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A Randomized Controlled Study of Rolapitant for the Prevention of Nausea and Vomiting Following Surgery (Study P04937AM1)(COMPLETED)

Primary Purpose

Postoperative Nausea and Vomiting

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Rolapitant Dose 1
Rolapitant Dose 2
Rolapitant Dose 3
Rolapitant Dose 4
Ondansetron
Placebo
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Postoperative Nausea and Vomiting focused on measuring Nausea, Vomiting

Eligibility Criteria

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

Inclusion Criteria:

  • Women aged 18 years or older of any race with an American Society of Anesthesiologists (ASA) physical status of I to III who are scheduled to undergo elective open abdominal surgery under general anesthesia.
  • Women whose postoperative hospitalization is expected to last at least 24 hours
  • Women expected to require postoperative intravenous opioid PCA.
  • Women whose surgery is expected to require at least 1 hour, but not more than 4 hours, of general anesthesia using the regimen defined in this protocol.
  • Women of childbearing potential who have a negative pregnancy test or women who have been surgically sterilized or are postmenopausal.

Exclusion Criteria:

  • Women with clinically significant or unstable cardiac, respiratory, hepatic, renal, or other major organ system disease.
  • Women with a known hypersensitivity to ondansetron (or any other 5-HT3 antagonist), to any agent that is part of the anesthesia regimen, or to other medications to be administered under this protocol.
  • Women who are scheduled to undergo certain types of surgery.
  • Women who are breastfeeding.
  • Women who have retching/vomiting or moderate or severe nausea in the 24 hours prior to surgery or suffer from chronic nausea and/or vomiting.
  • Women with a body mass index (BMI) >40.
  • Women who have participated in a clinical trial of an investigational drug within 30 days prior to drug administration.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm 6

    Arm Type

    Experimental

    Experimental

    Experimental

    Experimental

    Active Comparator

    Placebo Comparator

    Arm Label

    Rolapitant Dose 1

    Rolapitant Dose 2

    Rolapitant Dose 3

    Rolapitant Dose 4

    Ondansetron

    Placebo

    Arm Description

    Outcomes

    Primary Outcome Measures

    No emetic episodes regardless of rescue medication use.

    Secondary Outcome Measures

    Full Information

    First Posted
    October 2, 2007
    Last Updated
    October 8, 2013
    Sponsor
    Merck Sharp & Dohme LLC
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00539721
    Brief Title
    A Randomized Controlled Study of Rolapitant for the Prevention of Nausea and Vomiting Following Surgery (Study P04937AM1)(COMPLETED)
    Official Title
    A Randomized, Double-Blind, Double-Dummy, Dose-Ranging, Active- and Placebo-Controlled Study of Single-Dose Oral Rolapitant Monotherapy for the Prevention of Postoperative Nausea and Vomiting (PONV)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2013
    Overall Recruitment Status
    Completed
    Study Start Date
    October 2007 (undefined)
    Primary Completion Date
    July 2008 (Actual)
    Study Completion Date
    July 2008 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Merck Sharp & Dohme LLC

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This is a multicenter, randomized, controlled study in women who are having elective open abdominal surgery with general anesthesia and who are expected to need patient-controlled analgesia (PCA) after surgery. The primary objective is to assess the effect of rolapitant in the prevention of postoperative nausea and vomiting as measured by the prevention of vomiting in the first 24 hours after surgery. Participation in the study may last up to 3 months. The total duration of the study will be approximately 36 weeks.

    6. Conditions and Keywords

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

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Arm Title
    Rolapitant Dose 1
    Arm Type
    Experimental
    Arm Title
    Rolapitant Dose 2
    Arm Type
    Experimental
    Arm Title
    Rolapitant Dose 3
    Arm Type
    Experimental
    Arm Title
    Rolapitant Dose 4
    Arm Type
    Experimental
    Arm Title
    Ondansetron
    Arm Type
    Active Comparator
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    Rolapitant Dose 1
    Intervention Description
    Rolapitant 5 mg (4 capsules) x 1 oral and ondansetron placebo x 1 intravenous on Day 1
    Intervention Type
    Drug
    Intervention Name(s)
    Rolapitant Dose 2
    Intervention Description
    Rolapitant 20 mg (4 capsules) x 1 oral and ondansetron placebo x 1 intravenous on Day 1
    Intervention Type
    Drug
    Intervention Name(s)
    Rolapitant Dose 3
    Intervention Description
    Rolapitant 70 mg (4 capsules) x 1 oral and ondansetron placebo x 1 intravenous on Day 1
    Intervention Type
    Drug
    Intervention Name(s)
    Rolapitant Dose 4
    Intervention Description
    200 mg (4 capsules) x 1 oral and ondansetron placebo x 1 intravenous on Day 1
    Intervention Type
    Drug
    Intervention Name(s)
    Ondansetron
    Intervention Description
    Ondansetron 4 mg x 1 intravenous and rolapitant placebo (4 capsules) x 1 oral on Day 1
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    Rolapitant placebo (4 capsules) x 1 oral and ondansetron placebo x 1 intravenous on Day 1
    Primary Outcome Measure Information:
    Title
    No emetic episodes regardless of rescue medication use.
    Time Frame
    First 24 hours after surgery.

    10. Eligibility

    Sex
    Female
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Women aged 18 years or older of any race with an American Society of Anesthesiologists (ASA) physical status of I to III who are scheduled to undergo elective open abdominal surgery under general anesthesia. Women whose postoperative hospitalization is expected to last at least 24 hours Women expected to require postoperative intravenous opioid PCA. Women whose surgery is expected to require at least 1 hour, but not more than 4 hours, of general anesthesia using the regimen defined in this protocol. Women of childbearing potential who have a negative pregnancy test or women who have been surgically sterilized or are postmenopausal. Exclusion Criteria: Women with clinically significant or unstable cardiac, respiratory, hepatic, renal, or other major organ system disease. Women with a known hypersensitivity to ondansetron (or any other 5-HT3 antagonist), to any agent that is part of the anesthesia regimen, or to other medications to be administered under this protocol. Women who are scheduled to undergo certain types of surgery. Women who are breastfeeding. Women who have retching/vomiting or moderate or severe nausea in the 24 hours prior to surgery or suffer from chronic nausea and/or vomiting. Women with a body mass index (BMI) >40. Women who have participated in a clinical trial of an investigational drug within 30 days prior to drug administration.

    12. IPD Sharing Statement

    Learn more about this trial

    A Randomized Controlled Study of Rolapitant for the Prevention of Nausea and Vomiting Following Surgery (Study P04937AM1)(COMPLETED)

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