Trial Outcomes & Findings for Rolapitant as an Antiemetic in Malignant Glioma Patients Receiving Radiotherapy and Temozolomide (NCT NCT02991456)

NCT ID: NCT02991456

Last Updated: 2023-07-11

Results Overview

The Complete Response rate is defined as the proportion of participants with no emetic episode or the use of rescue medication during the first two weeks of radiation therapy and concomitant Temozolomide. The Complete Response rate will be assessed via the modified Multinational Association of Supportive Care in Cancer (MASCC) Antiemesis Tool (MAT).

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

48 participants

Primary outcome timeframe

Weeks 1 and 2

Results posted on

2023-07-11

Participant Flow

Participant milestones

Participant milestones
Measure
Sequence A
Daily ondansetron alone for 3 weeks, followed by the use of rolapitant (one dose on day 22) plus continued daily ondansetron for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Sequence B
Single dose of rolapitant (one dose on day 1) plus daily ondansetron for 3 weeks, followed by daily ondansetron alone for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Overall Study
STARTED
25
23
Overall Study
COMPLETED
22
21
Overall Study
NOT COMPLETED
3
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Sequence A
Daily ondansetron alone for 3 weeks, followed by the use of rolapitant (one dose on day 22) plus continued daily ondansetron for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Sequence B
Single dose of rolapitant (one dose on day 1) plus daily ondansetron for 3 weeks, followed by daily ondansetron alone for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Overall Study
Adverse Event
2
0
Overall Study
Lost to Follow-up
0
2
Overall Study
Withdrawal by Subject
1
0

Baseline Characteristics

Rolapitant as an Antiemetic in Malignant Glioma Patients Receiving Radiotherapy and Temozolomide

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sequence A
n=25 Participants
Daily ondansetron alone for 3 weeks, followed by the use of rolapitant (one dose on day 22) plus continued daily ondansetron for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Sequence B
n=23 Participants
Single dose of rolapitant (one dose on day 1) plus daily ondansetron for 3 weeks, followed by daily ondansetron alone for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Total
n=48 Participants
Total of all reporting groups
Age, Continuous
52.56 years
STANDARD_DEVIATION 13.99 • n=99 Participants
52.78 years
STANDARD_DEVIATION 13.95 • n=107 Participants
52.67 years
STANDARD_DEVIATION 13.82 • n=206 Participants
Sex: Female, Male
Female
11 Participants
n=99 Participants
9 Participants
n=107 Participants
20 Participants
n=206 Participants
Sex: Female, Male
Male
14 Participants
n=99 Participants
14 Participants
n=107 Participants
28 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
24 Participants
n=99 Participants
21 Participants
n=107 Participants
45 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=99 Participants
2 Participants
n=107 Participants
3 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
White
24 Participants
n=99 Participants
22 Participants
n=107 Participants
46 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Region of Enrollment
United States
25 Participants
n=99 Participants
23 Participants
n=107 Participants
48 Participants
n=206 Participants

PRIMARY outcome

Timeframe: Weeks 1 and 2

Population: Four participants in each group did not complete MATs for the first two weeks.

The Complete Response rate is defined as the proportion of participants with no emetic episode or the use of rescue medication during the first two weeks of radiation therapy and concomitant Temozolomide. The Complete Response rate will be assessed via the modified Multinational Association of Supportive Care in Cancer (MASCC) Antiemesis Tool (MAT).

Outcome measures

Outcome measures
Measure
Sequence A
n=21 Participants
Daily ondansetron alone for 3 weeks, followed by the use of rolapitant (one dose on day 22) plus continued daily ondansetron for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Sequence B
n=19 Participants
Single dose of rolapitant (one dose on day 1) plus daily ondansetron for 3 weeks, followed by daily ondansetron alone for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Complete Response (CR) Rate as Measured by Antiemesis Tool (MAT)
0.5717 proportion of participants
0.7368 proportion of participants

PRIMARY outcome

Timeframe: Weeks 1 and 2

Population: Forty participants completed MATs; data collected by nurses via telephone on the remaining 8 participants.

The Complete Response rate is defined as the proportion of participants with no emetic episode or the use of rescue medication during the first two weeks of radiation therapy and concomitant Temozolomide. The Complete Response rate will be assessed via the modified Multinational Association of Supportive Care in Cancer (MASCC) MAT and nurse notes if MATs are missing.

Outcome measures

Outcome measures
Measure
Sequence A
n=25 Participants
Daily ondansetron alone for 3 weeks, followed by the use of rolapitant (one dose on day 22) plus continued daily ondansetron for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Sequence B
n=23 Participants
Single dose of rolapitant (one dose on day 1) plus daily ondansetron for 3 weeks, followed by daily ondansetron alone for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Complete Response (CR) Rate as Measured by MAT With Supplemental Nurses Notes
0.6000 proportion of participants
0.6522 proportion of participants

SECONDARY outcome

Timeframe: Weeks 1-6

Population: Participants who provided treatment preference data.

The number of participants who prefer rolapitant plus ondansetron over ondansetron alone, as determined by response to the question with "Which nausea medication regimen was I most satisfied with?"

Outcome measures

Outcome measures
Measure
Sequence A
n=35 Participants
Daily ondansetron alone for 3 weeks, followed by the use of rolapitant (one dose on day 22) plus continued daily ondansetron for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Sequence B
Single dose of rolapitant (one dose on day 1) plus daily ondansetron for 3 weeks, followed by daily ondansetron alone for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Number of Participants Preferring Rolapitant in Combination With Ondansetron Versus Ondansetron Alone
Rolapitant + Ondansetron
7 Participants
Number of Participants Preferring Rolapitant in Combination With Ondansetron Versus Ondansetron Alone
Ondansetron alone
21 Participants
Number of Participants Preferring Rolapitant in Combination With Ondansetron Versus Ondansetron Alone
No Preference
7 Participants

SECONDARY outcome

Timeframe: Weeks 1-3

Population: Participants who responded to at least two of the TSQM-9 questions for the effectiveness subscale at week 3.

Mean effectiveness scores at week 3 using the 9-item Treatment Satisfaction Questionnaire for Medication (TSQM-9) patient satisfaction survey. The effectiveness subscale score was computed from the 3 items corresponding to effectiveness. The resulting effectiveness score is measured from 0-100 with higher scores corresponding to higher effectiveness.

Outcome measures

Outcome measures
Measure
Sequence A
n=21 Participants
Daily ondansetron alone for 3 weeks, followed by the use of rolapitant (one dose on day 22) plus continued daily ondansetron for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Sequence B
n=19 Participants
Single dose of rolapitant (one dose on day 1) plus daily ondansetron for 3 weeks, followed by daily ondansetron alone for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Week 3 Patient Satisfaction: Effectiveness
83.60 score on a scale
Standard Deviation 20.14
94.44 score on a scale
Standard Deviation 11.11

SECONDARY outcome

Timeframe: Weeks 1-3

Population: Participants who responded to at least two of the TSQM-9 questions for the convenience subscale at week 3.

Mean convenience scores at week 3 using the 9-item Treatment Satisfaction Questionnaire for Medication (TSQM-9) patient satisfaction survey. The convenience subscale score was computed from the 3 items corresponding to convenience. The resulting convenience score is measured from 0-100 with higher scores corresponding to higher convenience.

Outcome measures

Outcome measures
Measure
Sequence A
n=21 Participants
Daily ondansetron alone for 3 weeks, followed by the use of rolapitant (one dose on day 22) plus continued daily ondansetron for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Sequence B
n=19 Participants
Single dose of rolapitant (one dose on day 1) plus daily ondansetron for 3 weeks, followed by daily ondansetron alone for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Week 3 Patient Satisfaction: Convenience
85.71 score on a scale
Standard Deviation 15.57
94.15 score on a scale
Standard Deviation 10.05

SECONDARY outcome

Timeframe: Weeks 1-3

Population: Participants who responded to at least two of the TSQM-9 questions for the overall satisfaction subscale at week 3.

Mean overall satisfaction scores at week 3 using the 9-item Treatment Satisfaction Questionnaire for Medication (TSQM-9) patient satisfaction survey. The overall satisfaction subscale score was computed from the 3 items corresponding to overall satisfaction. The resulting overall satisfaction score is measured from 0-100 with higher scores corresponding to higher overall satisfaction.

Outcome measures

Outcome measures
Measure
Sequence A
n=21 Participants
Daily ondansetron alone for 3 weeks, followed by the use of rolapitant (one dose on day 22) plus continued daily ondansetron for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Sequence B
n=19 Participants
Single dose of rolapitant (one dose on day 1) plus daily ondansetron for 3 weeks, followed by daily ondansetron alone for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Week 3 Patient Satisfaction: Overall Satisfaction
81.88 score on a scale
Standard Deviation 17.69
90.94 score on a scale
Standard Deviation 13.38

SECONDARY outcome

Timeframe: Weeks 4-6

Population: Participants who responded to at least two of the TSQM-9 questions for the effectiveness subscale at week 6.

Mean effectiveness scores at week 6 using the 9-item Treatment Satisfaction Questionnaire for Medication (TSQM-9) patient satisfaction survey. The effectiveness subscale score was computed by summing the 3 items corresponding to effectiveness. The resulting effectiveness score is measured from 0-100 with higher scores corresponding to higher effectiveness.

Outcome measures

Outcome measures
Measure
Sequence A
n=20 Participants
Daily ondansetron alone for 3 weeks, followed by the use of rolapitant (one dose on day 22) plus continued daily ondansetron for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Sequence B
n=18 Participants
Single dose of rolapitant (one dose on day 1) plus daily ondansetron for 3 weeks, followed by daily ondansetron alone for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Week 6 Patient Satisfaction: Effectiveness
83.89 score on a scale
Standard Deviation 17.28
88.27 score on a scale
Standard Deviation 15.23

SECONDARY outcome

Timeframe: Weeks 4-6

Population: Participants who responded to at least two of the TSQM-9 questions for the convenience subscale at week 6.

