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CompletedNCT04592198Updated Mar 24, 2025Results posted

Buccal Film Versus IV Injection Palonosetron for Moderately Emetogenic Chemotherapy Induced Nausea and Vomiting

A Phase 2 interventional study of Palonosetron Hydrochloride Buccal Film 0.25 Mg and Palonosetron Hydrochloride Buccal Film 0.5 Mg in Nausea With Vomiting Chemotherapy-Induced, sponsored by Xiamen LP Pharmaceutical Co., Ltd. Completed at 7 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-03-24.

Sponsored by Xiamen LP Pharmaceutical Co., Ltd · Phase 2, Interventional, and Prevention

Phase
Phase 2
Study type
Interventional
Enrollment
22
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Phase 2 study to compare efficacy, safety and PK of palonosetron, a long acting 5-HT3 receptor antagonist, by buccal film delivery compared to iv injection for chemotherapy induced nausea or vomiting (CINV). Subjects receive a single dose of palonosetron prior to moderately emetogenic chemotherapy.

Read the detailed description

This is a Phase 2 study to compare efficacy, safety and PK of palonosetron, a long acting 5-HT3 receptor antagonist, by buccal film compared to iv injection for moderately emetogenic chemotherapy-induced nausea or vomiting (CINV) in cancer patients. Subjects are randomized into three treatment groups, two with the experimental study drug palonosetron in buccal film at one of two different doses or the control treatment using Palonosetron hydrochloride iv injection. Palonosetron PK will be assessed in a subgroup of each treatment group.

02

Conditions studied

  • Nausea With Vomiting Chemotherapy-Induced

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03

In context

Nausea

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

This study's enrollment of 22 is below the median of 115 across 703 interventional studies indexed under Nausea.

Browse Nausea studies →

Lead sponsor

Xiamen LP Pharmaceutical Co., Ltd is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

Inclusion criteria

  • With histologically or cytologically confirmed malignant disease;

    -. Be scheduled to receive the first course of MEC to be administered on Day 1

  • Using reliable contraceptive measures;
  • negative serum pregnancy test (if potentially child bearing)

Exclusion criteria

Exclusion Criteria:

  • Received investigational drugs within 30 days before the start of study treatment or scheduled to receive a highly or moderately emetogenic chemotherapeutic agent;
  • Have a clinically unstable seizure disorder with seizure activity requiring anticonvulsant medication;
  • Have severe renal or hepatic impairment;
  • Have positive serology test results;
  • Have a known contraindication to 5-HT3 receptor antagonists;
  • Treated with commercially available or investigative palonosetron formulation within 2 weeks prior to start of study treatment;
  • Allergic to palonosetron or any other 5-HT3 antagonist;
  • Currently a user of any recreational or illicit drugs (including marijuana) or has current evidence of drug or alcohol abuse or dependence as determined by the investigator;
  • Will be receiving stem cell rescue therapy in conjunction with study related course of emetogenic chemotherapy;
  • Received or will receive total body irradiation or radiation therapy to the abdomen or pelvis in the week prior to Treatment Day 1 and/or during the diary reporting period.
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Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
22 participants (actual)

Study arms

  • Experimental
    A (Buccal 0.25 Mg)

    Palonosetron HCl Buccal Film 0.25 Mg

    Drug: Palonosetron Hydrochloride Buccal Film 0.25 Mg

  • Experimental
    B (Buccal 0.5 Mg)

    Palonosetron HCl Buccal Film 0.5 Mg

    Drug: Palonosetron Hydrochloride Buccal Film 0.5 Mg

  • Active comparator
    C (IV Injection 0.25 Mg)

    IV palonosetron 0.25 Mg (ALOXI®)

    Drug: Palonosetron Hydrochloride, 0.25 Mg/5 mL Intravenous Solution

Interventions

  • DrugPalonosetron Hydrochloride Buccal Film 0.25 Mg

    Dose equal to the iv control

    Also known as: Buccal Film Low Dose

  • DrugPalonosetron Hydrochloride Buccal Film 0.5 Mg

    Dose twice that of iv control

    Also known as: Buccal Film High dose

  • DrugPalonosetron Hydrochloride, 0.25 Mg/5 mL Intravenous Solution

    iv control

    Also known as: Control Standard Treatment (Aloxi)

