ClinicalTrials.gg
RecruitingNCT07874308HR20013-RWSUpdated Oct 14, 2026

HR20013 for the Prevention of Nausea and Vomiting in Patients With Cancer: A Real-World Study

An observational study in Chemotherapy-Induced Nausea and Vomiting (CINV), Nausea and Vomiting, sponsored by Sun Yat-sen University. Recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-14.

Sponsored by Sun Yat-sen University · Observational

From the registry’s dates

  • Started Jul 2026; still recruiting 3 months later.
Updated Oct 14, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
3,000
Ages
18 Years and older
Sex
All
01

Study summary

HR20013 is a newly approved medicine in China to prevent nausea and vomiting from anticancer treatment. This prospective, observational, multicenter real-world study will enroll about 3,000 patients receiving this medicine as routine care at over 30 hospitals in China, including 100 with mild to moderate hepatic impairment. Following usual clinical practice, it will evaluate how well the medicine prevents nausea and vomiting and its safety to guide clinical use.

Read the detailed description

This is a prospective, observational, multicenter real-world study conducted at more than 30 hospitals in China. Approximately 3,000 patients with cancer who receive at least one dose of HR20013 (218 mg/0.25 mg intravenous infusion) for prevention of chemotherapy-induced nausea and vomiting will be enrolled, including Cohort 1 (n=100, patients with mild to moderate hepatic impairment per Child-Pugh classification) and Cohort 2 (n=2,900, patients without hepatic impairment). All diagnoses, treatments, visits and examinations follow routine clinical practice; no study-mandated interventions are applied. The primary data include patient-reported nausea and vomiting episodes (NCI-CTCAE v6.0) in the acute (0-24 h), delayed (24-120 h and 120-168 h) and overall phases (0-120 h), and adverse drug reactions. Exploratory outcomes include quality of life measured by the FLIE (Functional Living Index-Emesis) questionnaire.

02

Conditions studied

  • Chemotherapy-Induced Nausea and Vomiting (CINV)
  • Nausea
  • Vomiting
  • Neoplasms

Keywords

  • chemotherapy-induced nausea and vomiting
  • real-world study
  • fosrolapitant/palonosetron
03

In context

Vomiting

1,123 studies on the registry are indexed under Vomiting; 137 are open to participants now.

This study's planned enrollment of 3,000 is above the median of 160 across 128 observational studies indexed under Vomiting.

Browse Vomiting studies →

Lead sponsor

Sun Yat-sen University is the lead sponsor of 1,680 studies on the registry; 609 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
Sampling method
Non-probability sample

Study population

Adult patients (aged 18 years or older, any sex, any tumor type) who are scheduled to receive highly emetogenic anticancer therapy and will be given an antiemetic regimen containing HR0013 prior to anticancer treatment for prevention of chemotherapy-induced nausea and vomiting. All participants are recruited from routine clinical practice at more than 30 hospitals across China, with a planned total of approximately 3,000 patients. The study population is divided into two cohorts: Cohort 1 consists of approximately 100 patients with mild to moderate hepatic impairment (Child-Pugh class A or B) due to primary liver disease; Cohort 2 consists of approximately 2,900 patients without hepatic impairment. Patients are eligible regardless of their chemotherapy line or prior antiemetic exposure, provided they are not participating in other interventional studies and have no contraindications to the study drug.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Age >= 18 years, any sex, any tumor type.
  2. Planned to receive an antiemetic regimen containing HR20013 prior to anticancer therapy.
  3. Scheduled to receive highly emetogenic anticancer therapy, according to the latest Chinese Society of Clinical Oncology (CSCO) guidelines for the prevention and treatment of chemotherapy-induced nausea and vomiting.
  4. Written informed consent obtained from the patient.
  5. Patients with moderate hepatic impairment enrolled in Cohort 1 are allowed to receive liver-protective treatment prior to anticancer therapy.

    Additional criteria for Cohort 1 (mild to moderate hepatic impairment cohort), all of the following must be met:

  6. Chronic liver injury caused by primary liver disease (such as hepatitis B, hepatitis C, autoimmune hepatitis, alcoholic liver disease, or hepatocellular carcinoma; liver metastases or documented liver injury in the medical record are also acceptable), accompanied by at least one of the following abnormal liver function indicators:

    1. Aminotransferase elevation: alanine aminotransferase (ALT) > ULN or aspartate aminotransferase (AST) > ULN;
    2. Abnormal bilirubin metabolism and bile excretion indicators: total bilirubin (TBIL) > ULN, direct bilirubin (DBIL) > ULN, indirect bilirubin (IBIL) > ULN, alkaline phosphatase (ALP) > ULN, or gamma-glutamyl transpeptidase (GGT) > ULN;
    3. Abnormal hepatic synthetic function indicators: albumin (ALB) \< ULN or total protein (TP) \< ULN;
    4. Coagulation indicators: prothrombin time (PT) prolonged by more than 3 seconds or international normalized ratio (INR) > 1.7;
    5. Presence of ascites;
    6. Presence of hepatic encephalopathy.
  7. Child-Pugh class A or B.

