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TerminatedNCT00903396Updated Nov 24, 2017Results posted

Palonosetron Hydrochloride in Preventing Nausea and Vomiting Caused by Radiation Therapy in Patients With Primary Abdominal Cancer

A Phase 2 interventional study of palonosetron hydrochloride and placebo in Anal Cancer, Carcinoma of the Appendix and Colorectal Cancer, sponsored by Alliance for Clinical Trials in Oncology. Terminated at 69 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-11-24.

Sponsored by Alliance for Clinical Trials in Oncology · Phase 2, Interventional, and Supportive care

Why this study was terminated
Slow accrual
Phase
Phase 2
Study type
Interventional
Enrollment
7
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

RATIONALE: Palonosetron hydrochloride may prevent nausea and vomiting caused by radiation therapy. It is not yet known whether palonosetron hydrochloride is more effective than a placebo in preventing nausea and vomiting.

PURPOSE: This randomized phase II trial is studying the side effects of palonosetron hydrochloride and to see how well it works in preventing nausea and vomiting caused by radiation therapy in patients with primary abdominal cancer.

Read the detailed description

OBJECTIVES:

  • Evaluate the rate of complete responses, defined as no vomiting and no nausea, in patients with primary gastrointestinal and/or retroperitoneal sarcomas treated with two different dosing schedules of palonosetron hydrochloride during abdominal radiotherapy as part of their cancer treatment.
  • Determine the tolerability of palonosetron hydrochloride vs placebo in these patients.
  • Validate patient diaries for assessing nausea and vomiting by comparing with alternative methods for measuring nausea and vomiting in order to determine the optimal approach for future studies.

OUTLINE: Patients are stratified according to planned radiotherapy duration (\< 5 weeks vs ≥ 5 weeks), planned concurrent fluorouracil ( yes vs no), and gender. Patients are randomized to 1 of 4 treatment arms.

  • Arm I: Patients receive palonosetron hydrochloride IV on day 1.
  • Arm II: Patients receive palonosetron hydrochloride IV on days 1 and 4.
  • Arm III: Patients receive placebo IV on day 1.
  • Arm IV: Patients receive placebo IV on days 1 and 4. In all arms, courses repeat weekly during radiotherapy in the absence of disease progression or unacceptable toxicity.

Patients complete nausea and vomiting questionnaires and diaries at baseline and daily during radiotherapy. Patients also complete symptom experience diaries weekly during radiotherapy.

02

Conditions studied

  • Anal Cancer
  • Carcinoma of the Appendix
  • Colorectal Cancer
  • Extrahepatic Bile Duct Cancer
  • Gallbladder Cancer
  • Gastric Cancer
  • Gastrointestinal Carcinoid Tumor
  • Liver Cancer
  • Nausea and Vomiting
  • Pancreatic Cancer
  • Primary Peritoneal Cavity Cancer
  • Small Intestine Cancer

Keywords

  • nausea and vomiting
  • gastrointestinal carcinoid tumor
  • anal cancer
  • carcinoma of the appendix
  • colon cancer
  • rectal cancer
  • extrahepatic bile duct cancer
  • gallbladder cancer
  • gastric cancer
  • liver and intrahepatic biliary tract cancer
  • pancreatic cancer
  • small intestine cancer
  • primary peritoneal cavity cancer
03

In context

Pancreatic Neoplasms

3,235 studies on the registry are indexed under Pancreatic Neoplasms; 899 are open to participants now.

This study's enrollment of 7 is below the median of 46 across 2,424 interventional studies indexed under Pancreatic Neoplasms.

