Trial Outcomes & Findings for Ph 3 Safety/Efficacy Study of Rolapitant for Prevention of CINV in Subjects Receiving Moderately Emetogenic Chemotherapy (NCT NCT01500226)

NCT ID: NCT01500226

Last Updated: 2016-03-02

Results Overview

The primary objective of this study is to determine whether administration of rolapitant with granisetron and dexamethasone improves CINV in the delayed phase (\>24 to 120 hours) of CINV compared with administration of placebo with granisetron and dexamethasone in subjects receiving MEC. The primary outcome will be based on complete response (defined as no emesis and no rescue medication) in the delayed phase (\>24 to 120 hours).

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

1369 participants

Primary outcome timeframe

>24 to 120 hours post chemotherapy

Results posted on

2016-03-02

Participant Flow

Participant milestones

Participant milestones
Measure
Rolapitant + Granisetron + Dexamethasone
* Oral dose of rolapitant 180 mg (equivalent to 200mg rolapitant hydrochloride monohydrate) 1-2 h before administration of chemotherapy. * Granisetron (2 mg orally) about 30 min before chemotherapy. Subsequently, granisetron 2mg was administered orally to all patients once daily on days 2-3 * Dexamethasone (20 mg orally) about 30 min before chemotherapy.
Placebo + Granisetron + Dexamethasone
* Matching placebo 1-2 h before administration of chemotherapy * Granisetron (2 mg orally) about 30 min before chemotherapy. Subsequently, granisetron 2mg was administered orally to all patients once daily on days 2-3 * Dexamethasone (20 mg orally) about 30 min before chemotherapy
Overall Study
STARTED
684
685
Overall Study
COMPLETED
185
191
Overall Study
NOT COMPLETED
499
494

Reasons for withdrawal

Reasons for withdrawal
Measure
Rolapitant + Granisetron + Dexamethasone
* Oral dose of rolapitant 180 mg (equivalent to 200mg rolapitant hydrochloride monohydrate) 1-2 h before administration of chemotherapy. * Granisetron (2 mg orally) about 30 min before chemotherapy. Subsequently, granisetron 2mg was administered orally to all patients once daily on days 2-3 * Dexamethasone (20 mg orally) about 30 min before chemotherapy.
Placebo + Granisetron + Dexamethasone
* Matching placebo 1-2 h before administration of chemotherapy * Granisetron (2 mg orally) about 30 min before chemotherapy. Subsequently, granisetron 2mg was administered orally to all patients once daily on days 2-3 * Dexamethasone (20 mg orally) about 30 min before chemotherapy
Overall Study
Adverse Event
31
38
Overall Study
Chemo Completed or Change in Therapy
235
237
Overall Study
Withdrawal by Subject
93
96
Overall Study
Death
12
4
Overall Study
Disease Progression
16
14
Overall Study
Protocol Violation
53
39
Overall Study
Physician Decision
17
15
Overall Study
Lack of Efficacy
14
30
Overall Study
Lost to Follow-up
9
5
Overall Study
Other Reasons
19
16

Baseline Characteristics

Ph 3 Safety/Efficacy Study of Rolapitant for Prevention of CINV in Subjects Receiving Moderately Emetogenic Chemotherapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Rolapitant + Granisetron + Dexamethasone
n=666 Participants
* Oral dose of rolapitant 180 mg (equivalent to 200 mg rolapitant hydrochloride monohydrate) 1-2 h before administration of chemotherapy * Granisetron (2 mg orally) about 30 min before chemotherapy. Subsequently, granisetron 2mg was administered orally to all patients once daily on days 2-3 * Dexamethasone (20 mg orally) about 30 min before chemotherapy
Placebo + Granisetron + Dexamethasone
n=666 Participants
* Matching placebo 1-2 h before administration of chemotherapy * Granisetron (2 mg orally) about 30 min before chemotherapy. Subsequently, granisetron 2mg was administered orally to all patients once daily on days 2-3 * Dexamethasone (20 mg orally) about 30 min before chemotherapy
Total
n=1332 Participants
Total of all reporting groups
Age, Continuous
56.7 years
STANDARD_DEVIATION 11.65 • n=5 Participants
56.6 years
STANDARD_DEVIATION 12.01 • n=7 Participants
56.7 years
STANDARD_DEVIATION 11.83 • n=5 Participants
Sex: Female, Male
Female
531 Participants
n=5 Participants
536 Participants
n=7 Participants
1067 Participants
n=5 Participants
Sex: Female, Male
Male
135 Participants
n=5 Participants
130 Participants
n=7 Participants
265 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
77 Participants
n=5 Participants
70 Participants
n=7 Participants
147 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
584 Participants
n=5 Participants
593 Participants
n=7 Participants
1177 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
5 Participants
n=5 Participants
3 Participants
n=7 Participants
8 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
7 Participants
n=5 Participants
6 Participants
n=7 Participants
13 Participants
n=5 Participants
Race (NIH/OMB)
Asian
92 Participants
n=5 Participants
84 Participants
n=7 Participants
176 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
24 Participants
n=5 Participants
29 Participants
n=7 Participants
53 Participants
n=5 Participants
Race (NIH/OMB)
White
508 Participants
n=5 Participants
512 Participants
n=7 Participants
1020 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
34 Participants
n=5 Participants
33 Participants
n=7 Participants
67 Participants
n=5 Participants

PRIMARY outcome

Timeframe: >24 to 120 hours post chemotherapy

Population: MITT

The primary objective of this study is to determine whether administration of rolapitant with granisetron and dexamethasone improves CINV in the delayed phase (\>24 to 120 hours) of CINV compared with administration of placebo with granisetron and dexamethasone in subjects receiving MEC. The primary outcome will be based on complete response (defined as no emesis and no rescue medication) in the delayed phase (\>24 to 120 hours).

Outcome measures

Outcome measures
Measure
Rolapitant + Granisetron + Dexamethasone
n=666 Participants
* Oral dose of rolapitant 180 mg (equivalent to 200 mg rolapitant hydrochloride monohydrate) 1-2 h before administration of chemotherapy * Granisetron (2 mg orally) about 30 min before chemotherapy. Subsequently, granisetron 2mg was administered orally to all patients once daily on days 2-3 * Dexamethasone (20 mg orally) about 30 min before chemotherapy
Placebo + Granisetron + Dexamethasone
n=666 Participants
* Matching placebo 1-2 h before administration of chemotherapy * Granisetron (2 mg orally) about 30 min before chemotherapy. Subsequently, granisetron 2mg was administered orally to all patients once daily on days 2-3 * Dexamethasone (20 mg orally) about 30 min before chemotherapy
No Emetic Episodes and No Rescue Medication
71.3 percentage of particpants
Interval 67.7 to 74.7
61.6 percentage of particpants
Interval 57.7 to 65.3

SECONDARY outcome

Timeframe: 0 to 24 hours

Population: MITT

To determine the effect of rolapitant on complete response rates in the acute (0 to 24 hours) phase of CINV.

Outcome measures

Outcome measures
Measure
Rolapitant + Granisetron + Dexamethasone
n=666 Participants
* Oral dose of rolapitant 180 mg (equivalent to 200 mg rolapitant hydrochloride monohydrate) 1-2 h before administration of chemotherapy * Granisetron (2 mg orally) about 30 min before chemotherapy. Subsequently, granisetron 2mg was administered orally to all patients once daily on days 2-3 * Dexamethasone (20 mg orally) about 30 min before chemotherapy
Placebo + Granisetron + Dexamethasone
n=666 Participants
* Matching placebo 1-2 h before administration of chemotherapy * Granisetron (2 mg orally) about 30 min before chemotherapy. Subsequently, granisetron 2mg was administered orally to all patients once daily on days 2-3 * Dexamethasone (20 mg orally) about 30 min before chemotherapy
Acute Phase Response
83.5 percentage of participants
Interval 80.4 to 86.2
80.3 percentage of participants
Interval 77.1 to 83.3

SECONDARY outcome

Timeframe: 0 to 120 hours

Population: MITT

To determine the effect of rolapitant on complete response rate in the overall (0 to 120 hours) phase of CINV.

