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Research ArticleOpen AccessOpen Access license

Real-world evidence of NEPA, netupitant-palonosetron, in chemotherapy-induced nausea and vomiting prevention: effects on quality of life

    Meinolf Karthaus

    *Author for correspondence:

    E-mail Address: meinolf.karthaus@klinikum-muenchen.de

    Department of Hematology, Oncology & Palliative Care, Klinikum Neuperlach, Munich, Germany

    Department of Hematology, Oncology & Palliative Care, Klinikum Harlaching, Munich, Germany

    ,
    Gülten Oskay-Özcelik

    Gynecological Oncology Practice, Berlin, Germany

    ,
    Pia Wülfing

    Mammazentrum Hamburg am Krankenhaus Jerusalem, Hamburg, Germany

    ,
    Carsten Hielscher

    Gynecological Oncology Center, Stralsund, Germany

    ,
    Dagmar Guth

    Gynecological Oncology Practice, Plauen, Germany

    ,
    Mark-Oliver Zahn

    Oncology Center Harz, Goslar, Germany

    ,
    Elisa Flahaut

    Department of Medical Affairs, RIEMSER Pharma GmbH, Berlin, Germany

    &
    Jörg Schilling

    Gynecological Oncology Practice, Berlin, Germany

    Published Online:https://doi.org/10.2217/fon-2020-0187

    Aim: To determine quality of life, effectiveness and safety of oral netupitant-palonosetron (NEPA)–based antiemetic prophylaxis in the real-world setting. Materials & methods: Prospective, noninterventional study in adults receiving highly or moderately emetogenic chemotherapy and NEPA for three cycles. NEPA was administered per summary of product characteristics. Results: A total of 2429 patients enrolled, 2173 were evaluable. ‘No impact on daily life’ due to vomiting was reported by 84%/82% of patients in the highly emetogenic chemotherapy/moderately emetogenic chemotherapy groups in cycle 1, with rates of 54%/59% for nausea. Overall, complete response rate was 89%/87%/83% in the acute/delayed/overall phases. NEPA was well tolerated. Conclusion: NEPA had beneficial effects on the quality of life of a heterogeneous group of cancer patients and was safe and effective in the real-world setting.

    Papers of special note have been highlighted as: • of interest; •• of considerable interest

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