Mean convenience scores at week 6 using the 9-item Treatment Satisfaction Questionnaire for Medication (TSQM-9) patient satisfaction survey. The convenience subscale score was computed from the 3 items corresponding to convenience. The resulting convenience score is measured from 0-100 with higher scores corresponding to higher convenience.

Outcome measures

Outcome measures
Measure
Sequence A
n=20 Participants
Daily ondansetron alone for 3 weeks, followed by the use of rolapitant (one dose on day 22) plus continued daily ondansetron for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Sequence B
n=18 Participants
Single dose of rolapitant (one dose on day 1) plus daily ondansetron for 3 weeks, followed by daily ondansetron alone for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Week 6 Patient Satisfaction: Convenience
86.11 score on a scale
Standard Deviation 16.07
91.98 score on a scale
Standard Deviation 12.53

SECONDARY outcome

Timeframe: Weeks 4-6

Population: Participants who responded to at least two of the TSQM-9 questions for the overall satisfaction subscale at week 6.

Mean overall satisfaction scores at week 6 using the 9-item Treatment Satisfaction Questionnaire for Medication (TSQM-9) patient satisfaction survey. The overall satisfaction subscale score was computed from the 3 items corresponding to overall satisfaction. The resulting overall satisfaction score is measured from 0-100 with higher scores corresponding to higher overall satisfaction.

Outcome measures

Outcome measures
Measure
Sequence A
n=20 Participants
Daily ondansetron alone for 3 weeks, followed by the use of rolapitant (one dose on day 22) plus continued daily ondansetron for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Sequence B
n=18 Participants
Single dose of rolapitant (one dose on day 1) plus daily ondansetron for 3 weeks, followed by daily ondansetron alone for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Week 6 Patient Satisfaction: Overall Satisfaction
81.39 score on a scale
Standard Deviation 21.16
88.58 score on a scale
Standard Deviation 12.12

SECONDARY outcome

Timeframe: Weeks 1 and 2

Population: Participants who completed MATs for the first two weeks.

The cRIN-CR rate is defined as the proportion of participants who did not use rescue medication for nausea. The cRIN-CR rates were assessed via the modified Multinational Association of Supportive Care in Cancer (MASCC) Antiemesis Tool (MAT).

Outcome measures

Outcome measures
Measure
Sequence A
n=21 Participants
Daily ondansetron alone for 3 weeks, followed by the use of rolapitant (one dose on day 22) plus continued daily ondansetron for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Sequence B
n=19 Participants
Single dose of rolapitant (one dose on day 1) plus daily ondansetron for 3 weeks, followed by daily ondansetron alone for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Chemoradiation-induced Nausea (cRIN) Rate Over First Two Weeks
0.6160 proportion of participants
0.6842 proportion of participants

SECONDARY outcome

Timeframe: Weeks 1 and 2

Population: Forty participants completed MATs; data collected by nurses via telephone on the remaining 8 participants.

The cRIN-CR rate is defined as the proportion of participants who did not use rescue medication for nausea. The cRIN-CR rates were assessed via the modified Multinational Association of Supportive Care in Cancer (MASCC) Antiemesis Tool (MAT) and nurses notes if MATs were missing.

Outcome measures

Outcome measures
Measure
Sequence A
n=25 Participants
Daily ondansetron alone for 3 weeks, followed by the use of rolapitant (one dose on day 22) plus continued daily ondansetron for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Sequence B
n=23 Participants
Single dose of rolapitant (one dose on day 1) plus daily ondansetron for 3 weeks, followed by daily ondansetron alone for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Chemoradiation-induced Nausea (cRIN) Rate Over First Two Weeks and Supplemented by Nurses Notes
0.6000 proportion of participants
0.6087 proportion of participants

SECONDARY outcome

Timeframe: Weeks 1 and 2

Population: Participants who completed MATs for the first two weeks.

The cRIV-CR rate is defined as the proportion of participants without use of rescue medication for vomiting. The cRIV-CR rates were assessed via the modified Multinational Association of Supportive Care in Cancer (MASCC) Antiemesis Tool (MAT).

Outcome measures

Outcome measures
Measure
Sequence A
n=21 Participants
Daily ondansetron alone for 3 weeks, followed by the use of rolapitant (one dose on day 22) plus continued daily ondansetron for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Sequence B
n=19 Participants
Single dose of rolapitant (one dose on day 1) plus daily ondansetron for 3 weeks, followed by daily ondansetron alone for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Chemoradiation-induced Vomiting (cRIV) Rate Over First Two Weeks
0.8095 proportion of participants
1.0000 proportion of participants

SECONDARY outcome

Timeframe: Weeks 1 and 2

Population: Forty participants completed MATs; data collected by nurses via telephone on the remaining 8 participants.

The cRIV-CR rate is defined as the proportion of participants without use of rescue medication for vomiting. The cRIV-CR rates were assessed via the modified Multinational Association of Supportive Care in Cancer (MASCC) Antiemesis Tool (MAT) and nurse notes if MATS are missing.

