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Neurokinin Inhibitor

Fosaprepitant for Nausea and Vomiting (AFTR NV RCT Trial)

Phase 2 & 3
Recruiting
Led By Benjamin W Friedman, MD MS
Research Sponsored by Montefiore Medical Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Must not have
Not conversant in English or Spanish
Altered mental status
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 24 hours (measured every 15 minutes for the first 2 hours, then hourly after that until disposition; reassessed at 24 hours)
Awards & highlights
No Placebo-Only Group

Summary

This trial aims to compare the effectiveness and side effects of fosaprepitant, a new antiemetic medication, with the standard medication ondansetron. Fosaprepitant works in

Who is the study for?
This trial is for patients experiencing nausea and vomiting who are seeking a potentially more effective treatment. Participants should not have used any other antiemetic medication recently and must be in need of immediate relief from their symptoms.
What is being tested?
The study compares the effectiveness of Fosaprepitant, a newer antiemetic drug, with Ondansetron, a standard treatment. It's randomized and double-blind, meaning neither the doctors nor patients know who gets which drug to ensure unbiased results.
What are the potential side effects?
Fosaprepitant may cause side effects such as headaches or dizziness due to its action in the central nervous system. Since it blocks specific signals that trigger vomiting, there might also be unexpected reactions within two hours of taking it.

Eligibility Criteria

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I cannot speak English or Spanish.
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I have experienced changes in my mental state.
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I have used anti-nausea medication or received IV fluids before screening.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~24 hours (measured every 15 minutes for the first 2 hours, then hourly after that until disposition; reassessed at 24 hours)
This trial's timeline: 3 weeks for screening, Varies for treatment, and 24 hours (measured every 15 minutes for the first 2 hours, then hourly after that until disposition; reassessed at 24 hours) for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Sustained Relief from NV
Secondary study objectives
Fluid Treatment
Functional disability
Hospitalization
+8 more

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: Investigational InterventionExperimental Treatment1 Intervention
Fosaprepitant 150mg IV administered over 15 minutes
Group II: Standard-of-Care InterventionActive Control1 Intervention
Ondansetron 4mg IV administered over 15 minutes
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Fosaprepitant 150 mg
2018
Completed Phase 4
~30

Find a Location

Who is running the clinical trial?

Montefiore Medical CenterLead Sponsor
456 Previous Clinical Trials
588,270 Total Patients Enrolled
Benjamin W Friedman, MD MSPrincipal InvestigatorMontefiore Medical Center
~167 spots leftby May 2025