Journal
CRITICAL REVIEWS IN ONCOLOGY HEMATOLOGY
Volume 157, Issue -, Pages -Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.critrevonc.2020.103143
Keywords
NEPA; Netupitant; Palonosetron; CINV; Antiemetic; NK1 receptor antagonist
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Funding
- Helsinn Healthcare, SA, Lugano, Switzerland
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This study compared the efficacy of intravenous NEPA with oral NEPA and other NK(1)RA regimens, showing that intravenous NEPA has significant advantages in the treatment of nausea and vomiting, potentially offering a safer and more effective option.
This paper presents an overview of the efficacy of intravenous (IV) NEPA (fixed combination of the NK(1)RA, fosnetupitant, and 5-HT3RA, palonosetron) relative to oral NEPA and also to historical data for other NK(1)RA regimens. Data is compiled from 5 pivotal NEPA studies in adult chemotherapy-naive patients with solid tumors undergoing either cisplatin- or anthracycline cyclophosphamide (AC)-based chemotherapy. Additionally, data was reviewed from 10 pivotal Phase 3 studies utilizing other NK(1)RA regimens approved for clinical use. The overall (0-120 h) complete response (no emesis, no rescue use), no emesis, and no significant nausea rates for IV NEPA were similar to that of oral NEPA and were consistently numerically higher than historical NK(1)RA regimens. As a single-dose prophylactic antiemetic combination given with dexamethasone, IV NEPA is a highly effective and convenient guideline-compliant antiemetic agent which may offer a safety benefit over other IV NK(1)RA regimens due to its lack of associated hypersensitivity and injection-site reactions.
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