Trial Outcomes & Findings for APF530 or Aloxi (Palonosetron Hydrochloride) Combined With Dexamethasone in Preventing Nausea and Vomiting in Patients Receiving Chemotherapy for Cancer (NCT NCT00343460)

NCT ID: NCT00343460

Last Updated: 2017-02-23

Results Overview

Complete Response is defined as no emetic episodes and no use of rescue medications

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

1428 participants

Primary outcome timeframe

0-24 Hours

Results posted on

2017-02-23

Participant Flow

Participant milestones

Participant milestones
Measure
APF530 5 mg
APF530 5 mg - Safety Population
APF530 10 mg
APF530 10 mg - Safety Population
Aloxi 0.25 mg
Aloxi 0.25 mg - Safety Population
Cycle 1
STARTED
475
481
472
Cycle 1
COMPLETED
453
459
454
Cycle 1
NOT COMPLETED
22
22
18
Cycle 2 - 4
STARTED
584
565
0
Cycle 2 - 4
COMPLETED
528
515
0
Cycle 2 - 4
NOT COMPLETED
56
50
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

APF530 or Aloxi (Palonosetron Hydrochloride) Combined With Dexamethasone in Preventing Nausea and Vomiting in Patients Receiving Chemotherapy for Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cycle 1 APF530 5 mg - Moderately
n=214 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 APF530 10 mg - Moderately
n=212 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 Aloxi 0.25 mg - Moderately
n=208 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 APF530 5 mg - Highly
n=229 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Cycle 1 APF530 10 mg - Highly
n=240 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Cycle 1 Aloxi 0.25 Highly
n=238 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Total
n=1341 Participants
Total of all reporting groups
Age, Continuous
54.8 years
STANDARD_DEVIATION 12.80 • n=5 Participants
55.1 years
STANDARD_DEVIATION 12.79 • n=7 Participants
57.3 years
STANDARD_DEVIATION 12.36 • n=5 Participants
57.6 years
STANDARD_DEVIATION 13.35 • n=4 Participants
56.8 years
STANDARD_DEVIATION 13.20 • n=21 Participants
58.1 years
STANDARD_DEVIATION 13.74 • n=8 Participants
56.62 years
STANDARD_DEVIATION 13.04 • n=8 Participants
Sex: Female, Male
Female
189 Participants
n=5 Participants
177 Participants
n=7 Participants
177 Participants
n=5 Participants
153 Participants
n=4 Participants
152 Participants
n=21 Participants
158 Participants
n=8 Participants
1006 Participants
n=8 Participants
Sex: Female, Male
Male
25 Participants
n=5 Participants
35 Participants
n=7 Participants
31 Participants
n=5 Participants
76 Participants
n=4 Participants
88 Participants
n=21 Participants
80 Participants
n=8 Participants
335 Participants
n=8 Participants

PRIMARY outcome

Timeframe: 0-24 Hours

Population: Cycle 1 - Modified Intent-to-Treat Population

Complete Response is defined as no emetic episodes and no use of rescue medications

Outcome measures

Outcome measures
Measure
Cycle 1 APF530 5 mg - Moderately
n=214 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 APF530 10 mg - Moderately
n=212 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 Aloxi 0.25 mg - Moderately
n=208 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 APF530 5 mg - Highly
n=229 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Cycle 1 APF530 10 mg - Highly
n=240 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Cycle 1 Aloxi 0.25 Highly
n=238 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Proportion of Patients With Complete Response (CR) During Acute Phase (0-24 Hours) After Administration of Chemotherapy Course 1
160 participants
163 participants
156 participants
178 participants
195 participants
192 participants

PRIMARY outcome

Timeframe: 24-120 Hours

Population: Cycle 1 - Modified Intent-to-Treat Population

Complete Response is defined as no emetic episodes and no use of rescue medications

Outcome measures

Outcome measures
Measure
Cycle 1 APF530 5 mg - Moderately
n=214 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 APF530 10 mg - Moderately
n=212 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 Aloxi 0.25 mg - Moderately
n=208 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 APF530 5 mg - Highly
n=229 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Cycle 1 APF530 10 mg - Highly
n=240 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Cycle 1 Aloxi 0.25 Highly
n=238 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Proportion of Patients With CR During Delayed-onset Phase (24-120 Hours) After Administration of Chemotherapy Course 1
110 participants
125 participants
120 participants
148 participants
164 participants
158 participants

SECONDARY outcome

Timeframe: 0-120 Hours

Population: Cycle 1 - Modified Intent-to-Treat Population

Complete control is defined as complete response with no more than mild nausea.

Outcome measures

Outcome measures
Measure
Cycle 1 APF530 5 mg - Moderately
n=214 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 APF530 10 mg - Moderately
n=212 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 Aloxi 0.25 mg - Moderately
n=208 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 APF530 5 mg - Highly
n=229 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Cycle 1 APF530 10 mg - Highly
n=240 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Cycle 1 Aloxi 0.25 Highly
n=238 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Proportion of Patients With Complete Control During the Acute Phase (0-24 Hours), Delayed-onset Phase (24-120 Hours), and During Chemotherapy Course 1
CC during acute Phase
154 participants
152 participants
147 participants
170 participants
183 participants
184 participants
Proportion of Patients With Complete Control During the Acute Phase (0-24 Hours), Delayed-onset Phase (24-120 Hours), and During Chemotherapy Course 1
CC during the delayed-onset phase
100 participants
115 participants
107 participants
138 participants
150 participants
147 participants
Proportion of Patients With Complete Control During the Acute Phase (0-24 Hours), Delayed-onset Phase (24-120 Hours), and During Chemotherapy Course 1
CC during the overall risk period
93 participants
107 participants
99 participants
127 participants
138 participants
136 participants

SECONDARY outcome

Timeframe: 0-120 Hours

Population: Cycle 1 - Modified Intent-to-Treat Population

TR during acute phase is defined as Complete Response with no nausea during 0 to 24 hours following the administration of chemotherapy in Cycle 1. TR during delayed-onset phase is defined as Complete Response with no nausea during \>24 to 120 hours following the administration of chemotherapy in Cycle 1. TR during overall risk period is defined as Complete Response with no nausea during 0 to 120 hours following the administration of chemotherapy in Cycle 1.

Outcome measures

Outcome measures
Measure
Cycle 1 APF530 5 mg - Moderately
n=214 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 APF530 10 mg - Moderately
n=212 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 Aloxi 0.25 mg - Moderately
n=208 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 APF530 5 mg - Highly
n=229 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Cycle 1 APF530 10 mg - Highly
n=240 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Cycle 1 Aloxi 0.25 Highly
n=238 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Proportion of Patients With Total Response During the Acute Phase, Delayed-onset Phase, and During Chemotherapy Course 1
TR during acute phase
135 participants
121 participants
113 participants
141 participants
146 participants
158 participants
Proportion of Patients With Total Response During the Acute Phase, Delayed-onset Phase, and During Chemotherapy Course 1
TR during the delayed-onset phase
76 participants
89 participants
73 participants
115 participants
113 participants
122 participants
Proportion of Patients With Total Response During the Acute Phase, Delayed-onset Phase, and During Chemotherapy Course 1
TR during the overall risk period
68 participants
79 participants
65 participants
103 participants
101 participants
117 participants

SECONDARY outcome

Timeframe: Days 1-5

Population: Cycle 1 - Modified Intent-to-Treat Population

Number of Emetic Episodes - days 1-5

Outcome measures

Outcome measures
Measure
Cycle 1 APF530 5 mg - Moderately
n=208 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 APF530 10 mg - Moderately
n=208 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 Aloxi 0.25 mg - Moderately
n=205 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 APF530 5 mg - Highly
n=217 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Cycle 1 APF530 10 mg - Highly
n=236 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Cycle 1 Aloxi 0.25 Highly
n=222 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Number of Emetic Episodes
3.4 Number of Emetic Episodes
Standard Deviation 8.03
3.1 Number of Emetic Episodes
Standard Deviation 9.35
2.1 Number of Emetic Episodes
Standard Deviation 5.12
2.3 Number of Emetic Episodes
Standard Deviation 6.69
2.4 Number of Emetic Episodes
Standard Deviation 7.87
2.5 Number of Emetic Episodes
Standard Deviation 7.15

SECONDARY outcome

Timeframe: 0-120 Hours

Population: Proportions of subjects event free in Cycle 1 - Modified Intent-to-Treat Population

Proportions of subjects event free at 24, 48, 72, 96, and 120 hours after chemotherapy administration

