NCT06065722

Brief Summary

The purpose of the proposed study is to provide a clinical approach to chemotherapy induced nausea and vomiting (CINV) prophylaxis in cycle 2 of moderately emetogenic chemotherapy or highly emetogenic chemotherapy for patients who developed breakthrough CINV after cycle 1 based on the available data in the literature as well as the recommendations provided by established guidelines

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
100

participants targeted

Target at P50-P75 for phase_2

Timeline
Completed

Started Sep 2023

Shorter than P25 for phase_2

Geographic Reach
1 country

1 active site

Status
unknown

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

September 9, 2023

Completed
15 days until next milestone

First Submitted

Initial submission to the registry

September 24, 2023

Completed
10 days until next milestone

First Posted

Study publicly available on registry

October 4, 2023

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2023

Completed
Last Updated

October 10, 2023

Status Verified

September 1, 2023

Enrollment Period

4 months

First QC Date

September 24, 2023

Last Update Submit

October 8, 2023

Conditions

Keywords

chemotherapy induced nausea and vomitingNK-1olanzapine

Outcome Measures

Primary Outcomes (1)

  • COMPELETE RESPONSE, no vomiting or use of rescue medications

    No vomiting or use of rescue medications for 5 days post chemotherapy

    5 DAYS post chemotherapy

Study Arms (2)

AKYNZEO for patient receiving MEC

ACTIVE COMPARATOR

Add Akynzeo to 5HT3 And dexamethasone

Drug: Akynzeo

oLANZAPINE and Akynzeo to patients receiving highly emetogenic

ACTIVE COMPARATOR

olANZAPINE plus Akynzeo

Drug: Akynzeo

Interventions

OLANZAPINE

Also known as: Olanzapine
AKYNZEO for patient receiving MECoLANZAPINE and Akynzeo to patients receiving highly emetogenic

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • CHEMOTHERAPY NAIIVE
  • patient receiving moderately or highly emetogenic chemotherapy
  • lung cancer
  • breast cancer

You may not qualify if:

  • PRIOR CHEMOTHERAPY for any cancer
  • nausea or vomiting 24 hours prior to study entry

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Rudolph M Navari

Mount Olive, Alabama, 35117, United States

RECRUITING

Related Publications (1)

  • Navari RM, Bonizzoni E. NEPA (Netupitant/Palonosetron) for the Prevention of Chemotherapy-Induced Nausea and Vomiting (CINV) in Patients Receiving Highly or Moderately Emetogenic Chemotherapy Who Experienced Breakthrough CINV in Cycle 1 of Chemotherapy: A Phase II Clinical Trial. Cancer Med. 2025 Apr;14(7):e70549. doi: 10.1002/cam4.70549.

MeSH Terms

Conditions

Vomiting

Interventions

netupitant, palosentron drug combinationOlanzapine

Condition Hierarchy (Ancestors)

Signs and Symptoms, DigestiveSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

BenzodiazepinesBenzazepinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic Compounds

Central Study Contacts

Rudolph M Navari

CONTACT

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Masking Details
Double Blind
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 24, 2023

First Posted

October 4, 2023

Study Start

September 9, 2023

Primary Completion

December 31, 2023

Study Completion

December 31, 2023

Last Updated

October 10, 2023

Record last verified: 2023-09

Data Sharing

IPD Sharing
Will not share

Locations