Outcome measures

Outcome measures
Measure
Sequence A
n=25 Participants
Daily ondansetron alone for 3 weeks, followed by the use of rolapitant (one dose on day 22) plus continued daily ondansetron for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Sequence B
n=23 Participants
Single dose of rolapitant (one dose on day 1) plus daily ondansetron for 3 weeks, followed by daily ondansetron alone for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Chemoradiation-induced Vomiting (cRIV) Rate Over First Two Weeks With Supplemental Nurses Notes
0.8000 proportion of participants
0.9565 proportion of participants

SECONDARY outcome

Timeframe: Weeks 1-6

Population: Participants who completed MATs for six weeks and complied with treatment.

The cRIN-CR rate is defined as the proportion of participants who did not use rescue medication for nausea. The cRIN-CR rates were assessed via the modified Multinational Association of Supportive Care in Cancer (MASCC) Antiemesis Tool (MAT).

Outcome measures

Outcome measures
Measure
Sequence A
n=19 Participants
Daily ondansetron alone for 3 weeks, followed by the use of rolapitant (one dose on day 22) plus continued daily ondansetron for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Sequence B
n=19 Participants
Single dose of rolapitant (one dose on day 1) plus daily ondansetron for 3 weeks, followed by daily ondansetron alone for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Chemoradiation-induced Nausea (cRIN) Rate Over All Six Weeks
0.4737 proportion of participants
0.4737 proportion of participants

SECONDARY outcome

Timeframe: Weeks 1-6

Population: Data not collected on 10 participants.

The cRIV-CR rate is defined as the proportion of participants without use of rescue medication for vomiting. The cRIV-CR rates were assessed via the modified Multinational Association of Supportive Care in Cancer (MASCC) Antiemesis Tool (MAT).

Outcome measures

Outcome measures
Measure
Sequence A
n=19 Participants
Daily ondansetron alone for 3 weeks, followed by the use of rolapitant (one dose on day 22) plus continued daily ondansetron for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Sequence B
n=19 Participants
Single dose of rolapitant (one dose on day 1) plus daily ondansetron for 3 weeks, followed by daily ondansetron alone for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Chemoradiation-induced Vomiting (cRIV) Rate Over All Six Weeks
0.7368 proportion of participants
0.8947 proportion of participants

SECONDARY outcome

Timeframe: Weeks 1-3

Population: Participants who remained on study and returned medication logs.

Percentage of participants who adhered to ondansetron treatment for more than 21 days during weeks 1-3.

Outcome measures

Outcome measures
Measure
Sequence A
n=23 Participants
Daily ondansetron alone for 3 weeks, followed by the use of rolapitant (one dose on day 22) plus continued daily ondansetron for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Sequence B
n=21 Participants
Single dose of rolapitant (one dose on day 1) plus daily ondansetron for 3 weeks, followed by daily ondansetron alone for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Ondansetron Medication Compliance Weeks 1-3
91.30 percentage of participants
100 percentage of participants

SECONDARY outcome

Timeframe: Weeks 4-6

Population: Participants who remained on study without schedule changes and returned medication logs.

Percentage of participants who adhered to ondansetron treatment for more than 21 days during weeks 4-6.

Outcome measures

Outcome measures
Measure
Sequence A
n=20 Participants
Daily ondansetron alone for 3 weeks, followed by the use of rolapitant (one dose on day 22) plus continued daily ondansetron for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Sequence B
n=21 Participants
Single dose of rolapitant (one dose on day 1) plus daily ondansetron for 3 weeks, followed by daily ondansetron alone for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Ondansetron Medication Compliance Weeks 4-6
95 percentage of participants
95.24 percentage of participants

SECONDARY outcome

Timeframe: 8 weeks

The proportion of participants with grade 3, 4 or 5 adverse events (severe, life-threatening, or fatal) possibly, probably or definitely related to administration of Rolapitant or Ondansetron. Adverse events will be collected from start of treatment through the end of the two-week period following chemoradiation (or until 30 days after the last dose of rolapitant is given in Sequence A). CTCAE version 4 was used to grade adverse events.

Outcome measures

Outcome measures
Measure
Sequence A
n=25 Participants
Daily ondansetron alone for 3 weeks, followed by the use of rolapitant (one dose on day 22) plus continued daily ondansetron for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Sequence B
n=23 Participants
Single dose of rolapitant (one dose on day 1) plus daily ondansetron for 3 weeks, followed by daily ondansetron alone for 3 weeks. Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Proportion of Participants With Grade 3, 4 or 5 Treatment-related Adverse Events
0 proportion of participants
0 proportion of participants

