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CompletedNCT03862144GIM15-NEPAUpdated Mar 5, 2019

NEPA to Prevent Chemotherapy Induced Nausea and Vomiting in Patients With Breast Cancer

A Phase 2 interventional study of Netupitant/Palonosetron in Chemotherapy-induced Nausea and Vomiting, sponsored by Consorzio Oncotech. Completed. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-03-05.

Sponsored by Consorzio Oncotech · Phase 2, Interventional, and Prevention

From the registry’s dates

  • Registered 2 years 8 months after the study started (first participant enrolled May 2016, registered Jan 2019).
Phase
Phase 2
Study type
Interventional
Enrollment
150
Allocation
Not applicable
Ages
18 Years and older
Sex
Female
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Study summary

This study evaluates if the activity of one-day of NEPA plus dexamethasone, to prevent chemotherapy-induced nausea and vomiting in breast cancer patients receiving adjuvant AC-based chemotherapy, is maintained during all the chemotherapy cycle treatment (maximum 4 cycles).

Read the detailed description

Patients included in the study should be treated with the following antiemetic prophylaxis, during all the AC-based chemotherapy cycles, up to a maximum of 4 cycles:

  • NEPA will be administered orally at the dose of 300 mg netupitant/0.5 palonosetron 1 hour before the start of any chemotherapy cycle.
  • Dexamethasone 12 mg will be added on day 1 only of each cycle.
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Conditions studied

  • Chemotherapy-induced Nausea and Vomiting

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Keywords

  • nausea
  • vomiting
  • breast cancer
  • AC-based chemotherapy
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In context

Nausea

822 studies on the registry are indexed under Nausea; 104 are open to participants now.

This study's enrollment of 150 is above the median of 115 across 703 interventional studies indexed under Nausea.

Browse Nausea studies →

Lead sponsor

Consorzio Oncotech is the lead sponsor of 24 studies on the registry; 6 are open to participants now.

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

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Who can participate

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

Inclusion criteria

  1. Women ≥ 18 years old
  2. Histologically or cytologically confirmed diagnosis of breast cancer
  3. Naïve patients
  4. Be scheduled to receive adjuvant chemotherapy with anthracycline (doxorubicin or epirubicin) + cyclophosphamide (AC-based regimen)
  5. ECOG (Eastern Cooperative Oncology Group) performance status 0-2
  6. Body Mass index (BMI) ≥ 18.5
  7. Written informed consent
  8. If women of childbearing potential age: reliable contraceptive measures must be used during the study treatment period and up to 30 days after last NEPA administration
  9. Acceptable hepatic function (\<= 2 times the upper limit of normal for liver transaminases) and renal function (creatinine \< 1.5 times the upper limit of normal);
  10. Ability and willingness of the patient to complete the diary.

Exclusion criteria

Exclusion Criteria:

  1. Advanced/metastatic breast cancer
  2. Patients already submitted to non-AC-based chemotherapy
  3. Treatment with investigational medications in 30 days before NEPA
  4. Myocardial infarction within the last 6 months
  5. Documented or known hypersensitivity to 5HT3RA (5-Hydroxytryptamine Receptor 3 Antagonists) or NK1RA (Neurokinin-1 Receptor Antagonists) and excipients
  6. Uncontrolled diabetes mellitus
  7. Nausea and vomiting at baseline
  8. Chronic use of other antiemetic agent(s)
  9. Patient's inability to take oral medication
  10. Gastrointestinal obstruction or active peptic ulcer
  11. Pregnancy or breastfeeding
  12. Prior malignancies at other sites except surgically treated non-melanoma skin cancer, superficial cervical cancer, or other cancer from which the patient had been disease-free for ≥ 5 years
  13. Psychiatric or CNS (Central Nervous System) disorders interfering with ability to comply with study protocol
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Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
150 participants (actual)

Study arms

  • Experimental
    Netupitant/Palonosetron & Dexamethasone

    * Netupitant/Palonosetron (NEPA) will be administered orally at the dose of 300 MG (milligrams) netupitant/0.5 palonosetron 1 hour before the start of any chemotherapy cycle. * Dexamethasone 12 mg will be added on day 1 only of each cycle.

