Trial Outcomes & Findings for Olanzapine With or Without Fosaprepitant Dimeglumine in Preventing Chemotherapy Induced Nausea and Vomiting in Cancer Patients Receiving Highly Emetogenic Chemotherapy (NCT NCT03578081)

NCT ID: NCT03578081

Last Updated: 2025-04-06

Results Overview

The specific measure will be based on the proportion of patients with a value of 0, as measured by the single nausea item (scale 0-10, 0 is no symptoms, 10 is worst symptoms) of the Questionnaire. A modified intent-to-treat principle will be applied for statistical analysis of efficacy in evaluable patients. The proportions of patients with no nausea during the overall, the acute, and the delayed period will be summarized by treatment arm. They will be tested in a sequential manner, using a Simes gatekeeping procedure to maintain the overall significance level at the specified by the Lan-DeMets family of alpha spending function. The difference in no nausea proportions between arms will be estimated along with a one-sided 95% confidence interval. The tests and the confidence intervals will be constructed using normal approximation of the binomial distribution adjusted for the non-inferiority margin.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

690 participants

Primary outcome timeframe

Up to 120 hours

Results posted on

2025-04-06

Participant Flow

Participant milestones

Participant milestones
Measure
Arm I (Fosaprepitant Dimeglumine, Olanzapine)
Patients receive palonosetron hydrochloride IV over 30 seconds or ondansetron hydrochloride IV over 2-5 minutes or PO on day 1, dexamethasone PO on days 1-4, fosaprepitant dimeglumine IV over 20-30 minutes on day 1, and olanzapine PO on days 1-4. Treatment may repeat every 4 days for up to 3 courses in the absence of disease progression or unacceptable toxicity.\>\> \>\> Palonosetron Hydrochloride: Given IV\>\> \>\> Ondansetron Hydrochloride: Given IV or PO\>\> \>\> Dexamethasone: Given PO\>\> \>\> Fosaprepitant Dimeglumine: Given IV\>\> \>\> Olanzapine: Given PO
Arm II (Placebo, Olanzapine)
Patients receive palonosetron hydrochloride IV over 30 seconds or ondansetron hydrochloride IV over 2-5 minutes or PO on day 1, dexamethasone PO on days 1-4, placebo IV over 20-30 minutes on day 1, and olanzapine PO on days 1-4. Treatment (with no placebo) may repeat every 4 days for up to 3 courses in the absence of disease progression or unacceptable toxicity.\>\> \>\> Palonosetron Hydrochloride: Given IV\>\> \>\> Ondansetron Hydrochloride: Given IV or PO\>\> \>\> Dexamethasone: Given PO\>\> \>\> Olanzapine: Given PO\>\> \>\> Placebo: Given IV
Overall Study
STARTED
346
344
Overall Study
COMPLETED
326
320
Overall Study
NOT COMPLETED
20
24

