A Phase I, Open Label, Single Dose, Two Parts Study in Male and Female Healthy Subjects to Assess the Safety and Pharmacokinetics of Fosnetupitant 235 Mg Administered As IV Bolus and of Derived Netupitant and Netupitant Metabolites

This clinical trial will include two parts, i.e., Part A and Part B.
The goal of the Part A is to define the shortest safe and tolerable duration of an intravenous injection of Fosnetupitant 235 mg solution among 4 durations tested in male and female adult healthy volunteers. In study part A, researchers will compare Fosnetupitant 235 mg solution to Akynzeo® solution.
The duration determined in Part A will be investigated in study Part B.
The Part B of the study was not performed.

开始日期2023-06-12

申办/合作机构

Helsinn Healthcare SA

CTRI/2023/04/051951

/ Not yet recruiting临床4期

An open label, single arm, multicenter, prospective study to evaluate safety and effectiveness of Akynzeo® I.V. [Fosnetupitant 235 mg and Palonosetron 0.25 mg (concentrate for solution for infusion)], in the prevention of chemotherapy induced nausea and vomiting (CINV) in Indian patients (STOP-CINV study) - STOP-CINV

开始日期2023-05-11

申办/合作机构

Glenmark Pharmaceuticals Ltd.

JPRN-jRCT1041220144

/ CompletedN/AIIT

Safety of a short-term infusion of fosnetupitant

开始日期2023-02-22

申办/合作机构-

100 项与福奈妥匹坦相关的临床结果

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100 项与福奈妥匹坦相关的转化医学

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100 项与福奈妥匹坦相关的专利（医药）

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项与福奈妥匹坦相关的文献（医药）

2025-02-06·ONCOLOGIST

Safety of a short-term infusion of fosnetupitant in patients with gastrointestinal and breast cancer: a prospective study

Article

作者: Taniguchi, Hiroya ; Endo, Yuka ; Muro, Kei ; Honda, Kazunori ; Nozawa, Kazuki ; Yoshimura, Akiyo ; Oze, Isao ; Hashimoto, Naoya ; Hattori, Masaya ; Kotani, Haruru ; Masuishi, Toshiki ; Ando, Masashi ; Iwata, Hiroji ; Kodama, Hiroyuki ; Kataoka, Ayumi ; Narita, Yukiya ; Wakabayashi, Munehiro ; Kadowaki, Shigenori ; Sawaki, Masataka ; Ogata, Takatsugu ; Nakata, Akinobu

Abstract:

Background:

Fosnetupitant, a neurokinin-1 receptor antagonist, is used to prevent chemotherapy-induced nausea and vomiting (CINV) in patients undergoing highly emetogenic chemotherapy (HEC) or moderately emetogenic chemotherapy (MEC). Previous phase III trials demonstrated the non-inferiority of its 30-minute infusion to fosaprepitant in efficacy and a favorable safety profile.

Methods:

This was a single-arm, phase II study to investigate the safety of a 15-minute infusion of fosnetupitant in patients with gastrointestinal and breast cancer. Patients who had received their dose of fosnetupitant in a 30-minute infusion without developing an allergic reaction were eligible and received their next fosnetupitant dose for 15 minutes. The primary endpoint was the incidence of an allergic reaction during the first 15-minutes infusion, and the secondary endpoints were the incidence of injection site reaction (ISR), the incidence of a grade ≥ 3 treatment-related adverse event (TRAE) with fosnetupitant, and complete response (CR) rate.

Results:

The study period was from February 17, 2023 to June 20, 2023. In an exploratory analysis, medical records from the end of the study period to December 31, 2023 were retrospectively evaluated to assess the time-saving effect and safety of the short-term infusion of fosnetupitant. Fifty-six patients with gastrointestinal and 14 patients with breast cancer were enrolled, one of whom with breast cancer did not receive study treatment at her own request. No allergic reactions occurred during the 15-minutes infusion. Furthermore, there were no allergic reactions across all 280 short-term injections (Table 1). Additionally, no ISR or grade 3 or higher TRAE were reported. The CR rate was 87.0%.

Conclusion:

Short-term infusion of fosnetupitant, administered over 15 minutes, was demonstrated to be safe and effective for patients receiving HEC or MEC (Japan Registry of Clinical Trials Trial ID: jRCT1041220144).