Adverse Events

Period 1 Rolapitant + Ondansetron

Serious events: 3 serious events
Other events: 22 other events
Deaths: 0 deaths

Period 1 Ondansetron

Serious events: 0 serious events
Other events: 23 other events
Deaths: 0 deaths

Period 2 Rolapitant + Ondansetron

Serious events: 1 serious events
Other events: 18 other events
Deaths: 0 deaths

Period 2 Ondansetron

Serious events: 2 serious events
Other events: 21 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Period 1 Rolapitant + Ondansetron
n=23 participants at risk
Weeks 1-3 Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Period 1 Ondansetron
n=25 participants at risk
Weeks 1-3 Ondansetron: 8 mg by mouth daily
Period 2 Rolapitant + Ondansetron
n=22 participants at risk
Weeks 4-6 Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Period 2 Ondansetron
n=23 participants at risk
Weeks 4-6 Ondansetron: 8 mg by mouth daily
Nervous system disorders
Seizure
4.3%
1/23 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks
4.5%
1/22 • Number of events 1 • 8 weeks
4.3%
1/23 • Number of events 1 • 8 weeks
Psychiatric disorders
Psychosis
4.3%
1/23 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks
0.00%
0/22 • 8 weeks
0.00%
0/23 • 8 weeks
Renal and urinary disorders
Renal calculi
4.3%
1/23 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks
0.00%
0/22 • 8 weeks
0.00%
0/23 • 8 weeks
General disorders
Fatigue
0.00%
0/23 • 8 weeks
0.00%
0/25 • 8 weeks
0.00%
0/22 • 8 weeks
4.3%
1/23 • Number of events 1 • 8 weeks
Vascular disorders
Hypotension
0.00%
0/23 • 8 weeks
0.00%
0/25 • 8 weeks
0.00%
0/22 • 8 weeks
4.3%
1/23 • Number of events 1 • 8 weeks
Metabolism and nutrition disorders
Dehydration
0.00%
0/23 • 8 weeks
0.00%
0/25 • 8 weeks
0.00%
0/22 • 8 weeks
4.3%
1/23 • Number of events 1 • 8 weeks