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Olanzapine With or Without Fosaprepitant Dimeglumine in Preventing Chemotherapy Induced Nausea and Vomiting in Cancer Patients Receiving Highly Emetogenic Chemotherapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm I (Fosaprepitant Dimeglumine, Olanzapine)
n=346 Participants
Patients receive palonosetron hydrochloride IV over 30 seconds or ondansetron hydrochloride IV over 2-5 minutes or PO on day 1, dexamethasone PO on days 1-4, fosaprepitant dimeglumine IV over 20-30 minutes on day 1, and olanzapine PO on days 1-4. Treatment may repeat every 4 days for up to 3 courses in the absence of disease progression or unacceptable toxicity.\>\> \>\> Palonosetron Hydrochloride: Given IV\>\> \>\> Ondansetron Hydrochloride: Given IV or PO\>\> \>\> Dexamethasone: Given PO\>\> \>\> Fosaprepitant Dimeglumine: Given IV\>\> \>\> Olanzapine: Given PO
Arm II (Placebo, Olanzapine)
n=344 Participants
Patients receive palonosetron hydrochloride IV over 30 seconds or ondansetron hydrochloride IV over 2-5 minutes or PO on day 1, dexamethasone PO on days 1-4, placebo IV over 20-30 minutes on day 1, and olanzapine PO on days 1-4. Treatment (with no placebo) may repeat every 4 days for up to 3 courses in the absence of disease progression or unacceptable toxicity.\>\> \>\> Palonosetron Hydrochloride: Given IV\>\> \>\> Ondansetron Hydrochloride: Given IV or PO\>\> \>\> Dexamethasone: Given PO\>\> \>\> Olanzapine: Given PO\>\> \>\> Placebo: Given IV
Total
n=690 Participants
Total of all reporting groups
Age, Continuous
56.5 years
STANDARD_DEVIATION 11.10 • n=5 Participants
56.1 years
STANDARD_DEVIATION 11.58 • n=7 Participants
56.3 years
STANDARD_DEVIATION 11.34 • n=5 Participants
Sex: Female, Male
Female
289 Participants
n=5 Participants
289 Participants
n=7 Participants
578 Participants
n=5 Participants
Sex: Female, Male
Male
57 Participants
n=5 Participants
55 Participants
n=7 Participants
112 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
7 Participants
n=7 Participants
10 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
331 Participants
n=5 Participants
325 Participants
n=7 Participants
656 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
12 Participants
n=5 Participants
12 Participants
n=7 Participants
24 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Asian
4 Participants
n=5 Participants
12 Participants
n=7 Participants
16 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
36 Participants
n=5 Participants
40 Participants
n=7 Participants
76 Participants
n=5 Participants
Race (NIH/OMB)
White
292 Participants
n=5 Participants
278 Participants
n=7 Participants
570 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
12 Participants
n=5 Participants
11 Participants
n=7 Participants
23 Participants
n=5 Participants
ECOG Performance Score
0
276 Participants
n=5 Participants
281 Participants
n=7 Participants
557 Participants
n=5 Participants
ECOG Performance Score
1
67 Participants
n=5 Participants
59 Participants
n=7 Participants
126 Participants
n=5 Participants
ECOG Performance Score
2
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Chemotherapy Regimen
Anthracycline and cyclophosphamide (AC)
267 Participants
n=5 Participants
266 Participants
n=7 Participants
533 Participants
n=5 Participants
Chemotherapy Regimen
Cisplatin-containing regimen
79 Participants
n=5 Participants
78 Participants
n=7 Participants
157 Participants
n=5 Participants
5-HT Receptor Antagonist
Ondansetron
90 Participants
n=5 Participants
90 Participants
n=7 Participants
180 Participants
n=5 Participants
5-HT Receptor Antagonist
Palonosetron
256 Participants
n=5 Participants
254 Participants
n=7 Participants
510 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 120 hours

The specific measure will be based on the proportion of patients with a value of 0, as measured by the single nausea item (scale 0-10, 0 is no symptoms, 10 is worst symptoms) of the Questionnaire. A modified intent-to-treat principle will be applied for statistical analysis of efficacy in evaluable patients. The proportions of patients with no nausea during the overall, the acute, and the delayed period will be summarized by treatment arm. They will be tested in a sequential manner, using a Simes gatekeeping procedure to maintain the overall significance level at the specified by the Lan-DeMets family of alpha spending function. The difference in no nausea proportions between arms will be estimated along with a one-sided 95% confidence interval. The tests and the confidence intervals will be constructed using normal approximation of the binomial distribution adjusted for the non-inferiority margin.

Outcome measures

Outcome measures
Measure
Arm I (Fosaprepitant Dimeglumine, Olanzapine)
n=326 Participants
Patients receive palonosetron hydrochloride IV over 30 seconds or ondansetron hydrochloride IV over 2-5 minutes or PO on day 1, dexamethasone PO on days 1-4, fosaprepitant dimeglumine IV over 20-30 minutes on day 1, and olanzapine PO on days 1-4. Treatment may repeat every 4 days for up to 3 courses in the absence of disease progression or unacceptable toxicity.\> \>\> \> \>\> Palonosetron Hydrochloride: Given IV\> \>\> \> \>\> Ondansetron Hydrochloride: Given IV or PO\> \>\> \> \>\> Dexamethasone: Given PO\> \>\> \> \>\> Fosaprepitant Dimeglumine: Given IV\> \>\> \> \>\> Olanzapine: Given PO
Arm II (Placebo, Olanzapine)
n=320 Participants
Patients receive palonosetron hydrochloride IV over 30 seconds or ondansetron hydrochloride IV over 2-5 minutes or PO on day 1, dexamethasone PO on days 1-4, placebo IV over 20-30 minutes on day 1, and olanzapine PO on days 1-4. Treatment (with no placebo) may repeat every 4 days for up to 3 courses in the absence of disease progression or unacceptable toxicity.\> \>\> \> \>\> Palonosetron Hydrochloride: Given IV\> \>\> \> \>\> Ondansetron Hydrochloride: Given IV or PO\> \>\> \> \>\> Dexamethasone: Given PO\> \>\> \> \>\> Olanzapine: Given PO\> \>\> \> \>\> Placebo: Given IV
No Nausea Rate Defined as a Response of 0 in the Nausea Item of Nausea and Vomiting Daily Diary/Questionnaire in the Overall (0-120 Hours), Acute (0-24 Hours), and Delayed (24-120 Hours) Periods
Overall No Nausea
123 Participants
97 Participants
No Nausea Rate Defined as a Response of 0 in the Nausea Item of Nausea and Vomiting Daily Diary/Questionnaire in the Overall (0-120 Hours), Acute (0-24 Hours), and Delayed (24-120 Hours) Periods
Overall Any Nausea
203 Participants
223 Participants
No Nausea Rate Defined as a Response of 0 in the Nausea Item of Nausea and Vomiting Daily Diary/Questionnaire in the Overall (0-120 Hours), Acute (0-24 Hours), and Delayed (24-120 Hours) Periods
Acute No Nausea
202 Participants
201 Participants
No Nausea Rate Defined as a Response of 0 in the Nausea Item of Nausea and Vomiting Daily Diary/Questionnaire in the Overall (0-120 Hours), Acute (0-24 Hours), and Delayed (24-120 Hours) Periods
Acute Any Nausea
124 Participants
119 Participants
No Nausea Rate Defined as a Response of 0 in the Nausea Item of Nausea and Vomiting Daily Diary/Questionnaire in the Overall (0-120 Hours), Acute (0-24 Hours), and Delayed (24-120 Hours) Periods
Delayed No Nausea
140 Participants
114 Participants
No Nausea Rate Defined as a Response of 0 in the Nausea Item of Nausea and Vomiting Daily Diary/Questionnaire in the Overall (0-120 Hours), Acute (0-24 Hours), and Delayed (24-120 Hours) Periods
Delayed Any Nausea
186 Participants
206 Participants

