Intravenous And Oral Casopitant (GW679769) For The Prevention Of Chemotherapy Induced Nausea And Vomiting
A Phase III, Multicenter, Randomized, Double-Blind, Active Controlled, Parallel Group Study of the Safety and Efficacy of the Intravenous and Oral Formulations of the Neurokinin-1 Receptor Antagonist Casopitant (GW679769) in Combination With Ondansetron and Dexamethasone for the Prevention of Nausea
1 other identifier
interventional
1,840
31 countries
221
Brief Summary
This is a Phase III trial designed to demonstrate that casopitant (GW679769) plus dexamethasone and ondansetron is more effective in the prevention of vomiting than dexamethasone and ondansetron alone following the administration of moderately emetogenic chemotherapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Jul 2006
Typical duration for phase_3
221 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2006
CompletedFirst Submitted
Initial submission to the registry
August 17, 2006
CompletedFirst Posted
Study publicly available on registry
August 21, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2009
CompletedSeptember 10, 2012
June 1, 2012
1.3 years
August 17, 2006
September 6, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Complete response as assessed by a visual analogue scale and a subject diary over the 120 hours following the first cycle of chemotherapy.
120 Hours
Secondary Outcomes (18)
Complete response over 120 hours following subsequent chemotherapy cycles Use of rescue medication over 120 hours following all chemotherapy cycles Impact on daily life activities over 120 hours, assessed using a subject diary questionnaire
120 Hours
The proportion of subjects who achieve a complete response during the acute (0-24 hours) and the delayed (24-120 hours) phase following the first cycle of MEC.
approx. 18 mos
The proportion of subjects who achieve a complete response over the first 120 hours, during the acute (0-24 hours), the delayed (24-120 hours), and the overall (0-120 hours) phase following subsequent cycles of MEC.
approx. 18 mos
Maximum nausea score (to assess the severity of nausea), as assessed by a Visual Analogue Scale (VAS) over the first 120 hours and in the acute and delayed phases following each cycle of MEC.
approx. 18 mos
Time to first antiemetic rescue medication, defined as the time elapsed from the start of administration of the MEC regimen to the first use of antiemetic rescue medication.
approx. 18 mos
- +13 more secondary outcomes
Study Arms (4)
Control
PLACEBO COMPARATORondansetron 8 mg oral twice daily on Day 1-3 and dexamethasone 8 mg IV on Day 1 + placebo
Single dose oral
EXPERIMENTALondansetron 8 mg oral twice daily on Day 1-3 and dexamethasone 8 mg IV + casopitant 150 mg on Day 1
3-day oral
EXPERIMENTALondansetron 8 mg oral twice daily on Day 1-3 and dexamethasone 8 mg IV + casopitant 150 mg on Day 1 + 50 mg on days 2 \& 3
3-day IV/oral
EXPERIMENTALondansetron 8 mg oral twice daily on Day 1-3 and dexamethasone 8 mg IV on Day 1 + 90 mg IV casopitant on day 1 and 50 mg oral casopitant on days 2 \& 3
Interventions
Eligibility Criteria
You may qualify if:
- Subject understands the nature and purpose of this study and the study procedures and has signed an informed consent form for this study to indicate this understanding.
- At least 18 years of age.
- Is scheduled to receive their first course of an anthracycline and cyclophosphamide containing moderately emetogenic chemotherapy regimen for the treatment of a solid malignant tumor as outlined in Section 8.1.1.
- Has an ECOG performance status of 0, 1, or 2.
- Hematologic and metabolic status must be adequate for receiving a moderately emetogenic regimen and meet the following criteria:
- Total Neutrophils ≥ 1500/mm³(Standard units : ≥1.5 x 10\^9/L)
- Platelets ≥ 100,000/mm³ (Standard units: ≥100.0 x 10\^9/L)
- Bilirubin ≤ 1.5 x ULN
- Liver enzymes must be below the following limits:
- Without known liver metastases: Aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) ≤ 2.5 x upper limit of normal.
- With known liver metastases: AST and/or ALT ≤ 5.0 x upper limit of normal.
- Is willing and able to complete daily components of the subject diary for each study cycle.
- Women of childbearing potential; must commit to consistent and correct use of an acceptable method of birth control; GSK acceptable contraceptive methods, when used consistently and in accordance with both the product label and the instructions of a physician, are as follows:
- Non-childbearing potential (i.e., physiologically incapable of becoming pregnant, including any female who is post-menopausal. For purposes of this study, postmenopausal is defined as one year without menses)
- child-bearing potential: must have a negative serum pregnancy test result or negative urine dipstick pregnancy test within 24 hours prior to the first dose of investigational product of Cycle 1, Day 1 and agrees to one of the following:
- +6 more criteria
You may not qualify if:
- Has previously received cytotoxic chemotherapy. A history of previous biological or hormonal therapy will be permitted.
- Is a female subject who is pregnant or lactating.
- Has received radiation therapy to the brain, abdomen, or pelvis in the ten days prior to the first dose of study medication or casopitant investigational product and/or will receive radiation therapy to the brain, abdomen, or the pelvis in the six days following the first dose of study medication (ZOFRAN and dexamethasone) or casopitant investigational product.
- Is scheduled to receive taxane therapy during cycle 1. Note that subjects will be permitted to receive taxane therapy in conjunction with one of the allowed MEC regimens during subsequent cycles.
- Has experienced emesis (i.e., vomiting and/or retching) or clinically significant nausea in the 24 hours preceding the first dose of study medication or casopitant investigational product.
- Has a known central nervous system primary or metastatic malignancy, unless successfully treated with excision or radiation and has been medically stable for at least 1 week prior to receiving the first dose of study medication or casopitant investigational product.
- Has history of documented peptic ulcer disease (via endoscopy or x-ray), active peptic ulcer disease, gastrointestinal obstruction, increased intracranial pressure, hypercalcemia, or any uncontrolled medical condition (other than malignancy) which in the opinion of the Investigator may confound the results of the study, represent another potential etiology for emesis and nausea (other than CINV) or pose an unwarranted risk to the subject.
- Has a known hypersensitivity or contraindication to ZOFRAN, another 5-HT3 receptor antagonist, dexamethasone, or any component of casopitant.
- Has previously received an NK-1 receptor antagonist.
- Received an investigational drug in the previous 30 days or is scheduled to receive any investigational drug other than casopitant during the study period.
- Has taken/received any medication of moderate or high emetogenic potential within the 48 hours prior to the first dose of study medication or casopitant investigational product. Opioid narcotics for cancer pain will be permitted if the subject has been on a stable dose and has not experienced emesis or nausea from the narcotics.
- Has taken/received any medication with known or potential antiemetic activity within the 24-hour period prior to receiving study drug. This includes, but is not limited to:
- HT3 receptor antagonists (e.g., ondansetron, granisetron, dolasetron, tropisetron, ramosetron). Palonestron is not permitted within 7 days prior to administration of investigational product.
