drugset / Trial / NCT06904235
Study With IV NEPA (Fosnetupitant/Palonosetron) for the Prevention of Chemotherapy-induced Nausea and Vomiting in Paediatric Cancer Patients Undergoing Highly Emetogenic Chemotherapy (HEC)
RandomizedParallel-groupOpen-labelPrevention
Summary
Chemotherapy often causes nausea and vomiting (CINV), and this is a major problem for the children being treated for cancer. To prevent this, a combination of two substances in fixed proportion (IV NEPA) was developed. The two substances are: palonosetron, an antagonist of 5 HT3 receptors, and fosnetupitant, an antagonist of NK1 receptors that transforms into netupitant in the body. The medication is administered through intravenous injection (IV- drip). This study is built from 2 parts: Part 1: phase 2, open label Part 2: phase 3 double blind The detailed description, study design, study milestones and eligibility criteria will reflect the Part 1 requirements
Timeline
- Start
- 2025-07-07
- Primary completion
- 2027-10
- Completion
- 2027-12
Drugs
| Evaluation | Drug | Modality | Dose | Route |
|---|---|---|---|---|
| Comparator | Fosaprepitant | Other / unclassified | 4 mg/kg | Intravenous |
| Comparator | Fosaprepitant | Other / unclassified | 5 mg/kg | Intravenous |
| Comparator | Fosaprepitant | Other / unclassified | 150 mg | Intravenous |
| Comparator | Ondansetron | Other / unclassified | 0.15 mg/kg | Intravenous |
| Subject | Palonosetron | Other / unclassified | 1.5 mg | Intravenous |
| Subject | Palonosetron | Other / unclassified | 2.5 mg | Intravenous |
| Subject | fosnetupitant | Small molecule | 235 mg | Intravenous |