Note: For patients without primary liver disease who only have abnormal liver function indicators, the Child-Pugh classification is not applicable, and these patients will be assigned to Cohort 2.

Exclusion criteria

Exclusion Criteria:

  1. Currently participating in other interventional studies.
  2. Any other condition deemed unsuitable for participation in this study by the investigator.
  3. Pregnant or lactating women.
  4. Known hypersensitivity to the study drug or its excipients.
  5. Patients with severe hepatic impairment will be excluded from Cohort 2.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
3,000 participants (estimated)
Patient registry
No

Groups and cohorts

  • Cohort 1: Mild to Moderate Hepatic Impairment

    Patients with cancer and mild to moderate hepatic impairment (Child-Pugh score 5-9) who receive HR20013 (218 mg/0.25 mg) intravenous infusion before anticancer therapy for prevention of chemotherapy-induced nausea and vomiting. Planned enrollment: 100.

  • Cohort 2: Normal Hepatic Function

    Patients with cancer without hepatic impairment who receive fosrolapitant/palonosetron (218 mg/0.25 mg) single-agent or in combination for prevention of chemotherapy-induced nausea and vomiting. Planned enrollment: 2,900.

06

What researchers measure

Primary outcomes

  1. Incidence of Drug-Related Adverse Events of Any Grade

    Number of participants with any grade of drug-related adverse events (ADRs) during the study, graded according to NCI-CTCAE v6.0.

    Time frame: From the first administration of HR20013 on Day 1 of Cycle 1 through 30 days after the last administration of HR20013 (each treatment cycle is 21 days)

Secondary outcomes

  1. Incidence and Severity of Nausea/Vomiting in the Acute Phase

    Proportion of participants with nausea or vomiting and the corresponding severity, graded according to NCI-CTCAE v6.0.

    Time frame: Within 24 hours after the start of anticancer therapy

  2. Incidence and Severity of Nausea/Vomiting in the Delayed Phase

    Proportion of participants with nausea or vomiting and the corresponding severity, graded according to NCI-CTCAE v6.0.

    Time frame: From 24 to 120 hours after the start of anticancer therapy

  3. Incidence and Severity of Nausea/Vomiting in the Ultra-Delayed Phase

    Proportion of participants with nausea or vomiting and the corresponding severity, graded according to NCI-CTCAE v6.0.

    Time frame: From 120 to 168 hours after the start of anticancer therapy

  4. Incidence and Severity of Nausea/Vomiting in the Overall Phase

    Proportion of participants with nausea or vomiting and the corresponding severity, graded according to NCI-CTCAE v6.0.

    Time frame: From 0 to 120 hours after the start of anticancer therapy

07

Study locations

1 of 1 sites recruiting
  • Sun Yat-sen University Cancer Center
    Guangzhou, Guangdong 510060, China
    Recruiting
08

References and documents

Publications

  • Zhou H, Zhao Y, Zhang M, Yao J, Leng S, Li X, Lin L, Chen J, Zhang S, Qin X, Qin Z, Yi T, Wang R, Li X, Yu Y, Wang Z, Zheng Q, Mei J, Zang A, Li N, Cao F, Cao K, Li W, Lu Y, Lin D, Zhou Y, Yang R, Fang W, Zhou N, Yang Y, Zhang Y, Chen G, Zhou T, Yang X, Wang H, Wang Y, Huang Y, Zhang L. Randomized, Phase III Trial of Mixed Formulation of Fosrolapitant and Palonosetron (HR20013) in Preventing Cisplatin-Based Highly Emetogenic Chemotherapy-Induced Nausea and Vomiting: PROFIT. J Clin Oncol. 2025 Mar 20;43(9):1123-1136. doi: 10.1200/JCO-24-01308. Epub 2024 Dec 2. PubMed 39621965 ↗
  • Wilson BE, Jacob S, Yap ML, Ferlay J, Bray F, Barton MB. Estimates of global chemotherapy demands and corresponding physician workforce requirements for 2018 and 2040: a population-based study. Lancet Oncol. 2019 Jun;20(6):769-780. doi: 10.1016/S1470-2045(19)30163-9. Epub 2019 May 8. PubMed 31078462 ↗

Individual participant data

Plan to share: No

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 14, 2026
Show all 1 update
  1. Oct 14, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07874308
Responsible party
Li Zhang, MD (Professor, Chief Physician, Sun Yat-sen University) — Principal investigator
First posted
Oct 14, 2026
Start date
Jul 15, 2026
Primary completion
Feb 28, 2029 (estimated)
Completion
Dec 31, 2029 (estimated)
Last update
Oct 14, 2026

Study contacts

Li Zhang, MD, PhD
Contact
Zhangli6@mail.sysu.edu.cn
020-87343458

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion