A Randomized Controlled Study of Rolapitant for the Prevention of Nausea and Vomiting Following Surgery (Study P04937AM1)(COMPLETED)

Not Recruiting

Trial ID: NCT00539721


This is a multicenter, randomized, controlled study in women who are having elective open abdominal surgery with general anesthesia and who are expected to need patient-controlled analgesia (PCA) after surgery. The primary objective is to assess the effect of rolapitant in the prevention of postoperative nausea and vomiting as measured by the prevention of vomiting in the first 24 hours after surgery. Participation in the study may last up to 3 months. The total duration of the study will be approximately 36 weeks.

Official Title

A Randomized, Double-Blind, Double-Dummy, Dose-Ranging, Active- and Placebo-Controlled Study of Single-Dose Oral Rolapitant Monotherapy for the Prevention of Postoperative Nausea and Vomiting (PONV)

Stanford Investigator(s)

Cliff Schmiesing, MD
Cliff Schmiesing, MD

Clinical Professor, Anesthesiology, Perioperative and Pain Medicine


Inclusion Criteria:

   - Women aged 18 years or older of any race with an American Society of Anesthesiologists
   (ASA) physical status of I to III who are scheduled to undergo elective open abdominal
   surgery under general anesthesia.

   - Women whose postoperative hospitalization is expected to last at least 24 hours

   - Women expected to require postoperative intravenous opioid PCA.

   - Women whose surgery is expected to require at least 1 hour, but not more than 4 hours,
   of general anesthesia using the regimen defined in this protocol.

   - Women of childbearing potential who have a negative pregnancy test or women who have
   been surgically sterilized or are postmenopausal.

Exclusion Criteria:

   - Women with clinically significant or unstable cardiac, respiratory, hepatic, renal, or
   other major organ system disease.

   - Women with a known hypersensitivity to ondansetron (or any other 5-HT3 antagonist), to
   any agent that is part of the anesthesia regimen, or to other medications to be
   administered under this protocol.

   - Women who are scheduled to undergo certain types of surgery.

   - Women who are breastfeeding.

   - Women who have retching/vomiting or moderate or severe nausea in the 24 hours prior to
   surgery or suffer from chronic nausea and/or vomiting.

   - Women with a body mass index (BMI) >40.

   - Women who have participated in a clinical trial of an investigational drug within 30
   days prior to drug administration.


drug: Rolapitant Dose 1

drug: Rolapitant Dose 2

drug: Rolapitant Dose 3

drug: Rolapitant Dose 4

drug: Ondansetron

drug: Placebo

Not Recruiting

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
David Drover