Fosaprepitant Dimeglumine and Granisetron Transdermal System in Preventing Nausea and Vomiting in Patients With Breast Cancer Undergoing Chemotherapy

Breast Cancer Clinical Trial

Official title:

A Pilot Study to Evaluate the Efficacy of Fosaprepitant and Granisetron Transdermal System for the Prevention of Acute and Delayed Nausea and Vomiting in Breast Cancer Patients and to Identify Predictors of Response

Clinical Trial Details — Status: Terminated

Administrative data

• NCT number: NCT01649258
• Other study ID #: 1B-11-5
• Secondary ID: NCI-2012-01170
• Status: Terminated
• Phase: Phase 1
• First received: July 20, 2012
• Last updated: November 15, 2017
• Start date: September 4, 2012
• Est. completion date: September 30, 2017

Study information

• Verified date: November 2017
• Source: University of Southern California
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This clinical trial studies how well fosaprepitant dimeglumine and granisetron transdermal system work in preventing nausea and vomiting in patients with breast cancer undergoing chemotherapy. Antiemetic drugs may help lessen or prevent nausea and vomiting in patients treated with chemotherapy

Description:

PRIMARY OBJECTIVE:

I. To evaluate the efficacy of the combination of fosaprepitant (fosaprepitant dimeglumine) and granisetron transdermal system in the prevention of acute and delayed chemotherapy induced nausea and vomiting in breast cancer patients undergoing adjuvant or neoadjuvant chemotherapy.

SECONDARY OBJECTIVE:

I. To evaluate the safety of the combination of fosaprepitant and granisetron transdermal system in breast cancer patients undergoing adjuvan or neoadjuvant chemotherapy.

EXPLORATORY OBJECTIVE:

I. To explore the use of single nucleotide polymorphisms (SNPs) in the 5âhydroxytryptamine-3 (5HT3) and neurokinin-1 (NK-1) receptors as potential markers of efficacy.

OUTLINE: Patients receive granisetron transdermal system patch 24-48 hrs before the initiation of chemotherapy. Patients wear the granisetron transdermal system patch for 7 days. Patients receive fosaprepitant dimeglumine intravenously (IV) over 15 minutes on day 1 of chemotherapy. Treatment repeats every 2 or 3 weeks for up to 4 courses in the absence of unacceptable toxicity.

Recruitment information / eligibility

• Status: Terminated
• Enrollment: 29
• Est. completion date: September 30, 2017
• Est. primary completion date: May 22, 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Patients with histologically confirmed breast cancer scheduled to receive chemotherapy with doxorubicin and cyclophosphamide (adjuvant or neoadjuvant)

• Eastern Cooperative Oncology Group (ECOG) performance status of 0-1

• Projected life expectancy of at least 3 months

• Provision of informed consent prior to any study-related procedures

• Negative pregnancy test for women of childbearing potential

• Absolute neutrophil count (ANC) >= 1500/mm^3

• Platelet count >= 100,000 cells/mm^3

• Hemoglobin >= 9.0g/dL

• Serum creatinine =< 1.5 mg/dl

• Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) =< 2.5 X upper limit of normal (ULN)

• Alkaline phosphatase =< 2.5 X upper limit of normal; in patients with bone metastasis and no evidence of liver metastasis and bilirubin =< upper limit of normal an alkaline phosphatase =< 5 ULN will be allowed

• Serum bilirubin =< 1.0 mg/dL

• No other concomitant therapy directed at the cancer is allowed

Exclusion Criteria:

• Allergy or intolerance to 5HT3 or NK-1 antagonists and dexamethasone

• Use of another antiemetic agent (5HT3 antagonists, phenothiazines, butyrophenones, cannabinoids, metoclopramide, or corticosteroids) within 72 hours prior to day 1 of the study

• Use of anticoagulant agent (Warfarin, Coumadin, Jantoven, Marevan, Lawarin, Waran, or Warfant)

• An episode of vomiting or retching within 24 hours before the start of the initial treatment with chemotherapy

• Severe concurrent illness other than neoplasia

• Gastrointestinal obstruction or an active peptic ulcer

• Patients who are pregnant or breast feeding because aprepitant may be harmful to the developing fetus and newborn

Related Conditions & MeSH terms

• Breast Cancer
• Breast Neoplasms
• Nausea
• Vomiting

Intervention

Drug:
• granisetron transdermal system
Given granisetron transdermal system patch
• fosaprepitant dimeglumine
Given IV

Other:
• laboratory biomarker analysis
Correlative studies

Locations

Country	Name	City	State
United States	USC Norris Comprehensive Cancer Center	Los Angeles	California

Sponsors (2)

Lead Sponsor	Collaborator
University of Southern California	National Cancer Institute (NCI)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Proportion of patients with complete response, defined as no emesis and no use of rescue medication in acute phase (within first 24 hours of treatment)	The complete response rate with the exact 95% confidence intervals (CIs) will be calculated. The associations between the complete response rate and patient characteristics and biomarkers will be examined using Fisherâs exact test or Mann-Whitney U test whenever appropriate.	Within the first 24 hours of treatment
Primary	Proportion of patients with complete response, defined as no emesis and no use of rescue medication in delayed phase (within 2-4 days of treatment)	The complete response rate with the exact 95% CIs will be calculated. The associations between the complete response rate and patient characteristics and biomarkers will be examined using Fisherâs exact test or Mann-Whitney U test whenever appropriate.	Up to day 4