Outcome measures

Outcome measures
Measure
Cycle 1 APF530 5 mg - Moderately
n=214 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 APF530 10 mg - Moderately
n=211 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 Aloxi 0.25 mg - Moderately
n=208 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 APF530 5 mg - Highly
n=228 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Cycle 1 APF530 10 mg - Highly
n=238 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Cycle 1 Aloxi 0.25 Highly
n=238 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Time to First Treatment Failure
72 Hours
0.533 Proportion of subjects event free
0.564 Proportion of subjects event free
0.567 Proportion of subjects event free
0.649 Proportion of subjects event free
0.685 Proportion of subjects event free
0.672 Proportion of subjects event free
Time to First Treatment Failure
24 Hours
0.738 Proportion of subjects event free
0.763 Proportion of subjects event free
0.755 Proportion of subjects event free
0.781 Proportion of subjects event free
0.811 Proportion of subjects event free
0.803 Proportion of subjects event free
Time to First Treatment Failure
48 Hours
0.636 Proportion of subjects event free
0.659 Proportion of subjects event free
0.635 Proportion of subjects event free
0.706 Proportion of subjects event free
0.723 Proportion of subjects event free
0.714 Proportion of subjects event free
Time to First Treatment Failure
96 Hours
0.485 Proportion of subjects event free
0.550 Proportion of subjects event free
0.534 Proportion of subjects event free
0.618 Proportion of subjects event free
0.668 Proportion of subjects event free
0.634 Proportion of subjects event free
Time to First Treatment Failure
120 Hours
0.485 Proportion of subjects event free
0.540 Proportion of subjects event free
0.529 Proportion of subjects event free
0.600 Proportion of subjects event free
0.647 Proportion of subjects event free
0.620 Proportion of subjects event free

SECONDARY outcome

Timeframe: 0-120 Hours

Population: Cycle 1 - Modified Intent-to-Treat Population

Outcome measures

Outcome measures
Measure
Cycle 1 APF530 5 mg - Moderately
n=214 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 APF530 10 mg - Moderately
n=212 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 Aloxi 0.25 mg - Moderately
n=208 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 APF530 5 mg - Highly
n=229 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Cycle 1 APF530 10 mg - Highly
n=240 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Cycle 1 Aloxi 0.25 Highly
n=238 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
First and Overall Use of Rescue Medication
Used Rescue Medication, 0-24 hours
42 participants
37 participants
41 participants
35 participants
23 participants
25 participants
First and Overall Use of Rescue Medication
Used Rescue Medication, 24-120 hours
83 participants
69 participants
63 participants
60 participants
42 participants
42 participants
First and Overall Use of Rescue Medication
Used Rescue Medication, 0-120 hours
89 participants
76 participants
72 participants
71 participants
45 participants
49 participants

SECONDARY outcome

Timeframe: 0-120 Hours

Population: Severity of Nausea - Cycle 1 - Modified Intent-to-Treat Population

Maximum severity of nausea, days 1-5

Outcome measures

Outcome measures
Measure
Cycle 1 APF530 5 mg - Moderately
n=212 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 APF530 10 mg - Moderately
n=210 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 Aloxi 0.25 mg - Moderately
n=204 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 APF530 5 mg - Highly
n=219 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Cycle 1 APF530 10 mg - Highly
n=235 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Cycle 1 Aloxi 0.25 Highly
n=232 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Severity of Nausea Daily and During Chemotherapy Course 1 (0-120 Hours)
None
78 participants
85 participants
66 participants
105 participants
102 participants
121 participants
Severity of Nausea Daily and During Chemotherapy Course 1 (0-120 Hours)
Mild
45 participants
53 participants
68 participants
53 participants
68 participants
53 participants
Severity of Nausea Daily and During Chemotherapy Course 1 (0-120 Hours)
Moderate
59 participants
40 participants
46 participants
48 participants
37 participants
39 participants
Severity of Nausea Daily and During Chemotherapy Course 1 (0-120 Hours)
Severe
30 participants
32 participants
24 participants
13 participants
28 participants
19 participants

SECONDARY outcome

Timeframe: 0-120 Hours

Population: Number of subjects in the Modified Intent-to-Treat Population with overall CR (0-120 hrs) in all cycles

Sustainability of Overall Complete Response (CR 0-120 hrs) Over Two, Three, and Four Cycles Complete Response is defined as no emetic episodes and no use of rescue medications

Outcome measures

Outcome measures
Measure
Cycle 1 APF530 5 mg - Moderately
n=91 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 APF530 10 mg - Moderately
n=92 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 Aloxi 0.25 mg - Moderately
n=106 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 APF530 5 mg - Highly
n=95 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Cycle 1 APF530 10 mg - Highly
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Cycle 1 Aloxi 0.25 Highly
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Sustainability of Antiemetic Effect of APF530 Over Multiple Chemotherapy Courses
34 participants with overall CR
35 participants with overall CR
56 participants with overall CR
52 participants with overall CR

SECONDARY outcome

Timeframe: 5 days

Population: Cycle 1 - Modified Intent-to-Treat Population (All Languages Except Punjabi)