Outcome measures

Outcome measures
Measure
Rolapitant + Granisetron + Dexamethasone
n=666 Participants
* Oral dose of rolapitant 180 mg (equivalent to 200 mg rolapitant hydrochloride monohydrate) 1-2 h before administration of chemotherapy * Granisetron (2 mg orally) about 30 min before chemotherapy. Subsequently, granisetron 2mg was administered orally to all patients once daily on days 2-3 * Dexamethasone (20 mg orally) about 30 min before chemotherapy
Placebo + Granisetron + Dexamethasone
n=666 Participants
* Matching placebo 1-2 h before administration of chemotherapy * Granisetron (2 mg orally) about 30 min before chemotherapy. Subsequently, granisetron 2mg was administered orally to all patients once daily on days 2-3 * Dexamethasone (20 mg orally) about 30 min before chemotherapy
Overall Response Rate
68.6 percentage of participants
Interval 64.9 to 72.1
57.8 percentage of participants
Interval 54.0 to 61.6

Adverse Events

Rolapitant + Granisetron + Dexamethasone

Serious events: 89 serious events
Other events: 540 other events
Deaths: 0 deaths

Placebo + Granisetron + Dexamethasone

Serious events: 103 serious events
Other events: 542 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Rolapitant + Granisetron + Dexamethasone
n=670 participants at risk
* Oral dose of rolapitant 180 mg (equivalent to 200 mg rolapitant hydrochloride monohydrate) 1-2 h before administration of chemotherapy * Granisetron (2 mg orally) about 30 min before chemotherapy. Subsequently, granisetron 2mg was administered orally to all patients once daily on days 2-3 * Dexamethasone (20 mg orally) about 30 min before chemotherapy * 684 subjects were randomized to Rolapitant * 670 of those randomized to Rolapitant received rolapitant in C1 * Safety = 670 Rolapitant
Placebo + Granisetron + Dexamethasone
n=674 participants at risk
* Matching placebo 1-2 h before administration of chemotherapy * Granisetron (2 mg orally) about 30 min before chemotherapy. Subsequently, granisetron 2mg was administered orally to all patients once daily on days 2-3 * Dexamethasone (20 mg orally) about 30 min before chemotherapy * 685 subjects were randomized to control * 674 of those who were randomized to control received control in C1 * Safety = 674 control
Blood and lymphatic system disorders
Anaemia
0.30%
2/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.74%
5/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Blood and lymphatic system disorders
Febrile Neutropenia
2.1%
14/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
3.7%
25/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Blood and lymphatic system disorders
Leukopenia
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Blood and lymphatic system disorders
Neutropenia
1.0%
7/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
1.9%
13/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Blood and lymphatic system disorders
Pancytopenia
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Blood and lymphatic system disorders
Thrombocytopenia
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Cardiac disorders
Acute Myocardial Infarction
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.30%
2/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Cardiac disorders
Atrial Fibrillation
0.30%
2/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.59%
4/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Cardiac disorders
Cardiac Arrest
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Cardiac disorders
Cardio-Respiratory Arrest
0.30%
2/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Cardiac disorders
Palpitations
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Cardiac disorders
Pericarditis
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Cardiac disorders
Ventricular Tachycardia
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Gastrointestinal disorders
Abdominal Pain
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Gastrointestinal disorders
Diarrhoea
0.30%
2/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.30%
2/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Gastrointestinal disorders
Dysphagia
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Gastrointestinal disorders
Enteritis
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Gastrointestinal disorders
Gastric Ulcer Perforation
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Gastrointestinal disorders
Gastrointestinal Haemorrhage
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Gastrointestinal disorders
Ileus
0.45%
3/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Gastrointestinal disorders
Jejunal Perforation
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Gastrointestinal disorders
Large Intestine Perforation
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Gastrointestinal disorders
Nausea
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.30%
2/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Gastrointestinal disorders
Small intestinal obstruction
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.45%
3/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
General disorders
Asthenia
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
General disorders
Chest Pain
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
General disorders
Disease Progression
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
General disorders
Fatigue
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
General disorders
Multi-Organ Failure
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
General disorders
Pyrexia
0.60%
4/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Immune system disorders
Anaphylactic Reaction
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Infections and infestations
Appendicitis
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Infections and infestations
Catheter Site Infection
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Infections and infestations
Cellulitis
0.30%
2/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.30%
2/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Infections and infestations
Clostridium Difficile Colitis
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Infections and infestations
Device Related Infection
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Infections and infestations
Device Related Sepsis
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Infections and infestations
Diarrhoea Infectious
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Infections and infestations
Diverticulitis
0.30%
2/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Infections and infestations
Fungaemia
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Infections and infestations
Gastroenteritis
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Infections and infestations
