Important Safety Information Full Prescribing Information


ALOXI® vs. Ondansetron in Highly Emetogenic Chemotherapy

ALOXI prevents acute CINV

  • Complete Response was the primary endpoint of this noninferiorty trial1,2
  • The most common types of cancer for patients in this trial were ovarian, lung, Hodgkin’s disease, breast, and gastric (≥5% of patients in any group)2
  • The most common chemotherapy regimens for patients in this trial were cisplatin, cyclophosphamide, and dacarbazine (≥10% of patients in any group)2

Complete Response1,2†

(No emetic episode and no use of rescue medication)

Complete Response

* Phase III, multinational, randomized, double-blind, double-dummy, stratified, parallel-group, active-comparator noninferiority trial with primary endpoint of CR. Significance level = 0.025 (adjusted post-hoc, 2-sided Fisher’s exact test comparisons of ALOXI with ondansetron; 97.5% CI).
ITT cohort.

  • ALOXI was demonstrated to be noninferior to ondansetron in the acute phase1,2
  • Concomitant dexamethasone 20 mg IV on Day 1 was administered prophylactically to 447 patients (67% of ITT population)1,2
    • Efficacy was greater when prophylactic steriods were administered concomitantly
  • Clinical superiority over other 5-HT3 receptor antagonists has not been adequately demonstrated in the acute phase

Indication

In adults, ALOXI® (palonosetron HCl) injection 0.25 mg is indicated for the prevention of acute and delayed nausea and vomiting associated with initial and repeat courses of moderately emetogenic chemotherapy, and acute nausea and vomiting associated with initial and repeat courses of highly emetogenic chemotherapy.

Important Safety Information

  • Aloxi is contraindicated in patients known to have hypersensitivity to the drug of any of its components
  • Most commonly reported adverse reactions in chemotherapy-induced nausea and vomiting include headache (9%) and constipation (5%)

For more information about ALOXI, please see Full Prescribing Information

References
  1. ALOXI® (palonosetron HCl) injection full prescribing information.
  2. Aapro MS, Grunberg SM, Manikhas GM, et al. A phase III, double-blind, randomized trial of palonosetron compared with ondansetron in preventing chemotherapy-induced nausea and vomiting following highly emetogenic chemotherapy. Ann Oncol. 2006;17:1441-1449.