Functional Living Index

Outcome measures

Outcome measures
Measure
Cycle 1 APF530 5 mg - Moderately
n=208 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 APF530 10 mg - Moderately
n=210 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 Aloxi 0.25 mg - Moderately
n=204 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 APF530 5 mg - Highly
n=223 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Cycle 1 APF530 10 mg - Highly
n=228 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Cycle 1 Aloxi 0.25 Highly
n=231 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Quality of Life and the Impact of Nausea and Vomiting on Day 5
No nausea impact on daily life
112 participants
127 participants
120 participants
142 participants
142 participants
159 participants
Quality of Life and the Impact of Nausea and Vomiting on Day 5
No vomiting impact on daily life
157 participants
162 participants
160 participants
173 participants
182 participants
191 participants

SECONDARY outcome

Timeframe: 0- 24 Hours

Population: Cycle 1 - Modified Intent-to-Treat Population

Subject who were very satisfied on Day 1

Outcome measures

Outcome measures
Measure
Cycle 1 APF530 5 mg - Moderately
n=211 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 APF530 10 mg - Moderately
n=212 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 Aloxi 0.25 mg - Moderately
n=208 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Moderately
Cycle 1 APF530 5 mg - Highly
n=229 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Cycle 1 APF530 10 mg - Highly
n=240 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Cycle 1 Aloxi 0.25 Highly
n=238 Participants
Cycle 1 - Modified Intent-to-Treat Population Emetogenic Status: Highly
Patient's Global Satisfaction With Antiemetic Therapy During Acute Phase and Chemotherapy Course 1
101 participants
113 participants
98 participants
128 participants
128 participants
135 participants

Adverse Events

Cycle 1 APF530 5 mg

Serious events: 42 serious events
Other events: 335 other events
Deaths: 0 deaths

Cycle 1 APF530 10 mg

Serious events: 36 serious events
Other events: 349 other events
Deaths: 0 deaths

Cycle 1 Aloxi 0.25 mg

Serious events: 27 serious events
Other events: 313 other events
Deaths: 0 deaths

Cycles 2-4 APF530 5 mg

Serious events: 61 serious events
Other events: 422 other events
Deaths: 0 deaths

