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NCT03649230: EVOLVE_CINV

Observational Study on the Use of Akynzeo® in Patients Receiving HEC

Completed Results posted Last updated 18 August 2023
What this trial tests

trial testing 300mg netupitant/0.5mg palonosetron hydrochloride in Chemotherapy-Induced Nausea and Vomiting in 207 participants. Completed in 30 January 2020.

Timeline
3 October 2018
Primary endpoint
30 December 2019
30 January 2020

Quick facts

Lead sponsorPurdue Pharma, Canada
StatusCompleted
Study typeOBSERVATIONAL
Enrollment207
Start date3 October 2018
Primary completion30 December 2019
Estimated completion30 January 2020
Sites17 locations across Canada

Drugs / interventions tested

Conditions studied

Sponsor

Purdue Pharma, Canada — full company profile →

Who can join

18 and older, any sex, with Chemotherapy-Induced Nausea and Vomiting. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Total Functional Living Index-Emesis (FLIE) Score at Cycle 1 Primary · Day 5 of cycle 1

The Functional Living Index - Emesis questionnaire is a validated patient reported outcome with the objective of assessing the impact of chemotherapy-induced nausea and vomiting on patient's daily function. Questionnaire consists of a nausea domain and a vomiting domain of nine items each where the patient should rate how much nausea and vomiting have affected the quality of life. For each question the patient will rate how much nausea (or vomiting) has affected an aspect of his quality of life during the past five days. Each question uses a visual analogue scale (100 mm) and an ordinal scale

GroupValue95% CI
Treatment109.2± 17.7
Complete Response Secondary · Days 1-5 (0 - 120 hours) of cycles 1, 2, 3, 4; each cycle is approximately 28 days

No emetic episode and no use of rescue medication in the overall period (0-120h/Day 1-5)

GroupValue95% CI
Cycle 184
Cycle 297
Cycle 3104
Cycle 4101
Cycle 196
Cycle 278
Cycle 362
Cycle 444
Cycle 116
Cycle 29
Cycle 39
Cycle 46
Severity of Nausea on Day 5 (Change From Day 1) Secondary · Days 1-5 (0 - 120 hours) of cycles 1, 2, 3, 4; each cycle is approximately 28 days

Question 1 of the daily evaluation of the Patient Diary ("How much nausea did you experience on average during the last 24 hours?"). Data was collected on a visual analogue scale. Scale ranges from 0 mm ("no nausea") to 100 mm ("always severe nausea").

GroupValue95% CI
Cycle 1-7.1± 23.8
Cycle 2-3.3± 21.6
Cycle 3-1.4± 15.4
Cycle 4-1.5± 10.7

Adverse events — posted to ClinicalTrials.gov

Time frame: The visit schedule was comprised of six study visits: • Visit 1/Screening (4 weeks to 0 weeks prior to Visit 2) • Visit 2: (Day of/but prior to 1st chemotherapy treatment administration) • Visit 3: (Day of/but prior to 2nd chemotherapy treatment administration) • Visit 4: (Day of/but prior to 3rd, chemotherapy treatment administration) • Visit 5: (Day of/but prior to 4th, chemotherapy treatment administration) • Visit 6/Final Visit. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment
Serious: 39/197 (20%)
Deaths: 9/197

Serious adverse events (34 terms)

ReactionSystemTreatment
Febrile NeutropeniaBlood and lymphatic system disorders
PneumoniaRespiratory, thoracic and mediastinal disorders
NeutropeniaBlood and lymphatic system disorders
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
Disease ProgressionGeneral disorders
ThrombocytopeniaBlood and lymphatic system disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Metapneumovirus InfectionRespiratory, thoracic and mediastinal disorders
pneumothoraxRespiratory, thoracic and mediastinal disorders
Respiratory FailureRespiratory, thoracic and mediastinal disorders
Upper respiratory Tract InfectionRespiratory, thoracic and mediastinal disorders
Anal UlcerGastrointestinal disorders
Diverticular PerforationGastrointestinal disorders
DiverticulitisGastrointestinal disorders
PancreatitisGastrointestinal disorders
PyrexiaGeneral disorders
Sudden DeathGeneral disorders
HypotensionVascular disorders
Lower Gastrointestinal HaemorrhageVascular disorders
Septic ShockVascular disorders
ThrombosisVascular disorders
Atrial FibrillationCardiac disorders
Cardiac ArrestCardiac disorders
Cardiac FailureCardiac disorders
Other adverse events (17 terms — click to expand)

ReactionSystemTreatment
FatigueGeneral disorders
ConstipationGastrointestinal disorders
AlopeciaSkin and subcutaneous tissue disorders
DiarrhoeaGastrointestinal disorders
DyspepsiaGastrointestinal disorders
HeadacheNervous system disorders
NauseaGastrointestinal disorders
NeutropeniaBlood and lymphatic system disorders
AstheniaGeneral disorders
DysgeusiaNervous system disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Decreased AppetiteGeneral disorders
CoughRespiratory, thoracic and mediastinal disorders
Abdominal PainGastrointestinal disorders
Pain in ExtremityMusculoskeletal and connective tissue disorders
InsomniaPsychiatric disorders
PneumoniaRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Febrile Neutropenia, Pneumonia, Neutropenia, Diarrhoea, Nausea, Disease Progression, Thrombocytopenia, Dyspnoea.

Data from ClinicalTrials.gov NCT03649230 adverse events section.

Sponsor's own description

This Canadian, multi-centre, prospective, observational real-world study is designed to collect patient-reported outcome data on the use of Akynzeo® (netupitant/palonosetron) for the prevention of nausea and vomiting in oncology patients receiving highly emetogenic chemotherapy (HEC).

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Netupitant-palonosetron (NEPA) for Preventing Chemotherapy-induced Nausea and Vomiting: From Clinical Trials to Daily Practice.
    Aapro M, Jordan K, Scotté F, Celio L, et al · · 2022 · cited 17× · PMID 35570542 · DOI 10.2174/1568009622666220513094352

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