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A Korean Study of Efficacy and Safety of Aprepitant-based Triple Regimen for the Prevention of Chemotherapy-Induced Nausea and Vomiting in the First Cycle of Moderately Emetogenic Chemotherapy (Non-doxorubicin Hydrochloride [Adriamycin] and Cyclophosphamide Regimens) (MK-0869-225 AM1) (KMEC)

Information source: Merck
Information obtained from ClinicalTrials.gov on February 07, 2013
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Nausea; Vomiting

Intervention: Aprepitant (Drug); Aprepitant Placebo (Drug); Ondansetron (Drug); Dexamethasone (Drug); Dexamethasone (Drug); Ondansetron Placebo (Drug); Rescue Therapy (granisetron, dolasetron, tropisetron or ondansetron; metoclopramide or alizapride). (Drug); Ondansetron (Drug)

Phase: Phase 4

Status: Recruiting

Sponsored by: Merck

Overall contact:
Toll Free Number, Phone: 1-888-577-8839


This is an efficacy and safety study to compare aprepitant with ondansetron for the prevention of nausea and vomiting in the first cycle of moderately emetogenic chemotherapy (MEC) in participants with solid tumors. MECs include a number of commonly used cancer chemotherapeutic drugs including: oxaliplatin-based, irinotecan-based, and carboplatin-based regimens.

Clinical Details

Official title: A Korean Multicenter, Randomized, Double-Blind, Clinical Trial to Evaluate the Efficacy and Tolerability of Aprepitant for the Prevention of Chemotherapy-Induced Nausea and Vomiting in the First Cycle of Moderately Emetogenic Chemotherapies (MEC, Non-AC Regimes) With Broad Range of Tumor Types (KMEC Study)

Study design: Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment

Primary outcome: The Proportion of Participants with Overall No Vomiting for the Overall Stage

Secondary outcome:

Number of Participants with a Complete Response - Overall, Acute, and Delayed

Time to First Vomiting Event Overall

Number of Participants with No Vomiting and No Significant Nausea

Number of Participants with No Impact on Daily Life - Overall

Number of Participants with No Use of a Rescue Therapy - Overall, Acute, and Delayed

Number of Participants with One or More Clinical Adverse Events

No Vomiting - Acute and Delayed


Minimum age: 21 Years. Maximum age: N/A. Gender(s): Both.


Inclusion Criteria:

- Histologically or cytologically confirmed malignant disease

- Scheduled to receive a single dose of one or more of moderately emetogenic

chemotherapeutic agents during Cycle 1

- Eastern Cooperative Oncology Group (ECOG) performance status of 0 - 2 or Karnofsky

score ≥60

- Predicted life span ≥4 months

- Laboratory values demonstrating adequate hematologic status

- Premenopausal females must not be pregnant or lactating and must agree to use

effective birth control

Exclusion Criteria:

- Received chemotherapy within 6 months prior to starting on study drugs

- Scheduled to receive subsequent treatment due to a refractory response to first or

second line chemotherapy

- Received an investigational drug within 30 days prior to starting on study drugs

- Radiation therapy to the abdomen or pelvis in the week prior to starting on study


- Vomiting in the 24 hours prior to starting on study drugs

- Active infection (e. g., pneumonia) or any uncontrolled disease (e. g., diabetic

ketoacidosis, gastrointestinal obstruction) except for malignancy

- Known hypersensitivity to Aprepitant (EMEND®), Dexamethasone or 5-HT3 receptor


- Presentation with gastrointestinal obstruction symptoms

- Symptomatic primary or metastatic central nervous system malignancy

Locations and Contacts

Toll Free Number, Phone: 1-888-577-8839

MSD Korea Ltd., Seoul 121-705, Korea, Republic of; Recruiting
Yong Soo Kim, Phone: 82263630241
Additional Information

Starting date: December 2012
Last updated: January 8, 2013

Page last updated: February 07, 2013

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