Cycle 2-4 APF530 10 mg

Serious events: 73 serious events
Other events: 413 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Cycle 1 APF530 5 mg
n=464 participants at risk
Serious Treatment-Emergent Adverse Events - Cycle 1 - Safety Population
Cycle 1 APF530 10 mg
n=468 participants at risk
Serious Treatment-Emergent Adverse Events - Cycle 1 - Safety Population
Cycle 1 Aloxi 0.25 mg
n=472 participants at risk
Serious Treatment-Emergent Adverse Events - Cycle 1 - Safety Population
Cycles 2-4 APF530 5 mg
n=528 participants at risk
Serious Treatment-Emergent Adverse Events - Cycles 2-4 - Safety Population
Cycle 2-4 APF530 10 mg
n=515 participants at risk
Serious Treatment-Emergent Adverse Events - Cycles 2-4 - Safety Population
Blood and lymphatic system disorders
Anaemia
0.43%
2/464
0.00%
0/468
0.42%
2/472
1.1%
6/528
0.39%
2/515
Blood and lymphatic system disorders
Febrile neutropenia
0.43%
2/464
1.5%
7/468
0.64%
3/472
0.95%
5/528
1.6%
8/515
Blood and lymphatic system disorders
Leukocytosis
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.00%
0/515
Blood and lymphatic system disorders
Leukopenia
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.19%
1/515
Blood and lymphatic system disorders
Neutropenia
0.43%
2/464
0.21%
1/468
0.42%
2/472
0.38%
2/528
1.2%
6/515
Blood and lymphatic system disorders
Pancytopenia
0.43%
2/464
0.43%
2/468
0.21%
1/472
0.38%
2/528
0.39%
2/515
Blood and lymphatic system disorders
Splenomegaly
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.00%
0/515
Blood and lymphatic system disorders
Thrombocytopenia
0.65%
3/464
0.21%
1/468
0.00%
0/472
0.19%
1/528
0.58%
3/515
Cardiac disorders
Acute coronary syndrome
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.19%
1/515
Cardiac disorders
Acute myocardial infarction
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.19%
1/515
Cardiac disorders
Atrial fibrillation
0.22%
1/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.00%
0/515
Cardiac disorders
Cardiac arrest
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.19%
1/515
Cardiac disorders
Cardiac failure congestive
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.39%
2/515
Cardiac disorders
Cardio-respiratory arrest
0.22%
1/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.19%
1/515
Cardiac disorders
Myocardial infarction
0.00%
0/464
0.21%
1/468
0.00%
0/472
0.00%
0/528
0.00%
0/515
Cardiac disorders
Sinus tachycardia
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.00%
0/515
Cardiac disorders
Sudden Death
0.22%
1/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.00%
0/515
Cardiac disorders
Tachycardia
0.00%
0/464
0.21%
1/468
0.00%
0/472
0.00%
0/528
0.19%
1/515
Cardiac disorders
Ventricular tachycardia
0.22%
1/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.00%
0/515
Ear and labyrinth disorders
Vertigo
0.22%
1/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.00%
0/515
Endocrine disorders
Diabetes mellitus
0.22%
1/464
0.00%
0/468
0.21%
1/472
0.19%
1/528
0.00%
0/515
Endocrine disorders
Hyperglycaemia
0.00%
0/464
0.21%
1/468
0.00%
0/472
0.00%
0/528
0.39%
2/515
Gastrointestinal disorders
Abdominal distension
0.00%
0/464
0.21%
1/468
0.00%
0/472
0.00%
0/528
0.00%
0/515
Gastrointestinal disorders
Abdominal pain
0.00%
0/464
0.21%
1/468
0.00%
0/472
0.19%
1/528
0.39%
2/515
Gastrointestinal disorders
Abdominal pain upper
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.00%
0/515
Gastrointestinal disorders
Constipation
0.22%
1/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.00%
0/515
Gastrointestinal disorders
Diarrhoea
0.43%
2/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.39%
2/515
Gastrointestinal disorders
Diverticulitis
0.00%
0/464
0.43%
2/468
0.00%
0/472
0.00%
0/528
0.00%
0/515
Gastrointestinal disorders
Dysphagia
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.00%
0/515
Gastrointestinal disorders
Erosive oesophagitis
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.00%
0/515
Gastrointestinal disorders
Faecaloma
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.19%
1/515
Gastrointestinal disorders
Gastric perforation
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.00%
0/515
Gastrointestinal disorders
Gastrointestinal haemorrhage
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.38%
2/528
0.39%
2/515
Gastrointestinal disorders
Hiatus hernia
0.00%
0/464
0.00%
0/468
0.21%
1/472
0.00%
0/528
0.00%
0/515
Gastrointestinal disorders
Ileus
0.22%
1/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.00%
0/515
Gastrointestinal disorders
Intestinal obstruction
0.00%
0/464
0.21%
1/468
0.00%
0/472
0.00%
0/528
0.19%
1/515
Gastrointestinal disorders
Nausea
0.22%
1/464
0.64%
3/468
0.42%
2/472
0.57%
3/528
