Clinical Trials

Several clinical trials evaluate Fosaprepitant dimeglumine for managing chemotherapy-induced nausea, vomiting, and emesis across various neoplastic conditions, including non-small cell lung cancer and female genital neoplasms. Spanning Phase 2, Phase 3, and non-phased designs, these studies encompass active, completed, and unknown recruitment statuses assessing antiemetic regimens in cancer patients. Research in this landscape is sponsored by a combination of academic medical centers and industry partners.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT05755659 Recruiting
Neoplasms
Xijing Hospital
2022-07-15 Not Applicable
NCT02407600 Unknown status
Non-small Cell Lung Cancer|Vomiting|Nausea|Emesis
Ajeet Gajra|Merck Sharp & Dohme LLC|State University of New York - Upstate Medical University
2015-04 Phase 2
NCT01074697 Completed
Nausea|Vomiting|Genital Neoplasms Female
Odense University Hospital|Helsinn Healthcare SA
2010-04 Phase 3

(data from https://clinicaltrials.gov, updated on 2024-05-22)

Check the Fosaprepitant dimeglumine salt product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

As a water-soluble prodrug, fosaprepitant dimeglumine is rapidly converted to aprepitant, which selectively binds to and antagonizes neurokinin-1 (NK1) receptors to block the downstream biochemical signaling of substance P. This receptor blockade suppresses emetic signaling cascades within the central nervous system, thereby mitigating chemotherapy-induced nausea and vomiting in patients undergoing emetogenic cancer treatments.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.