    Drug: Netupitant/Palonosetron

Interventions

  • DrugNetupitant/Palonosetron

    Also known as: Netupitant/Palonosetron 300 MG-0.5 MG Oral Capsule [AKYNZEO]

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What researchers measure

Primary outcomes

  1. Complete response

    The rate of patients achieving and maintaining a complete response (defined as no emetic episode and no use of rescue medication) during the overall phase of all AC-based chemotherapy cycles

    Time frame: During the overall phase (From day 1 to day 5 after any AC-based chemotherapy administration) for a maximum 4 cycles (each cycle is 21 days)

Secondary outcomes

  1. Acute and Delayed Phase Complete Response

    Rate of complete control (defined as no emetic episode and no need for rescue medication)

    Time frame: During the Acute Phase [0-24 hours after chemotherapy (CT)] and the Delayed (25-120 hours) phase

  2. Complete Control

    Rate of complete control (defined as complete response with a maximum grade of mild nausea)

    Time frame: During the Acute Phase (0-24 hours after chemotherapy), the Delayed (25-120 hours), the Overall (0-120 hours) phases for each cycle and separately on single days of all chemotherapy cycles (each cycle is 21 days), up to 4 cycles

  3. Emesis-Free

    Percentage of emesis-free patients (no emetic episodes) after any AC-based chemotherapy administration.

    Time frame: During the Acute (0-24 hours after CT), the Delayed (25-120 hours), the Overall (0-120 hours) phases for each cycle (each cycle is 21 days)and separately on single days of all CT cycles,up to 4 cycles.Also during the period between two consecutive cycles

  4. Nausea

    Presence of nausea graded according to Likert scale (none, mild, moderate and severe)

    Time frame: During the Acute (0-24 hours after CT), the Delayed (25-120 hours), the Overall (0-120 hours) phases for each cycle (of 21 days)and separately on single days of all chemotherapy cycles, up to 4 cycles.Also during the period between two consecutive cycles

  5. Global satisfaction with antiemetic therapy: Visual Analogue Scale (VAS)

    Patient global satisfaction with antiemetic therapy, as measured by a Visual Analogue Scale (VAS). Scale ranges are 0-10 (0 represents maximum dissatisfaction, 10 represents maximum satisfaction)

    Time frame: During the Acute Phase (0-24 hours after CT), the Delayed (25-120 hours), the Overall (0-120 hours) phases for each cycle (each cycle is 21 days) and separately on single days of all CT cycles, up to 4 cycles

  6. Safety profile (according to CTCAE)

    Safety profile according to CTCAE

    Time frame: During the Acute Phase (0-24 hours after CT), the Delayed (25-120 hours), the Overall (0-120 hours) phases for each cycle (each cycle is 21 days) and separately on single days of all CT cycles, up to 4 cycles

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Caputo R, Cazzaniga ME, Sbrana A, Torrisi R, Paris I, Giordano M, Montesarchio V, Guarneri V, Amaducci L, Bilancia D, Cilenti G, Fabi A, Collova E, Schirone A, Bonizzoni E, Celio L, De Placido S, De Laurentiis M. Netupitant/palonosetron (NEPA) and dexamethasone for prevention of emesis in breast cancer patients receiving adjuvant anthracycline plus cyclophosphamide: a multi-cycle, phase II study. BMC Cancer. 2020 Mar 19;20(1):232. doi: 10.1186/s12885-020-6707-9. PubMed 32188417 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 5, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03862144
Lead sponsor
Consorzio Oncotech
Responsible party
Sponsor
First posted
Mar 5, 2019
Start date
May 12, 2016
Primary completion
Apr 3, 2017
Completion
Apr 3, 2017
Last update
Mar 5, 2019

Study contacts

Michelino De Laurentiis, MD, PhD
principal investigator · National Cancer Institute "Fondazione Pascale", Naples

Oversight

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

Not currently enrolling

This study is completed, as verified in Mar 2019. You cannot join it, but the record below documents what was studied.

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