- benzamide / benzamide derivatives (e.g., metoclopramide, alizapride)
- benzodiazepines (except if the subject is receiving such medication for sleep or anxiety and has been on a stable dose for at least seven days prior to the first dose of casopitant investigational product; however, lorazepam is prohibited 24 hours prior to receiving study drug regardless of reason for use)
- +13 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- GlaxoSmithKlinelead
Study Sites (223)
GSK Investigational Site
Birmingham, Alabama, 35209, United States
GSK Investigational Site
Birmingham, Alabama, 35233, United States
GSK Investigational Site
Glendale, Arizona, 85304, United States
GSK Investigational Site
Fayetteville, Arkansas, 72703, United States
GSK Investigational Site
Hot Springs, Arkansas, 71913, United States
GSK Investigational Site
Jonesboro, Arkansas, 72401, United States
GSK Investigational Site
Concord, California, 94520, United States
GSK Investigational Site
Fountain Valley, California, 92708, United States
GSK Investigational Site
Fresno, California, 93710, United States
GSK Investigational Site
Greenbrae, California, 94904-2007, United States
GSK Investigational Site
La Verne, California, 91750, United States
GSK Investigational Site
Los Angeles, California, 90057, United States
GSK Investigational Site
Orange, California, 92868, United States
GSK Investigational Site
Poway, California, 92064, United States
GSK Investigational Site
San Diego, California, 92121, United States
GSK Investigational Site
Soquel, California, 95073, United States
GSK Investigational Site
Norwich, Connecticut, 06360, United States
GSK Investigational Site
Washington D.C., District of Columbia, 20010, United States
GSK Investigational Site
Boynton Beach, Florida, 33435, United States
GSK Investigational Site
Brooksville, Florida, 34613, United States
GSK Investigational Site
Fort Lauderdale, Florida, 33316, United States
GSK Investigational Site
Fort Lauderdale, Florida, 33328, United States
GSK Investigational Site
Inverness, Florida, 34452, United States
GSK Investigational Site
Miami, Florida, 33179, United States
GSK Investigational Site
New Port Richey, Florida, 34652, United States
GSK Investigational Site
Tamarac, Florida, 33321, United States
GSK Investigational Site
Tampa, Florida, 33614, United States
GSK Investigational Site
West Palm Beach, Florida, 33401, United States
GSK Investigational Site
Augusta, Georgia, 30912, United States
GSK Investigational Site
Columbus, Georgia, 31904, United States
GSK Investigational Site
Lawrenceville, Georgia, 30045, United States
GSK Investigational Site
Centralia, Illinois, 62801, United States
GSK Investigational Site
Galesburg, Illinois, 61401, United States
GSK Investigational Site
Skokie, Illinois, 60076, United States
GSK Investigational Site
Evansville, Indiana, 47713, United States
GSK Investigational Site
Muncie, Indiana, 47303, United States
GSK Investigational Site
Terre Haute, Indiana, 47804, United States
GSK Investigational Site
Mason City, Iowa, 50401, United States
GSK Investigational Site
Hazard, Kentucky, 41701, United States
GSK Investigational Site
Lexington, Kentucky, 40503, United States
GSK Investigational Site
Alexandria, Louisiana, 71301, United States
GSK Investigational Site
Baton Rouge, Louisiana, 70809, United States
GSK Investigational Site
Metairie, Louisiana, 70006, United States
GSK Investigational Site
Baltimore, Maryland, 21229-5299, United States
GSK Investigational Site
Baltimore, Maryland, 21237, United States
GSK Investigational Site
Pittsfield, Massachusetts, 01201, United States
GSK Investigational Site
