Trial Outcomes & Findings for Aprepitant and Fosaprepitant Time-on-Target PET (Positron Emission Tomography) Study (0869-183) (NCT NCT01111851)

NCT ID: NCT01111851

Last Updated: 2015-02-25

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

16 participants

Primary outcome timeframe

24 hours post dose

Results posted on

2015-02-25

Participant Flow

Aprepitant 250 mg was not evaluated because the assessment of the positron emission tomography (PET) scan data (neurokinin 1 (NK1)-receptor occupancy values at 24 \& 48 hours postdose) from fosaprepitant 150 mg \& aprepitant 165 mg revealed that the protocol's hypothesis was met; therefore, it was not necessary to evaluate aprepitant 250 mg.

Participant milestones

Participant milestones
Measure
Fosaprepitant 150 mg
A single intravenous infusion of 150 mg fosaprepitant dimeglumine over 20 minutes, 15 minutes after consumption of a standard light breakfast meal on Day 1.
Aprepitant 165 mg
A single oral 165 mg aprepitant capsule 15 minutes after consumption of a standard light breakfast meal on Day 1.
Overall Study
STARTED
8
8
Overall Study
COMPLETED
6
8
Overall Study
NOT COMPLETED
2
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Fosaprepitant 150 mg
A single intravenous infusion of 150 mg fosaprepitant dimeglumine over 20 minutes, 15 minutes after consumption of a standard light breakfast meal on Day 1.
Aprepitant 165 mg
A single oral 165 mg aprepitant capsule 15 minutes after consumption of a standard light breakfast meal on Day 1.
Overall Study
All planned PET scans were not obtained.
2
0

Baseline Characteristics

Aprepitant and Fosaprepitant Time-on-Target PET (Positron Emission Tomography) Study (0869-183)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Fosaprepitant 150 mg
n=8 Participants
A single intravenous infusion of 150 mg fosaprepitant dimeglumine over 20 minutes, 15 minutes after consumption of a standard light breakfast meal on Day 1.
Aprepitant 165 mg
n=8 Participants
A single oral 165 mg aprepitant capsule 15 minutes after consumption of a standard light breakfast meal on Day 1.
Total
n=16 Participants
Total of all reporting groups
Age, Customized
< = 18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Customized
Between 18 and 55 years
8 Participants
n=93 Participants
8 Participants
n=4 Participants
16 Participants
n=27 Participants
Age, Customized
> = 55 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Sex: Female, Male
Female
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Sex: Female, Male
Male
8 Participants
n=93 Participants
8 Participants
n=4 Participants
16 Participants
n=27 Participants
Region of Enrollment
Belgium
8 participants
n=93 Participants
8 participants
n=4 Participants
16 participants
n=27 Participants

PRIMARY outcome

Timeframe: 24 hours post dose

Population: All participants with at least 1 successful post dose PET scan were included in the analysis population.

Outcome measures

Outcome measures
Measure
Fosaprepitant 150 mg
n=5 Participants
A single intravenous infusion of 150 mg fosaprepitant dimeglumine over 20 minutes, 15 minutes after consumption of a standard light breakfast meal on Day 1.
Aprepitant 165 mg
n=5 Participants
A single oral 165 mg aprepitant capsule 15 minutes after consumption of a standard light breakfast meal on Day 1.
Brain NK1-receptor Occupancy at 24 Hours Post Dose
100.40 Percent of occupancy
Interval 99.51 to 101.29
100.20 Percent of occupancy
Interval 99.31 to 101.09

PRIMARY outcome

Timeframe: 48 hours post dose

Population: All participants with at least 1 successful postdose PET scan were included in the analysis population.

Outcome measures

Outcome measures
Measure
Fosaprepitant 150 mg
n=4 Participants
A single intravenous infusion of 150 mg fosaprepitant dimeglumine over 20 minutes, 15 minutes after consumption of a standard light breakfast meal on Day 1.
Aprepitant 165 mg
n=5 Participants
A single oral 165 mg aprepitant capsule 15 minutes after consumption of a standard light breakfast meal on Day 1.
Brain NK1-receptor Occupancy at 48 Hours Post Dose
98.62 Percent of occupancy
Interval 96.91 to 100.37
98.79 Percent of occupancy
Interval 97.19 to 100.42

SECONDARY outcome

Timeframe: 30 minutes after the end of the 20-minute infusion of fosaprepitant or at 4 hours after oral dosing of aprepitant

Population: All participants with at least 1 successful postdose PET scan were included in the analysis population.

Outcome measures

Outcome measures
Measure
Fosaprepitant 150 mg
n=2 Participants
A single intravenous infusion of 150 mg fosaprepitant dimeglumine over 20 minutes, 15 minutes after consumption of a standard light breakfast meal on Day 1.
Aprepitant 165 mg
n=3 Participants
A single oral 165 mg aprepitant capsule 15 minutes after consumption of a standard light breakfast meal on Day 1.
Brain NK1-receptor Occupancy at the Time of the Maximum Concentration (Tmax)
100.25 Percent of occupancy
Interval 97.22 to 103.39
99.99 Percent of occupancy
Interval 97.47 to 102.58

SECONDARY outcome

Timeframe: 120 hours post dose

Population: All participants with at least 1 successful postdose PET scan were included in the analysis population.

Outcome measures

Outcome measures
Measure
Fosaprepitant 150 mg
n=3 Participants
A single intravenous infusion of 150 mg fosaprepitant dimeglumine over 20 minutes, 15 minutes after consumption of a standard light breakfast meal on Day 1.
Aprepitant 165 mg
n=3 Participants
A single oral 165 mg aprepitant capsule 15 minutes after consumption of a standard light breakfast meal on Day 1.
Brain NK1-receptor Occupancy at 120 Hours Post Dose
59.93 Percent of occupancy
Interval 34.37 to 104.49
54.32 Percent of occupancy
Interval 31.15 to 94.71

Adverse Events

Fosaprepitant 150 mg

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Aprepitant 165 mg

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Fosaprepitant 150 mg
n=8 participants at risk
A single intravenous infusion of 150 mg fosaprepitant dimeglumine over 20 minutes, 15 minutes after consumption of a standard light breakfast meal on Day 1.
Aprepitant 165 mg
n=8 participants at risk
A single oral 165 mg aprepitant capsule 15 minutes after consumption of a standard light breakfast meal on Day 1.
Eye disorders
Vision blurred
12.5%
1/8
12.5%
1/8
Eye disorders
Visual impairment
0.00%
0/8
12.5%
1/8
Gastrointestinal disorders
Abdominal distension
0.00%
0/8
50.0%
4/8
Gastrointestinal disorders
Abdominal pain
12.5%
1/8
0.00%
0/8
Gastrointestinal disorders
Constipation
0.00%
0/8
12.5%
1/8
Gastrointestinal disorders
Gastroesophageal reflux disease
25.0%
2/8
50.0%
4/8
General disorders
Fatigue
0.00%
0/8
12.5%
1/8
General disorders
Influenza like illness
0.00%
0/8
12.5%
1/8
Infections and infestations
Bronchitis
0.00%
0/8
12.5%
1/8
Investigations
Neutrophil count decreased
0.00%
0/8
12.5%
1/8
Investigations
Positron emission tomogram abnormal
0.00%
0/8
12.5%
1/8
Nervous system disorders
Dizziness
25.0%
2/8
12.5%
1/8
Nervous system disorders
Dizziness postural
12.5%
1/8
0.00%
0/8
Nervous system disorders
Headache
25.0%
2/8
0.00%
0/8
Psychiatric disorders
Insomnia
12.5%
1/8
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Cough
12.5%
1/8
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Dry throat
12.5%
1/8
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Dyspnea
0.00%
0/8
12.5%
1/8
Respiratory, thoracic and mediastinal disorders
Hiccups
12.5%
1/8
50.0%
4/8
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
12.5%
1/8
0.00%
0/8
Skin and subcutaneous tissue disorders
Acne
0.00%
0/8
12.5%
1/8
Vascular disorders
Flushing
37.5%
3/8
12.5%
1/8

Additional Information

Senior Vice President, Global Clinical Development

Merck Sharp & Dohme Corp.

Results disclosure agreements

  • Principal investigator is a sponsor employee The SPONSOR must have the opportunity to review all proposed abstracts, manuscripts, or presentations regarding this study 60 days prior to submission for publication/presentation. Any information identified by the SPONSOR as confidential must be deleted prior to submission. SPONSOR review can be expedited to meet publication guidelines.
  • Publication restrictions are in place

Restriction type: OTHER