Status:

COMPLETED

Phase 2 Study of Efficacy, Tolerability, and Safety of Intranasal Granisetron for Chemo-Induced Nausea and Vomiting

Lead Sponsor:

Shin Nippon Biomedical Laboratories, Ltd.

Conditions:

Chemotherapy-Induced Nausea and Vomiting

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

Brief Summary: A randomized, single administration, double-blind, parallel- group Phase 2 dose finding study to assess the efficacy, tolerability, and safety of TRG in patients with chemotherapy-induc...

Eligibility Criteria

Inclusion

  • Patients with histologically and/or cytologically confirmed cancer
  • ECOG performance status of 0, 1, or 2
  • Patients with life expectancy of at least 3 months
  • Patients who are chemotherapy naïve
  • Patients who will be receiving the first cycle of a highly emetogenic regimen according to the MASCC criteria or the Hesketh criteria
  • Patients with adequate metabolic or hematologic values for chemotherapy
  • Patients with intact nasal mucosa
  • Non child-bearing potential patients
  • Patients able to read and write at a competent level, and capable of giving legal consent
  • Patients who have provided written informed consent

Exclusion

  • Patients who do not receive a chemotherapy regimen which is a highly emetogenic chemotherapy regimen according to the MASCC or the Hesketh criteria
  • Patients with nasal cancers, pharyngeal cancers, maxillary sinus cancers, or ethmoid sinus cancers
  • Patients with nasal ulcers, septal perforation, or other nasal conditions that may interfere with IN administration
  • Patients with any episode of retching, vomiting, or uncontrolled nausea within 48 hours before dosing with TRG and/or administration of chemotherapy
  • Patients who have received radiation therapy in the 14 days before dosing with TRG, or for whom radiation therapy is scheduled during the 7 days after a TRG dose
  • Patients who have received any investigational product within 30 days prior to study entry
  • Patients who have received any drug or who were scheduled to receive any drug with antiemetic efficacy within 24 hours of the start of treatment
  • Patients who have an allergy or hypersensitivity to granisetron or other selective 5hydroxytryptamine3(5-HT3) receptor antagonists
  • Patients with ECOG performance status of 3 or 4
  • Patients who have or have a history of brain tumors, head cancers, or neck cancers
  • Patients who have a psychological problem that, in the Investigator's opinion, is severe enough to interfere with study eligibility or with interpretation of study results
  • Patients who are pregnant (urine test) or breastfeeding
  • Patients who have received prior cytotoxic chemotherapy given for the treatment of cancer
  • Patients scheduled to receive multiple day chemotherapy
  • Patients with clinically relevant abnormal laboratory values at the discretion of the Investigator
  • Patients with clinically relevant hepatic, renal, infectious, neurological, or psychiatric disorders, or any other major systemic illness at the discretion of the Investigator
  • Patients with any prevalence or cause of nausea and vomiting other than chemotherapy
  • Patients using systemic steroids for any indication, or patients using steroids other than dexamethasone for prevention of chemotherapy-induced nausea and vomiting, or patients using dexamethasone for chemotherapy-induced nausea and vomiting at doses other than recommended in the MASCC antiemetic guidelines
  • Patients with a QT interval greater than 500 ms or with acute ischemic changes or cardiac abnormality predisposing to arrhythmia on screening electrocardiogram (ECG) or by history
  • Patients with a history of drug and/or alcohol abuse.

Key Trial Info

Start Date :

October 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 1 2009

Estimated Enrollment :

68 Patients enrolled

Trial Details

Trial ID

NCT00787566

Start Date

October 1 2008

End Date

May 1 2009

Last Update

July 12 2011

Active Locations (1)

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The study is conducted at 14 Centers, in 14 cities accross the United States

The Study Is Managed by Kendle International, in Wilmington, North Carolina, United States, 28405