stable dose for the duration of the study at the discretion of the investigator)
D. Other
Patients unlikely to comply with the study protocol (at the discretion of the investigator), e.g. uncooperative attitude, inability to return for follow-up visits and unlikelihood of completing the study
The patch adhesion level was not more than 50% on the day of chemotherapy or the patch was not attached within two days before the chemotherapy
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Yun-Ae Eom, BS
Phone
82-2-6924-3157
Email
yaeom@lgls.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jin Seok Ahn, MD, PhD
Organizational Affiliation
Samsung Medical Center
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Tae Won Kim, MD, PhD
Organizational Affiliation
Asan Medical Center
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dong Bok Shin, MD, PhD
Organizational Affiliation
Gachon University Gil Medical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Samsung Medical Center
City
Seoul
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jin Seok Ahn, MD, PhD
Phone
82-2-3410-3453
Email
ajis@skku.edu
First Name & Middle Initial & Last Name & Degree
Jin Seok Ahn, MD, PhD
12. IPD Sharing Statement
Citations:
PubMed Identifier
25465680
Citation
Kim JE, Hong YS, Lee JL, Kim KP, Park SJ, Sym SJ, Shin DB, Lee J, Park YS, Ahn JS, Kim TW. A randomized study of the efficacy and safety of transdermal granisetron in the control of nausea and vomiting induced by moderately emetogenic chemotherapy in Korean patients. Support Care Cancer. 2015 Jun;23(6):1769-77. doi: 10.1007/s00520-014-2507-6. Epub 2014 Dec 3.
Results Reference
derived
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Phase 4 Trial to Evaluate the Efficacy and Safety of Sancuso Patch in CINV (Chemotherapy-induced Nausea and Vomiting) Associated With the Administration of MEC (Moderately Emetogenic Chemotherapy)
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