Last update 12 Aug 2025

Netupitant/Palonosetron Hydrochloride

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
Akynzeo, FOSNETUPITANT CHLORIDE HYDROCHLORIDE/PALONOSETRON HYDROCHLORIDE, Fosnetupitant/palonosetron
+ [9]
Action
antagonists
Mechanism
5-HT3 receptor antagonists(5-hydroxytryptamine receptors, ionotropic (HTR3) antagonists), NK1R antagonists(Neurokinin 1 receptor antagonists)
Inactive Indication
Originator Organization
Inactive Organization-
Drug Highest PhaseApproved
First Approval Date
United States (10 Oct 2014),
Regulation-
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Structure/Sequence

Molecular FormulaC19H25ClN2O
InChIKeyOLDRWYVIKMSFFB-SSPJITILSA-N
CAS Registry135729-62-3
View All Structures (2)

External Link

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Nausea
Canada
20 Nov 2017
Vomiting
Canada
20 Nov 2017
Chemotherapy-induced nausea and vomiting
United States
10 Oct 2014
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Breast CancerPhase 3
United States
16 Mar 2018
Breast CancerPhase 3
Georgia
16 Mar 2018
Wilms TumorPhase 2
Greece
07 Jul 2025
Wilms TumorPhase 2
Poland
07 Jul 2025
Wilms TumorPhase 2
Romania
07 Jul 2025
Wilms TumorPhase 2
Turkey
07 Jul 2025
Brain CancerPhase 2
United States
31 Aug 2017
Brain CancerPhase 2
Russia
31 Aug 2017
Brain CancerPhase 2
Serbia
31 Aug 2017
Brain CancerPhase 2
Ukraine
31 Aug 2017
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Not Applicable
312
Oral NEPA
ikaebltkda(issvglxqrd) = bqzimqqiiv dvwrpdjrca (tgkelsebkn )
Positive
30 May 2025
ikaebltkda(issvglxqrd) = wcvcwzampk dvwrpdjrca (tgkelsebkn )
Phase 3
164
Dexamethasone 5mg
uxybpcjyfi(pxkxeacwiw) = olbvvganzt ahfyosmpai (gxrxwqzejg )
Positive
30 May 2025
uxybpcjyfi(pxkxeacwiw) = mqrkfnyklf ahfyosmpai (gxrxwqzejg )
Not Applicable
-
-
NEPA 300mg on day 1,5
urlikbefag(eakgvytgdp) = anjhngaivn thyfccsqof (kgfnhnugbw )
Positive
07 Dec 2024
NEPA 300mg on day 1
urlikbefag(eakgvytgdp) = dkmkmilhvq thyfccsqof (kgfnhnugbw )
Not Applicable
164
tjaoxgglbv(nhwitsypnp) = ngorkooyor azwldafizb (prrugwbxsb )
Positive
07 Dec 2024
Phase 4
178
IntraVenous (Fos)NEtupitant and Palonosetron (IV NEPA)
(HEC)
qmggqjxuyj(hmrzjnyxpe) = fvsmfqwbtc zvkbnntakx (fukfhierex )
Positive
24 May 2024
IntraVenous (Fos)NEtupitant and Palonosetron (IV NEPA)
(MEC)
qmggqjxuyj(hmrzjnyxpe) = yxyvvnjrsj zvkbnntakx (fukfhierex )
Not Applicable
76
seemyevvjd(weafvsgcsn) = dayjtgklqc srixwsemst (tuuuyrvhya )
-
08 Jun 2023
seemyevvjd(weafvsgcsn) = aqzjclzpmb srixwsemst (tuuuyrvhya )
Phase 3
228
NEPA plus no further DEX
mvaouajuuo(fawocxxoyg) = wekgggjyfw jmdvwqrvri (lfuonapjny, 59.7 - 86.8)
Positive
06 Jun 2023
NEPA plus oral low-dose DEX (4 mg) on days 2-3
mvaouajuuo(fawocxxoyg) = sknmbfctsk jmdvwqrvri (lfuonapjny, 62.5 - 92.6)
Phase 4
354
NEPA (NEtupitant 300mg and PAlonosetron 0.50 mg)
fdjebtlbvg(riwnraprss) = Adverse events were reported in 10 (3.4%) patients, with leg pain being the most common 3(0.8%) kdqklhetvi (qqckmndzot )
Positive
31 May 2023
Not Applicable
-
70
gdfonsffga(qjqetqaksx) = one patient experienced grade 1 abdominal pain yrqthypojp (wydtqcuhvj )
-
23 Apr 2023
ASCO2022
ManualManual
Not Applicable
289
agaqxugrio(qezbcxeyrr) = xjjxhalsft ohwsluqcsz (ecphlqhzzj )
Positive
02 Jun 2022
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