Buccal Film vs IV Palonosetron for Prevention of CINV in Cancer Patients Receiving MEC

NCT ID: NCT05199818

Last Updated: 2023-01-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

328 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-03-01

Study Completion Date

2023-11-30

Brief Summary

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The phase 3 study is to compare the efficacy and safety of palonosetron, a long-acting 5-HT3 receptor antagonist, by buccal film delivery compared to IV injection for the prevention of chemotherapy-induced nausea and vomiting. Subjects receive a single dose of palonosetron prior to moderately emetogenic chemotherapy.

Detailed Description

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This is a phase 3 randomized, double-blind, parallel group study designed to evaluate the efficacy and safety of palonosetron HCL buccal film versus IV palonosetron for the prevention of chemotherapy-induced nausea and vomiting in cancer patients receiving moderately emetogenic chemotherapy (MEC).

Subjects are randomized into two treatment groups, one with the experimental study drug palonosetron in buccal film, the other one with the control treatment using Palonosetron hydrochloride IV injection. Palonosetron PK will be assessed in a subgroup of each treatment group (two sample points, 10% of subjects).

Conditions

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Chemotherapy-induced Nausea and Vomiting

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Palonosetron HCl Buccal Film

Palonosetron HCl Buccal Film 0.5 mg 1 hr before administration of moderately emetogenic chemotherapy and normal saline injection 30 minutes before administration of moderately emetogenic chemotherapy

Group Type EXPERIMENTAL

Palonosetron HCl Buccal Film 0.5 mg

Intervention Type DRUG

Palonosetron HCl Buccal Film and IV palonosetron placebo, both administered on Day 1

Palonosetron IV Injection

Placebo buccal film 1 har before administration of moderately emetogenic chemotherapy and Palonosetron HCl Injection 0.25 mg 30 min before administration of moderately emetogenic chemotherapy

Group Type ACTIVE_COMPARATOR

IV Palonosetron 0.25 mg

Intervention Type DRUG

IV Palonosetron and Palonosetron HCl Buccal Film placebo, both administered on Day 1

Interventions

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Palonosetron HCl Buccal Film 0.5 mg

Palonosetron HCl Buccal Film and IV palonosetron placebo, both administered on Day 1

Intervention Type DRUG

IV Palonosetron 0.25 mg

IV Palonosetron and Palonosetron HCl Buccal Film placebo, both administered on Day 1

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Male or female, at least 18-years of age;
2. Provide written informed consent;
3. Chemotherapy naïve subject with histologically or cytologically confirmed malignant disease; or chemotherapy non-naïve subject with histologically proven diagnosis of cancer;
4. Karnofsky index ≥ 50;
5. Be scheduled to receive MEC to be administered on Day 1;

Exclusion Criteria

1. Unable to understand or cooperate with study procedure;
2. Received any investigational drug 30 days prior to study entry;
3. Used any drug with anti-emetic efficacy 24 hours prior to treatment and during the study;
4. Enrollment in a previous study with palonosetron;
5. Seizure disorder requiring anticonvulsant medication;
6. Experienced any vomiting, retching, or NCI Common Toxicity Criteria grade 2 or 3 nausea in the 24 hours preceding chemotherapy;
7. Ongoing vomiting from any organic etiology;
8. Experienced nausea (moderate to severe or vomiting following any previous chemotherapy);
9. Scheduled to receive moderately or highly-emetogenic chemotherapy or radiotherapy during the study;
10. Known contraindication to 5-HT3 antagonist or dexamethasone;
11. Scheduled to receive bone marrow or stem cell transplant during study;
12. Symptomatic primary or metastatic CNS malignancy;
13. Lactating female.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Xiamen LP Pharmaceutical Co., Ltd

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Ironwood Cancer & Research Centers

Chandler, Arizona, United States

Site Status RECRUITING

Pacific Cancer Medical Center

Anaheim, California, United States

Site Status RECRUITING

Watson Clinic

Lakeland, Florida, United States

Site Status RECRUITING

Lakes Research

Miami Lakes, Florida, United States

Site Status RECRUITING

Florida Cancer Affiliates

Ocala, Florida, United States

Site Status RECRUITING

Summit Cancer Care

Savannah, Georgia, United States

Site Status RECRUITING

Edward H. Kaplan MD & Associates

Skokie, Illinois, United States

Site Status RECRUITING

Orchard Healthcare research, Inc.

Skokie, Illinois, United States

Site Status RECRUITING

American Oncology Partners of Maryland, PA

Bethesda, Maryland, United States

Site Status RECRUITING

Hattiesburg Clinic Hematology/Oncology

Hattiesburg, Mississippi, United States

Site Status RECRUITING

St. Vincent Frontier Cancer Center

Billings, Montana, United States

Site Status RECRUITING

Tri-County Hematology & Oncology Associates

Massillon, Ohio, United States

Site Status RECRUITING

Gettysburg Cancer Center

Gettysburg, Pennsylvania, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Matthew H Nieder, Ph.D.

Role: CONTACT

415 516-9498

Linhui Cai, MS

Role: CONTACT

+86 173-5003-2816

Facility Contacts

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Mikhail Shtivelband, MD

Role: primary

480-821-2838

Ajit Maniam, Dr

Role: primary

Shalini Mulaparthi, MD

Role: primary

863-904-2482

Eloy Roman, MD

Role: primary

Anju Vasudevan, MD

Role: primary

352-732-4032

Mark Taylor, MD

Role: primary

912-651-5771

Edward H Kaplan, MD

Role: primary

Ira Oliff, MD

Role: primary

224-534-7580

Ralph Boccia, MD

Role: primary

240-482-0526

John Hrom, MD

Role: primary

601-261-1700

Patrick Cobb, MD

Role: primary

406-238-6290

Scott McGee, MD

Role: primary

330-489-8118

Satish A Shah, MD

Role: primary

717-334-4033

Other Identifiers

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LP-CT-PALO-202101

Identifier Type: -

Identifier Source: org_study_id

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