Trial Outcomes & Findings for Fosaprepitant for N/V With High-dose Interleukin-2 for Metastatic Melanoma and Renal Cell Carcinoma (NCT NCT01874119)

NCT ID: NCT01874119

Last Updated: 2018-06-07

Results Overview

No vomiting from the initiation of through 48 hours following the final dose of HD IL-2

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

13 participants

Primary outcome timeframe

From the initiation of through 48 hours following the final dose of Interleukin-2

Results posted on

2018-06-07

Participant Flow

Participant milestones

Participant milestones
Measure
Fosaprepitant First, Then Placebo
Fosaprepitant: During treatment admission, intravenous fosaprepitant 150 mg every 48 hours during 6-day hospital admission Placebo: During placebo admission, intravenous 0.9% saline every 48 hours during 6-day hospital admission
Placebo First, Then Fosaprepitant
Placebo: During placebo admission, intravenous 0.9% saline every 48 hours during 6-day hospital admission Fosaprepitant: During treatment admission, intravenous fosaprepitant 150 mg every 48 hours during 6-day hospital admission
First Intervention (6 Days)
STARTED
8
5
First Intervention (6 Days)
COMPLETED
7
5
First Intervention (6 Days)
NOT COMPLETED
1
0
Washout (7 Days)
STARTED
7
5
Washout (7 Days)
COMPLETED
4
3
Washout (7 Days)
NOT COMPLETED
3
2
Second Intervention (6 Days)
STARTED
4
3
Second Intervention (6 Days)
COMPLETED
4
3
Second Intervention (6 Days)
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Fosaprepitant for N/V With High-dose Interleukin-2 for Metastatic Melanoma and Renal Cell Carcinoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Study Participants Completing All Cycles
n=7 Participants
Fosaprepitant: During treatment admission, intravenous fosaprepitant 150 mg every 48 hours during 6-day hospital admission Placebo: intravenous 0.9% saline every 48 hours during 6-day hospital admission
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Age, Continuous
61 years
n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
Region of Enrollment
United States
7 Participants
n=5 Participants

PRIMARY outcome

Timeframe: From the initiation of through 48 hours following the final dose of Interleukin-2

No vomiting from the initiation of through 48 hours following the final dose of HD IL-2

Outcome measures

Outcome measures
Measure
Fosaprepitant
n=7 Participants
During treatment admission, intravenous fosaprepitant 150 mg every 48 hours during 6-day hospital admission Fosaprepitant: During treatment admission, intravenous fosaprepitant 150 mg every 48 hours during 6-day hospital admission
Placebo
n=7 Participants
During placebo admission, intravenous 0.9% saline every 48 hours during 6-day hospital admission Fosaprepitant: During treatment admission, intravenous fosaprepitant 150 mg every 48 hours during 6-day hospital admission
Number of Patients With Complete Response During Inpatient Admission
1 Participants
0 Participants

Adverse Events

Fosaprepitant

Serious events: 3 serious events
Other events: 11 other events
Deaths: 2 deaths

Placebo

Serious events: 4 serious events
Other events: 9 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
Fosaprepitant
n=11 participants at risk
During treatment admission, intravenous fosaprepitant 150 mg every 48 hours during 6-day hospital admission Fosaprepitant: During treatment admission, intravenous fosaprepitant 150 mg every 48 hours during 6-day hospital admission
Placebo
n=9 participants at risk
During placebo admission, intravenous 0.9% saline every 48 hours during 6-day hospital admission Fosaprepitant: During treatment admission, intravenous fosaprepitant 150 mg every 48 hours during 6-day hospital admission
Gastrointestinal disorders
Upper GI hemorrhage
9.1%
1/11 • Number of events 1 • From the initiation of through 48 hours following the final dose of HD IL-2
0.00%
0/9 • From the initiation of through 48 hours following the final dose of HD IL-2
Nervous system disorders
Other - Uncal herniation
9.1%
1/11 • Number of events 1 • From the initiation of through 48 hours following the final dose of HD IL-2
0.00%
0/9 • From the initiation of through 48 hours following the final dose of HD IL-2
Infections and infestations
Sepsis
0.00%
0/11 • From the initiation of through 48 hours following the final dose of HD IL-2
11.1%
1/9 • Number of events 1 • From the initiation of through 48 hours following the final dose of HD IL-2
Immune system disorders
Autoimmune disorder - Myocarditis
0.00%
0/11 • From the initiation of through 48 hours following the final dose of HD IL-2
11.1%
1/9 • Number of events 1 • From the initiation of through 48 hours following the final dose of HD IL-2
Respiratory, thoracic and mediastinal disorders
Hypoxia
0.00%
0/11 • From the initiation of through 48 hours following the final dose of HD IL-2
11.1%
1/9 • Number of events 1 • From the initiation of through 48 hours following the final dose of HD IL-2
Cardiac disorders
Bradycardia
9.1%
1/11 • Number of events 1 • From the initiation of through 48 hours following the final dose of HD IL-2
0.00%
0/9 • From the initiation of through 48 hours following the final dose of HD IL-2
Cardiac disorders
Cardiac arrest
9.1%
1/11 • Number of events 1 • From the initiation of through 48 hours following the final dose of HD IL-2
33.3%
3/9 • Number of events 3 • From the initiation of through 48 hours following the final dose of HD IL-2

Other adverse events

Other adverse events
Measure
Fosaprepitant
n=11 participants at risk
During treatment admission, intravenous fosaprepitant 150 mg every 48 hours during 6-day hospital admission Fosaprepitant: During treatment admission, intravenous fosaprepitant 150 mg every 48 hours during 6-day hospital admission
Placebo
n=9 participants at risk
During placebo admission, intravenous 0.9% saline every 48 hours during 6-day hospital admission Fosaprepitant: During treatment admission, intravenous fosaprepitant 150 mg every 48 hours during 6-day hospital admission
Blood and lymphatic system disorders
Anemia
18.2%
2/11 • Number of events 2 • From the initiation of through 48 hours following the final dose of HD IL-2
22.2%
2/9 • Number of events 2 • From the initiation of through 48 hours following the final dose of HD IL-2
Investigations
Alanine aminotransferase increased
0.00%
0/11 • From the initiation of through 48 hours following the final dose of HD IL-2
11.1%
1/9 • Number of events 1 • From the initiation of through 48 hours following the final dose of HD IL-2
Investigations
Aspartate aminotransferase increased
9.1%
1/11 • Number of events 1 • From the initiation of through 48 hours following the final dose of HD IL-2
11.1%
1/9 • Number of events 1 • From the initiation of through 48 hours following the final dose of HD IL-2
Investigations
Blood bilirubin increased
18.2%
2/11 • Number of events 2 • From the initiation of through 48 hours following the final dose of HD IL-2
22.2%
2/9 • Number of events 2 • From the initiation of through 48 hours following the final dose of HD IL-2
Investigations
Lymphocyte count decreased
18.2%
2/11 • Number of events 2 • From the initiation of through 48 hours following the final dose of HD IL-2
33.3%
3/9 • Number of events 3 • From the initiation of through 48 hours following the final dose of HD IL-2
Investigations
Platelet count decreased
18.2%
2/11 • Number of events 2 • From the initiation of through 48 hours following the final dose of HD IL-2
11.1%
1/9 • Number of events 1 • From the initiation of through 48 hours following the final dose of HD IL-2
Investigations
Urine output decreased
27.3%
3/11 • Number of events 3 • From the initiation of through 48 hours following the final dose of HD IL-2
44.4%
4/9 • Number of events 4 • From the initiation of through 48 hours following the final dose of HD IL-2
Investigations
Weight gain
27.3%
3/11 • Number of events 3 • From the initiation of through 48 hours following the final dose of HD IL-2
33.3%
3/9 • Number of events 3 • From the initiation of through 48 hours following the final dose of HD IL-2
Investigations
White blood cell count decreased
0.00%
0/11 • From the initiation of through 48 hours following the final dose of HD IL-2
11.1%
1/9 • Number of events 1 • From the initiation of through 48 hours following the final dose of HD IL-2
Metabolism and nutrition disorders
Hypercalcemia
0.00%
0/11 • From the initiation of through 48 hours following the final dose of HD IL-2
11.1%
1/9 • Number of events 1 • From the initiation of through 48 hours following the final dose of HD IL-2
Metabolism and nutrition disorders
Hypernatremia
9.1%
1/11 • Number of events 1 • From the initiation of through 48 hours following the final dose of HD IL-2
0.00%
0/9 • From the initiation of through 48 hours following the final dose of HD IL-2
Metabolism and nutrition disorders
Hypoalbunemia
72.7%
8/11 • Number of events 8 • From the initiation of through 48 hours following the final dose of HD IL-2
66.7%
6/9 • Number of events 6 • From the initiation of through 48 hours following the final dose of HD IL-2
Metabolism and nutrition disorders
Hyponatremia
9.1%
1/11 • Number of events 1 • From the initiation of through 48 hours following the final dose of HD IL-2
22.2%
2/9 • Number of events 2 • From the initiation of through 48 hours following the final dose of HD IL-2
Metabolism and nutrition disorders
Hypophosphatemia
63.6%
7/11 • Number of events 7 • From the initiation of through 48 hours following the final dose of HD IL-2
66.7%
6/9 • Number of events 6 • From the initiation of through 48 hours following the final dose of HD IL-2
Nervous system disorders
Cerebral edema
9.1%
1/11 • Number of events 1 • From the initiation of through 48 hours following the final dose of HD IL-2
0.00%
0/9 • From the initiation of through 48 hours following the final dose of HD IL-2
Nervous system disorders
Somnolence
9.1%
1/11 • Number of events 1 • From the initiation of through 48 hours following the final dose of HD IL-2
0.00%
0/9 • From the initiation of through 48 hours following the final dose of HD IL-2
Respiratory, thoracic and mediastinal disorders
Hypoxia
18.2%
2/11 • Number of events 2 • From the initiation of through 48 hours following the final dose of HD IL-2
11.1%
1/9 • Number of events 1 • From the initiation of through 48 hours following the final dose of HD IL-2
Vascular disorders
Hypertension
9.1%
1/11 • Number of events 1 • From the initiation of through 48 hours following the final dose of HD IL-2
0.00%
0/9 • From the initiation of through 48 hours following the final dose of HD IL-2

Additional Information

Dr. John Richart

Saint Louis University

Phone: 314-577-8854

Results disclosure agreements

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