SECONDARY outcome

Timeframe: Up to 120 hours

The specific measure will be based on the proportion of patients who answered "None" to both questions concerning Vomiting episode(None, Once, Twice, More than twice) and number of extra nausea/vomiting pills taken (None, One, Two, More than two) in the Nausea and Vomiting Daily Diary/Questionnaire. The CR rate for the overall, the acute, and the delayed period will be summarized by treatment arm and will be compared using a Chi-squared test. The difference in CR rates between arms will be estimated along with a 95% confidence interval.

Outcome measures

Outcome measures
Measure
Arm I (Fosaprepitant Dimeglumine, Olanzapine)
n=326 Participants
Patients receive palonosetron hydrochloride IV over 30 seconds or ondansetron hydrochloride IV over 2-5 minutes or PO on day 1, dexamethasone PO on days 1-4, fosaprepitant dimeglumine IV over 20-30 minutes on day 1, and olanzapine PO on days 1-4. Treatment may repeat every 4 days for up to 3 courses in the absence of disease progression or unacceptable toxicity.\> \>\> \> \>\> Palonosetron Hydrochloride: Given IV\> \>\> \> \>\> Ondansetron Hydrochloride: Given IV or PO\> \>\> \> \>\> Dexamethasone: Given PO\> \>\> \> \>\> Fosaprepitant Dimeglumine: Given IV\> \>\> \> \>\> Olanzapine: Given PO
Arm II (Placebo, Olanzapine)
n=320 Participants
Patients receive palonosetron hydrochloride IV over 30 seconds or ondansetron hydrochloride IV over 2-5 minutes or PO on day 1, dexamethasone PO on days 1-4, placebo IV over 20-30 minutes on day 1, and olanzapine PO on days 1-4. Treatment (with no placebo) may repeat every 4 days for up to 3 courses in the absence of disease progression or unacceptable toxicity.\> \>\> \> \>\> Palonosetron Hydrochloride: Given IV\> \>\> \> \>\> Ondansetron Hydrochloride: Given IV or PO\> \>\> \> \>\> Dexamethasone: Given PO\> \>\> \> \>\> Olanzapine: Given PO\> \>\> \> \>\> Placebo: Given IV
Complete Response (CR) (no Emetic Episodes and no Use of Rescue Medication) During the Acute, Delayed and the Overall Periods as Measured by the Nausea and Vomiting Daily Diary/Questionnaire
Complete Response - >> Overall
179 Participants
151 Participants
Complete Response (CR) (no Emetic Episodes and no Use of Rescue Medication) During the Acute, Delayed and the Overall Periods as Measured by the Nausea and Vomiting Daily Diary/Questionnaire
Complete Response - >> Acute
256 Participants
247 Participants
Complete Response (CR) (no Emetic Episodes and no Use of Rescue Medication) During the Acute, Delayed and the Overall Periods as Measured by the Nausea and Vomiting Daily Diary/Questionnaire
Complete Response ->> Delayed
193 Participants
166 Participants

SECONDARY outcome

Timeframe: Up to 120 hours

Potential toxicities includes nausea, undesired sedation, and undesired appetite, measured by three individual items ( nausea, undesired sedation, undesired appetite) of the Nausea and Vomiting Daily Dairy/Questionnaire(scale 0-10, 0 is no symptoms, 10 is worst symptoms). Incidences of toxicities will be summarized by type and by treatment arm. Incidences of toxicities will be compared between arms using a Chi-squared test or the Fisher's exact test as appropriate. In addition, undesired sedation and appetite increase as collected in the Nausea and Vomiting Daily Diary/Questionnaire will be analyzed by repeated measures analyses including descriptive statistics, graphical approaches, and growth curve models to account for the factor of day and time trend.

