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The company currently does not have plans to conduct this study
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The purpose of this study is to determine the dosing strategy for adolescents aged 2 to 5 years.
This is an open-label, multi-center, cross-over study in male and female pediatric cancer patients, aged 2 to 5 years who are receiving at least 2 cycles of emetogenic chemotherapy requiring 5-HT3 antagonist treatment of up to 5 days duration. The study is designed to evaluate the safety and PK of transdermal granisteron (Sancuso(R) patch) in a pediatric population (aged 2 to 5 years) using a population PK approach.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sancuso Arm | Experimental | patch |
|
| IV granisetron | Active Comparator | IV |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sancuso | Drug | granisetron transdermal system |
| |
| IV granisetron |
| Measure | Description | Time Frame |
|---|---|---|
| Plasma concentration | Analysis of the plasma concentration of Intravenous granisetron vs transdermal granisetron in pediatric patients receiving chemotherapy over two sequential cycles. | Up to 7 days |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with adverse events, application site assessment and clinically significant changes in laboratory assessments over 2 cycles of chemotherapy | Incidence, frequency, and severity of AEs and SAEs, including clinically significant changes in laboratory assessments and application site assessment | Through study completion, an average of 8 weeks |
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Inclusion Criteria:
2 to 5 years of age inclusive at screening.
Written parental (or appropriate legal representative) IRB approved informed consent as appropriate.
Confirmed malignancy.
Scheduled to receive 2 or more cycles* of emetogenic chemotherapy requiring 5-HT3 antagonist treatment.
Scheduled to receive one or more consecutive days of 5-HT3 antagonist treatment, per cycle, as CINV prophylaxis.
Exclusion Criteria:
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| ID | Term |
|---|---|
| D014839 | Vomiting |
| ID | Term |
|---|---|
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D017829 | Granisetron |
| ID | Term |
|---|---|
| D053961 | Azabicyclo Compounds |
| D001372 | Aza Compounds |
| D009930 | Organic Chemicals |
| D007191 | Indazoles |
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| Drug |
IV granisetron |
|
|
| Number of participants with change in physical assessment including height, weight, BMI and BSA | Change in height and weight to calculate BMI and BSA | Through study completion, an average of 8 weeks |
| Number of participants with change in vital signs | Change in pulse, systolic and diastolic blood pressure measurements | Through study completion, an average of 8 weeks |
| Number of participants with change in ECG parameters | 12 lead ECGs will be conducted to time match PK samples after at least 5 minutes supine rest | Through study completion, an average of 8 weeks |
| D011720 |
| Pyrazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D019086 | Bridged Bicyclo Compounds, Heterocyclic |
| D006572 | Heterocyclic Compounds, Bridged-Ring |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |