New shot could stop chemo sickness in its tracks
NCT ID NCT00343460
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 3 trial tested a drug called APF530, given as a shot, to prevent nausea and vomiting caused by chemotherapy. Over 1,400 cancer patients took part, comparing APF530 with the standard drug Aloxi. The goal was to see if APF530 could keep patients from vomiting or needing rescue medicine during the first day and the following days after chemo.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- APF530 (a drug given as a shot under the skin)
- What this could lead to
- If it works, this could give cancer patients a new option to prevent nausea and vomiting during chemotherapy, improving their quality of life.
- What could go wrong
- This is a completed phase 3 trial, but results may not show a clear advantage over the existing drug Aloxi. The benefit may be modest and not apply to all chemotherapy types.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
1,428 people
The number who actually took part.
- Start date
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Jun 2006
- Finished
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Feb 2009
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 to 120 years
- Sex
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Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
DISEASE CHARACTERISTICS: * Histologically or cytologically confirmed malignant disease * No head and neck cancer or upper gastrointestinal cancer * Scheduled to receive a single day of moderately or highly emetogenic chemotherapy regimen (for ≤ 4 courses) * Chemotherapy administration ≤ 4 hours * Duration of each course ≤ 28 days * Causing nausea and vomiting in 30-100% of patients if untreated according to Hesketh algorithm * Must be able to receive standardized doses of dexamethasone for the prevention of emesis during study treatment * No greater than mild nausea or any vomiting within 24 hours before beginning study treatment PATIENT CHARACTERISTICS: * ECOG performance status 0-2 * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception * No known allergy or hypersensitivity to other selective 5-HT3 receptor antagonists or local anesthetics * QTc interval ≤ 500 ms * No cardiac abnormality predisposing the patient to arrhythmia * No psychological problem that, in the opinion of the investigator, is severe enough to preclude study participation * No recent history (i.e., ≤ 1 year) of alcohol or drug abuse * No concurrent condition that, in the opinion of the investigator, could affect assessment of study medication or interfere with the nausea/vomiting response (e.g., severe renal or hepatic impairment) PRIOR CONCURRENT THERAPY: * See Disease Characteristics * No radiotherapy 7 days prior to, during, and 5 days after completion of study treatment * More than 7 days since prior chemotherapy * More than 7 days since prior and no concurrent prohibited medications (e.g., CYP3A4 inhibitors or other antiemetic medications) * More than 7 days since prior antinausea medications * More than 30 days since prior treatment on an investigational trial * No other concurrent corticosteroids or dexamethasone at a different dose than study treatment * No concurrent use of APF530, palonosetron hydrochloride, or aprepitant as rescue medications
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Advanced Research Management Services, Incorporated
Los Angeles, California, 90057, United States
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Anniston Oncology, PC
Anniston, Alabama, 36207, United States
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Arizona Clinical Research Center, Incorporated
Tucson, Arizona, 85715, United States
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Arkansas Cancer Research Center at University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205, United States
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Boice Willis Clinic, PA
Rocky Mount, North Carolina, 27804, United States
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Cancer Center of Indiana
New Albany, Indiana, 47150, United States
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Cancer Outreach Associates - Abingdon
Abingdon, Virginia, 24211, United States
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Cancer Treatment Centers of America at Southwestern Regional Medical Center
Tulsa, Oklahoma, 74133-4564, United States
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Center for Cancer and Blood Disorders at Suburban Hospital
Bethesda, Maryland, 20817, United States
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Center for Clinical Research at Washington County Hospital
Hagerstown, Maryland, 21740, United States
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Charleston Hematology Oncology Associates, PA
Charleston, South Carolina, 29403, United States
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Clintell, Incorporated
Skokie, Illinois, 60077, United States
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Columbus Clinic, PC
Columbus, Georgia, 31901, United States
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Compassionate Cancer Care Medical Group Incorporated - Corona
Corona, California, 92882, United States
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Compassionate Cancer Care Medical Group Incorporated - Fountain Valley
Fountain Valley, California, 92708, United States
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Comprehensive Cancer Center at Pardee Hospital
Hendersonville, North Carolina, 28791, United States
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Eastern Connecticut Hematology and Oncology Associates
Norwich, Connecticut, 06360, United States
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Eastern North Carolina Medical Group, PLLC
Rocky Mount, North Carolina, 27804, United States
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Falck Cancer Center at Arnot Ogden Medical Center
Elmira, New York, 14905, United States
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Family Medicine of Vincennes Clinical Trial Center
Vincennes, Indiana, 47591, United States
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Gabrail Cancer Center - Canton Office
Canton, Ohio, 44718, United States
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Gabrail Cancer Center - Dover Office
Dover, Ohio, 44622, United States
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Hematology-Medical Oncology Associates at Central Maine Comprehensive Cancer Center
Lewiston, Maine, 04240, United States
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Hudson Valley Hematology-Oncology Associates - Poughkeepsie
Poughkeepsie, New York, 12601, United States
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Innovative Medical Research of South Florida, Incorporated
North Miami Beach, Florida, 33179-4709, United States
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Investigative Clinical Research, LLC
Indianapolis, Indiana, 46254, United States
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Julie and Ben Rogers Cancer Institute at Memorial Hermann Baptist Beaumont Hospital
Beaumont, Texas, 77701, United States
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Kansas City Cancer Centers - South
Kansas City, Missouri, 64131, United States
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Kenmar Research Institute
Los Angeles, California, 90057, United States
-
Kentuckiana Cancer Institute, PLLC
Louisville, Kentucky, 40202, United States
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Kentucky Cancer Clinic - Hazard
Hazard, Kentucky, 41701, United States
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Mary Babb Randolph Cancer Center at West Virginia University Hospitals
Morgantown, West Virginia, 26506-9300, United States
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McDowell Cancer Center at Akron General Medical Center
Akron, Ohio, 44302, United States
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MedCentral - Mansfield Hospital
Mansfield, Ohio, 44903, United States
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Medical Center Vincennes
Vincennes, Indiana, 47591, United States
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Medical Oncology Care Associates - Orange
Orange, California, 92868, United States
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Mercy Medical Center
Baltimore, Maryland, 21202-2165, United States
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MultiCare Regional Cancer Center at Tacoma General Hospital
Tacoma, Washington, 98405, United States
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Northern Michigan Hospital
Petoskey, Michigan, 49770, United States
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Pacific Cancer Medical Center, Incorporated
Anaheim, California, 92801, United States
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Palo Verde Hematology Oncology - Glendale
Glendale, Arizona, 85304, United States
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Pasco Pinellas Cancer Center - New Port Richey
New Port Richey, Florida, 34689, United States
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Pottsville Cancer Clinic
Pottsville, Pennsylvania, 17901, United States
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Providence Hospital
Washington D.C., District of Columbia, 20017, United States
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Regional Cancer Center at Singing River Hospital
Pascagoula, Mississippi, 39581, United States
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Signal Point Hematology Oncology Incorporated
Middletown, Ohio, 45042, United States
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Southbay Oncology / Hematology Medical Group
Campbell, California, 95008, United States
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Star Hematology & Oncology
Phillipsburg, New Jersey, 08865, United States
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Texas Cancer Clinic
San Antonio, Texas, 78240, United States
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Veterans Affairs Medical Center - Buffalo
Buffalo, New York, 14215, United States
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Virginia Oncology Care, PC
Richlands, Virginia, 24641, United States
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Western Washington Oncology, Incorporated, PS at Western Washington Cancer Center
Lacey, Washington, 98503, United States
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Other studies related to the condition(s) this trial covers.
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