Browse Pancreatic Neoplasms studies →

Lead sponsor

Alliance for Clinical Trials in Oncology is the lead sponsor of 499 studies on the registry; 27 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 6 (100%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Diagnosis of primary gastrointestinal and/or retroperitoneal sarcoma
  • Scheduled to undergo ≥ 3000 cGy or ≥ 3 weeks of external beam radiation to the abdomen

    • Radiotherapy fields to extend between T11 and L3, and of a size ≥ 100 cm\^2
  • No brain metastases

PATIENT CHARACTERISTICS:

  • ECOG performance status 0-2
  • Negative pregnancy test
  • Not pregnant or nursing
  • Fertile patients must use effective contraception
  • Able to complete questionnaire(s) alone or with assistance
  • Willing to return to NCCTG enrolling institution for follow-up
  • Able to reliably take oral medication (for purposes of rescue medication)
  • No hypersensitivity to palonosetron hydrochloride or other selective 5-HT3 receptor antagonists
  • No comorbid systemic illness or other severe concurrent disease that, in the judgment of the investigator, would make the patient inappropriate for study entry or interfere significantly with the proper assessment of safety and toxicity of the prescribed regimens
  • No nausea ≤ 48 hours prior to study enrollment
  • No history of dystonic reactions to prochlorperazine or haloperidol or related agents

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
  • More than 7 days since prior agents known to have significant effects on emesis, including the following:

    • Ondansetron
    • Sedating antihistamines
    • Antipsychotics
    • Cannabinoids
    • Corticosteroids
    • Metoclopramide
    • Narcotic analgesics
    • Benzodiazepines
  • More than 7 days since prior chemotherapy other than fluorouracil or capecitabine used as a radiosensitizer
  • More than 7 days since of prior cetuximab
  • More than 7 days since prior and no concurrent oral steroids
  • No prior palonosetron hydrochloride
05

Study design

Phase
Phase 2
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
7 participants (actual)

Study arms

  • Experimental
    Arm I

    Patients receive palonosetron hydrochloride IV on day 1.

    Drug: palonosetron hydrochloride

  • Experimental
    Arm II

    Patients receive palonosetron hydrochloride IV on days 1 and 4.

    Drug: palonosetron hydrochloride

  • Placebo comparator
    Arm III

    Patients receive placebo IV on day 1.

    Other: placebo

  • Placebo comparator
    Arm IV

    Patients receive placebo IV on days 1 and 4.

    Other: placebo

Interventions

  • Drugpalonosetron hydrochloride

    Given IV

  • Otherplacebo

    Given IV

06

What researchers measure

Primary outcomes

  1. Complete Response (no Episodes of Nausea or Vomiting)

    Time frame: Up to 2 years

Secondary outcomes

  1. Time to Treatment Failure, Defined as a Single Episode of Vomiting, Daily Nausea Score of Moderate or Greater, or Taking ≥ 3 Prochlorperazine or Haloperidol Tablets Per Day

    Time frame: Up to 2 years

  2. Proportion of Patients Reporting Treatment Failure

    Time frame: Up to 2 years

  3. Tolerability and Adverse Events as Assessed by NCI CTC v 3.0

    Time frame: Up to 2 years

  4. Average Level of Nausea Reported and the Proportion of Patients Experiencing a Complete Response Independent of Treatment Arm

    Time frame: Up to 2 years

07

Results

Posted Feb 1, 2017

Participant flow

Participant flow — Overall Study
MilestoneArm IArm IIArm IIIArm IV
Started2131
Completed2131
Not completed0000

Outcome measures

PrimaryComplete Response (no Episodes of Nausea or Vomiting)
Time frame:
Up to 2 years

No measurements were reported for this outcome.

SecondaryTime to Treatment Failure, Defined as a Single Episode of Vomiting, Daily Nausea Score of Moderate or Greater, or Taking ≥ 3 Prochlorperazine or Haloperidol Tablets Per Day
Time frame:
Up to 2 years

No measurements were reported for this outcome.

SecondaryProportion of Patients Reporting Treatment Failure
Time frame:
Up to 2 years

No measurements were reported for this outcome.

SecondaryTolerability and Adverse Events as Assessed by NCI CTC v 3.0
Time frame:
Up to 2 years

No measurements were reported for this outcome.

