Trial Outcomes & Findings for Aprepitant and Granisetron for the Prophylaxis of Radiation Induced Nausea and Vomiting - A Pilot Study (NCT NCT01183481)

NCT ID: NCT01183481

Last Updated: 2019-10-09

Results Overview

Assessments of nausea, vomiting, and antiemetic use will be taken daily within 2-10 following the radiation therapy based on patient self-report nausea/vomiting diaries.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

19 participants

Primary outcome timeframe

Days 2-10 following radiotherapy

Results posted on

2019-10-09

Participant Flow

Patients were enrolled between January 2011 and October 2012 in a radiation oncology clinic

No enrolled patients were later excluded.

Participant milestones

Participant milestones
Measure
Aprepitant and Granisetron
Patients will be given a single dose of Granisetron 2 mg orally and Aprepitant 125 mg on Day 0 (at least one hour before on the day of RT) followed by 80 mg of Aprepitant once daily in the mornings on Days 1 and 2 following the radiation treatment.
Overall Study
STARTED
19
Overall Study
COMPLETED
19
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Aprepitant and Granisetron for the Prophylaxis of Radiation Induced Nausea and Vomiting - A Pilot Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Aprepitant and Granisetron
n=19 Participants
Patients will be given a single dose of Granisetron 2 mg orally and Aprepitant 125 mg on Day 0 (at least one hour before on the day of RT) followed by 80 mg of Aprepitant once daily in the mornings on Days 1 and 2 following the radiation treatment.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
6 Participants
n=5 Participants
Age, Categorical
>=65 years
13 Participants
n=5 Participants
Age, Continuous
68.4 years
STANDARD_DEVIATION 15.48 • n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
Region of Enrollment
Canada
19 participants
n=5 Participants

PRIMARY outcome

Timeframe: Days 2-10 following radiotherapy

Assessments of nausea, vomiting, and antiemetic use will be taken daily within 2-10 following the radiation therapy based on patient self-report nausea/vomiting diaries.

Outcome measures

Outcome measures
Measure
Aprepitant and Granisetron
n=19 Participants
Patients will be given a single dose of Granisetron 2 mg orally and Aprepitant 125 mg on Day 0 (at least one hour before on the day of RT) followed by 80 mg of Aprepitant once daily in the mornings on Days 1 and 2 following the radiation treatment.
The Proportion of Patients Experiencing no Vomiting and no Nausea, Without Use of Any Rescue Antiemetic Medication(s), From Days 2-10 Following the Radiation Therapy (Delayed RINV).
19 participants

SECONDARY outcome

Timeframe: From day of radiotherapy to 10 days following radiotherapy

Data will be measured by research staff at baseline and patient self-report nausea diaries will be taken on each day within this time frame.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Day of radiotherapy and 24 hours following

Population: Patients undergoing single fraction treatment

Percentage of participants experiencing no nausea, vomiting, and retching during the acute phase was assessed. Assessments of nausea, vomiting, and antiemetic use will be taken daily following the radiation therapy based on patient self-report nausea/vomiting diaries.

Outcome measures

Outcome measures
Measure
Aprepitant and Granisetron
n=13 Participants
Patients will be given a single dose of Granisetron 2 mg orally and Aprepitant 125 mg on Day 0 (at least one hour before on the day of RT) followed by 80 mg of Aprepitant once daily in the mornings on Days 1 and 2 following the radiation treatment.
Control Rate of Acute Phase Nausea, Vomiting, and Retching in Patients Undergoing Single Fraction Radiotherapy
Control rate of acute phase nausea
100 percentage of participants
Control Rate of Acute Phase Nausea, Vomiting, and Retching in Patients Undergoing Single Fraction Radiotherapy
Control rate of acute phase vomiting/retching
100 percentage of participants

SECONDARY outcome

Timeframe: Days 2-10 following radiotherapy

Population: Patients undergoing single fraction treatment

Percentage of participants in the single fraction arm experiencing no nausea, vomiting, and retching was assessed. Assessments of nausea, vomiting, and antiemetic use will be taken daily within 2-10 following the radiation therapy based on patient self-report nausea/vomiting diaries.

Outcome measures

Outcome measures
Measure
Aprepitant and Granisetron
n=13 Participants
Patients will be given a single dose of Granisetron 2 mg orally and Aprepitant 125 mg on Day 0 (at least one hour before on the day of RT) followed by 80 mg of Aprepitant once daily in the mornings on Days 1 and 2 following the radiation treatment.
Control Rate of Delayed Phase Nausea, Vomiting, and Retching in Patients Undergoing Single Fraction Radiotherapy
Control rate of delayed phase nausea
62 percentage of participants
Control Rate of Delayed Phase Nausea, Vomiting, and Retching in Patients Undergoing Single Fraction Radiotherapy
Control rate of delayed phase vomiting/retching
85 percentage of participants

SECONDARY outcome

Timeframe: During radiotherapy (5 days) and the 24 hours following radiotherapy

Population: Patients undergoing multiple fraction treatment

Percentage of participants in the multiple fraction arm experiencing no nausea, vomiting, and retching was assessed. Data will be measured by research staff at baseline and patient self-report nausea diaries will be taken on each day within this time frame.

Outcome measures

Outcome measures
Measure
Aprepitant and Granisetron
n=6 Participants
Patients will be given a single dose of Granisetron 2 mg orally and Aprepitant 125 mg on Day 0 (at least one hour before on the day of RT) followed by 80 mg of Aprepitant once daily in the mornings on Days 1 and 2 following the radiation treatment.
Control Rate of Acute Phase Nausea, Vomiting, and Retching in Patients Undergoing Multiple Fraction Radiotherapy
Control rate of acute phase vomiting/retching
67 percentage of participants
Control Rate of Acute Phase Nausea, Vomiting, and Retching in Patients Undergoing Multiple Fraction Radiotherapy
Control rate of acute phase nausea
67 percentage of participants

SECONDARY outcome

Timeframe: Days 2-10 following radiotherapy

Population: Patients undergoing multiple fraction treatment

Percentage of participants experiencing no nausea, vomiting, and retching was assessed. Assessments of nausea, vomiting, and antiemetic use will be taken daily within 2-10 following the radiation therapy based on patient self-report nausea/vomiting diaries.

Outcome measures

Outcome measures
Measure
Aprepitant and Granisetron
n=6 Participants
Patients will be given a single dose of Granisetron 2 mg orally and Aprepitant 125 mg on Day 0 (at least one hour before on the day of RT) followed by 80 mg of Aprepitant once daily in the mornings on Days 1 and 2 following the radiation treatment.
Control Rate of Delayed Phase Nausea, Vomiting, and Retching in Patients Undergoing Multiple Fraction Radiotherapy
Control rate of delayed phase nausea
83 percentage of participants
Control Rate of Delayed Phase Nausea, Vomiting, and Retching in Patients Undergoing Multiple Fraction Radiotherapy
Control rate of delayed phase vomiting/retching
83 percentage of participants

Adverse Events

Aprepitant and Granisetron

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Aprepitant and Granisetron
n=19 participants at risk
Patients will be given a single dose of Granisetron 2 mg orally and Aprepitant 125 mg on Day 0 (at least one hour before on the day of RT) followed by 80 mg of Aprepitant once daily in the mornings on Days 1 and 2 following the radiation treatment.
Musculoskeletal and connective tissue disorders
Pain crisis
5.3%
1/19

Additional Information

Dr. Edward Chow

Sunnybrook Health Sciences Centre

Phone: 416-480-4998

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place