0.19%
1/515
Gastrointestinal disorders
Oesophageal carcinoma recurrent
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.19%
1/515
Gastrointestinal disorders
Oesophagitis
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.19%
1/515
Gastrointestinal disorders
Peptic ulcer haemorrhage
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.19%
1/515
Gastrointestinal disorders
Rectal haemorrhage
0.00%
0/464
0.00%
0/468
0.21%
1/472
0.00%
0/528
0.00%
0/515
Gastrointestinal disorders
Small intestinal perforation
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.19%
1/515
Gastrointestinal disorders
Vomiting
0.22%
1/464
0.85%
4/468
0.21%
1/472
0.19%
1/528
0.58%
3/515
General disorders
Asthenia
0.00%
0/464
0.21%
1/468
0.00%
0/472
0.19%
1/528
0.19%
1/515
General disorders
Chest pain
0.22%
1/464
0.21%
1/468
0.21%
1/472
0.19%
1/528
0.39%
2/515
General disorders
Death
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.19%
1/515
General disorders
Drug hypersensitivity
0.22%
1/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.39%
2/515
General disorders
Fatigue
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.00%
0/515
General disorders
Injection site haemorrhage
0.22%
1/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.00%
0/515
General disorders
Multi-organ failure
0.22%
1/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.19%
1/515
General disorders
Oedema peripheral
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.00%
0/515
General disorders
Pain
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.00%
0/515
General disorders
Pyrexia
0.22%
1/464
0.00%
0/468
0.21%
1/472
0.57%
3/528
0.19%
1/515
Hepatobiliary disorders
Cholelithiasis
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.19%
1/515
Hepatobiliary disorders
Hepatic failure
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.19%
1/515
Immune system disorders
Anaphylactic reaction
0.00%
0/464
0.21%
1/468
0.00%
0/472
0.00%
0/528
0.00%
0/515
Infections and infestations
Bacteraemia
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.00%
0/515
Infections and infestations
Bronchitis chronic
0.00%
0/464
0.00%
0/468
0.21%
1/472
0.00%
0/528
0.00%
0/515
Infections and infestations
Bronchopulmonary aspergillosis
0.00%
0/464
0.00%
0/468
0.21%
1/472
0.00%
0/528
0.00%
0/515
Infections and infestations
Catheter related infection
0.22%
1/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.00%
0/515
Infections and infestations
Catheter site infection
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.39%
2/515
Infections and infestations
Cellulitis
0.22%
1/464
0.00%
0/468
0.21%
1/472
0.19%
1/528
0.19%
1/515
Infections and infestations
Clostridium difficile colitis
0.22%
1/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.19%
1/515
Infections and infestations
Escherichia infection
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.00%
0/515
Infections and infestations
Gastroenteritis
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.00%
0/515
Infections and infestations
Gastroenteritis viral
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.00%
0/515
Infections and infestations
Infection
0.00%
0/464
0.21%
1/468
0.00%
0/472
0.00%
0/528
0.00%
0/515
Infections and infestations
Osteomyelitis
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.19%
1/515
Infections and infestations
Pneumonia
0.00%
0/464
0.21%
1/468
0.00%
0/472
1.3%
7/528
0.78%
4/515
Infections and infestations
Respiratory tract infection
0.00%
0/464
0.21%
1/468
0.21%
1/472
0.00%
0/528
0.00%
0/515
Infections and infestations
Sepsis
0.22%
1/464
0.21%
1/468
0.42%
2/472
0.76%
4/528
0.19%
1/515
Infections and infestations
Septic shock
0.00%
0/464
0.00%
0/468
0.21%
1/472
0.00%
0/528
0.19%
1/515
Infections and infestations
Staphylococcal infection
0.00%
0/464
0.00%
0/468
0.21%
1/472
0.19%
1/528
0.39%
2/515
Infections and infestations
Urinary tract infection
0.22%
1/464
0.21%
1/468
0.00%
0/472
0.38%
2/528
0.19%
1/515
Infections and infestations
Wound infection
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.19%
1/515
Injury, poisoning and procedural complications
Drug toxicity
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.00%
0/515
Injury, poisoning and procedural complications
Facial bones fracture
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.00%
0/515
Injury, poisoning and procedural complications
Femur fracture
0.22%
1/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.00%
0/515
Injury, poisoning and procedural complications
Hip fracture
0.00%
0/464
0.21%
1/468
0.00%
0/472
0.00%
0/528
0.00%
0/515
Investigations
Prothrombin level abnormal
0.22%
1/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.00%
0/515
Investigations