Outcome measures

Outcome measures
Measure
Arm I (Fosaprepitant Dimeglumine, Olanzapine)
n=326 Participants
Patients receive palonosetron hydrochloride IV over 30 seconds or ondansetron hydrochloride IV over 2-5 minutes or PO on day 1, dexamethasone PO on days 1-4, fosaprepitant dimeglumine IV over 20-30 minutes on day 1, and olanzapine PO on days 1-4. Treatment may repeat every 4 days for up to 3 courses in the absence of disease progression or unacceptable toxicity.\> \>\> \> \>\> Palonosetron Hydrochloride: Given IV\> \>\> \> \>\> Ondansetron Hydrochloride: Given IV or PO\> \>\> \> \>\> Dexamethasone: Given PO\> \>\> \> \>\> Fosaprepitant Dimeglumine: Given IV\> \>\> \> \>\> Olanzapine: Given PO
Arm II (Placebo, Olanzapine)
n=320 Participants
Patients receive palonosetron hydrochloride IV over 30 seconds or ondansetron hydrochloride IV over 2-5 minutes or PO on day 1, dexamethasone PO on days 1-4, placebo IV over 20-30 minutes on day 1, and olanzapine PO on days 1-4. Treatment (with no placebo) may repeat every 4 days for up to 3 courses in the absence of disease progression or unacceptable toxicity.\> \>\> \> \>\> Palonosetron Hydrochloride: Given IV\> \>\> \> \>\> Ondansetron Hydrochloride: Given IV or PO\> \>\> \> \>\> Dexamethasone: Given PO\> \>\> \> \>\> Olanzapine: Given PO\> \>\> \> \>\> Placebo: Given IV
Potential Toxicities as Ascribed to Olanzapine as Measured by the Nausea and Vomiting Daily Diary/Questionnaire
Overall No Appetite Increase
140 Participants
136 Participants
Potential Toxicities as Ascribed to Olanzapine as Measured by the Nausea and Vomiting Daily Diary/Questionnaire
Overall Any Appetite Increase
186 Participants
184 Participants
Potential Toxicities as Ascribed to Olanzapine as Measured by the Nausea and Vomiting Daily Diary/Questionnaire
Acute No Appetite Increase
235 Participants
236 Participants
Potential Toxicities as Ascribed to Olanzapine as Measured by the Nausea and Vomiting Daily Diary/Questionnaire
Acute Any Appetite Increase
91 Participants
84 Participants
Potential Toxicities as Ascribed to Olanzapine as Measured by the Nausea and Vomiting Daily Diary/Questionnaire
Delayed No Appetite Increase
147 Participants
143 Participants
Potential Toxicities as Ascribed to Olanzapine as Measured by the Nausea and Vomiting Daily Diary/Questionnaire
Delayed Any Appetite Increase
179 Participants
177 Participants

SECONDARY outcome

Timeframe: Up to 1 year

The specific measure will be based on the by the single nausea item (scale 0-10, 0 is no symptoms, 10 is worst symptoms) of the Nausea and Vomiting Daily Diary/Questionnaire. Nausea scores (0-10) repeatedly measured by the Nausea and Vomiting Daily Diary/Questionnaire will be analyzed using the repeated measures analyses and growth curve models as described above for undesired sedation and increase in appetite.

Outcome measures

Outcome measures
Measure
Arm I (Fosaprepitant Dimeglumine, Olanzapine)
n=326 Participants
Patients receive palonosetron hydrochloride IV over 30 seconds or ondansetron hydrochloride IV over 2-5 minutes or PO on day 1, dexamethasone PO on days 1-4, fosaprepitant dimeglumine IV over 20-30 minutes on day 1, and olanzapine PO on days 1-4. Treatment may repeat every 4 days for up to 3 courses in the absence of disease progression or unacceptable toxicity.\> \>\> \> \>\> Palonosetron Hydrochloride: Given IV\> \>\> \> \>\> Ondansetron Hydrochloride: Given IV or PO\> \>\> \> \>\> Dexamethasone: Given PO\> \>\> \> \>\> Fosaprepitant Dimeglumine: Given IV\> \>\> \> \>\> Olanzapine: Given PO
Arm II (Placebo, Olanzapine)
n=320 Participants
Patients receive palonosetron hydrochloride IV over 30 seconds or ondansetron hydrochloride IV over 2-5 minutes or PO on day 1, dexamethasone PO on days 1-4, placebo IV over 20-30 minutes on day 1, and olanzapine PO on days 1-4. Treatment (with no placebo) may repeat every 4 days for up to 3 courses in the absence of disease progression or unacceptable toxicity.\> \>\> \> \>\> Palonosetron Hydrochloride: Given IV\> \>\> \> \>\> Ondansetron Hydrochloride: Given IV or PO\> \>\> \> \>\> Dexamethasone: Given PO\> \>\> \> \>\> Olanzapine: Given PO\> \>\> \> \>\> Placebo: Given IV
Average Nausea Scores (0-10) Repeatedly Measured by the Nausea and Vomiting Daily Diary/Questionnaire
0.8211364 score on a scale
Standard Deviation 1.6289005
0.9177778 score on a scale
Standard Deviation 1.7821806

