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THREE-DAY FOSAPREPITANT REGIMEN CINV SAFETY STUDY IN PEDIATRIC PARTICIPANTS

A PHASE 4, OPEN-LABEL, SINGLE ARM STUDY TO EVALUATE THE SAFETY AND TOLERABILITY OF A THREE-DAY FOSAPREPITANT REGIMEN ADMINISTERED FOR THE PREVENTION OF CHEMOTHERAPY-INDUCED NAUSEA AND VOMITING (CINV) IN PEDIATRIC PARTICIPANTS RECEIVING EMETOGENIC CHEMOTHERAPY

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
REPEC
Registry ID
PER-017-19
Enrollment
15
Registered
2019-07-18
Start date
2019-09-20
Completion date
Unknown
Last updated
2023-11-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Interventions

Grupo de tratamiento Type of group
Active, Lyophilized powder for IV Injection 150 mg/vial, Participants 12 to 17 years of age: Day 1: 115 mg Days 2 and 3: 80 mg Participants 6 months To

Sponsors

Merck Sharp & Dohme Corp., una subsidiaria de Merck & Co. Inc.,
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. Be receiving a moderately or highly emetogenic chemotherapy agent/regimen or a chemotherapy agent/regimen not previously tolerated due to vomiting. See Appendix 8 for guidance on the classification of the emetogenicity of chemotherapeutic agents and regimens. 2. Have a Lansky Play Performance score ≥60 (participants ≤16 years of age) or a Karnofsky score ≥60 (participants >16 years of age) as defined in Appendix 9. 3. Have a preexisting functional central venous catheter available for study intervention administration. 4. Be fosaprepitant naïve. 5. Have a predicted life expectancy ≥3 months. 6. Be male or female. 7. Be from 6 months to 17 years of age (inclusive) at the time of allocation. 8. Weigh at least 6 kg. 9. Have parent/legal guardian (legally authorized representative) agreement to the participant’s participation as indicated by parent/legal guardian signature on the ICF. Participants 12 to 17 years of age, or as required by local regulation, assents and has the ability to understand the nature and intent of the study including the ability to comply with study procedures and is willing to keep scheduled study visits. 10. Have completed the preceding study cycle, have no unresolved drug-related AEs, and continued participation in an optional cycle poses no unwarranted risk to the participant as determined by the investigator. 11. Have parent/legal guardian (legally authorized representative) or participant (if participant is 18 years old) agreement to the participant’s participation as indicated by parent/legal guardian or participant (if participant is 18 years old) signature on the ICF for the optional cycles. Participants 12 to 17 years of age, or as required by local regulation, assents and has the ability to understand the nature and intent of the study including the ability to comply with study procedures and is willing to keep scheduled study visits. Please refer to the protocol for more information

Exclusion criteria

Exclusion criteria: 1. Has abnormal laboratory values as follows: -peripheral absolute neutrophil count (ANC) 5.0 × upper limit of normal (ULN) for age -alanine aminotransferase (ALT) >5.0 × ULN for age -bilirubin >1.5 × ULN for age -creatinine >1.5 × ULN for age 2. Will receive stem cell rescue therapy in conjunction with a study-related course of emetogenic chemotherapy or during the 14 days following administration of fosaprepitant. 3. Is currently a user of any recreational or illicit drugs or has current evidence of drug or alcohol abuse or dependence as determined by the investigator. 4. Is mentally incapacitated or has a significant emotional or psychiatric disorder that, in the opinion of the investigator, precludes study entry. 5. Is pregnant or breast feeding. 6. Is allergic to fosaprepitant, aprepitant, or prescribed 5-HT3 antagonist. 7. Has an active infection (eg, pneumonia), congestive heart failure, bradyarrhythmia, any uncontrolled disease (eg, diabetic ketoacidosis, gastrointestinal obstruction) except for malignancy, or has any illness which in the opinion of the investigator, might confound the results of the study or pose unwarranted risk in administering study intervention or concomitant therapy to the participant. 8. Is a WOCBP who has a positive urine pregnancy test at screening (Cycle 1) or on Day 1 of optional Cycles 2 or 3. If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test will be required. 9. Has been started on systemic corticosteroid therapy within 72 hours prior to study intervention administration or is expected to receive a corticosteroid as part of the chemotherapy regimen. 10. Has received any medication within the timeframes listed in Table 1 or needs to receive any medication listed in Table 1 during the time period specified relative to the last dose of fosaprepitant in a given cycle (see Protocol) 11. Has ever participated in a previous study of aprepitant or fosaprepitant or has taken a non-approved (investigational) drug within the last 4 weeks. 12. Has a known history of QT prolongation or is taking any medication that is known to lead to QT prolongation. Please refer to the protocol for more information

Design outcomes

Primary

MeasureTime frame
Outcome name:Clinical review and quantification of adverse events, laboratory tests, vital signs, and ECG measurements. Measure:Proportion of adverse events (AE) and Discontinuation of study intervention due to AEs. Timepoints:Cycle 01: From Treatment Day 1 through 14 days after the end of treatment. Cycle 02 y 03: From Treatment Day 1 through 14 days after the end of treatment.

Secondary

MeasureTime frame
Outcome name:NA Measure:NA Timepoints:NA

Countries

Greece, Hungary, Lithuania, Mexico, Netherlands, Peru, Poland, Russian Federation, United Kindgdom, United States

Contacts

Public ContactRodolfo Lozano

MERCK SHARP & DOHME PERU S.R.L

rodolfo.lozano@merck.com4115910

Outcome results

None listed

Source: REPEC (via WHO ICTRP)