SecondaryAverage Level of Nausea Reported and the Proportion of Patients Experiencing a Complete Response Independent of Treatment Arm
Time frame:
Up to 2 years

No measurements were reported for this outcome.

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Arm I———
Arm II———
Arm III———
Arm IV———

Baseline characteristics

Not enough patients were accrued. In order to avoid identification of patients, no results will be entered.

Age, Continuous
Age, ContinuousArm IArm IIArm IIIArm IVTotal
Sex: Female, Male
Sex: Female, MaleArm IArm IIArm IIIArm IVTotal
Female—————
Male—————
08

Study locations

69 sites
  • Mayo Clinic Scottsdale
    Scottsdale, Arizona 85259-5499, United States
  • Mayo Clinic - Jacksonville
    Jacksonville, Florida 32224, United States
  • Trinity Cancer Center at Trinity Medical Center - 7th Street Campus
    Moline, Illinois 61265, United States
  • Moline, Illinois 61265, United States
  • Elkhart Clinic, LLC
    Elkhart, Indiana 46514-2098, United States
  • Michiana Hematology-Oncology, PC - Elkhart
    Elkhart, Indiana 46514, United States
  • Elkhart General Hospital
    Elkhart, Indiana 46515, United States
  • Howard Community Hospital
    Kokomo, Indiana 46904, United States
  • Center for Cancer Therapy at LaPorte Hospital and Health Services
    La Porte, Indiana 46350, United States
  • Michiana Hematology-Oncology, PC - South Bend
    Mishawaka, Indiana 46545-1470, United States
  • Saint Joseph Regional Medical Center
    Mishawaka, Indiana 46545-1470, United States
  • Michiana Hematology Oncology PC - Plymouth
    Plymouth, Indiana 46563, United States
  • CCOP - Northern Indiana CR Consortium
    South Bend, Indiana 46601, United States
  • Memorial Hospital of South Bend
    South Bend, Indiana 46601, United States
  • South Bend Clinic
    South Bend, Indiana 46617, United States
  • Michiana Hematology Oncology PC - La Porte
    Westville, Indiana 46391, United States
  • Bettendorf, Iowa 52722, United States
  • Siouxland Hematology-Oncology Associates, LLP
    Sioux City, Iowa 51101, United States
  • Mercy Medical Center - Sioux City
    Sioux City, Iowa 51104, United States
  • St. Luke's Regional Medical Center
    Sioux City, Iowa 51104, United States
  • Wesley Medical Center
    Wichita, Kansas 67214, United States
  • Michiana Hematology Oncology PC - Niles
    Niles, Michigan 49120, United States
  • Lakeland Regional Cancer Care Center - St. Joseph
    Saint Joseph, Michigan 49085, United States
  • Lakeside Cancer Specialists, PLLC
    Saint Joseph, Michigan 49085, United States
  • Duluth Clinic Cancer Center - Duluth
    Duluth, Minnesota 55805-1983, United States
  • CCOP - Duluth
    Duluth, Minnesota 55805, United States
  • Miller - Dwan Medical Center
    Duluth, Minnesota 55805, United States
  • Fergus Falls Medical Group, PA
    Fergus Falls, Minnesota 56537, United States
  • Mayo Clinic Cancer Center
    Rochester, Minnesota 55905, United States
  • CCOP - Cancer Research for the Ozarks
    Springfield, Missouri 65802, United States
  • St. John's Regional Health Center
    Springfield, Missouri 65804, United States
  • Hulston Cancer Center at Cox Medical Center South
    Springfield, Missouri 65807, United States
  • CCOP - Montana Cancer Consortium
    Billings, Montana 59101, United States
  • St. Vincent Healthcare Cancer Care Services
    Billings, Montana 59101, United States
  • Hematology-Oncology Centers of the Northern Rockies - Billings
    Billings, Montana 59102, United States
  • Billings Clinic - Downtown
    Billings, Montana 59107-7000, United States
  • Bozeman Deaconess Cancer Center
