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Trial · NCT02646566

Study of APD421 as PONV Treatment (Prior Prophylaxis)

NCT02646566, Phase 3, Completed, Acacia Pharma Ltd; results first posted 2018-12-19

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study of APD421 as PONV Treatment (Prior Prophylaxis). Trials, record NCT02646566. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02646566

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study of APD421 as PONV Treatment (Prior Prophylaxis)
NCT number
NCT02646566
Status
Completed
Phases
Phase 3
Enrollment
705 participants, actual
Lead sponsor
Acacia Pharma Ltd
Conditions
Postoperative Nausea and Vomiting
Interventions
APD421, Placebo
First posted
2016-01-05
Last updated
2019-01-22
Results first posted
2018-12-19
Limitations and caveats
There were no limitations or caveats with this study

Source ClinicalTrials.gov

Registered outcomes11

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants With Complete Response (Success of Initial PONV Treatment)0-24 hours after administration of study medication
The primary efficacy variable was the dichotomous variable: success or failure of initial PONV treatment, where success is defined as no emetic episodes (vomiting or retching) from 30 minutes\* to 24 hours after administration of study medication and no administration of anti-emetic rescue medication at any time in the 24-hour period after administration of study medication.
SecondaryNumber of Participants With Complete Response 0-2 Hrs0-2 hours after administration of study medication
Success of initial PONV treatment, where success is defined as no emetic episodes (vomiting or retching) from 30 minutes\* to 2 hours after administration of study medication and no administration of anti-emetic rescue medication at any time in the 2-hour period after administration of study medication.
SecondaryNumber of Participants With Complete Response 0-4 Hrs0-4 hours after administration of study medication
Success of initial PONV treatment, where success is defined as no emetic episodes (vomiting or retching) from 30 minutes\* to 4 hours after administration of study medication and no administration of anti-emetic rescue medication at any time in the 4-hour period after administration of study medication.
SecondaryNumber of Participants With Complete Response 0-6 Hrs0-6 hours after administration of study medication
Success of initial PONV treatment, where success is defined as no emetic episodes (vomiting or retching) from 30 minutes to 6 hours after administration of study medication and no administration of anti-emetic rescue medication at any time in the 6-hour period after administration of study medication.
SecondaryTime to Treatment Failure0-24 hours after study drug administrationTime to first violation of the criteria for complete response
SecondaryNumber of Patients With Incidence of Emesis30 mins to 24 hours after study drug administrationNumber of patients experiencing vomiting or retching during the time period from 30 minutes to 24 hours after administration of study medication
SecondaryNumber of Patients Receiving Rescue Medication0-24 hours after study drug administrationNumber of patients receiving pre-specified anti-emetic rescue medication at any time in the 24 hours post-treatment period
SecondaryNumber of Patients With an Incidence of Significant Nausea30 mins to 24 hours after study drug administration
Number of patients with nausea score ≥4 on an 11-point verbal rating scale (0=no nausea, 10=worst possible nausea, therefore higher value is worse outcome) during the time period from 30 minutes to 24 hours after administration of study medication.
SecondaryNumber of Patients With an Incidence of Nausea30 mins to 24 hours after drug administration
Number of patients with nausea score ≥1 on an 11-point verbal rating scale (0=no nausea, 10=worst possible nausea, therefore higher value is worse outcome) during the time period from 30 minutes to 24 hours after administration of study medication.
SecondaryMaximum Severity of Nausea30 mins to 24 hours after study drug administration
Highest recorded nausea score on an 11-point verbal rating scale (0=no nausea, 10=worst possible nausea, therefore higher value is worse outcome) during the time period from 30 minutes to 24 hours after administration of study medication.

Outcomes11

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With Complete Response (Success of Initial PONV Treatment)0-24 hours after administration of study medicationModified ITT populationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Complete Response 0-2 Hrs0-2 hours after administration of study medicationModified ITT populationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Complete Response 0-4 Hrs0-4 hours after administration of study medicationModified ITT populationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Complete Response 0-6 Hrs0-6 hours after administration of study medicationModified ITT populationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYTime to Treatment Failure0-24 hours after study drug administrationModified ITT populationminutesMEDIAN
SECONDARYNumber of Patients With Incidence of Emesis30 mins to 24 hours after study drug administrationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Patients Receiving Rescue Medication0-24 hours after study drug administrationModified ITT populationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Patients With an Incidence of Significant Nausea30 mins to 24 hours after study drug administrationModified ITT populationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Patients With an Incidence of Nausea30 mins to 24 hours after drug administrationModified ITT populationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYMaximum Severity of Nausea30 mins to 24 hours after study drug administrationModified ITT populationScore on a scaleMEAN

Results by group33

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With Complete Response (Success of Initial PONV Treatment)APD421 5mg80Participants
Number of Participants With Complete Response (Success of Initial PONV Treatment)APD421 10mg96Participants
Number of Participants With Complete Response (Success of Initial PONV Treatment)Placebo67Participants
Number of Participants With Complete Response 0-2 HrsAPD421 5mg134Participants
Number of Participants With Complete Response 0-2 HrsAPD421 10mg160Participants
Number of Participants With Complete Response 0-2 HrsPlacebo116Participants
Number of Participants With Complete Response 0-4 HrsAPD421 5mg105Participants
Number of Participants With Complete Response 0-4 HrsAPD421 10mg136Participants
Number of Participants With Complete Response 0-4 HrsPlacebo87Participants
Number of Participants With Complete Response 0-6 HrsAPD421 5mg99Participants

Participant flow9

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDAPD421 5mg237
Overall StudySTARTEDAPD421 10mg230
Overall StudySTARTEDPlacebo235
Overall StudyCOMPLETEDAPD421 5mg231
Overall StudyCOMPLETEDAPD421 10mg226
Overall StudyCOMPLETEDPlacebo230
Overall StudyNOT COMPLETEDAPD421 5mg6
Overall StudyNOT COMPLETEDAPD421 10mg4
Overall StudyNOT COMPLETEDPlacebo5

Adverse events72

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNauseaGastrointestinal disordersAPD421 IV 5mg3023733
otherNauseaGastrointestinal disordersAPD421 IV 10mg2723028
otherNauseaGastrointestinal disordersPlacebo3023532
otherFlatulenceGastrointestinal disordersAPD421 IV 5mg1323713
otherFlatulenceGastrointestinal disordersAPD421 IV 10mg1323013
otherFlatulenceGastrointestinal disordersPlacebo1823518
otherConstipationGastrointestinal disordersAPD421 IV 5mg1323713
otherConstipationGastrointestinal disordersAPD421 IV 10mg1123011
otherConstipationGastrointestinal disordersPlacebo1723517
otherVomitingGastrointestinal disordersAPD421 IV 5mg1123714

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityAPD421 IV 5mg0237
Total, all-cause mortalityAPD421 IV 10mg0230
Total, all-cause mortalityPlacebo0235
Total, other adverse eventsAPD421 IV 5mg64237
Total, other adverse eventsAPD421 IV 10mg66230
Total, other adverse eventsPlacebo78235
Total, serious adverse eventsAPD421 IV 5mg6237
Total, serious adverse eventsAPD421 IV 10mg3230
Total, serious adverse eventsPlacebo5235

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02646566

GET https://conductscience.org/api/trials/v1/NCT02646566/results?page=2