Lobar Pneumonia
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Infections and infestations
Mucosal Infection
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Infections and infestations
Neutropenic Sepsis
0.60%
4/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.30%
2/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Infections and infestations
Oral Fungal Infection
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Infections and infestations
Pelvic Infection
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Infections and infestations
Peridiverticular Abscess
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Infections and infestations
Pneumonia
0.60%
4/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.59%
4/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Infections and infestations
Postoperative Wound Infection
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Infections and infestations
Pyelonephritis Acute
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Infections and infestations
Respiratory Tract Infection
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Infections and infestations
Sepsis
0.60%
4/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Infections and infestations
Upper Respiratory Tract Infection
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Infections and infestations
Urinary Tract Infection
0.30%
2/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.30%
2/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Injury, poisoning and procedural complications
Radius Fracture
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Injury, poisoning and procedural complications
Spinal Fracture
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Investigations
Alanine Aminotransferase Increased
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Investigations
Aspartate Aminotransferase Increased
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Investigations
C-Reactive Protein Increased
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Investigations
Neutrophil Count Decreased
0.45%
3/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.59%
4/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Metabolism and nutrition disorders
Dehydration
0.90%
6/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.59%
4/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Metabolism and nutrition disorders
Diabetes Mellitus Inadequate Control
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Metabolism and nutrition disorders
Hypovolaemia
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to Central Nervous System
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to Peritoneum
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasm Progression
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.30%
2/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Nervous system disorders
Cerebral Haematoma
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Nervous system disorders
Cerebrovascular Accident
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Nervous system disorders
Headache
0.30%
2/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Nervous system disorders
Hypoaesthesia
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Nervous system disorders
Neuropathy Peripheral
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Nervous system disorders
Partial Seizures
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Nervous system disorders
Posterior Reversible Encephalopathy Syndrome
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Nervous system disorders
Transient Ischaemic Attack
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Psychiatric disorders
Mental Status Changes
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Renal and urinary disorders
Hydronephrosis
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Renal and urinary disorders
Renal Failure
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Renal and urinary disorders
Renal Failure Acute
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.30%
2/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Renal and urinary disorders
Renal Failure Chronic
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Reproductive system and breast disorders
Vaginal Haemorrhage
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Respiratory, thoracic and mediastinal disorders
Acute Respiratory Failure
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Respiratory, thoracic and mediastinal disorders
Chronic Obstructive Pulmonary Disease
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.30%
2/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.30%
2/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Respiratory, thoracic and mediastinal disorders
Dyspnoea Exertional
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Respiratory, thoracic and mediastinal disorders
Haemoptysis
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Respiratory, thoracic and mediastinal disorders
Hypoxia
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Respiratory, thoracic and mediastinal disorders
Pneumonitis
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Respiratory, thoracic and mediastinal disorders
Pneumothorax
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Respiratory, thoracic and mediastinal disorders
Pulmonary Embolism
0.75%
5/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.59%
4/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Respiratory, thoracic and mediastinal disorders
Respiratory Distress
0.45%
3/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Respiratory, thoracic and mediastinal disorders
Respiratory Failure
0.30%
2/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.30%
2/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Skin and subcutaneous tissue disorders
Skin Erosion
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Skin and subcutaneous tissue disorders
Skin Ulcer
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Vascular disorders
Aortic Aneurysm
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Vascular disorders
Deep Vein Thrombosis
0.45%
3/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Vascular disorders
Embolism
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.00%
0/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Vascular disorders
Hypotension
0.15%
1/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.45%
3/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Vascular disorders
Thrombosis
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Vascular disorders
Venous Thrombosis Limb
0.00%
0/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
0.15%
1/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment

Other adverse events

Other adverse events
Measure
Rolapitant + Granisetron + Dexamethasone
n=670 participants at risk
* Oral dose of rolapitant 180 mg (equivalent to 200 mg rolapitant hydrochloride monohydrate) 1-2 h before administration of chemotherapy * Granisetron (2 mg orally) about 30 min before chemotherapy. Subsequently, granisetron 2mg was administered orally to all patients once daily on days 2-3 * Dexamethasone (20 mg orally) about 30 min before chemotherapy * 684 subjects were randomized to Rolapitant * 670 of those randomized to Rolapitant received rolapitant in C1 * Safety = 670 Rolapitant
Placebo + Granisetron + Dexamethasone
n=674 participants at risk
* Matching placebo 1-2 h before administration of chemotherapy * Granisetron (2 mg orally) about 30 min before chemotherapy. Subsequently, granisetron 2mg was administered orally to all patients once daily on days 2-3 * Dexamethasone (20 mg orally) about 30 min before chemotherapy * 685 subjects were randomized to control * 674 of those who were randomized to control received control in C1 * Safety = 674 control
Blood and lymphatic system disorders
Anaemia
10.0%
67/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
7.4%
50/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Blood and lymphatic system disorders
Leukopenia
5.5%
37/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
4.6%
31/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Blood and lymphatic system disorders
Neutropenia
14.3%
96/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
12.5%
84/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Gastrointestinal disorders
Abdominal Pain
5.1%
34/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
4.6%
31/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Gastrointestinal disorders
Constipation
17.0%
114/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
20.5%
138/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Gastrointestinal disorders
Diarrhoea
13.7%
92/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
15.0%
101/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Gastrointestinal disorders
Dyspepsia
6.9%
46/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
6.2%
42/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Gastrointestinal disorders
Nausea
11.3%
76/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
14.4%
97/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Gastrointestinal disorders
Stomatitis
6.0%
40/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
6.8%
46/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Gastrointestinal disorders
Vomiting
2.1%
14/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
5.8%
39/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
General disorders
Asthenia
11.6%
78/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
11.6%
78/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
General disorders
Fatigue
26.7%
179/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
27.2%
183/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
General disorders
Mucosal Inflammation
6.1%
41/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
4.5%
30/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Infections and infestations
Urinary Tract Infection
8.5%
57/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
6.7%
45/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Metabolism and nutrition disorders
Decreased Appetite
13.7%
92/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
12.9%
87/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Metabolism and nutrition disorders
Dehydration
3.7%
25/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
5.5%
37/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Metabolism and nutrition disorders
Hypomagnesaemia
6.1%
41/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
4.2%
28/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Musculoskeletal and connective tissue disorders
Arthralgia
3.7%
25/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
5.0%
34/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Musculoskeletal and connective tissue disorders
Bone Pain
6.3%
42/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
5.9%
40/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Nervous system disorders
Dizziness
10.3%
69/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
10.5%
71/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Nervous system disorders
Dysgeusia
4.3%
29/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
5.6%
38/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Nervous system disorders
Headache
12.2%
82/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
16.2%
109/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Psychiatric disorders
Insomnia
4.8%
32/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
8.2%
55/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Respiratory, thoracic and mediastinal disorders
Cough
5.2%
35/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
5.5%
37/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
Skin and subcutaneous tissue disorders
Alopecia
23.4%
157/670 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment
25.5%
172/674 • Up to 6 cycles (median number of cycles=4; median duration of each cycle = 21 days) of treatment

Additional Information

Martin Huber, M.D., Senior Vice President and Chief Medical Officer

Tesaro

Phone: 781-257-2536

Results disclosure agreements

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