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SUPPORTIVE CARE: CINV: HEC: 1st Line: "NEPA-15-18"

A phase 3 multicenter, randomized, double-blind, active control study to evaluate the safety and efficacy of IV pro-netupitant/palonosetron (260mg/0.25mg) combination for the prevention of chemotherapy-induced nausea and vomiting in repeated chemotherapy cycles in patients receiving highly emetogenic chemotherapy

Title
Helsinn NEPA-15-18
Study Title
A phase 3 multicenter, randomized, double-blind, active control study to evaluate the safety and efficacy of IV pro-netupitant/palonosetron (260mg/0.25mg) combination for the prevention of chemotherapy-induced nausea and vomiting in repeated chemotherapy cycles in patients receiving highly emetogenic chemotherapy
Site Link
Malignancy
x- HEC for breast cancer, head and neck cancer, hematologic malignancies, leukemia, lymphoma, lung cancer, bladder cancer
Stage
N/A
Disease Setting
Any
Line Of Therapy
1st Line (Prior targeted or endocrine therapy allowed)
Investigational Agent
IV Pro-Netupitant/Palonosetron Fixed Dose Combination
Drug Class
Fixed dose combination NK1 antagonist + 5-HT3 antagonist
PI
Lee Schwartzberg, MD
Sponsor
Helsinn Healthcare SA
Phase
Status
Key Eligibility Criteria
Key Eligibility Criteria Details
  • Naïve to cytotoxic chemotherapy (endocrine or targeted therapy allowed)
  • Scheduled to receive at least 4 repeated consecutive cycles with one of the following reference HEC (alone or in combination with other chemo agents) on Day 1
    • Cisplatin as single IV dose >70mg/m2
    • Cyclophosphamide >1500mg/m2
    • Carmustine (BCNU) >250 mg/m2
    • Dacarbazine (DTIC)
    • Mechloretamine (nitrogen mustard)
  • ECOG PS 0-2
  • Adequate laboratory values
  • Cannot be scheduled to receive MEC or HEC on Day 2-5 of a cycle
  • No active nausea of vomiting in 24 hours prior to chemo
  • No symptomatic CNS disease
  • No systemic steroids within 3 days of HEC
  • No anti-emetic medicine within 24 hours of HEC
Objective
Primary- Safety and Tolerability; Secondary- CR during all phases, no emetic episodes, no significant nausea
Assessment Frequency
_
Assessment Frequency 2
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Assessment Frequency Link
Path
Any
Dosing Frequency
Day 1 of each of 4 cycles of HEC
Control Agents
Oral Fixed Dose Combination Pro-netupitant/palonosetron
Study Protocol
Randomized
No
X