SECONDARY outcome

Timeframe: Over 5 Days per each of the 4 cycles

The specific measure will be based on the single item : number of extra nausea/vomiting pills taken (None, One , Twice, More than twice) of the Nausea and Vomiting Daily Diary/Questionnaire.

Outcome measures

Outcome measures
Measure
Arm I (Fosaprepitant Dimeglumine, Olanzapine)
n=326 Participants
Patients receive palonosetron hydrochloride IV over 30 seconds or ondansetron hydrochloride IV over 2-5 minutes or PO on day 1, dexamethasone PO on days 1-4, fosaprepitant dimeglumine IV over 20-30 minutes on day 1, and olanzapine PO on days 1-4. Treatment may repeat every 4 days for up to 3 courses in the absence of disease progression or unacceptable toxicity.\> \>\> \> \>\> Palonosetron Hydrochloride: Given IV\> \>\> \> \>\> Ondansetron Hydrochloride: Given IV or PO\> \>\> \> \>\> Dexamethasone: Given PO\> \>\> \> \>\> Fosaprepitant Dimeglumine: Given IV\> \>\> \> \>\> Olanzapine: Given PO
Arm II (Placebo, Olanzapine)
n=320 Participants
Patients receive palonosetron hydrochloride IV over 30 seconds or ondansetron hydrochloride IV over 2-5 minutes or PO on day 1, dexamethasone PO on days 1-4, placebo IV over 20-30 minutes on day 1, and olanzapine PO on days 1-4. Treatment (with no placebo) may repeat every 4 days for up to 3 courses in the absence of disease progression or unacceptable toxicity.\> \>\> \> \>\> Palonosetron Hydrochloride: Given IV\> \>\> \> \>\> Ondansetron Hydrochloride: Given IV or PO\> \>\> \> \>\> Dexamethasone: Given PO\> \>\> \> \>\> Olanzapine: Given PO\> \>\> \> \>\> Placebo: Given IV
Total Frequency of Rescue Medication as Measured by the Nausea and Vomiting Daily Diary/Questionnaire
Zero
3614 episodes
3541 episodes
Total Frequency of Rescue Medication as Measured by the Nausea and Vomiting Daily Diary/Questionnaire
One
350 episodes
405 episodes
Total Frequency of Rescue Medication as Measured by the Nausea and Vomiting Daily Diary/Questionnaire
Two
170 episodes
162 episodes
Total Frequency of Rescue Medication as Measured by the Nausea and Vomiting Daily Diary/Questionnaire
More than two
56 episodes
74 episodes

Adverse Events

Arm I (Fosaprepitant Dimeglumine, Olanzapine)

Serious events: 51 serious events
Other events: 252 other events
Deaths: 1 deaths

Arm II (Placebo, Olanzapine)

