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Rolapitant

Phase 3

Chemotherapy-induced Nausea and Vomiting | Small molecule | Other |GSK plc|Last Updated: May 19, 2016

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDBiomarker
Total Trials6
Total Enrollment2,796
FDA Designations
No designations recorded
Clinical Trials (6)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01499849Ph3 Safety/Efficacy Study of Rolapitant for the Prevention of CINV in Subjects Receiving Highly Emetogenic ChemotherapyPHASE3 COMPLETED 532Feb 1, 2012May 1, 2014May 19, 20161 United States
NCT01500213Ph3 Safety/Efficacy Study of Rolapitant for the Prevention of CINV in Subjects Receiving Highly Emetogenic ChemotherapyPHASE3 COMPLETED 555Feb 1, 2012Mar 1, 2014Mar 2, 20161 United States
NCT01500226Ph 3 Safety/Efficacy Study of Rolapitant for Prevention of CINV in Subjects Receiving Moderately Emetogenic ChemotherapyPHASE3 COMPLETED 1,369Feb 1, 2012Feb 1, 2014Mar 2, 20161 United States
NCT02434861An Open Label, Single Dose, Three Part Study to Assess the Effects of Rolapitant (2 mg/mL IV Solution) on the Pharmacokinetics of Digoxin; Sulfasalazine; and the Cooperstown Cocktail (Midazolam, Omeprazole, Warfarin, Caffeine, and Dextromethorphan in Healthy SubjectsPHASE1 COMPLETED 102May 1, 2015Aug 1, 2015Aug 25, 20151 United States
NCT02382666A Phase 1, 2-Part, Single Ascending Dose Assessment of the Safety, Tolerability, and Pharmacokinetics of Rolapitant Intravenous in Healthy VolunteersPHASE1 COMPLETED 100Jan 1, 2015Aug 1, 2015Aug 25, 20151 United States
NCT02285647An Open-Label, Randomized, Pivotal, Bioequivalence Study of Oral and Intravenous RolapitantPHASE1 COMPLETED 138Sep 1, 2014May 1, 2015Aug 25, 20151 United States
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Study Endpoints
Primary Endpoints
No Emetic Episodes and No Rescue Medication
>24 to 120 hours post chemotherapy

The primary objective of this study is to determine whether administration of rolapitant with granisetron and dexamethasone improves CINV in the delayed phase (\>24 to 120 hours) of CINV compared with administration of placebo with granisetron and dexamethasone in subjects receiving HEC. The primary outcome will be based on complete response (defined as no emetic episodes and no rescue medication) in the delayed phase (\>24 to 120 hours).

AUC: area under the plasma concentration-time curve
Predose - up to 120 hours postdose

To evaluate the effect of Rolapitant on the PK of probe substrates

Cmax = observed maximum plasma concentration
Predose - up to 120 hours postdose

To evaluate the effect of Rolapitant on the PK of probe substrates

Part 1 Dose Escalation: Safety and Tolerability (adverse events)
0-30 days after administration of study drug

To evaluate the safety and tolerability of rolapitant IV (30 minutes infusion) in healthy adult volunteers as assessed by the incidence and severity of AEs

Part 2 Dose Treatment: Safety and Tolerability (adverse events)
: 0-30 days after administration of study drug

To evaluate the safety and tolerability of rolapitant IV (30 minutes infusion) to an expanded cohort of healthy adult volunteers at the highest safe and well-tolerated dose established in Part 1 as assessed by the incidence and severity of AEs.

AUC0-t: area under the plasma concentration-time curve from time 0 to the time of the last quantifiable concentration
39-69 days
Secondary Endpoints
Acute Phase Response
0 to 24 hours
Overall Response Rate
0 to 120 hours
Number of participants with adverse events
0 - 38 days
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
RolapitantEXPERIMENTALDay 1: Rolapitant (200 mg PO) + Granisetron (10 mcg/kg IV) + dexamethasone (20 mg PO) Days 2-4: Dexamethasone (8 mg PO) will be administered orally BID.
Placebo + Granisetron + DexamethasonePLACEBO_COMPARATORDay 1: Placebo + Granisetron (10 mcg/kg IV)+ dexamethasone (20 mg PO) Days 2-4: Dexamethasone (8 mg PO) will be administered orally BID.
Part AEXPERIMENTALRolapitant IV and Digoxin
Part BEXPERIMENTALRolapitant IV and Sulfasalazine
Part CEXPERIMENTALRolapitant IV and Cooperstown Cocktail
Rolapitant Cohort 1EXPERIMENTALInvestigational Product: Rolapitant Dose 1 administered IV as a 30-minute infusion Dosage Form: 2 mg/mL solution
Rolapitant Cohort 2EXPERIMENTALInvestigational Product: Rolapitant Dose 2 administered IV as a 30-minute infusion Dosage Form: 2 mg/mL solution
Rolapitant Cohort 3EXPERIMENTALInvestigational Product: Rolapitant Dose 3 administered IV as a 30-minute infusion Dosage Form: 2 mg/mL solution
Rolapitant Cohort 4EXPERIMENTALInvestigational Product: Rolapitant Dose 4 administered IV as a 30-minute infusion Dosage Form: 2 mg/mL solution
Rolapitant Cohort 5EXPERIMENTALInvestigational Product: Rolapitant Dose 5 administered IV as a 30-minute infusion Dosage Form: 2 mg/mL solution
Rolapitant Cohort 6EXPERIMENTALInvestigational Product: Rolapitant Dose 6 administered IV as a 30-minute infusion Dosage Form: 2 mg/mL solution
Rolapitant - OralEXPERIMENTALInvestigational Product: Rolapitant Dose: 200 mg (4 x 50mg) Route of Administration: Oral Dosage Form: Capsule Dosing Condition: Fasted (10 hours overnight)
Rolapitant - IVEXPERIMENTALInvestigational Product: Rolapitant Dose: 185 mg Route of Administration: IV (30 minutes) Dosage Form: 2 mg/mL solution Dosing Condition: Fasted (10 hours overnight)
Interventions
NameTypeDescription
RolapitantDRUG(4 X 50 mg capsules) 200 mg PO
GranisetronDRUG10 mcg/kg IV
dexamethasoneDRUG20 mg PO and 8 mg PO
PlaceboDRUG(4 X 0 mg capsules) 0 mg PO
DigoxinDRUGP-gp substrate
SulfasalazineDRUGBCRP substrate
Cooperstown CocktailDRUGMidazolam, omeprazole, warfarin, caffeine, and dextromethorphan
Rolapitant - OralDRUGOral Treatment A Investigational Product: Rolapitant Dose: 200 mg (4 x 50 mg) Route of Administration: Oral Dosage Form: Capsule Dosing Condition: Fasted (10 hours overnight)
Rolapitant - IVDRUGIV Treatment B Investigational Product: Rolapitant Dose: 185 mg Route of Administration: IV (30 minutes) Dosage Form: 2 mg/mL solution Dosing Condition: Fasted (10 hours overnight)
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * 18 years of age or older, of either gender, and of any race * has never been treated with cisplatin and is to receive the first course of cisplatin-based chemotherapy (≥60 mg/m2) * Karnofsky performance score of ≥60 * Predicted life expectancy of ≥4 months * Adequate bone marr...

Countries:United States
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