Weight decreased
0.00%
0/464
0.00%
0/468
0.21%
1/472
0.00%
0/528
0.00%
0/515
Metabolism and nutrition disorders
Dehydration
0.22%
1/464
0.43%
2/468
0.42%
2/472
0.76%
4/528
1.2%
6/515
Metabolism and nutrition disorders
Hypokalaemia
0.00%
0/464
0.21%
1/468
0.00%
0/472
0.19%
1/528
0.00%
0/515
Metabolism and nutrition disorders
Hyponatraemia
0.22%
1/464
0.00%
0/468
0.21%
1/472
0.19%
1/528
0.00%
0/515
Metabolism and nutrition disorders
Malnutrition
0.22%
1/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.00%
0/515
Musculoskeletal and connective tissue disorders
Costochondritis
0.00%
0/464
0.21%
1/468
0.00%
0/472
0.00%
0/528
0.00%
0/515
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.00%
0/515
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/464
0.00%
0/468
0.21%
1/472
0.19%
1/528
0.00%
0/515
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer metastatic
0.22%
1/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.00%
0/515
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant neoplasm progression
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.39%
2/515
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to central nervous system
0.00%
0/464
0.00%
0/468
0.21%
1/472
0.00%
0/528
0.00%
0/515
Nervous system disorders
Convulsion
0.00%
0/464
0.21%
1/468
0.00%
0/472
0.00%
0/528
0.00%
0/515
Nervous system disorders
Headache
0.00%
0/464
0.00%
0/468
0.21%
1/472
0.00%
0/528
0.19%
1/515
Nervous system disorders
Loss of consciousness
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.00%
0/515
Nervous system disorders
Presyncope
0.00%
0/464
0.21%
1/468
0.00%
0/472
0.00%
0/528
0.00%
0/515
Nervous system disorders
Somnolence
0.00%
0/464
0.00%
0/468
0.21%
1/472
0.00%
0/528
0.00%
0/515
Nervous system disorders
Spinal cord compression
0.00%
0/464
0.00%
0/468
0.21%
1/472
0.00%
0/528
0.00%
0/515
Nervous system disorders
Syncope
0.43%
2/464
0.00%
0/468
0.00%
0/472
0.38%
2/528
0.00%
0/515
Psychiatric disorders
Anxiety
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.19%
1/515
Psychiatric disorders
Delirium
0.00%
0/464
0.00%
0/468
0.21%
1/472
0.00%
0/528
0.00%
0/515
Renal and urinary disorders
Bladder cancer
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.19%
1/515
Renal and urinary disorders
Haematuria
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.00%
0/515
Renal and urinary disorders
Nephropathy
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.00%
0/515
Renal and urinary disorders
Renal failure
0.22%
1/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.00%
0/515
Reproductive system and breast disorders
Vaginal haemorrhage
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.00%
0/515
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.38%
2/528
0.00%
0/515
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.65%
3/464
0.43%
2/468
0.00%
0/472
0.38%
2/528
0.58%
3/515
Respiratory, thoracic and mediastinal disorders
Hypoxia
0.00%
0/464
0.21%
1/468
0.21%
1/472
0.00%
0/528
0.00%
0/515
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.65%
3/464
0.00%
0/468
0.00%
0/472
0.76%
4/528
0.00%
0/515
Respiratory, thoracic and mediastinal disorders
Pleuritic pain
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.00%
0/515
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.22%
1/464
0.21%
1/468
0.00%
0/472
0.00%
0/528
1.2%
6/515
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.43%
2/464
0.64%
3/468
0.21%
1/472
0.76%
4/528
0.19%
1/515
Respiratory, thoracic and mediastinal disorders
Throat tightness
0.00%
0/464
0.21%
1/468
0.00%
0/472
0.00%
0/528
0.00%
0/515
Skin and subcutaneous tissue disorders
Dermatitis
0.22%
1/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.00%
0/515
Surgical and medical procedures
Appendicectomy
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.00%
0/515
Surgical and medical procedures
Mastectomy
0.00%
0/464
0.21%
1/468
0.00%
0/472
0.00%
0/528
0.19%
1/515
Surgical and medical procedures
Tumour excision
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.00%
0/515
Vascular disorders
Cerebrovascular accident
0.00%
0/464
0.00%
0/468
0.21%
1/472
0.19%
1/528
0.00%
0/515
Vascular disorders
Deep vein thrombosis
0.43%
2/464
0.21%
1/468
0.00%
0/472
0.76%
4/528
0.58%
3/515
Vascular disorders
Epistaxis
0.22%
1/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.19%
1/515
Vascular disorders
Haematoma
0.00%
0/464
0.00%
0/468
0.21%
1/472
0.00%
0/528
0.00%
0/515
Vascular disorders
Hypotension
0.22%
1/464
0.21%
1/468
0.00%
0/472
0.57%
3/528
0.00%
0/515
Vascular disorders
Orthostatic hypotension
0.22%
1/464
0.00%
0/468
0.00%
0/472
0.00%
0/528
0.00%
0/515
Vascular disorders
Septic phlebitis
0.00%
0/464
0.00%
0/468
0.00%
0/472
0.19%
1/528
0.00%
0/515

