Recent Updates
Recently added Catalysts

aprepitant

Phase 3

Chemotherapy-Induced Nausea and Vomiting | Small molecule | Other |Merck & Company, Inc.|Last Updated: Jun 2, 2017

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDBiomarker
Total Trials2
Total Enrollment890
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00337727Aprepitant for the Prevention of Chemotherapy Induced Nausea and Vomiting (CINV)(0869-130)(COMPLETED)PHASE3 COMPLETED 848Jan 1, 2007Nov 19, 2008Jun 2, 2017 -
NCT00945321A Study to Assess the Bioequivalence of Aprepitant and Fosaprepitant and the Effect of Food on Aprepitant Bioavailability (0869-165)PHASE1 COMPLETED 42Feb 1, 2009Mar 1, 2009Jan 28, 2015 -
Unlock Drug Trial Details
Study Endpoints
Primary Endpoints
Number of Patients Who Reported No Vomiting
Overall phase (0-120 hours post initiation of MEC) in Cycle 1.

The number of patients who reported No Vomiting in the overall phase in Cycle 1

Area Under the Curve (AUC(0 to Infinity)) Following Single Dose Administration of Aprepitant 165 mg or 185 mg and Fosaprepitant 150 mg
Through 72 Hours Postdose
Peak Plasma Concentration (Cmax) Following Single Dose Administration of Aprepitant 165 mg or 185 mg and Fosaprepitant 150 mg.
Through 72 Hours Postdose
Secondary Endpoints
Number of Patients Who Reported Complete Response
Overall phase (0-120 hours post initiation of MEC) in Cycle 1
Unlock Study Endpoints
Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
1OTHERArm 1: Day 1: aprepitant 125 mg capsule; ondansetron 8 mg capsule prior to chemotherapy and 1 8mg capsule 12 hrs after first dose; dexamethasone 12 mg tablets + 2 dexamethasone Pbo tablets. Day 2: Aprepitant 80 mg capsule; Ondansetron 8 mg capsule every 12 hours Day 3: Aprepitant 80 mg capsule Ondansetron 8 mg capsule every 12 hours.
2OTHERArm 2: Day 1: Aprepitant 125 mg Pbo capsule; Ondansetron 8 mg capsule prior to chemotherapy and 8 mg capsule 12 hours after first dose; Dexamethasone 20 mg tablets. Day 2: Aprepitant 80 mg Pbo capsule; Ondansetron 8 mg capsule every 12 hours; Day 3: Aprepitant 80 mg Pbo capsule; Ondansetron 8 mg capsule every 12 hours. 3 Day treatment period Optional cycle 2 is being offered to patients. Optional cycle 2 will substitute aprepitant with fosaprepitant dimeglumine 115 mg or Pbo on day 1. All other dosing regimen will remain the same as cycle 1.
3EXPERIMENTALfosaprepitant 150 mg
4EXPERIMENTALaprepitant with food
Interventions
NameTypeDescription
aprepitantDRUGaprepitant 125 mg capsule; aprepitant 80 mg capsule Three day treatment period.
Comparator: ondansetronDRUGOndansetron 8 mg capsule Three day treatment period.
Comparator: dexamethasoneDRUGdexamethasone 12 mg tablets; 20 mg tablets Three day treatment period.
Comparator: fosaprepitant dimeglumineDRUGfosaprepitant dimeglumine 115 mg
Comparator; Placebo (unspecified)DRUGdexamethasone 12mg Pbo tablets.
aprepitant 165 mgDRUGSingle dose of aprepitant 165 mg tablet in the fasted state during treatment period 1,2, or 3.
Comparator: aprepitant 185 mgDRUGSingle dose of aprepitant 185 mg tablet in the fasted state during treatment period 1, 2, or 3.
Comparator: fosaprepitant 150 mgDRUGSingle dose of fosaprepitant 150 mg intravenous infusion in the fasted state during treatment period 1,2, or 3.
Comparator: aprepitant with foodDRUGSingle dose of aprepitant 165 mg or 185 mg tablet in the fed state during treatment period 4.
Unlock Study Design Details
Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Patients will be naive to emetogenic chemotherapy with histologically or cytologically confirmed malignant disease scheduled to receive a single dose of moderately emetogenic chemotherapy on study day 1 * Karnofsky score of 60 or greater Exclusion Criteria: * Patient is sche...

Unlock Eligibility Criteria