UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000010186
Receipt number R000011926
Scientific Title Prospective, open-label, comparative study on the efficacy of triple (aprepitant + granisetron 3 mg + dexamethasone) versus double (palonosetron 0.75 mg + dexamethasone) combination therapy for nausea and vomiting during moderately emetogenic chemotherapy containing carboplatin: CAP Study
Date of disclosure of the study information 2013/03/07
Last modified on 2015/11/04 12:08:23

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Basic information

Public title

Prospective, open-label, comparative study on the efficacy of triple (aprepitant + granisetron 3 mg + dexamethasone) versus double (palonosetron 0.75 mg + dexamethasone) combination therapy for nausea and vomiting during moderately emetogenic chemotherapy containing carboplatin: CAP Study

Acronym

CAP study

Scientific Title

Prospective, open-label, comparative study on the efficacy of triple (aprepitant + granisetron 3 mg + dexamethasone) versus double (palonosetron 0.75 mg + dexamethasone) combination therapy for nausea and vomiting during moderately emetogenic chemotherapy containing carboplatin: CAP Study

Scientific Title:Acronym

CAP study

Region

Japan


Condition

Condition

Malignancy treated with chemotherapy containing carboplatin

Classification by specialty

Pneumology Hematology and clinical oncology Chest surgery
Obstetrics and Gynecology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

In patients receiving carboplatin (CBDCA)-based moderately emetogenic chemotherapy (MEC), the efficacy of triple (aprepitant + granisetron 3 mg + dexamethasone) or double (palonosetron 0.75 mg + dexamethasone) combination antiemetic therapy will be compared after 1 course of chemotherapy.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Percentage of patients with complete protection (no vomiting, therapeutic intervention, or significant nausea) during the 1st course of treatment.

Key secondary outcomes

1) Percentage of patients with complete protection (CP: no vomiting, therapeutic intervention, or moderate to severe nausea) from the 2nd course of chemotherapy.
2) Percentage of patients with a complete response (CR: no vomiting or therapeutic intervention).
3) Percentage of patients with complete control (CC: no vomiting, therapeutic intervention, or nausea).
4) Percentage of patients without vomiting.
5) Percentage of patients without therapeutic intervention.
6) Percentage of patients without nausea.
7) Percentage of patients without significant nausea (CTCAE[ver.4] grade >=2).
8) Evaluation of the quality of life (QOL) related to nausea by using the Functional Living Index-Emesis (FLIE) questionnaire.
9) Food intake.
10) Total cost of medications (prevention + therapeutic intervention) for nausea/vomiting.
11) Percentage of patients continuing treatment.
12) Changes of nausea and vomiting (CP, CR, CC, etc.) over time (courses of chemotherapy).
13) Time-to-treatment failure (TTF: time to the first episode of vomiting).


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation


Institution consideration


Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

aprepitant (day1:125mg, day2,3:80mg)+ granisetron 3 mg + dexamethasone (day1:6.6mgIV, day2,3:2mgPOX2)

Interventions/Control_2

palonosetron 0.75 mg + dexamethasone(day1:9.9mgIV, day2,3:4mgPOX2)

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Age: >=20 years.
2) Gender: Not specified.
3) Cancer patients receiving chemotherapy containing carboplatin (AUC >=4) for the first time.
4) Stage: Not specified (not specified with respect to postoperative adjuvant chemotherapy and advanced/recurrent cancer).
5) Combined use of molecular-targeting drugs: Not specified.
6) Patients from whom consent to participation in this study is obtained in writing.

Key exclusion criteria

1) Patients with serious hepatopathy or nephropathy.
2) Patients suffering from nausea or vomiting within 24 hours before the start of chemotherapy.
3) Patients receiving antiemetic drugs within 24 hours before the start of chemotherapy.
4) Patients with emetogenic factors other than chemotherapy (such as brain tumor, gastrointestinal obstruction, active peptic ulcer, and brain metastasis).
5) Patients who have received radiation therapy or are scheduled to receive it to the abdominal region or pelvis within 1 week before or after the start of the study.
6) Patients with concomitant diseases that make 3-day dexamethasone therapy impossible, such as uncontrolled diabetes mellitus.
7) Pregnant women, women who wish to become pregnant, and breast-feeding women.
8) Patients on treatment with pimozide.
9) Other patients whom the investigator considers to be unfit for enrollment in the study.

Target sample size

200


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yasushi Okada

Organization

Kyushu Medical Center

Division name

Clinical Research Institute

Zip code


Address

1-8-1, Jigyohama, Chuo-ku, Fukuoka-shi Fukuoka 810-8563 Japan

TEL

092-852-0700

Email



Public contact

Name of contact person

1st name
Middle name
Last name Keita Uchino

Organization

Kyushu Medical Center

Division name

Clinical Research Institute

Zip code


Address

1-8-1, Jigyohama, Chuo-ku, Fukuoka-shi Fukuoka 810-8563 Japan

TEL

092-852-0700

Homepage URL


Email

keitauch@kyumed.jp


Sponsor or person

Institute

Kyushu Medical Center
Clinical Research Institute

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

None


Other related organizations

Co-sponsor

None

Name of secondary funder(s)

None


IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

九州医療センター(福岡県)


Other administrative information

Date of disclosure of the study information

2013 Year 03 Month 07 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2013 Year 04 Month 24 Day

Date of IRB


Anticipated trial start date

2013 Year 05 Month 01 Day

Last follow-up date


Date of closure to data entry

2015 Year 10 Month 31 Day

Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2013 Year 03 Month 07 Day

Last modified on

2015 Year 11 Month 04 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000011926


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name