Other adverse events

Other adverse events
Measure
Cycle 1 APF530 5 mg
n=464 participants at risk
Serious Treatment-Emergent Adverse Events - Cycle 1 - Safety Population
Cycle 1 APF530 10 mg
n=468 participants at risk
Serious Treatment-Emergent Adverse Events - Cycle 1 - Safety Population
Cycle 1 Aloxi 0.25 mg
n=472 participants at risk
Serious Treatment-Emergent Adverse Events - Cycle 1 - Safety Population
Cycles 2-4 APF530 5 mg
n=528 participants at risk
Serious Treatment-Emergent Adverse Events - Cycles 2-4 - Safety Population
Cycle 2-4 APF530 10 mg
n=515 participants at risk
Serious Treatment-Emergent Adverse Events - Cycles 2-4 - Safety Population
Blood and lymphatic system disorders
Anaemia
9.9%
46/464
9.0%
42/468
7.2%
34/472
16.3%
86/528
16.9%
87/515
Blood and lymphatic system disorders
Neutropenia
8.4%
39/464
10.3%
48/468
8.1%
38/472
8.7%
46/528
8.2%
42/515
Blood and lymphatic system disorders
Thrombocytopenia
3.9%
18/464
3.4%
16/468
2.8%
13/472
6.1%
32/528
7.0%
36/515
Gastrointestinal disorders
Abdominal pain
4.5%
21/464
2.8%
13/468
5.9%
28/472
2.8%
15/528
4.7%
24/515
Gastrointestinal disorders
Constipation
13.1%
61/464
15.4%
72/468
13.1%
62/472
14.8%
78/528
15.3%
79/515
Gastrointestinal disorders
Diarrhoea
10.1%
47/464
9.4%
44/468
8.3%
39/472
9.7%
51/528
13.4%
69/515
Gastrointestinal disorders
Dyspepsia
3.4%
16/464
3.4%
16/468
3.4%
16/472
6.1%
32/528
5.8%
30/515
Gastrointestinal disorders
Nausea
11.9%
55/464
12.4%
58/468
8.7%
41/472
12.5%
66/528
14.2%
73/515
Gastrointestinal disorders
Vomiting
5.2%
24/464
3.8%
18/468
2.8%
13/472
5.3%
28/528
4.9%
25/515
General disorders
Asthenia
5.0%
23/464
4.5%
21/468
6.4%
30/472
11.4%
60/528
7.6%
39/515
General disorders
Fatigue
13.4%
62/464
13.2%
62/468
11.0%
52/472
15.2%
80/528
18.3%
94/515
General disorders
Injection site bruising
16.8%
78/464
19.9%
93/468
8.7%
41/472
23.5%
124/528
29.7%
153/515
General disorders
Injection site erythema
7.1%
33/464
10.9%
51/468
3.0%
14/472
11.0%
58/528
11.8%
61/515
General disorders
Injection site haemorrhage
4.3%
20/464
3.8%
18/468
2.1%
10/472
6.6%
35/528
6.0%
31/515
General disorders
Injection site nodule
4.7%
22/464
10.7%
50/468
0.64%
3/472
10.8%
57/528
17.5%
90/515
General disorders
Injection site pain
3.4%
16/464
7.1%
33/468
1.1%
5/472
6.4%
34/528
7.2%
37/515
General disorders
Oedema peripheral
2.8%
13/464
1.5%
7/468
1.7%
8/472
5.3%
28/528
6.0%
31/515
General disorders
Pyrexia
3.2%
15/464
3.2%
15/468
4.0%
19/472
6.1%
32/528
4.7%
24/515
Infections and infestations
Upper respiratory tract infection
0.86%
4/464
0.85%
4/468
1.9%
9/472
5.5%
29/528
4.1%
21/515
Metabolism and nutrition disorders
Decreased appetite
2.8%
13/464
3.6%
17/468
3.6%
17/472
4.5%
24/528
6.2%
32/515
Musculoskeletal and connective tissue disorders
Arthralgia
3.0%
14/464
2.4%
11/468
2.1%
10/472
6.6%
35/528
5.6%
29/515
Musculoskeletal and connective tissue disorders
Pain in extremity
2.2%
10/464
2.1%
10/468
2.1%
10/472
5.5%
29/528
4.1%
21/515
Nervous system disorders
Dizziness
3.0%
14/464
3.6%
17/468
1.7%
8/472
4.0%
21/528
5.6%
29/515
Nervous system disorders
Headache
6.7%
31/464
10.0%
47/468
9.3%
44/472
7.2%
38/528
8.5%
44/515
Nervous system disorders
Insomnia
4.3%
20/464
5.3%
25/468
2.3%
11/472
5.1%
27/528
4.5%
23/515
Respiratory, thoracic and mediastinal disorders
Cough
2.4%
11/464
2.4%
11/468
3.0%
14/472
5.9%
31/528
6.6%
34/515
Respiratory, thoracic and mediastinal disorders
Dyspnoea
2.8%
13/464
2.6%
12/468
1.9%
9/472
6.6%
35/528
3.7%
19/515
Skin and subcutaneous tissue disorders
Alopecia
4.1%
19/464
6.6%
31/468
5.3%
25/472
15.5%
82/528
13.4%
69/515

Additional Information

Robert Geller, M.D.

Heron Therapeutics

Phone: 650-366-2626

Results disclosure agreements

  • Principal investigator is a sponsor employee A period of 60 working days for presentational material and abstracts and 90 days for manuscripts is permitted for the sponsor's review. The sponsor can request modifications of any manuscript or other materials to be published or presented. The sponsor can also request additional time to obtain additional patent protection or take such other measures to establish and preserve its intellectual property and proprietary rights before publishing information from this trial.
  • Publication restrictions are in place

Restriction type: OTHER