A Study of Aprepitant (MK-0869) in Pediatric Participants Undergoing Surgery (MK-0869-148)

NCT ID: NCT00819039

Last Updated: 2021-01-26

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

98 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-01-26

Study Completion Date

2013-03-12

Brief Summary

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This two part study will determine the appropriate dosing regimen of aprepitant for the prevention of postoperative nausea and vomiting (PONV) in pediatric participants 6 months to 17 years of age, by assessing pharmacokinetic parameters and monitoring safety and tolerability of administered doses. Part I will be an open label investigation of a single dose of aprepitant measuring pharmacokinetics at specified time points up to 48 hours after aprepitant dosing. Part II will be a double blind trial of participants randomized to receive either aprepitant or ondansetron.

Detailed Description

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Conditions

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Postoperative Nausea and Vomiting

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Part 1: Oral Aprepitant

In Study Part 1, participants aged 6 months to 17 years received a single oral dose of aprepitant on Day 1.

Group Type EXPERIMENTAL

Aprepitant

Intervention Type DRUG

Aprepitant administered orally or intraveously.

Part 2: Oral Aprepitant

In Study Part 2, participants aged 6 months to 17 years received a single oral dose of aprepitant on Day 1.

Group Type EXPERIMENTAL

Aprepitant

Intervention Type DRUG

Aprepitant administered orally or intraveously.

Part 2: Intravenous Ondansetron

In Study Part 2, participants aged 6 months to 17 years received a single intravenous dose of ondansetron on Day 1.

Group Type ACTIVE_COMPARATOR

Ondansetron

Intervention Type DRUG

Ondansetron administered intravenously.

Interventions

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Aprepitant

Aprepitant administered orally or intraveously.

Intervention Type DRUG

Ondansetron

Ondansetron administered intravenously.

Intervention Type DRUG

Other Intervention Names

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Emend Zofran

Eligibility Criteria

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Inclusion Criteria

* Participant is scheduled to have surgery requiring a 48 hour (Part I) or 24 hour (Part II) hospital stay
* Participant is scheduled to receive general anesthesia
* Participant is scheduled to receive opioids (e.g. morphine or fentanyl)
* Female participants of childbearing potential must have negative pregnancy test prior to drug administration
* A female participant who is of reproductive potential must agree to remain abstinent or use a barrier form of contraception for at least 14 days prior to, throughout, and for at least one month following the last dose of study medication
* Participant weighs 6 kg or more

Exclusion Criteria

* Participant is undergoing surgery for a life-threatening condition
* Participant is pregnant or breast feeding
* Participant has vomited within 24 hours prior to surgery
* Participant has a known history of QT prolongation or is currently taking other medicinal products that lead to QT prolongation
* Participant has an active infection (e.g., pneumonia), congestive heart failure, bradyarrythmia, any uncontrolled disease (e.g., diabetic ketoacidosis, gastrointestinal obstruction), evidence of any clinically significant respiratory, metabolic, hepatic, renal dysfunction, or a history of any illness, including morbid obesity, that might pose unwarranted risk
Minimum Eligible Age

6 Months

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Monitor

Role: STUDY_DIRECTOR

Merck Sharp & Dohme LLC

Locations

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Call for Information (Investigational Site 0003)

Louisville, Kentucky, United States

Site Status

Call for Information (Investigational Site 0022)

Nashville, Tennessee, United States

Site Status

MSD

São Paulo, São Paulo, Brazil

Site Status

MSD

Mexico City, , Mexico

Site Status

Merck Sharp and Dohme de Espana S.A.

Madrid, , Spain

Site Status

Merck Sharp & Dohme Ilaclari Ltd. Sti

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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United States Brazil Mexico Spain Turkey (Türkiye)

References

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Chain A, Wrishko R, Vasilinin G, Mouksassi S. Modeling and Simulation Analysis of Aprepitant Pharmacokinetics in Pediatric Patients With Postoperative or Chemotherapy-Induced Nausea and Vomiting. J Pediatr Pharmacol Ther. 2020;25(6):528-539. doi: 10.5863/1551-6776-25.6.528.

Reference Type RESULT
PMID: 32839657 (View on PubMed)

Other Identifiers

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2008_569

Identifier Type: OTHER

Identifier Source: secondary_id

2008-003178-17

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

0869-148

Identifier Type: -

Identifier Source: org_study_id

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