Phase II dose-finding study of APD403 in CINV

  • Research type

    Research Study

  • Full title

    Randomised, double-blind, dose-finding Phase II study to assess the efficacy of APD403 in the prevention of nausea and vomiting caused by cisplatin- or anthracycline/ cyclophosphamide (AC)-based chemotherapy

  • IRAS ID

    130170

  • Contact name

    Research and Development Directorate Ground Floor, Education and Research Centre

  • Contact email

    uhsm.rd@manchester.ac.uk

  • Eudract number

    2013-001635-51

  • Clinicaltrials.gov Identifier

    NCT01857232

  • Research summary

    This study aims to find out how effective the drug APD403 is at preventing sickness in cancer patients receiving either cisplatin or anthracycline-cyclophosphamide (AC) chemotherapy. These are effective treatments for cancers such as lung and breast cancer, but they cause a very high rate of nausea (feeling sick) and vomiting (being sick). This is known as chemotherapy-induced nausea and vomiting (CINV). CINV occurs in two distinct phases: on the day of chemotherapy (known as “acute phase“) and over the following 4 days (“delayed phase“). Without anti-sickness drugs, almost everyone who gets cisplatin or AC will get CINV. A number of anti-sickness drugs (anti-emetics) are available and although they are good at preventing CINV in the acute phase, they are not as good in the delayed phase. There is therefore a need for new and better anti-emetics especially to prevent delayed phase CINV. This study will look at 3 different doses of APD403 to see how effective they are at preventing CINV, compared to a placebo treatment, and how the effectiveness varies with dose, if at all. In addition to each active dose group and the placebo group, there will be a fifth group, the control group, given the currently recommended combination of three preventive anti-emetics. Around 70 patients will be enrolled in each group, over a period of about 8 months. Episodes of sickness will be recorded for each patient for the 5 day (120 hour) period starting from the chemotherapy treatment.

  • REC name

    North West - Liverpool Central Research Ethics Committee

  • REC reference

    13/NW/0462

  • Date of REC Opinion

    3 Jul 2013

  • REC opinion

    Favourable Opinion