Buccal Film Versus IV Injection Palonosetron for Moderately Emetogenic Chemotherapy Induced Nausea and Vomiting

This is an interventional prevention trial for Nausea With Vomiting Chemotherapy-Induced Read More

Inclusion Criteria:

• With histologically or cytologically confirmed malignant disease;

  • Karnofsky index ≥ 50;
  • Be scheduled to receive the first course of MEC to be administered on Day 1
• Using reliable contraceptive measures;
• negative serum pregnancy test (if potentially child bearing)
• Be able to read, understand, and follow the study procedures and able to complete patient diary autonomously.

Exclusion Criteria:

• Expect to be non-compliant with the study procedures;
• Received investigational drugs within 30 days before the start of study treatment or scheduled to receive a highly or moderately emetogenic chemotherapeutic agent during Day 2 to 6 of the study;
• Has any condition that could have been associated with a risk of emesis near or at the time of study drug administration;
• Have a clinically unstable seizure disorder with seizure activity requiring anticonvulsant medication;
• Experienced any vomiting, retching, or National Cancer Institute (NCI) Common Toxicity Criteria grade 2 or 3 or nausea within 24 hours preceding chemotherapy;
• Have ongoing nausea or vomiting from any organic etiology;
• Have severe renal or hepatic impairment;
• Have positive serology test results;
• Have a known contraindication to 5-HT3 receptor antagonists;
• Treated with commercially available or investigative palonosetron formulation within 2 weeks prior to start of study treatment;
• Allergic to palonosetron or any other 5-HT3 antagonist;
• Currently a user of any recreational or illicit drugs (including marijuana) or has current evidence of drug or alcohol abuse or dependence as determined by the investigator;
• Will be receiving stem cell rescue therapy in conjunction with study related course of emetogenic chemotherapy;
• Received or will receive total body irradiation or radiation therapy to the abdomen or pelvis in the week prior to Treatment Day 1 and/or during the diary reporting period.
• Had non-chronic benzodiazepine, opioid or opioid like (e.g., tramadol hydrochloride) therapy initiated within 48 hours prior to study drug administration or is expected to receive within 120 hours following initiation of chemotherapy, except for single daily doses of midazolam, temazepam or triazolam.
• Started on systemic corticosteroid therapy within 72 hours prior to study drug administration or is expected to receive a corticosteroid as part of chemotherapy regimen.