Serious events: 60 serious events
Other events: 248 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
Arm I (Fosaprepitant Dimeglumine, Olanzapine)
n=286 participants at risk
Olanzapine: Given PO
Arm II (Placebo, Olanzapine)
n=291 participants at risk
Placebo: Given IV
Gastrointestinal disorders
Gastrointestinal disorders - Oth spec
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Gastrointestinal disorders
Nausea
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
General disorders
Death NOS
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
General disorders
Disease progression
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
General disorders
Fever
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
General disorders
Gen disord and admin site conds-Oth spec
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Infections and infestations
Catheter related infection
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Infections and infestations
Enterocolitis infectious
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Infections and infestations
Joint infection
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Infections and infestations
Lung infection
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Infections and infestations
Sepsis
0.70%
2/286 • Number of events 2 • Up to 1 year
1.0%
3/291 • Number of events 3 • Up to 1 year
Infections and infestations
Skin infection
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Infections and infestations
Urinary tract infection
0.35%
1/286 • Number of events 1 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Injury, poisoning and procedural complications
Fall
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Injury, poisoning and procedural complications
Hip fracture
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Injury, poisoning and procedural complications
Vascular access complication
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Investigations
Alanine aminotransferase increased
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Investigations
Creatinine increased
0.00%
0/286 • Up to 1 year
1.0%
3/291 • Number of events 3 • Up to 1 year
Investigations
Lymphocyte count decreased
0.70%
2/286 • Number of events 2 • Up to 1 year
0.69%
2/291 • Number of events 2 • Up to 1 year
Investigations
Neutrophil count decreased
3.1%
9/286 • Number of events 9 • Up to 1 year
3.4%
10/291 • Number of events 10 • Up to 1 year
Investigations
Platelet count decreased
0.35%
1/286 • Number of events 1 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Investigations
White blood cell decreased
1.7%
5/286 • Number of events 5 • Up to 1 year
2.4%
7/291 • Number of events 7 • Up to 1 year
Metabolism and nutrition disorders
Dehydration
0.70%
2/286 • Number of events 2 • Up to 1 year
0.69%
2/291 • Number of events 2 • Up to 1 year
Metabolism and nutrition disorders
Hyperglycemia
0.70%
2/286 • Number of events 2 • Up to 1 year
0.00%
0/291 • Up to 1 year
Metabolism and nutrition disorders
Hypoalbuminemia
0.35%
1/286 • Number of events 1 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Metabolism and nutrition disorders
Hypocalcemia
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Metabolism and nutrition disorders
Hypokalemia
0.00%
0/286 • Up to 1 year
1.0%
3/291 • Number of events 3 • Up to 1 year
Metabolism and nutrition disorders
Hypomagnesemia
0.35%
1/286 • Number of events 1 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Metabolism and nutrition disorders
Hypophosphatemia
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Nervous system disorders
Dizziness
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Nervous system disorders
Syncope
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Psychiatric disorders
Confusion
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Blood and lymphatic system disorders
Anemia
1.4%
4/286 • Number of events 4 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Blood and lymphatic system disorders
Febrile neutropenia
0.70%
2/286 • Number of events 2 • Up to 1 year
1.0%
3/291 • Number of events 3 • Up to 1 year
Blood and lymphatic system disorders
Leukocytosis
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Cardiac disorders
Myocardial infarction
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Gastrointestinal disorders
Colitis
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Gastrointestinal disorders
Diarrhea
0.00%
0/286 • Up to 1 year
0.69%
2/291 • Number of events 2 • Up to 1 year
Renal and urinary disorders
Acute kidney injury
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Renal and urinary disorders
Cystitis noninfective
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Renal and urinary disorders
Hematuria
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Renal and urinary disorders
Renal and urinary disorders - Oth spec
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Renal and urinary disorders
Urinary incontinence
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Renal and urinary disorders
Urinary retention
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Reproductive system and breast disorders
Irregular menstruation
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Respiratory, thoracic and mediastinal disorders
Adult respiratory distress syndrome
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Vascular disorders
Hypotension
0.70%
2/286 • Number of events 2 • Up to 1 year
1.0%
3/291 • Number of events 3 • Up to 1 year
Vascular disorders
Thromboembolic event
0.35%
1/286 • Number of events 1 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year

