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

Phase 2
Completed
Conditions
Chemotherapy-Induced Nausea and Vomiting
Interventions
Registration Number
NCT00787566
Lead Sponsor
Shin Nippon Biomedical Laboratories, Ltd.
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-induced nausea and vomiting (CINV) associated with the administration of highly emetogenic chemotherapy.

Primary Objective: To select a dose for Phase 3 by assessing the efficacy, safety, and tolerability of 3 doses of TRG in patients with CINV associated with the administration of highly emetogenic chemotherapy.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
68
Inclusion Criteria
  • 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 Criteria
  • 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.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1.0 mg of TRG (intranasal granisetron)Intranasal granisetron1.0 mg dose, intranasal powder, songle spray, administered once
2.0 mg of TRG (intranasal granisetron)Intranasal granisetron2.0 mg dose, intranasal powder, single spray, administered once
0.5 mg of TRG (intranasal granisetron)Intranasal granisetron0.5 mg dose, intranasal powder, single spray, administered once
Primary Outcome Measures
NameTimeMethod
Percentage of Patients With Complete Control24 hours

Complete Control is defined as no emetic episodes, no use of rescue medications, and no more than mild nausea as defined by a categorial scale.

Secondary Outcome Measures
NameTimeMethod
Percentage of Patients With Major Control of Emesis24 hrs

Major Control of emesis = 2 emetic episodes

Percentage of Patients With Complete Response24 hours

Complete Response is defined as no emetic episodes and no use of rescue medications

Time to Treatment Failure24 hours

Time to treatment failure is based on time to first emetic episode or time to rescue medication, whichever occurs first

Severity of Nausea Measured by a 4 Categorical Scale24 hours

4 categorical scale: none, mild (did not interfere with normal daily life), moderate (interfered with normal daily life), and severe (bedridden due to nausea/ required the patient to be bedridden)

Percentage of Patients With Total Response24 hours

Total Response is defined as no nausea, no emetic episodes, and no use of rescue medications

Percentage of Patients With Failure24 hrs

Failure: \> 5 emetic episodes

Percentage of Patients Using Rescue Medications24 hours
Time to First Rescue Medication24 hours
Patient Global Satisfaction With Antiemetic Therapy Measured by a VAS24 hours

VAS (visual analog scale) 0: not at all satisfied, 100: totally satisfied

Percentage of Patients With Minor Control of Emesis24 hrs

Minor Control of emesis: 3-5 emetic episodes

Time to First Emetic Episode24 hours
Number of Emetic Episodes24 hours

Trial Locations

Locations (1)

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

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The study is managed by Kendle International, in Wilmington, North Carolina, United States

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