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A Multicenter, Randomized, Controlled Trial of SCH 619734 for the Treatment of Chemotherapy-Induced Nausea and Vomiting (Study P04351AM2)(COMPLETED)

Primary Purpose

Nausea, Vomiting

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
SCH 619734 Dose 1
SCH 619734 Dose 2
SCH 619734 Dose 3
SCH 619734 Dose 4
Placebo
Sponsored by
Schering-Plough
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Nausea

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subject is 18 years of age or older.
  • Subject has never been treated with cisplatin and is to receive first course of cisplatin-based chemotherapy (>=70 mg/m^2).
  • Subject has a Karnofsky performance score of >=60.
  • Subject has a predicted life expectancy of >=3 months.
  • Subject has adequate bone marrow, kidney, and liver function as evidenced by:

    • Absolute neutrophil count >=1,500/mm3 and white blood cell count >=3,000/mm3.
    • Platelet count >=100,000/mm3.
    • Aspartate aminotransferase (AST) <=2.5 x upper limit of normal (ULN) range.
    • Alanine aminotransferase (ALT) <=2.5 x ULN.
    • Bilirubin <=1.5 x ULN, except for subjects with Gilbert's syndrome.
    • Creatinine <=1.5 x ULN.
  • Subject is able to read, understand, and complete the questionnaires.

Exclusion Criteria:

  • Any current treatment or medical history (eg, subject is mentally incapacitated or has a psychiatric disorder) that, in the opinion of the investigator, would confound the results of the study or pose any unwarranted risk in administering study drug to the subject.
  • Subject has contraindication to the administration of cisplatin, ondansetron, or dexamethasone including, but not limited to, a history of hypersensitivity to the drugs or their components, severe renal impairment, severe bone marrow suppression, hearing impairment, or systemic fungal infection.
  • Subject is scheduled to receive any other chemotherapeutic agent with an emetogenicity level of 3 or above (Hesketh Scale) from Day -2 through Day 6.
  • Subject is scheduled to receive any radiation therapy to the abdomen or pelvis within 5 days prior to and/or during Days 1 through 5 following cisplatin infusion.
  • Subject has symptomatic primary or metastatic central nervous system (CNS) disease.
  • Subject has ongoing vomiting caused by any etiology or has a history of anticipatory nausea and vomiting.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm Type

    Experimental

    Experimental

    Experimental

    Experimental

    Placebo Comparator

    Arm Label

    SCH 619734 Dose 1

    SCH 619734 Dose 2

    SCH 619734 Dose 3

    SCH 619734 Dose 4

    Placebo

    Arm Description

    Outcomes

    Primary Outcome Measures

    The primary efficacy endpoint is the overall complete response rate (no emesis and no use of rescue medication from 0 through 120 hours following initiation of cisplatin-based chemotherapy).

    Secondary Outcome Measures

    The key secondary efficacy endpoints are the complete response rates for the acute (0 through 24 hours) and delayed (>24 through 120 hours) phases of CINV.
    The key secondary safety endpoints are adverse events, physical examinations, vital signs, electrocardiograms, and safety laboratory values.

    Full Information

    First Posted
    October 31, 2006
    Last Updated
    October 22, 2009
    Sponsor
    Schering-Plough
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00394966
    Brief Title
    A Multicenter, Randomized, Controlled Trial of SCH 619734 for the Treatment of Chemotherapy-Induced Nausea and Vomiting (Study P04351AM2)(COMPLETED)
    Official Title
    A Phase 2, MultiCenter, Randomized, Placebo-Controlled, Double-Blind, Dose Finding Study to Determine the Safety and Efficacy of SCH 619734 for the Treatment of Chemotherapy Induced Nausea and Vomiting (CINV) in Subjects Receiving Highly Emetogenic Chemotherapy (HEC)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2009
    Overall Recruitment Status
    Completed
    Study Start Date
    September 2006 (undefined)
    Primary Completion Date
    March 2008 (Actual)
    Study Completion Date
    March 2008 (Actual)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Schering-Plough

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This is a Phase 2, randomized, multicenter, parallel-group, double-blind, placebo-controlled study of various doses of SCH 619734 in subjects receiving cisplatin-based chemotherapy. Ondansetron and dexamethasone will be concurrently administered with SCH 619734 before initiation of chemotherapy on Day 1. Subjects will record nausea and vomiting in the SPNV Subject Diary through Day 6. The quality of life assessment as measured by the Functional Living Index-Emesis Questionnaire (FLIE) will be used to measure the effect of chemotherapy-induced nausea and vomiting (CINV) on daily life. Blood samples for SCH 619734 pharmacokinetic assessments will be collected. The study is to be conducted in conformance with Good Clinical Practice.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Nausea, Vomiting

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    450 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    SCH 619734 Dose 1
    Arm Type
    Experimental
    Arm Title
    SCH 619734 Dose 2
    Arm Type
    Experimental
    Arm Title
    SCH 619734 Dose 3
    Arm Type
    Experimental
    Arm Title
    SCH 619734 Dose 4
    Arm Type
    Experimental
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    SCH 619734 Dose 1
    Other Intervention Name(s)
    Rolapitant
    Intervention Description
    SCH 619734 10 mg (4 capsules) x 1 orally approximately 2 hours prior to the administration of the first chemotherapeutic agent on Day 1 of Cycle 1 and on Day 1 of all subsequent cycles (up to five additional cycles)
    Intervention Type
    Drug
    Intervention Name(s)
    SCH 619734 Dose 2
    Other Intervention Name(s)
    Rolapitant
    Intervention Description
    SCH 619734 25 mg (4 capsules) x 1 orally approximately 2 hours prior to the administration of the first chemotherapeutic agent on Day 1 of Cycle 1 and on Day 1 of all subsequent cycles (up to five additional cycles)
    Intervention Type
    Drug
    Intervention Name(s)
    SCH 619734 Dose 3
    Other Intervention Name(s)
    Rolapitant
    Intervention Description
    SCH 619734 100 mg (2 capsules) x 1 orally approximately 2 hours prior to the administration of the first chemotherapeutic agent on Day 1 of Cycle 1 and on Day 1 of all subsequent cycles (up to five additional cycles)
    Intervention Type
    Drug
    Intervention Name(s)
    SCH 619734 Dose 4
    Other Intervention Name(s)
    Rolapitant
    Intervention Description
    SCH 619734 200 mg (4 capsules) x 1 orally approximately 2 hours prior to the administration of the first chemotherapeutic agent on Day 1 of Cycle 1 and on Day 1 of all subsequent cycles (up to five additional cycles)
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    Matching placebo x 1 orally approximately 2 hours prior to the administration of the first chemotherapeutic agent on Day 1 of Cycle 1 and on Day 1 of all subsequent cycles (up to five additional cycles)
    Primary Outcome Measure Information:
    Title
    The primary efficacy endpoint is the overall complete response rate (no emesis and no use of rescue medication from 0 through 120 hours following initiation of cisplatin-based chemotherapy).
    Time Frame
    Days 1 through 6.
    Secondary Outcome Measure Information:
    Title
    The key secondary efficacy endpoints are the complete response rates for the acute (0 through 24 hours) and delayed (>24 through 120 hours) phases of CINV.
    Time Frame
    Days 1 through 6.
    Title
    The key secondary safety endpoints are adverse events, physical examinations, vital signs, electrocardiograms, and safety laboratory values.
    Time Frame
    Throughout the study and up to 30 days after the subject completes or discontinues from the study.

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Subject is 18 years of age or older. Subject has never been treated with cisplatin and is to receive first course of cisplatin-based chemotherapy (>=70 mg/m^2). Subject has a Karnofsky performance score of >=60. Subject has a predicted life expectancy of >=3 months. Subject has adequate bone marrow, kidney, and liver function as evidenced by: Absolute neutrophil count >=1,500/mm3 and white blood cell count >=3,000/mm3. Platelet count >=100,000/mm3. Aspartate aminotransferase (AST) <=2.5 x upper limit of normal (ULN) range. Alanine aminotransferase (ALT) <=2.5 x ULN. Bilirubin <=1.5 x ULN, except for subjects with Gilbert's syndrome. Creatinine <=1.5 x ULN. Subject is able to read, understand, and complete the questionnaires. Exclusion Criteria: Any current treatment or medical history (eg, subject is mentally incapacitated or has a psychiatric disorder) that, in the opinion of the investigator, would confound the results of the study or pose any unwarranted risk in administering study drug to the subject. Subject has contraindication to the administration of cisplatin, ondansetron, or dexamethasone including, but not limited to, a history of hypersensitivity to the drugs or their components, severe renal impairment, severe bone marrow suppression, hearing impairment, or systemic fungal infection. Subject is scheduled to receive any other chemotherapeutic agent with an emetogenicity level of 3 or above (Hesketh Scale) from Day -2 through Day 6. Subject is scheduled to receive any radiation therapy to the abdomen or pelvis within 5 days prior to and/or during Days 1 through 5 following cisplatin infusion. Subject has symptomatic primary or metastatic central nervous system (CNS) disease. Subject has ongoing vomiting caused by any etiology or has a history of anticipatory nausea and vomiting.

    12. IPD Sharing Statement

    Learn more about this trial

    A Multicenter, Randomized, Controlled Trial of SCH 619734 for the Treatment of Chemotherapy-Induced Nausea and Vomiting (Study P04351AM2)(COMPLETED)

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