Other adverse events

Other adverse events
Measure
Period 1 Rolapitant + Ondansetron
n=23 participants at risk
Weeks 1-3 Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Period 1 Ondansetron
n=25 participants at risk
Weeks 1-3 Ondansetron: 8 mg by mouth daily
Period 2 Rolapitant + Ondansetron
n=22 participants at risk
Weeks 4-6 Rolapitant: single 180 mg dose by mouth Ondansetron: 8 mg by mouth daily
Period 2 Ondansetron
n=23 participants at risk
Weeks 4-6 Ondansetron: 8 mg by mouth daily
Gastrointestinal disorders
Abdominal Pain
4.3%
1/23 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks
0.00%
0/22 • 8 weeks
0.00%
0/23 • 8 weeks
Psychiatric disorders
Agitation
4.3%
1/23 • Number of events 1 • 8 weeks
4.0%
1/25 • Number of events 1 • 8 weeks
0.00%
0/22 • 8 weeks
0.00%
0/23 • 8 weeks
Investigations
Alanine Aminotransferase Increased
13.0%
3/23 • Number of events 3 • 8 weeks
4.0%
1/25 • Number of events 1 • 8 weeks
4.5%
1/22 • Number of events 1 • 8 weeks
13.0%
3/23 • Number of events 3 • 8 weeks
Investigations
Alkaline Phosphatase Increased
0.00%
0/23 • 8 weeks
0.00%
0/25 • 8 weeks
4.5%
1/22 • Number of events 2 • 8 weeks
0.00%
0/23 • 8 weeks
Skin and subcutaneous tissue disorders
Alopecia
8.7%
2/23 • Number of events 2 • 8 weeks
16.0%
4/25 • Number of events 4 • 8 weeks
18.2%
4/22 • Number of events 4 • 8 weeks
26.1%
6/23 • Number of events 6 • 8 weeks
Blood and lymphatic system disorders
Anemia
8.7%
2/23 • Number of events 2 • 8 weeks
16.0%
4/25 • Number of events 4 • 8 weeks
27.3%
6/22 • Number of events 6 • 8 weeks
0.00%
0/23 • 8 weeks
Metabolism and nutrition disorders
Anorexia
0.00%
0/23 • 8 weeks
4.0%
1/25 • Number of events 1 • 8 weeks
4.5%
1/22 • Number of events 1 • 8 weeks
4.3%
1/23 • Number of events 1 • 8 weeks
Psychiatric disorders
Anxiety
4.3%
1/23 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks
0.00%
0/22 • 8 weeks
0.00%
0/23 • 8 weeks
Musculoskeletal and connective tissue disorders
Arthralgia
4.3%
1/23 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks
0.00%
0/22 • 8 weeks
0.00%
0/23 • 8 weeks
Investigations
Aspartate Aminotransferase Increased
0.00%
0/23 • 8 weeks
0.00%
0/25 • 8 weeks
4.5%
1/22 • Number of events 1 • 8 weeks
4.3%
1/23 • Number of events 1 • 8 weeks
Gastrointestinal disorders
Bloating
4.3%
1/23 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks
0.00%
0/22 • 8 weeks
0.00%
0/23 • 8 weeks
Investigations
Blood Bilirubin Increased
0.00%
0/23 • 8 weeks
8.0%
2/25 • Number of events 2 • 8 weeks
4.5%
1/22 • Number of events 1 • 8 weeks
8.7%
2/23 • Number of events 2 • 8 weeks
Eye disorders
Blurred Vision
0.00%
0/23 • 8 weeks
4.0%
1/25 • Number of events 1 • 8 weeks
0.00%
0/22 • 8 weeks
0.00%
0/23 • 8 weeks
Skin and subcutaneous tissue disorders
Bullous Dermatitis
4.3%
1/23 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks
0.00%
0/22 • 8 weeks
0.00%
0/23 • 8 weeks
Injury, poisoning and procedural complications
Burn
0.00%
0/23 • 8 weeks
0.00%
0/25 • 8 weeks
0.00%
0/22 • 8 weeks
4.3%
1/23 • Number of events 1 • 8 weeks
Psychiatric disorders
Confusion
4.3%
1/23 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks
4.5%
1/22 • Number of events 1 • 8 weeks
0.00%
0/23 • 8 weeks
Gastrointestinal disorders
Constipation
34.8%
8/23 • Number of events 8 • 8 weeks
36.0%
9/25 • Number of events 9 • 8 weeks
4.5%
1/22 • Number of events 1 • 8 weeks
0.00%
0/23 • 8 weeks
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/23 • 8 weeks
0.00%
0/25 • 8 weeks
0.00%
0/22 • 8 weeks
8.7%
2/23 • Number of events 2 • 8 weeks
Investigations
Creatinine Increased
0.00%
0/23 • 8 weeks
0.00%
0/25 • 8 weeks
4.5%
1/22 • Number of events 1 • 8 weeks
0.00%
0/23 • 8 weeks
Psychiatric disorders
Depression
0.00%
0/23 • 8 weeks
0.00%
0/25 • 8 weeks
0.00%
0/22 • 8 weeks
4.3%
1/23 • Number of events 1 • 8 weeks
Injury, poisoning and procedural complications
Dermatitis Radiation
0.00%
0/23 • 8 weeks
0.00%
0/25 • 8 weeks
4.5%
1/22 • Number of events 1 • 8 weeks
0.00%
0/23 • 8 weeks
Gastrointestinal disorders
Diarrhea
8.7%
2/23 • Number of events 2 • 8 weeks
4.0%
1/25 • Number of events 1 • 8 weeks
4.5%
1/22 • Number of events 1 • 8 weeks
8.7%
2/23 • Number of events 2 • 8 weeks
Nervous system disorders
Dizziness
0.00%
0/23 • 8 weeks
8.0%
2/25 • Number of events 2 • 8 weeks
0.00%
0/22 • 8 weeks
0.00%
0/23 • 8 weeks
Nervous system disorders
Dysgeusia
4.3%
1/23 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks
9.1%
2/22 • Number of events 2 • 8 weeks
4.3%
1/23 • Number of events 1 • 8 weeks
Nervous system disorders
Dysphasia
0.00%
0/23 • 8 weeks
4.0%
1/25 • Number of events 1 • 8 weeks
4.5%
1/22 • Number of events 1 • 8 weeks
0.00%
0/23 • 8 weeks
Ear and labyrinth disorders
Other, Specify: "muffling" in right ear
0.00%
0/23 • 8 weeks
0.00%
0/25 • 8 weeks
0.00%
0/22 • 8 weeks
4.3%
1/23 • Number of events 1 • 8 weeks
Ear and labyrinth disorders
Other, Specify: ear fullness/muffling, hard to hear in both ears
0.00%
0/23 • 8 weeks
0.00%
0/25 • 8 weeks
4.5%
1/22 • Number of events 1 • 8 weeks
0.00%
0/23 • 8 weeks
General disorders
Edema Face
4.3%
1/23 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks
0.00%
0/22 • 8 weeks
0.00%
0/23 • 8 weeks
General disorders
Edema Limbs
0.00%
0/23 • 8 weeks
0.00%
0/25 • 8 weeks
4.5%
1/22 • Number of events 1 • 8 weeks
0.00%
0/23 • 8 weeks
Eye disorders
Other, Specify: impaired vision, right eye
0.00%
0/23 • 8 weeks
4.0%
1/25 • Number of events 1 • 8 weeks
0.00%
0/22 • 8 weeks
0.00%
0/23 • 8 weeks
Eye disorders
Other, Specify: right eye inflammation
0.00%
0/23 • 8 weeks
4.0%
1/25 • Number of events 1 • 8 weeks
0.00%
0/22 • 8 weeks
0.00%
0/23 • 8 weeks
Eye disorders
Eye Pain
0.00%
0/23 • 8 weeks
4.0%
1/25 • Number of events 1 • 8 weeks
0.00%
0/22 • 8 weeks
0.00%
0/23 • 8 weeks
Injury, poisoning and procedural complications
Fall
0.00%
0/23 • 8 weeks
0.00%
0/25 • 8 weeks
0.00%
0/22 • 8 weeks
4.3%
1/23 • Number of events 1 • 8 weeks
General disorders
Fatigue
34.8%
8/23 • Number of events 8 • 8 weeks
48.0%
12/25 • Number of events 12 • 8 weeks
18.2%
4/22 • Number of events 4 • 8 weeks
13.0%
3/23 • Number of events 4 • 8 weeks
Eye disorders
Floaters
4.3%
1/23 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks
0.00%
0/22 • 8 weeks
0.00%
0/23 • 8 weeks
General disorders
Other, Unspecified
0.00%
0/23 • 8 weeks
0.00%
0/25 • 8 weeks
0.00%
0/22 • 8 weeks
4.3%
1/23 • Number of events 3 • 8 weeks
General disorders
Other, Specify: constant feeling of being cold
0.00%
0/23 • 8 weeks
0.00%
0/25 • 8 weeks
4.5%
1/22 • Number of events 1 • 8 weeks
0.00%
0/23 • 8 weeks
Nervous system disorders
Headache
4.3%
1/23 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks
4.5%
1/22 • Number of events 1 • 8 weeks
0.00%
0/23 • 8 weeks
Metabolism and nutrition disorders
Hyperglycemia
30.4%
7/23 • Number of events 7 • 8 weeks
16.0%
4/25 • Number of events 4 • 8 weeks
18.2%
4/22 • Number of events 6 • 8 weeks
17.4%
4/23 • Number of events 7 • 8 weeks
Metabolism and nutrition disorders
Hypernatremia
4.3%
1/23 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks
0.00%
0/22 • 8 weeks
0.00%
0/23 • 8 weeks
Vascular disorders
Hypertension
4.3%
1/23 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks
9.1%
2/22 • Number of events 2 • 8 weeks
4.3%
1/23 • Number of events 1 • 8 weeks
Metabolism and nutrition disorders
Hypoalbuminemia
4.3%
1/23 • Number of events 1 • 8 weeks
4.0%
1/25 • Number of events 1 • 8 weeks
0.00%
0/22 • 8 weeks
4.3%
1/23 • Number of events 1 • 8 weeks
Metabolism and nutrition disorders
Hypocalcemia
0.00%
0/23 • 8 weeks
0.00%
0/25 • 8 weeks
4.5%
1/22 • Number of events 2 • 8 weeks
8.7%
2/23 • Number of events 2 • 8 weeks
Metabolism and nutrition disorders
Hypoglycemia
4.3%
1/23 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks
0.00%
0/22 • 8 weeks
0.00%
0/23 • 8 weeks
Metabolism and nutrition disorders
Hypokalemia
4.3%
1/23 • Number of events 1 • 8 weeks
8.0%
2/25 • Number of events 2 • 8 weeks
9.1%
2/22 • Number of events 2 • 8 weeks
8.7%
2/23 • Number of events 2 • 8 weeks
Metabolism and nutrition disorders
Hyponatremia
4.3%
1/23 • Number of events 2 • 8 weeks
0.00%
0/25 • 8 weeks
0.00%
0/22 • 8 weeks
4.3%
1/23 • Number of events 1 • 8 weeks
Infections and infestations
Other, Specify: oral fungal infection on tongue
0.00%
0/23 • 8 weeks
4.0%
1/25 • Number of events 1 • 8 weeks
0.00%
0/22 • 8 weeks
0.00%
0/23 • 8 weeks
General disorders
Injection Site Reaction
4.3%
1/23 • Number of events 7 • 8 weeks
4.0%
1/25 • Number of events 1 • 8 weeks
0.00%
0/22 • 8 weeks
4.3%
1/23 • Number of events 6 • 8 weeks
Injury, poisoning and procedural complications
Other, Specify: blurred vision preventing reading, d/t radiation mask placement
0.00%
0/23 • 8 weeks
4.0%
1/25 • Number of events 1 • 8 weeks
0.00%
0/22 • 8 weeks
0.00%
0/23 • 8 weeks
Injury, poisoning and procedural complications
Other, Specify: dermatitis radiation