    Bozeman, Montana 59715, United States
  • St. James Healthcare Cancer Care
    Butte, Montana 59701, United States
  • Big Sky Oncology
    Great Falls, Montana 59405-5309, United States
  • Great Falls Clinic - Main Facility
    Great Falls, Montana 59405, United States
  • Sletten Cancer Institute at Benefis Healthcare
    Great Falls, Montana 59405, United States
  • Northern Montana Hospital
    Havre, Montana 59501, United States
  • St. Peter's Hospital
    Helena, Montana 59601, United States
  • Glacier Oncology, PLLC
    Kalispell, Montana 59901, United States
  • Kalispell Medical Oncology at KRMC
    Kalispell, Montana 59901, United States
  • Kalispell Regional Medical Center
    Kalispell, Montana 59901, United States
  • Montana Cancer Specialists at Montana Cancer Center
    Missoula, Montana 59807-7877, United States
  • Montana Cancer Center at St. Patrick Hospital and Health Sciences Center
    Missoula, Montana 59807, United States
  • CCOP - Missouri Valley Cancer Consortium
    Omaha, Nebraska 68106, United States
  • Creighton University Medical Center
    Omaha, Nebraska 68131-2197, United States
  • Bismarck Cancer Center
    Bismarck, North Dakota 58501, United States
  • Medcenter One Hospital Cancer Care Center
    Bismarck, North Dakota 58501, United States
  • Mid Dakota Clinic, PC
    Bismarck, North Dakota 58501, United States
  • St. Alexius Medical Center Cancer Center
    Bismarck, North Dakota 58502, United States
  • Altru Cancer Center at Altru Hospital
    Grand Forks, North Dakota 58201, United States
  • Geisinger Cancer Institute at Geisinger Health
    Danville, Pennsylvania 17822-0001, United States
  • Frank M. and Dorothea Henry Cancer Center at Geisinger Wyoming Valley Medical Center
    Wilkes-Barre, Pennsylvania 18711, United States
  • Rapid City Regional Hospital
    Rapid City, South Dakota 57701, United States
  • Green Bay Oncology, Limited at St. Vincent Hospital Regional Cancer Center
    Green Bay, Wisconsin 54301-3526, United States
  • Green Bay Oncology, Limited at St. Mary's Hospital
    Green Bay, Wisconsin 54303, United States
  • St. Mary's Hospital Medical Center - Green Bay
    Green Bay, Wisconsin 54303, United States
  • St. Vincent Hospital Regional Cancer Center
    Green Bay, Wisconsin 54307-3508, United States
  • Franciscan Skemp Healthcare - La Crosse Campus
    La Crosse, Wisconsin 54601, United States
  • Holy Family Memorial Medical Center Cancer Care Center
    Manitowoc, Wisconsin 54221-1450, United States
  • Bay Area Cancer Care Center at Bay Area Medical Center
    Marinette, Wisconsin 54143, United States
  • Door County Cancer Center at Door County Memorial Hospital
    Sturgeon Bay, Wisconsin 54235-1495, United States
  • Green Bay Oncology, Limited - Sturgeon Bay
    Sturgeon Bay, Wisconsin 54235, United States
  • Rocky Mountain Oncology
    Casper, Wyoming 82609, United States
  • Welch Cancer Center at Sheridan Memorial Hospital
    Sheridan, Wyoming 82801, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 24, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00903396
Lead sponsor
Alliance for Clinical Trials in Oncology
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
May 18, 2009
Start date
Sep 2009
Primary completion
Jan 2011
Completion
May 2013
Results posted
Feb 1, 2017
Last update
Nov 24, 2017

Study contacts

Michele Yvette Halyard, MD
study chair · Mayo Clinic

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Oct 2017. You cannot join it, but the record below documents what was studied.

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