Other adverse events

Other adverse events
Measure
Arm I (Fosaprepitant Dimeglumine, Olanzapine)
n=286 participants at risk
Olanzapine: Given PO
Arm II (Placebo, Olanzapine)
n=291 participants at risk
Placebo: Given IV
Blood and lymphatic system disorders
Anemia
4.5%
13/286 • Number of events 13 • Up to 1 year
6.2%
18/291 • Number of events 18 • Up to 1 year
Blood and lymphatic system disorders
Febrile neutropenia
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Gastrointestinal disorders
Abdominal pain
0.70%
2/286 • Number of events 2 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Gastrointestinal disorders
Belching
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Gastrointestinal disorders
Constipation
1.7%
5/286 • Number of events 5 • Up to 1 year
1.4%
4/291 • Number of events 4 • Up to 1 year
Gastrointestinal disorders
Diarrhea
1.0%
3/286 • Number of events 3 • Up to 1 year
1.4%
4/291 • Number of events 4 • Up to 1 year
Gastrointestinal disorders
Dry mouth
0.70%
2/286 • Number of events 2 • Up to 1 year
0.00%
0/291 • Up to 1 year
Gastrointestinal disorders
Dyspepsia
0.70%
2/286 • Number of events 2 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Gastrointestinal disorders
Dysphagia
0.70%
2/286 • Number of events 2 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Gastrointestinal disorders
Gastritis
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Gastrointestinal disorders
Gastroesophageal reflux disease
2.1%
6/286 • Number of events 6 • Up to 1 year
0.69%
2/291 • Number of events 2 • Up to 1 year
Gastrointestinal disorders
Gastrointestinal disorders - Oth spec
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Gastrointestinal disorders
Mucositis oral
0.70%
2/286 • Number of events 2 • Up to 1 year
1.7%
5/291 • Number of events 5 • Up to 1 year
Gastrointestinal disorders
Nausea
2.1%
6/286 • Number of events 6 • Up to 1 year
1.7%
5/291 • Number of events 5 • Up to 1 year
Gastrointestinal disorders
Oral dysesthesia
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Gastrointestinal disorders
Toothache
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Gastrointestinal disorders
Vomiting
1.0%
3/286 • Number of events 3 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
General disorders
Edema limbs
0.35%
1/286 • Number of events 1 • Up to 1 year
1.0%
3/291 • Number of events 3 • Up to 1 year
General disorders
Fatigue
6.6%
19/286 • Number of events 19 • Up to 1 year
7.6%
22/291 • Number of events 22 • Up to 1 year
General disorders
Malaise
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
General disorders
Non-cardiac chest pain
0.70%
2/286 • Number of events 2 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Immune system disorders
Allergic reaction
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Infections and infestations
Bladder infection
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Infections and infestations
Catheter related infection
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Infections and infestations
Folliculitis
0.35%
1/286 • Number of events 1 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Infections and infestations
Infections and infestations - Oth spec
1.0%
3/286 • Number of events 3 • Up to 1 year
1.7%
5/291 • Number of events 5 • Up to 1 year
Infections and infestations
Lung infection
0.35%
1/286 • Number of events 1 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Infections and infestations
Mucosal infection
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Infections and infestations
Sinusitis
0.35%
1/286 • Number of events 1 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Infections and infestations
Skin infection
0.70%
2/286 • Number of events 2 • Up to 1 year
0.69%
2/291 • Number of events 2 • Up to 1 year
Infections and infestations
Thrush
0.35%
1/286 • Number of events 1 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Infections and infestations
Upper respiratory infection
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Infections and infestations
Urinary tract infection
0.35%
1/286 • Number of events 1 • Up to 1 year
0.69%
2/291 • Number of events 2 • Up to 1 year
Injury, poisoning and procedural complications
Fall
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Injury, poisoning and procedural complications
Seroma
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Investigations
Alanine aminotransferase increased
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Investigations
Alkaline phosphatase increased
0.70%
2/286 • Number of events 2 • Up to 1 year
0.00%
0/291 • Up to 1 year
Investigations
Aspartate aminotransferase increased
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Investigations
Blood bilirubin increased
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Investigations
Creatinine increased
0.70%
2/286 • Number of events 2 • Up to 1 year
0.00%
0/291 • Up to 1 year
Investigations
INR increased
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Investigations
Lymphocyte count decreased
7.0%
20/286 • Number of events 20 • Up to 1 year
5.8%
17/291 • Number of events 17 • Up to 1 year
Investigations
Lymphocyte count increased
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Investigations
Neutrophil count decreased
7.0%
20/286 • Number of events 20 • Up to 1 year
6.5%
19/291 • Number of events 19 • Up to 1 year
Investigations
Platelet count decreased
1.0%
3/286 • Number of events 3 • Up to 1 year
2.4%
7/291 • Number of events 7 • Up to 1 year
Investigations
Weight loss
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Investigations
White blood cell decreased
3.8%
11/286 • Number of events 11 • Up to 1 year
5.8%
17/291 • Number of events 17 • Up to 1 year
Metabolism and nutrition disorders
Anorexia
0.70%
2/286 • Number of events 2 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Metabolism and nutrition disorders
Dehydration
0.70%
2/286 • Number of events 2 • Up to 1 year
1.4%
4/291 • Number of events 4 • Up to 1 year
Metabolism and nutrition disorders
Glucose intolerance
