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Casopitant

Phase 3

Vomiting | Small molecule | Gastrointestinal |GSK plc|Last Updated: Aug 4, 2017

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment1,858

FDA Designations

No designations recorded

Clinical trial landscape

Casopitant · 3 trials · 5 indications

Phase 3 2Phase 1 1
NCT00366834Intravenous And Oral Casopitant (GW679769) For The Prevention Of Chemotherapy Induced Nausea And VomitingVomiting
COMPLETED1,840 Analytics
NCT00334152Casopitant And ZOFRAN To Prevent Post Operative Nausea And Vomiting In WomenNausea and Vomiting, Postoperative
COMPLETED515 Analytics
PHASE3COMPLETED
Intravenous And Oral Casopitant (GW679769) For The Prevention Of Chemotherapy Induced Nausea And Vomiting
VomitingUnlock trial analytics
PHASE3COMPLETED
Casopitant And ZOFRAN To Prevent Post Operative Nausea And Vomiting In Women
Nausea and Vomiting, PostoperativeUnlock trial analytics

Study Endpoints

Primary Endpoints

Complete response as assessed by a visual analogue scale and a subject diary over the 120 hours following the first cycle of chemotherapy.
120 Hours
Number of participants who achieved a complete response
Up to 24 hours

Complete response defined as no vomiting or retching and no rescue therapy during the first 24 hours following placement of the last suture/staple. Vomiting defined as the forceful expulsion of gastrointestinal contents through the mouth or nose. Retching defined as the labored, spasmodic, rhythmic contraction of the respiratory and abdominal muscles in an attempt to vomit that is not productive of gastrointestinal contents (also known as "dry heaves"). Study participants who receive antiemetic rescue medication(s) during the initial 24 hours was considered treatment failures.

Area under the plasma drug concentration versus time curve from 0 to 24 hours (AUC[0-24]) of casopitant and GSK525060
Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12 and 16 hours on Day 1; pre-dose on Day 2, Day 3 and Day 4; Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 16, 24, 36, and 48 hours on Day 5

Blood samples will be collected at the indicated time points for pharmacokinetic analysis.

Maximum observed concentration (Cmax) of casopitant and GSK525060
Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12 and 16 hours on Day 1; pre-dose on Day 2, Day 3 and Day 4; Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 16, 24, 36, and 48 hours on Day 5

Blood samples will be collected at the indicated time points for pharmacokinetic analysis.

Secondary Endpoints

Complete response over 120 hours following subsequent chemotherapy cycles Use of rescue medication over 120 hours following all chemotherapy cycles Impact on daily life activities over 120 hours, assessed using a subject diary questionnaire
120 Hours
The proportion of subjects who achieve a complete response during the acute (0-24 hours) and the delayed (24-120 hours) phase following the first cycle of MEC.
approx. 18 mos
The proportion of subjects who achieve a complete response over the first 120 hours, during the acute (0-24 hours), the delayed (24-120 hours), and the overall (0-120 hours) phase following subsequent cycles of MEC.
approx. 18 mos
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ControlPLACEBO_COMPARATORondansetron 8 mg oral twice daily on Day 1-3 and dexamethasone 8 mg IV on Day 1 + placebo
Single dose oralEXPERIMENTALondansetron 8 mg oral twice daily on Day 1-3 and dexamethasone 8 mg IV + casopitant 150 mg on Day 1
3-day oralEXPERIMENTALondansetron 8 mg oral twice daily on Day 1-3 and dexamethasone 8 mg IV + casopitant 150 mg on Day 1 + 50 mg on days 2 \& 3
3-day IV/oralEXPERIMENTALondansetron 8 mg oral twice daily on Day 1-3 and dexamethasone 8 mg IV on Day 1 + 90 mg IV casopitant on day 1 and 50 mg oral casopitant on days 2 \& 3
Subjects receiving casopitantEXPERIMENTALEligible subjects will receive a 100 milligrams oral dose of casopitant once daily for five consecutive days.

Interventions

NameTypeDescription
Casopitant (GW679769) oral tabletsDRUG -
Casopitant (GW679769) intravenousDRUG -
Dexamethasone intravenousDRUG -
Ondansetron oral tabletsDRUG -
placeboDRUGcasopitant placebo
casopitantDRUG -
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites223

Inclusion criteria: * A subject will be considered eligible for inclusion in this study only if all of the following criteria apply: * Subject understands the nature and purpose of this study and the study procedures and has signed an informed consent form for this study to indicate this understand...

Countries:United StatesArgentinaAustriaBelgiumBulgariaCanadaCroatiaCzechiaDenmarkEstoniaGermanyGreeceHong KongHungaryIndiaIrelandItalyLatviaLithuaniaMexicoPakistanPeruPhilippinesPolandRussiaSlovakiaSouth AfricaSouth KoreaSpainTaiwanThailandUnited Kingdom
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Frequently asked questions about Casopitant

What is Casopitant used for?

Casopitant is an investigational small molecule being developed for nausea and vomiting, including chemotherapy-induced nausea and vomiting and postoperative nausea and vomiting. It is in Phase 3 clinical development and has not been approved by the FDA.

Who makes Casopitant?

Casopitant is being developed by GSK plc, traded on the New York Stock Exchange under the ticker GSK. The company has completed seven clinical trials for the drug with a total enrollment of 1,858 participants.

What phase is Casopitant in?

Casopitant is in Phase 3 clinical development. It is an investigational drug and has not received FDA approval. All seven clinical trials for Casopitant have been completed, with no active trials currently ongoing.

What clinical trials is Casopitant in?

Casopitant has completed seven clinical trials, including NCT00404274, NCT00437229, NCT00440128, and NCT00511823. These trials studied the drug's effects and safety in healthy volunteers and cancer patients, including interactions with warfarin, dexamethasone, ondansetron, docetaxel, and other medications.

Is Casopitant the same as GW679769?

Yes, Casopitant is also known as GW679769. Clinical trials for the drug, such as NCT00404274, reference this alternative name in their titles, confirming that both names refer to the same investigational compound.