Worcester, Massachusetts, 01608, United States
GSK Investigational Site
Clinton Township, Michigan, 48038, United States
GSK Investigational Site
Free Soil, Michigan, 49411, United States
GSK Investigational Site
Saint Joseph, Michigan, 49085, United States
GSK Investigational Site
Troy, Michigan, 48085, United States
GSK Investigational Site
Hattiesburg, Mississippi, 39401, United States
GSK Investigational Site
Tupelo, Mississippi, 38801, United States
GSK Investigational Site
Jefferson City, Missouri, 65109, United States
GSK Investigational Site
Rolla, Missouri, 65401, United States
GSK Investigational Site
St Louis, Missouri, 63141, United States
GSK Investigational Site
Billings, Montana, 59101, United States
GSK Investigational Site
Great Falls, Montana, 59405, United States
GSK Investigational Site
Denville, New Jersey, 07834, United States
GSK Investigational Site
Newark, New Jersey, 07112, United States
GSK Investigational Site
Somerville, New Jersey, 08876, United States
GSK Investigational Site
Sparta, New Jersey, 07871, United States
GSK Investigational Site
Albuquerque, New Mexico, 87109, United States
GSK Investigational Site
Buffalo, New York, 14215, United States
GSK Investigational Site
Durham, North Carolina, 27710, United States
GSK Investigational Site
Winston-Salem, North Carolina, 27103, United States
GSK Investigational Site
Bismarck, North Dakota, 58501, United States
GSK Investigational Site
Akron, Ohio, 44304, United States
GSK Investigational Site
Bethlehem, Pennsylvania, 18015, United States
GSK Investigational Site
Hershey, Pennsylvania, 17033, United States
GSK Investigational Site
Sayre, Pennsylvania, 18840, United States
GSK Investigational Site
Mt. Pleasant, South Carolina, 29464, United States
GSK Investigational Site
Sumter, South Carolina, 29150, United States
GSK Investigational Site
Corpus Christi, Texas, 78412, United States
GSK Investigational Site
Corpus Christi, Texas, 78463-3069, United States
GSK Investigational Site
Dallas, Texas, 75237, United States
GSK Investigational Site
Richardson, Texas, 75080, United States
GSK Investigational Site
Logan, Utah, 84341, United States
GSK Investigational Site
Ogden, Utah, 84403, United States
GSK Investigational Site
Burlington, Vermont, 05401, United States
GSK Investigational Site
Everett, Washington, 98201, United States
GSK Investigational Site
Spokane, Washington, 99204, United States
GSK Investigational Site
Tacoma, Washington, 98405, United States
GSK Investigational Site
Huntington, West Virginia, 25701, United States
GSK Investigational Site
Huntington, West Virginia, 25705, United States
GSK Investigational Site
Madison, Wisconsin, 53717, United States
GSK Investigational Site
Capital Federal, Buenos Aires, C1405CUB, Argentina
GSK Investigational Site
Mendoza, Mendoza Province, M5500AYB, Argentina
GSK Investigational Site
Rosario, Santa Fe Province, S2000KZE, Argentina
GSK Investigational Site
San Miguel de Tucumán, Tucumán Province, 4000, Argentina
GSK Investigational Site
Quilmes, 1878, Argentina
GSK Investigational Site
Salzburg, A-5020, Austria
GSK Investigational Site
Sankt Pölten, A-3100, Austria
GSK Investigational Site
Vienna, A-1090, Austria
GSK Investigational Site
Vienna, A-1130, Austria
GSK Investigational Site
Vöcklabruck, A-4840, Austria
GSK Investigational Site
Brussels, 1070, Belgium
GSK Investigational Site
Ghent, 9000, Belgium
GSK Investigational Site
Ottignies, 1340, Belgium
GSK Investigational Site
Plovdiv, 4000, Bulgaria
GSK Investigational Site
Shumen, 9700, Bulgaria
GSK Investigational Site
Sofia, 1527, Bulgaria
GSK Investigational Site
Vancouver, British Columbia, V5Z 4E6, Canada
GSK Investigational Site
Moncton, New Brunswick, E1C 8X3, Canada
GSK Investigational Site
St. John's, Newfoundland and Labrador, A1B 3V6, Canada
GSK Investigational Site
Oshawa, Ontario, L1G 2B9, Canada
GSK Investigational Site
Thunder Bay, Ontario, P7B 6V4, Canada
GSK Investigational Site
Toronto, Ontario, M5G 1X5, Canada
GSK Investigational Site
Toronto, Ontario, M5G2M9, Canada
GSK Investigational Site
Windsor, Ontario, N8W 2X3, Canada
GSK Investigational Site
Charlottetown, Prince Edward Island, C1A 8T5, Canada
GSK Investigational Site
Greenfield Park, Quebec, J4V 2H1, Canada
GSK Investigational Site
Laval, Quebec, H7M 3L9, Canada
GSK Investigational Site
Lévis, Quebec, G6V 3Z1, Canada
GSK Investigational Site
Montreal, Quebec, H1T 2M4, Canada
GSK Investigational Site
Québec, Quebec, G1J 1Z4, Canada
GSK Investigational Site
Sherbrooke, Quebec, J1H 5N4, Canada
GSK Investigational Site
Saskatoon, Saskatchewan, S7N 4H4, Canada
GSK Investigational Site
Zagreb, 10 000, Croatia
GSK Investigational Site
Brno, 656 53, Czechia
GSK Investigational Site
Chomutov, 43012, Czechia
GSK Investigational Site
Ostrava - Poruba, 708 52, Czechia
GSK Investigational Site
Pardubice, 532 03, Czechia
GSK Investigational Site
Prague, 100 00, Czechia
GSK Investigational Site
Tábor, 390 19, Czechia
GSK Investigational Site
Ústí nad Labem, 40113, Czechia
GSK Investigational Site
Herlev, 2730, Denmark
GSK Investigational Site
Hilleroed, 3400, Denmark
GSK Investigational Site
Tallinn, 11619, Estonia
GSK Investigational Site
Tartu, 51003, Estonia
GSK Investigational Site
Heidelberg, Baden-Wurttemberg, 69126, Germany
GSK Investigational Site
Ingolstadt, Bavaria, 85049, Germany
GSK Investigational Site
Munich, Bavaria, 80335, Germany
GSK Investigational Site
Munich, Bavaria, 81925, Germany
GSK Investigational Site
Würzburg, Bavaria, 97070, Germany
GSK Investigational Site
Hamburg, Hamburg, 20357, Germany
GSK Investigational Site
Hamburg, Hamburg, 22081, Germany
GSK Investigational Site
Hamburg, Hamburg, 22457, Germany
GSK Investigational Site
Kassel, Hesse, 34119, Germany
GSK Investigational Site
Würselen, North Rhine-Westphalia, 52146, Germany
GSK Investigational Site
Berlin, State of Berlin, 10367, Germany
GSK Investigational Site
Berlin, State of Berlin, 12163, Germany
GSK Investigational Site
Bad Berka, Thuringia, 99437, Germany
GSK Investigational Site
Jena, Thuringia, 07743, Germany
GSK Investigational Site
Athens, 115 22, Greece
GSK Investigational Site
Athens, 115 28, Greece
GSK Investigational Site
Kavala, 65403, Greece
GSK Investigational Site
Pátrai, 26500, Greece
GSK Investigational Site
Thessaloniki, 54636, Greece
GSK Investigational Site
Hong Kong, Hong Kong
GSK Investigational Site
Shatin, Hong Kong
GSK Investigational Site
Tuenmen, Hong Kong
GSK Investigational Site
Wan Chai, Hong Kong
GSK Investigational Site
Győr, 9023, Hungary
GSK Investigational Site
Gyula, 5700, Hungary
GSK Investigational Site
Veszprém, 8200, Hungary
GSK Investigational Site
Pune, 411001, India
GSK Investigational Site
Dublin, 4, Ireland
GSK Investigational Site
Dublin, 8, Ireland
GSK Investigational Site
Dublin, 9, Ireland
GSK Investigational Site
Tallaght, Dublin, 24, Ireland
GSK Investigational Site
Wilton, Cork, Ireland
GSK Investigational Site
Benevento, Campania, 82100, Italy
GSK Investigational Site
Rome, Lazio, 00184, Italy
GSK Investigational Site
Genoa, Liguria, 16132, Italy
GSK Investigational Site
Sanremo (IM), Liguria, 18038, Italy
GSK Investigational Site
Sassari, Sardinia, 07100, Italy
GSK Investigational Site
Perugia, Umbria, 06156, Italy
GSK Investigational Site
Liepāja, LV3401, Latvia
GSK Investigational Site
Riga, LV 1002, Latvia
GSK Investigational Site
Riga, LV 1079, Latvia
GSK Investigational Site
Kaunas, LT-45434, Lithuania
GSK Investigational Site
Klaipėda, LT-92228, Lithuania
GSK Investigational Site
Vilnius, LT-08660, Lithuania
GSK Investigational Site
Durango, Durango, 34079, Mexico
GSK Investigational Site
Mérida, Yucatán, 97500, Mexico
GSK Investigational Site
Lahore, Pakistan
GSK Investigational Site
Lima, Lima Province, Lima 13, Peru
GSK Investigational Site
Lima, Lima Province, Lima 34, Peru
GSK Investigational Site
Callao, Callao 2, Peru
GSK Investigational Site
Cebu, 6000, Philippines
GSK Investigational Site
Manila, 1000, Philippines
GSK Investigational Site
Quezon City, 1100, Philippines
GSK Investigational Site
Santa Cruz, Manila, 1012, Philippines
GSK Investigational Site
Krakow, 31-115, Poland
GSK Investigational Site
Moscow, 115 478, Russia
GSK Investigational Site
Moscow, 115478, Russia
GSK Investigational Site
Moscow, 117997, Russia
GSK Investigational Site
Moscow Region, 143 423, Russia
GSK Investigational Site
Saint Petersburg, 198255, Russia
GSK Investigational Site
Samara, 443066, Russia
GSK Investigational Site
Yaroslavl, 150054, Russia
GSK Investigational Site
Bratislava, 812 50, Slovakia
GSK Investigational Site
Bratislava, 833 10, Slovakia
GSK Investigational Site
Nitra, 949 01, Slovakia
GSK Investigational Site
Poprad, 058 01, Slovakia
GSK Investigational Site
Žilina, 010 01, Slovakia
GSK Investigational Site
Athlone Park, Amanzimtoti, 4126, South Africa
GSK Investigational Site
Bloemfontein, 9301, South Africa
GSK Investigational Site
Observatory, 7925, South Africa
GSK Investigational Site
Panorama, 7500, South Africa
GSK Investigational Site
Parktown, 2193, South Africa
GSK Investigational Site
Saxonwold, Johannesburg, 2196, South Africa
GSK Investigational Site
Seoul, 110-744, South Korea
GSK Investigational Site
Seoul, 120-752, South Korea
GSK Investigational Site
Donostia / San Sebastian, 20012, Spain
GSK Investigational Site
Madrid, 28034, Spain
GSK Investigational Site
Ourense, 32005, Spain
GSK Investigational Site
Santiago de Compostela, 15706, Spain
GSK Investigational Site
Segovia, 40002, Spain
GSK Investigational Site
Zamora, Spain
GSK Investigational Site
Kaohsiung City, 807, Taiwan
GSK Investigational Site
Tainan, 704, Taiwan
GSK Investigational Site
Taipei, 114, Taiwan
GSK Investigational Site
Taipei, Taiwan
GSK Investigational Site
Bangkok, 10400, Thailand
GSK Investigational Site
Chelmsford, Essex, CM1 7ET, United Kingdom
GSK Investigational Site
Aberdeen, AB25 2ZN, United Kingdom
GSK Investigational Site
London, EC1A 7BE, United Kingdom
GSK Investigational Site
London, SE1 9RT, United Kingdom
GSK Investigational Site
Maidstone, ME16 9QQ, United Kingdom
GSK Investigational Site
Nottingham, NG5 1PB, United Kingdom
GSK Investigational Site
Shrewsbury, SY3 8XQ, United Kingdom
Related Publications (1)
Herrstedt J, Apornwirat W, Shaharyar A, Aziz Z, Roila F, Van Belle S, Russo MW, Levin J, Ranganathan S, Guckert M, Grunberg SM. Phase III trial of casopitant, a novel neurokinin-1 receptor antagonist, for the prevention of nausea and vomiting in patients receiving moderately emetogenic chemotherapy. J Clin Oncol. 2009 Nov 10;27(32):5363-9. doi: 10.1200/JCO.2009.21.8511. Epub 2009 Oct 5.
PMID: 19805683RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
GSK Clinical Trials
GlaxoSmithKline
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 17, 2006
First Posted
August 21, 2006
Study Start
July 1, 2006
Primary Completion
October 1, 2007
Study Completion
October 1, 2009
Last Updated
September 10, 2012
Record last verified: 2012-06