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Metabolism and nutrition disorders
Hyperglycemia
1.0%
3/286 • Number of events 3 • Up to 1 year
0.69%
2/291 • Number of events 2 • Up to 1 year
Metabolism and nutrition disorders
Hypoalbuminemia
2.4%
7/286 • Number of events 7 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Metabolism and nutrition disorders
Hypocalcemia
0.35%
1/286 • Number of events 1 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Metabolism and nutrition disorders
Hypokalemia
1.7%
5/286 • Number of events 5 • Up to 1 year
1.7%
5/291 • Number of events 5 • Up to 1 year
Metabolism and nutrition disorders
Hypomagnesemia
0.00%
0/286 • Up to 1 year
0.69%
2/291 • Number of events 2 • Up to 1 year
Metabolism and nutrition disorders
Hyponatremia
0.70%
2/286 • Number of events 2 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Metabolism and nutrition disorders
Metabolism, nutrition disord - Oth spec
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Metabolism and nutrition disorders
Obesity
1.0%
3/286 • Number of events 3 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Musculoskeletal and connective tissue disorders
Back pain
1.4%
4/286 • Number of events 4 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Musculoskeletal and connective tissue disorders
Bone pain
0.35%
1/286 • Number of events 1 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
0.70%
2/286 • Number of events 2 • Up to 1 year
0.00%
0/291 • Up to 1 year
Musculoskeletal and connective tissue disorders
Pain in extremity
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Nervous system disorders
Akathisia
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Nervous system disorders
Depressed level of consciousness
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Nervous system disorders
Dizziness
1.7%
5/286 • Number of events 5 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Nervous system disorders
Dysgeusia
0.35%
1/286 • Number of events 1 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Nervous system disorders
Extrapyramidal disorder
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Nervous system disorders
Headache
0.35%
1/286 • Number of events 1 • Up to 1 year
1.4%
4/291 • Number of events 4 • Up to 1 year
Nervous system disorders
Movements involuntary
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Nervous system disorders
Nervous system disorders - Oth spec
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Nervous system disorders
Paresthesia
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Nervous system disorders
Peripheral sensory neuropathy
1.0%
3/286 • Number of events 3 • Up to 1 year
0.00%
0/291 • Up to 1 year
Nervous system disorders
Somnolence
3.8%
11/286 • Number of events 11 • Up to 1 year
5.2%
15/291 • Number of events 15 • Up to 1 year
Nervous system disorders
Syncope
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Nervous system disorders
Tremor
0.70%
2/286 • Number of events 2 • Up to 1 year
0.00%
0/291 • Up to 1 year
Psychiatric disorders
Agitation
0.35%
1/286 • Number of events 1 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Psychiatric disorders
Insomnia
1.7%
5/286 • Number of events 5 • Up to 1 year
2.1%
6/291 • Number of events 6 • Up to 1 year
Renal and urinary disorders
Chronic kidney disease
0.35%
1/286 • Number of events 1 • Up to 1 year
1.0%
3/291 • Number of events 3 • Up to 1 year
Renal and urinary disorders
Renal and urinary disorders - Oth spec
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Reproductive system and breast disorders
Irregular menstruation
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Respiratory, thoracic and mediastinal disorders
Cough
0.70%
2/286 • Number of events 2 • Up to 1 year
1.0%
3/291 • Number of events 3 • Up to 1 year
Respiratory, thoracic and mediastinal disorders
Dyspnea
0.70%
2/286 • Number of events 2 • Up to 1 year
0.69%
2/291 • Number of events 2 • Up to 1 year
Respiratory, thoracic and mediastinal disorders
Nasal congestion
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Respiratory, thoracic and mediastinal disorders
Pharyngeal mucositis
1.4%
4/286 • Number of events 4 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Respiratory, thoracic and mediastinal disorders
Productive cough
0.00%
0/286 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Skin and subcutaneous tissue disorders
Alopecia
4.9%
14/286 • Number of events 14 • Up to 1 year
6.9%
20/291 • Number of events 20 • Up to 1 year
Skin and subcutaneous tissue disorders
Dry skin
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Skin and subcutaneous tissue disorders
Hyperhidrosis
0.35%
1/286 • Number of events 1 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Skin and subcutaneous tissue disorders
Palmar-plantar erythrodysesthesia syndrm
0.70%
2/286 • Number of events 2 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Skin and subcutaneous tissue disorders
Pruritus
0.35%
1/286 • Number of events 1 • Up to 1 year
0.00%
0/291 • Up to 1 year
Skin and subcutaneous tissue disorders
Rash maculo-papular
0.35%
1/286 • Number of events 1 • Up to 1 year
0.34%
1/291 • Number of events 1 • Up to 1 year
Skin and subcutaneous tissue disorders
Skin and subcut tissue disord - Oth spec
0.35%
1/286 • Number of events 1 • Up to 1 year
0.69%
2/291 • Number of events 2 • Up to 1 year
Skin and subcutaneous tissue disorders
Skin hyperpigmentation
0.00%
0/286 • Up to 1 year
0.69%
2/291 • Number of events 2 • Up to 1 year
Vascular disorders
Hot flashes
0.70%
2/286 • Number of events 2 • Up to 1 year
0.00%
0/291 • Up to 1 year
Vascular disorders
Hypertension
1.7%
5/286 • Number of events 5 • Up to 1 year
1.0%
3/291 • Number of events 3 • Up to 1 year
Vascular disorders
Thromboembolic event
0.00%
0/286 • Up to 1 year
1.4%
4/291 • Number of events 4 • Up to 1 year

Additional Information

Dr Rudolph M. Navari

University of Alabama at Birmingham

Phone: 205-975-2833

Results disclosure agreements

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