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2015 ; 2015
(ä): 651879
Nephropedia Template TP
gab.com Text
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English Wikipedia
A Review of NEPA, a Novel Fixed Antiemetic Combination with the Potential for
Enhancing Guideline Adherence and Improving Control of Chemotherapy-Induced
Nausea and Vomiting
#MMPMID26421300
Hesketh PJ
; Aapro M
; Jordan K
; Schwartzberg L
; Bosnjak S
; Rugo H
Biomed Res Int
2015[]; 2015
(ä): 651879
PMID26421300
show ga
Combination antiemetic regimens targeting multiple molecular pathways associated
with emesis have become the standard of care for prevention of
chemotherapy-induced nausea and vomiting (CINV) related to highly and moderately
emetogenic chemotherapies. Antiemetic consensus guidelines from several
professional societies are widely available and updated regularly as new data
emerges. Unfortunately, despite substantial research supporting the notion that
guideline conformity improves CINV control, adherence to antiemetic guidelines is
unsatisfactory. While studies are needed to identify specific barriers to
guideline use and explore measures to enhance adherence, a novel approach has
been taken to improve clinician adherence and patient compliance, with the
development of a new combination antiemetic. NEPA is an oral fixed combination of
a new highly selective NK1 receptor antagonist (RA), netupitant, and the
pharmacologically and clinically distinct 5-HT3 RA, palonosetron. This convenient
antiemetic combination offers guideline-consistent prophylaxis by targeting two
critical pathways associated with CINV in a single oral dose administered only
once per cycle. This paper will review and discuss the NEPA data in the context
of how this first combination antiemetic may overcome some of the barriers
interfering with adherence to antiemetic guidelines, enhance patient compliance,
and offer a possible advance in the prevention of CINV for patients.