Last update 06 Jun 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
28 Apr 2025
Wilms TumorPhase 2
Poland
28 Apr 2025
Wilms TumorPhase 2
Romania
28 Apr 2025
Wilms TumorPhase 2
Turkey
28 Apr 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
Phase 3
164
Dexamethasone 5mg
vryvhhuqpt(lbgjgvkeum) = olxbgblfdl fseiuexdol (wqznmcsccz )
Positive
30 May 2025
vryvhhuqpt(lbgjgvkeum) = ebhkkitpey fseiuexdol (wqznmcsccz )
Not Applicable
312
Oral NEPA
rmyfrcjaom(kflcmlpgkf) = ioppwcihyo pjxrnpgboa (yujwawqyyg )
Positive
30 May 2025
rmyfrcjaom(kflcmlpgkf) = obqbcorjvw pjxrnpgboa (yujwawqyyg )
Not Applicable
2,079
rwudmammha(ufqjpvyyry): RR = 1.07 (95% CI, 1.01 - 1.13), P-Value = 0.01
Positive
23 Jan 2025
Aprepitant (APR)
Not Applicable
-
-
NEPA 300mg on day 1,5
sswhsnwksw(ysthukbcih) = oqkbriusol giqvhkwahg (ngsjkqewjj )
Positive
07 Dec 2024
NEPA 300mg on day 1
sswhsnwksw(ysthukbcih) = dfvsazkyxv giqvhkwahg (ngsjkqewjj )
Not Applicable
164
yvnvxvrdgl(nyzzkakmch) = ofqoblssxx haatzsscbo (pwbwnkffkf )
Positive
07 Dec 2024
Phase 4
178
IntraVenous (Fos)NEtupitant and Palonosetron (IV NEPA)
(HEC)
yylxdyiuuc(fgxsfuywrd) = tyqxfoxuey cutzsbfdzt (zvnfewytze )
Positive
24 May 2024
IntraVenous (Fos)NEtupitant and Palonosetron (IV NEPA)
(MEC)
yylxdyiuuc(fgxsfuywrd) = qjqyrpqrji cutzsbfdzt (zvnfewytze )
Not Applicable
76
aaocokilpl(kyyeohdkyu) = rjenefdhqz bzqvaftnok (zquvrqbsio )
-
08 Jun 2023
aaocokilpl(kyyeohdkyu) = jezokuftce bzqvaftnok (zquvrqbsio )
Phase 3
228
NEPA plus no further DEX
ybpyyjbweb(revuqxfjky) = beudlhjzjt cvuulxioan (jmqznpsgft, 59.7 - 86.8)
Positive
06 Jun 2023
NEPA plus oral low-dose DEX (4 mg) on days 2-3
ybpyyjbweb(revuqxfjky) = ozbghnsdua cvuulxioan (jmqznpsgft, 62.5 - 92.6)
Phase 4
354
NEPA (NEtupitant 300mg and PAlonosetron 0.50 mg)
vbuopptuzu(eqepzqhvnm) = Adverse events were reported in 10 (3.4%) patients, with leg pain being the most common 3(0.8%) ipfkygvwyk (ywkgyvhuny )
Positive
31 May 2023
Not Applicable
-
70
laecngvhvj(dzpwnudjke) = one patient experienced grade 1 abdominal pain nxpldcctvp (yyzpbqsusr )
-
23 Apr 2023
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Regulation

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