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What researchers measure

Primary outcomes

  1. Complete Acute Response

    no emetic episode and no rescue medication during the first 24 hours after chemotherapy

    Time frame: first 24 hours after chemotherapy

07

Results

Posted Mar 24, 2025

Participant flow

Participant flow — Overall Study
MilestoneA (Buccal 0.25 Mg)B (Buccal 0.5 Mg)C (IV Injection 0.25 Mg)
Started886
Completed786
Not completed100

Outcome measures

PrimaryComplete Acute Response

no emetic episode and no rescue medication during the first 24 hours after chemotherapy

Time frame:
first 24 hours after chemotherapy
Reported as:
Count of participants · Participants
Complete Acute Response
ParticipantsA (Buccal 0.25 Mg)B (Buccal 0.50 Mg)C (IV Injection 0.25 Mg)
Complete Acute Response443

Adverse events

Collected over Adverse event reporting begins from the time of informed consent to the end of that last visit (Visit 5, Day 9 (for non-PK group)/ Day 11 (for PK group)).. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
A (Buccal 0.25 Mg)0/7 (0%)0/7 (0%)0/7 (0%)
B (Buccal 0.5 Mg)0/8 (0%)0/8 (0%)0/8 (0%)
C (IV Injection 0.25Mg)0/6 (0%)0/6 (0%)0/6 (0%)

Baseline characteristics

One subject in Group A withdrew consent and was withdrawn (no additional information was provided).

Age, Continuous
Age, Continuous(years)A (Buccal 0.25 Mg)B (Buccal 0.5 Mg)C (IV Injection 0.25 Mg)Total
Mean63.4 ± 9.3253.9 ± 10.9659.8 ± 9.1358.8 ± 10.32
Sex: Female, Male
Sex: Female, Male(Participants)A (Buccal 0.25 Mg)B (Buccal 0.5 Mg)C (IV Injection 0.25 Mg)Total
Female55616
Male2305
Race (NIH/OMB)
Race (NIH/OMB)(Participants)A (Buccal 0.25 Mg)B (Buccal 0.5 Mg)C (IV Injection 0.25 Mg)Total
American Indian or Alaska Native0000
Asian1001
Native Hawaiian or Other Pacific Islander0000
Black or African American1012
White58417
More than one race0000
Unknown or Not Reported0011
History of motion sickness
History of motion sickness(participants)A (Buccal 0.25 Mg)B (Buccal 0.5 Mg)C (IV Injection 0.25 Mg)Total
Yes1214
No66517
08

Study locations

7 sites
  • Pacific Cancer Medical Center, Inc.
    Anaheim, California 92801, United States
  • Ocala Oncology Center PL DBA Florida Cancer Affiliates
    Ocala, Florida 34474, United States
  • Edward H. Kaplan MD & Associates
    Skokie, Illinois 60076, United States
  • Hattiesburg Clinic Hematology/Oncology
    Hattiesburg, Mississippi 39401, United States
  • Gettysburg Cancer Center
    Gettysburg, Pennsylvania 17325, United States
  • Monongahela Valley Hospital/ Regional Cancer Center
    Monongahela, Pennsylvania 15063, United States
  • Charleston Oncology
    Charleston, South Carolina 29406, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Aug 12, 2020

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 24, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04592198
Lead sponsor
Xiamen LP Pharmaceutical Co., Ltd
Responsible party
Sponsor
First posted
Oct 19, 2020
Start date
Oct 1, 2020
Primary completion
Mar 25, 2021
Completion
Mar 25, 2021
Results posted
Mar 24, 2025
Last update
Mar 24, 2025

Study contacts

Sanjit Nirmalanandhan, Ph.D.
principal investigator · Ocala Oncology Center PL DBA Florida Cancer Affiliates

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.

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