0.00%
0/23 • 8 weeks
4.0%
1/25 • Number of events 1 • 8 weeks
0.00%
0/22 • 8 weeks
0.00%
0/23 • 8 weeks
Injury, poisoning and procedural complications
Other, Specify: swollen eyelids impeding eye opening, d/t radiation mask placement
0.00%
0/23 • 8 weeks
4.0%
1/25 • Number of events 1 • 8 weeks
0.00%
0/22 • 8 weeks
0.00%
0/23 • 8 weeks
Psychiatric disorders
Insomnia
0.00%
0/23 • 8 weeks
4.0%
1/25 • Number of events 1 • 8 weeks
4.5%
1/22 • Number of events 1 • 8 weeks
0.00%
0/23 • 8 weeks
Investigations
Lymphocyte Count Decreased
13.0%
3/23 • Number of events 3 • 8 weeks
8.0%
2/25 • Number of events 3 • 8 weeks
40.9%
9/22 • Number of events 16 • 8 weeks
30.4%
7/23 • Number of events 10 • 8 weeks
Nervous system disorders
Memory Impairment
4.3%
1/23 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks
0.00%
0/22 • 8 weeks
0.00%
0/23 • 8 weeks
Infections and infestations
Mucosal Infection
0.00%
0/23 • 8 weeks
0.00%
0/25 • 8 weeks
0.00%
0/22 • 8 weeks
4.3%
1/23 • Number of events 1 • 8 weeks
Musculoskeletal and connective tissue disorders
Other, Specify: temporomandibular joint inflammation causing nausea while chewing
0.00%
0/23 • 8 weeks
0.00%
0/25 • 8 weeks
4.5%
1/22 • Number of events 1 • 8 weeks
0.00%
0/23 • 8 weeks
Respiratory, thoracic and mediastinal disorders
Nasal Congestion
0.00%
0/23 • 8 weeks
0.00%
0/25 • 8 weeks
4.5%
1/22 • Number of events 1 • 8 weeks
0.00%
0/23 • 8 weeks
Gastrointestinal disorders
Nausea
39.1%
9/23 • Number of events 11 • 8 weeks
44.0%
11/25 • Number of events 11 • 8 weeks
9.1%
2/22 • Number of events 2 • 8 weeks
30.4%
7/23 • Number of events 8 • 8 weeks
General disorders
Neck Edema
0.00%
0/23 • 8 weeks
0.00%
0/25 • 8 weeks
0.00%
0/22 • 8 weeks
4.3%
1/23 • Number of events 1 • 8 weeks
Musculoskeletal and connective tissue disorders
Neck Pain
4.3%
1/23 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks
0.00%
0/22 • 8 weeks
0.00%
0/23 • 8 weeks
Investigations
Neutrophil Count Decreased
4.3%
1/23 • Number of events 1 • 8 weeks
4.0%
1/25 • Number of events 1 • 8 weeks
13.6%
3/22 • Number of events 3 • 8 weeks
4.3%
1/23 • Number of events 1 • 8 weeks
Infections and infestations
Otitis Externa
0.00%
0/23 • 8 weeks
0.00%
0/25 • 8 weeks
4.5%
1/22 • Number of events 1 • 8 weeks
0.00%
0/23 • 8 weeks
General disorders
Pain
0.00%
0/23 • 8 weeks
4.0%
1/25 • Number of events 1 • 8 weeks
0.00%
0/22 • 8 weeks
4.3%
1/23 • Number of events 1 • 8 weeks
Investigations
Platelet Count Decreased
4.3%
1/23 • Number of events 1 • 8 weeks
8.0%
2/25 • Number of events 2 • 8 weeks
27.3%
6/22 • Number of events 11 • 8 weeks
21.7%
5/23 • Number of events 11 • 8 weeks
Skin and subcutaneous tissue disorders
Pruritus
4.3%
1/23 • Number of events 1 • 8 weeks
4.0%
1/25 • Number of events 1 • 8 weeks
0.00%
0/22 • 8 weeks
0.00%
0/23 • 8 weeks
Nervous system disorders
Pyramidal Tract Syndrome
0.00%
0/23 • 8 weeks
0.00%
0/25 • 8 weeks
4.5%
1/22 • Number of events 1 • 8 weeks
0.00%
0/23 • 8 weeks
Skin and subcutaneous tissue disorders
Rash Maculo-Papular
0.00%
0/23 • 8 weeks
0.00%
0/25 • 8 weeks
9.1%
2/22 • Number of events 2 • 8 weeks
0.00%
0/23 • 8 weeks
Nervous system disorders
Seizure
4.3%
1/23 • Number of events 1 • 8 weeks
0.00%
0/25 • 8 weeks
0.00%
0/22 • 8 weeks
0.00%
0/23 • 8 weeks
Cardiac disorders
Sinus Tachycardia
4.3%
1/23 • Number of events 1 • 8 weeks
4.0%
1/25 • Number of events 1 • 8 weeks
4.5%
1/22 • Number of events 1 • 8 weeks
0.00%
0/23 • 8 weeks
Skin and subcutaneous tissue disorders
Other, Specify: "bruising left hand from fall"
0.00%
0/23 • 8 weeks
0.00%
0/25 • 8 weeks
0.00%
0/22 • 8 weeks
4.3%
1/23 • Number of events 1 • 8 weeks
Ear and labyrinth disorders
Tinnitus
0.00%
0/23 • 8 weeks
0.00%
0/25 • 8 weeks
0.00%
0/22 • 8 weeks
8.7%
2/23 • Number of events 2 • 8 weeks
Nervous system disorders
Tremor
0.00%
0/23 • 8 weeks
4.0%
1/25 • Number of events 1 • 8 weeks
0.00%
0/22 • 8 weeks
0.00%
0/23 • 8 weeks
Gastrointestinal disorders
Vomiting
4.3%
1/23 • Number of events 1 • 8 weeks
4.0%
1/25 • Number of events 1 • 8 weeks
0.00%
0/22 • 8 weeks
4.3%
1/23 • Number of events 1 • 8 weeks
Investigations
White Blood Cell Decreased
8.7%
2/23 • Number of events 2 • 8 weeks
0.00%
0/25 • 8 weeks
13.6%
3/22 • Number of events 5 • 8 weeks
8.7%
2/23 • Number of events 2 • 8 weeks

Additional Information

James Herndon II, Ph.D.

Duke University

Phone: 919-668-8145

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place