Article
作者: Wang, Ruoyu  ; Zhao, Yuanyuan  ; Cao, Ke  ; Leng, Shuang  ; Zhang, Mingjun  ; Lin, Dang  ; Lin, Li  ; Zhou, Huaqiang  ; Zhang, Li  ; Qin, Xia  ; Li, Weiwei  ; Li, Xiang  ; Qin, Zhiquan  ; Zhang, Songnan  ; Wang, Zhenghua  ; Li, Na  ; Yi, Tienan  ; Zang, Aimin  ; Zhou, Ningning  ; Huang, Yan  ; Wang, Yujiao  ; Li, Xiumin  ; Fang, Wenfeng  ; Yu, Yan  ; Cao, Fengjun  ; Lu, Yanda  ; Wang, Huan  ; Zhang, Yaxiong  ; Yang, Runxiang  ; Yao, Jun  ; Yang, Yunpeng  ; Zhou, Yan  ; Zheng, Qinhong  ; Mei, Jiazhuan  ; Chen, Jinping  ; Yang, Xue  ; Zhou, Ting  ; Chen, Gang 
PURPOSEMixed formulation of fosrolapitant and palonosetron (PALO), HR20013, is a novel fixed-dose intravenous antiemetic combination that could simultaneously antagonize neurokinin-1 and 5-hydroxytryptamine-3 receptors. This study was designed to evaluate the efficacy and safety of HR20013 plus dexamethasone (DEX) versus fosaprepitant (FAPR) plus PALO + DEX for preventing chemotherapy-induced nausea and vomiting (CINV) in patients receiving highly emetogenic chemotherapy (HEC).METHODSThis is a noninferiority study. Chemotherapy-naïve patients were randomly assigned 1:1 to receive HR20013 (day 1) or FAPR + PALO (day 1) before each cycle of cisplatin-based HEC (two cycles in total), together with oral DEX (day 1-4). The primary end point was overall (0-120 hours) complete response (CR; no vomiting/no rescue therapy) rate in cycle 1. The key secondary end point was CR rate at the beyond delayed phase (120-168 hours) in cycle 1.RESULTS
              Three hundred seventy-three patients were enrolled to receive HR20013 + DEX and 377 to FAPR + PALO + DEX. The overall CR rate in cycle 1 was 77.7% for HR20013 + DEX and 78.2% for FAPR + PALO + DEX (difference = –0.9% [95% CI, –6.7 to 5.0]; one-sided
              P
              < .01), demonstrating that HR20013 + DEX was noninferior to FAPR + PALO + DEX. The superiority of HR20013 + DEX over FAPR + PALO + DEX in CR rate at the beyond delayed phase in cycle 1 was not met (90.3%
              v
              86.5%; two-sided
              P
              = .11). In cycle 2, HR20013 + DEX showed greater proportions of patients reporting no impact on daily life at the delayed (24-120 hours) and beyond delayed phases compared with FAPR + PALO + DEX. The incidences of treatment-related adverse events were 35.7% during cycle 1 and 42.1% during entire study for HR20013 + DEX, versus 38.2% and 44.0% for FAPR + PALO + DEX.
            CONCLUSIONHR20013 + DEX was noninferior to FAPR + PALO + DEX for preventing HEC-CINV and well tolerated, with the potential to reduce the impact of CINV on daily life.