2025-02-01·SUPPORTIVE CARE IN CANCER

Cost-effectiveness analysis of fosnetupitant in patients receiving cisplatin in Japan: analysis based on real-world data

Article

作者: Inano, Hiroshi ; Watanabe, Kazuhiro ; Nakagomi, Kozue ; Ota, Tomohiro ; Anzo, Yuri ; Otori, Katsuya ; Shono, Aiko ; Morimoto, Yoshihito ; Shibuya, Akito ; Miyauchi, Rika ; Kitagawa, Kanata

PURPOSE:

Our previous study showed that the preventive effects of fosnetupitant (F-NTP) against chemotherapy-induced nausea and vomiting (CINV) were superior to those of fosaprepitant (F-APR) or aprepitant (APR). To evaluate the cost-effectiveness of F-NTP compared with F-APR or APR in Japan, a cost-utility analysis was performed.

METHODS:

A decision tree model was developed based on real-world data to compare the CINV prevention ability of each neurokinin-1 receptor antagonist (NK₁ RA) in Japanese patients receiving cisplatin-based regimens. We evaluated the patients 7 days after the first course of treatment. Quality-adjusted life years (QALYs) and incremental cost-effectiveness ratios (ICERs) were calculated to examine the cost-effectiveness of the antiemetic therapy. The probabilities of health states and medical costs were derived from the results of our previous study. These cost-utility analyses were performed from the perspective of the payers.

RESULTS:

The incremental QALYs of F-NTP relative to F-APR and APR were 0.00180 and 0.00153, respectively. The ICER of F-NTP relative to F-APR was 22,802.21 US dollars (USD) per QALY gained, which was lower than the willingness-to-pay (WTP) threshold (38,043.06 USD: 5 million Japanese Yen/QALY). Contrastingly, the ICER of F-NTP relative to APR was 40,119.64 USD/QALY, which was slightly above the WTP threshold, indicating that F-NTP may be slightly less cost-effective.

CONCLUSION:

F-NTP is more cost-effective than F-APR, but slightly less cost-effective than APR.

2025-01-01·ANTICANCER RESEARCH

Vascular Pain and Nurse Burden in Peripheral Administration of Fosaprepitant/Fosnetupitant: A Prospective Observational Study

Article

作者: Sato, Yuko ; Sawada, Hiroki ; Yoshioka, Takashi ; Suzuki, Shuhei ; Ozawa, Chika ; Hatakeyama, Shiro ; Kubota, Yuko

BACKGROUND/AIM:

Vascular pain associated with NK1 receptor antagonists, particularly fosaprepitant, remains a significant challenge in cancer chemotherapy. The present study investigated the incidence of vascular pain with the administration of fosaprepitant and fosnetupitant and assessed the psychological burden on nurses performing venipuncture.

PATIENTS AND METHODS:

We conducted a prospective observational study involving 115 cancer patients receiving NK1 receptor antagonists via peripheral venous catheters. Vascular pain was evaluated using a numerical rating scale. Nurses' psychological burden was assessed through questionnaires and a qualitative analysis.

RESULTS:

Vascular pain occurred in 19% of 304 venipunctures, and its incidence was significantly lower with fosnetupitant (3.1%) than with fosaprepitant (22.9%) (p<0.01). Switching from fosaprepitant to fosnetupitant reduced pain in all cases. Nurses experienced psychological burden in 97% of venipunctures, with severe distress (NRS ≥3) in 19% of cases. The qualitative analysis revealed that nurses' distress was affected by the vascular status, patient behavior, and concerns about drug administration.

CONCLUSION:

The incidence of vascular pain was lower with fosnetupitant than with fosaprepitant. Nurses experienced significant psychological burden during venipuncture, particularly when patients reported pain. These results suggest that fosnetupitant is a preferable option for reducing both patient discomfort and nurses' psychological burden in chemotherapy administration.

项与福奈妥匹坦相关的新闻（医药）

2024-12-16

·药精通Bio

盘点：2025年上半年NMPA有望获批的进口新药

近期，我们盘点了国家药品监督管理局（NMPA）有望于2025上半年批准上市的国产新药，本篇将对2025年上半年NMPA有望获批的进口新药进行汇总。 1、罗氏/中外制药：伊那利塞作用机制：PI3Kα抑制剂适应症：乳腺癌伊那利塞（Inavolisib）是新一代口服、强效的高选择性PI3Kα抑制剂及突变体降解剂，其双重作用机制显著增强了药物疗效，并扩大了安全性窗口，使其能够与其他抗癌药物联合使用，从而实现对PI3K通路的持续抑制，并最大化抗肿瘤效果。2024年10月，FDA正式批准伊那利塞联合哌柏西利和氟维司群用于治疗内分泌耐药、PIK3CA突变的HR+/HER2-晚期乳腺癌。临床前及I/Ib期试验已经显示出，伊那利塞联合哌柏西利和氟维司群在PIK3CA突变HR+/HER2-乳腺癌患者中具有良好的安全性、耐受性和显著的抗肿瘤活性。 III期研究旨在评估伊那利塞或安慰剂联合哌柏西利和氟维司群用于PIK3CA突变HR+/HER2-局部晚期或转移性乳腺癌的一线治疗效果，结果显示：在中位随访21.3个月时，伊那利塞组的中位PFS为15.0个月，而对照组为7.3个月。伊那利塞组的ORR为58.4%，对照组仅为25.0%。伊那利塞组的中位缓解持续时间为18.4个月，对照组为9.6个月（HR 0.57；95%CI，0.33-0.99）。在安全性方面，伊那利塞组和对照组的3-4级不良事件发生率分别为88.3%和82.1%；主要不良事件包括中性粒细胞减少（80.2%）、血小板减少（14.2%）、高血糖（5.6%）、口腔炎（5.6%）和腹泻（3.7%）。 2、G1 /嘉和生物：来罗西利作用机制：CDK4/6抑制剂适应症：乳腺癌来罗西利是由嘉和生物和美国G1 Therapeutics共同开发的一款用于治疗乳腺癌的高选择性口服型CDK4/6抑制剂。2024年3月，NMPA正式受理来罗西利一线治疗乳腺癌适应症的NDA。 LEONARDA-1临床研究显示，与单独使用氟维斯群治疗相比，来罗西利与氟维斯群联用能够显着降低疾病进展及死亡风险，研究者评估风险比率（HR）为0.451，盲态独立中心阅片（BICR）评估的HR为0.353；研究者评估的中位无进展生存期（mPFS）为11.07 vs. 5.49 (月)；BICR评估mPFS为11.93 vs. 5.75(月)。在安全性上，与其它已上市CDK4/6抑制剂相比，安全耐受性的综合优势明显；腹泻发生率低19.7%，3/4级骨髓抑制比例较低，中性粒细胞4级发生率仅5.1%。 LEONARDA-2临床研究显示，与来曲唑联用治疗既往未接受过系统性抗肿瘤治疗的HR+/HER2-局部晚期或转移性乳腺癌患者中，来罗西利显著降低患者疾病进展风险超过50%，基于研究者评估的PFS：风险比(95% CI)和p值分别为0.464 (0.293，0.733)，p=0.0004；中位PFS在来罗西利组。基于独立评审委员会评估的PFS：风险比(95% CI)和p值分别为0.457 (0.274, 0.761)，p=0.0011。在安全性上，胃肠道不良事件总体发生率较低，且程度较轻，仅1例患者（0.7%）发生3级腹泻，无≥3级的恶心及呕吐发生，4级中性粒细胞降低发生率仅5.1%。 3、卫材：莱博雷生作用机制：食欲素受体拮抗剂适应症：失眠莱博雷生（lemborexant）是一款双重食欲素受体拮抗剂，通过竞争性结合两种食欲素受体亚型（OX1R和OX2R），抑制食欲素神经传递，调节睡眠-觉醒节律。目前，莱博雷生已在日本、美国和中国香港等地获批。SUNRISE 1是一项为期一个月的临床研究，受试者为符合精神疾病诊断与统计手册-第5版（DSM-5）失眠障碍诊断标准的55岁及以上成年女性、65岁及以上成年男性；SUNRISE 2是一项为期6个月的临床研究，研究受试者为18岁及以上符合DSM-5失眠障碍诊断标准的患者。两项研究分析均表明，莱博雷生不会导致反跳性失眠，亦没有证据显示停药后会产生戒断效应，这表明服药达一年不会产生躯体依赖。 4、赫尔辛医药/格兰马克：福奈妥匹坦+帕洛诺司琼作用机制：5-HT3受体拮抗剂+ NK1R拮抗剂适应症：化疗引起的恶心呕吐福奈妥匹坦+帕洛诺司琼（Akynzeo）是一款用于治疗化疗引起的恶心和呕吐的药物，最早于2014年在美国 FDA 获批。福奈妥匹坦（netupitant）是一种神经激肽NK1受体拮抗剂，能够选择性阻断NK1受体的激活，减少化疗引起的延迟性恶心和呕吐；帕洛诺司琼（palonosetron）是一种5-羟色胺3（5-HT3）受体拮抗剂，能够阻断5-HT3受体的激活，减少化疗引起的急性恶心和呕吐。作为新型长效NK-1受体抑制剂，该复方可发挥双通道止吐作用，一方面可以简化治疗方案，便于医生操作，减少患者错服及漏服情况的发生，提高治疗依从性；另一方面，相较第一代NK-1受体抑制剂，福奈妥匹坦对肝药酶抑制作用较小，与其他药物相互作用的发生率较低，降低了不良反应的发生。 5、兴和株式会社：佩玛贝特作用机制：PPARα调节剂适应症：高血脂症佩玛贝特（Pemafibrate）是Kowa Company开发的一种新型、高选择性PPARα调节剂，通过与PPARα结合并调节参与脂质代谢的基因的表达，从而降低血浆甘油三酯(TG)水平和增加高密度脂蛋白胆固醇(HDL-C)水平。PROMINENT试验显示，在合并2型糖尿病、TG轻中度升高（200~499mg/dl）、HDL-C水平偏低（≤40mg/dl），且均接受他汀类药物治疗的患者中，截至4个月时，与安慰剂相比，佩玛贝特将中位TG水平降低26.2%，且对HDL-C等其他血脂参数也有益处，但并未降低心梗、中风或心血管疾病死亡复合事件风险。 6、阿斯利康：Capivasertib 作用机制：AKT 抑制剂适应症：HR阳性、HER2阴性乳腺癌 Capivasertib 是一种强效、选择性泛 AKT 抑制剂，最早于 2023 年11 月在美国获批上市，用于治疗 HR+/HER2- 乳腺癌，公司于2023 年 10 月首次向 NMPA 递交了 Capivasertib 的上市申请。III 期 CAPItello-291 试验评估了 Capivasertib 联合氟维司群治疗芳香化酶抑制剂耐药的 HR+/HER2- 晚期乳腺癌患者的疗效，结果显示：Capivasertib+ 氟维司群组患者的 mPFS 为 7.2 个月（vs 对照组 3.6 个月），ORR 为 22.9%（vs 对照组 12.2%）。在 AKT 信号通路变异的肿瘤患者中，Capivasertib+ 氟维司群组患者的 mPFS 为 7.3 个月（vs 对照组 3.1 个月），ORR 为 28.8%（vs 对照组 9.7%）。 2024 年欧洲肿瘤内科学会乳腺癌年会(2024 ESMO BC) 中，研究人员再次公布了 CAPItello-291 试验中的第二次无进展生存期 (PFS2) 和首次后续化疗时间 (TFSC) 的结果，显示：Capivasertib +氟维司群组的 mPFS2 为 14.7 个月，而对照组为 12.5 个月；Capivasertib +氟维司群组的 mTFSC 为 11 个月，而对照组为 6.8 个月。在 PIK3CA/AKT1/PTEN 变异的肿瘤患者中，Capivasertib +氟维司群组的 mPFS2（15.5 个月 vs 10.8 个月）和 mTFSC（11 个月 vs 6 个月）也高于对照组。 7、Ardelyx/复星：替纳帕诺作用机制：NHE3抑制剂适应症：高磷血症替纳帕诺（Tenapanor）是一款口服肠道钠/氢交换体3（NHE3）抑制剂，可选择性抑制肠上皮细胞管腔侧的NHE3，从而阻断磷酸盐通过细胞旁途径的吸收。该药物最早由Ardelyx研发，2012年10月，Ardelyx与阿斯利康签署协议，授予阿斯利康在全球开发Tenapanor，但2015年6月该协议终止，Ardelyx收回Tenapanor的所有权；2017年12月，复星医药与Ardelyx签订协议，获得Tenapanor在中国大陆、中国香港及中国澳门特别行政区域内的独家临床开发和商业化等许可。2023年7月，Tenapanor片用于控制正在接受血液透析治疗的慢性肾脏病（CKD）成人患者的高磷血症的药品注册申请获CDE受理。一项随机、开放标签研究评估tenapanor单药、以及与磷结合剂（PBs）联用治疗达到目标血磷（P）≤5.5 mg/dl情况，基线时服用PBs的参与者随机分为三组，分别为从PBs转换为tenapanor的Straight Switch组；将PBs剂量减少50%并添加tenapanor的Binder Reduction组; PBs初治患者开始单独使用tenapanor的Binder-Naive组，结果显示：34.4%（Straight Switch组）、38.2%（Binder Reduction组）和63.3%（Binder-Naive组）的患者达到P≤5.5 mg/dl；从基线到A部分终点，Straight Switch组的平均P降低和中位药丸负荷降低分别为0.91± 1.7 mg/dl和4粒/d，Binder Reduction组为0.99± 1.8 mg/dl和1粒/d，Binder-Naive组的平均P降低为0.87± 1.5 mg/dl；在完成患者经验问卷的Straight Switch组和Binder Reduction组的患者中，腹泻是最常见的不良事件（39.9%）。 8、吉利德：来那帕韦作用机制：HIV-1 衣壳抑制剂适应症：HIV-1 感染来那帕韦（Lenacapavir）是由吉利德开发的一种治疗人类免疫缺陷病毒（HIV）的长效药物，能够直接与HIV衣壳蛋白质亚基结合，调节衣壳的稳定性及（/或）传送等，从而阻止HIV进入人体细胞或抑制病毒生命周期的其他多个关键步骤，且与其他现有药物不存在已知的交叉耐药性。3期PURPOSE 1研究评估了皮下注射、一年给药两次的来那帕韦作为HIV暴露前预防（PrEP）药物的有效性和安全性，通过与不同的预防性药物对比发现，使用来那帕韦作为HIV暴露前预防（PrEP）方案的受试者没有发生一例HIV感染，HIV预防有效性达到100%；此外，该药物总体上耐受性良好，没有一位受试女性出现药物导致的显著或新的安全问题。 9、Akebia/山东威高：枸橼酸铁作用机制：—— 适应症：高磷血症枸橼酸铁是一种新型的口服铁制剂，其中Fe3+与三羧酸（枸橼酸）和水的聚合物络合。枸橼酸铁最初是作为磷酸盐粘合剂引入的，随后获FDA批准用于治疗未接受肾脏替代治疗（KRT）的慢性肾脏病（CKD）患者的缺铁性贫血。枸橼酸铁通过在胃肠道中结合磷，在粪便中排出，降低磷的吸收，进而降低血清磷浓度。枸橼酸铁是水溶性金属盐高磷血症治疗剂，进入消化道后能迅速溶解，不依赖于肾功能，降低血磷，不增加血清钙和钙磷乘积。动物试验显示，枸橼酸铁对平均磷吸收量的降低作用优于碳酸钙和碳酸镧。 10、GSK/Scynexis/豪森：艾瑞芬净作用机制：三萜类抗真菌药物适应症：阴道念珠菌病艾瑞芬净（Ibrexafungerp）是一种用于治疗真菌感染的新型三萜类抗真菌药物，通过靶向葡聚糖合成酶，导致真菌细胞死亡。与棘白菌素相比，艾瑞芬净具有口服生物利用度、广泛的组织分布、优异的组织渗透性等优点，并对大多数耐棘白菌素念珠菌保持活性。艾瑞芬净的一个重要消除途径是通过CYP3A4代谢，然后是羟基化无活性代谢物的葡萄糖醛酸化和硫化。该药物最早由美国SCYNEXIS公司开发，2021年2月，翰森制药与SCYNEXIS签订授权协议，负责Ibrexafungerp在中国（包括香港、澳门和台湾）的开发、监管批准及商业化；除此以外，2023年3月，GSK与SCYNEXIS达成独家许可协议，以 5.93亿美元引进抗真菌药ibrexafungerp在美国、欧洲、日本等地区的开发和商业化权益。一项在中国成年外阴阴道念珠菌病患者中，评估HS-10366疗效和安全性的多中心、随机、双盲、安慰剂对照的Ⅲ期临床试验显示，在主要和关键次要研究终点上，研究达到方案预设的优效标准，成功取得了统计学上显著优于安慰剂的优势。 11、大熊/扬子江：非苏拉生作用机制：钾离子竞争性酸阻滞剂适应症：胃食管反流病非苏拉生(Fexuprazan)是一种钾离子竞争性酸阻滞剂（P-CAB），最早由大熊制药研发，扬子江药业及旗下海尼药业通过一项超20亿元的合作获得了其在中国的开发和销售权利。P-CAB与传统质子泵抑制剂不同，可直接抑制H+/K+-ATP酶，而无需在强酸环境下活化，无论H+/K+-ATP酶活化与否，P-CAB均可与之结合。该药物的上市申请已于2023年6月获CDE受理。一项治疗糜烂性食管炎患者的3期临床试验显示，在治疗第8周，患者显示出99%的黏膜愈合率，且无论从白天还是晚上开始服药，fexuprazan均可立即改善胃灼热症状；此外，该药物还可改善由胃食管反流病引发的咳嗽。 12、柳韩洋行/强生：兰泽替尼作用机制：EGFR T790M抑制剂适应症：非小细胞肺癌兰泽替尼（lazertinib）是第三代EGFR酪氨酸激酶抑制剂（EGFR-TK），最早由Yuhan（柳韩洋行）研发，韩国之外的权益已转让给美国强生旗下的杨森制药。该药物在具有激活EGFR突变、T790M突变和中枢神经系统（CNS）疾病的非小细胞肺癌患者中具有强活性。一项采用EGFR-TKI一线治疗初治、EGFR突变的局部晚期或转移性非小细胞肺癌成年患者的研究中，患者随机接受拉泽替尼（n=196）或吉非替尼（n=197），结果显示：数据截至2022年7月29日，拉泽替尼治疗组 VS 吉非替尼治疗组的中位无进展生存期（PFS）为20.6个月 VS 9.7个月（HR为0.45；95%，置信区间：0.34-0.58；P< .001）。总体客观缓解率（ORR）为76.0% VS 76.1%。其中，大部分是部分缓解（PR），分别有2例和1例患者经历了完全缓解（CR）；此外，拉泽替尼治疗组 VS 吉非替尼治疗组的中位反应持续时间（DOR）为19.4个月 VS 8.3个月；疾病控制率（DCR）均为93.9%。在数据截止时，总生存期（OS）数据尚不成熟；然而，估计18个月的OS率为80.3% VS 72.4%，24个月的OS率为66.4% VS 58.4%。 13、强生/Astex：厄达替尼作用机制：FGFR抑制剂适应症：尿路上皮癌/膀胱癌厄达替尼是一种口服的小分子抑制剂，同时也是全球首款 FGFRs 抑制剂药物。2019 年 4 月，美国 FDA 加速批准厄达替尼用于治疗携带有 FGFR3 或 FGFR2 突变的铂类化疗后疾病进展的局部晚期或转移性膀胱癌成人患者，包括新辅助或辅助铂化疗 12 个月内的患者。2024 年 1 月，FDA 批准厄达替尼用于具有易感 FGFR3 基因改变的局部晚期或转移性尿路上皮癌成人患者。 II期THOR研究评估了厄达替尼（n=136）与化疗（n=130）在晚期或伴有选择性FGFR改变的mUC患者中的疗效和安全性；结果表明，数据截止时，接受厄达替尼治疗的患者的中位OS超过了一年，与化疗组相比有显著改善（12.1个月 vs 7.8个月；HR=0.64)；此外，与化疗相比，厄达替尼治疗的中位PFS也有所改善（5.6个月 vs 2.7个月；HR=0.58，P=0.0002），两组的ORR分别为35.3% vs 8.5%。在安全性上，药物耐受性良好，接受厄达替尼和化疗治疗的患者中，分别有13.3% vs 24.1%的患者出现了严重的TRAEs，分别有8.1%和13.4%的患者因不良反应导致中断治疗。 14、UCB：罗泽利昔珠单抗作用机制：FcRn抑制剂适应症：重症肌无力罗泽利昔珠单抗（Rozanolixizumab）一款新型新生儿 Fc 受体（FcRn）抑制剂，作为是一种高亲和力的人源化 IgG4 单克隆抗体，与 FcRn 结合降低循环 IgG 水平；2023年获FDA批准用于治疗成人 AChR 和MuSK 抗体阳性双亚型的 gMG 患者。 III 期 MycarinG 研究显示，采用Rozanolixizumab 皮下注射治疗 AChR 或 MuSK 抗体阳性gMG 患者，第一周能快速降低总 IgG 水平和MG-ADL 评分；43 天时，7 mg/kg 和 10 mg/kg Rozanolixizumab 治疗组较基线MG-ADL 评分分别降低3.37 分和 3.40 分；且在治疗期间接受 Rozanolixizumab 治疗的患者不需要进行急救治疗，整体耐受性良好。开放标签扩展研究（OLE）的事后分析显示：（1）治疗第 1 周期 MSE 达标的患者中，> 64% 的患者在第 2～4 周期持续达标，大多数 MSE 达标的患者在启动 Rozanolixizumab 治疗的第一个 6 周内达到 MSE，部分在进入治疗周期的第 1 周内就已实现 MSE。（2）采用Rozanolixizumab 治疗，在延髓肌、呼吸肌、眼肌等 5 个维度的评分，相较安慰剂均有明显改善。（3）长期安全性汇总分析中，预先设定的 TEAEs（包括头痛和感染）的发生率，没有随着后续治疗周期延长而增加；且在治疗期间，白蛋白或血脂水平未发生有临床意义的变化。 15、赛诺菲/ImmunoGen：艾沙妥昔单抗作用机制：抗CD38单抗适应症：多发性骨髓瘤艾沙妥昔单抗是一款抗CD38单抗，通过靶向多发性骨髓瘤细胞上CD38受体的特异性表位，触发多种不同的作用机制，包括程序性肿瘤细胞死亡（凋亡）和机体免疫反应调节。III期IMROZ试验评估了艾沙妥昔单抗联合VRd方案治疗新诊断多发性骨髓瘤不适合移植（TIE-NDMM）患者的疗效，将纳入的446例TIE-NDMM患者并3:2随机分配至Isa-VRd组和VRd组，结果显示：（1）中位随访59.7个月时，与单独使用VRd相比，使用Isa-VRd治疗的患者疾病进展或死亡风险降低了40%，Isa-VRd组和VRd组的中位PFS分别为未达到和54.3个月[HR=0.596，（98.5% CI，0.406–0.876），P=0.0005]；Isa-VRd组预计中位PFS将达到约90个月。在60个月时，使用Isa-VRd治疗的患者预估PFS率为63.2%，而VRd组患者为45.2%。（2）与VRd组相比，Isa-VRd组获得了更深且持久的缓解，CR率分别为74.7% vs 64.1%（P=0.008）；Isa-VRd组中超过半数（55%）患者获MRD阴性，而VRd组MRD阴性率为40.9%（P=0.0013）；此外，Isa-VRd组和VRd组≥12个月持续MRD阴性率分别46.8% vs. 24.3%（P＜0.0001）。（3）此外，两组安全性相似，均耐受性良好，未观察到新的安全事件。 16、阿斯利康：瑞利珠单抗作用机制：抗C5 单克隆抗体适应症：重症肌无力瑞利珠单抗（Ravulizumab）是阿斯利康的一款长效 C5 单克隆抗体，具有比第一代 C5 补体抑制剂更长的半衰期。一项评估Ravulizumab对AChR+ve gMG患者的疗效和安全性的研究显示：（1）10名未接受过补体抑制剂治疗的患者中，平均MG-ADL评分从基线的6.4分降低至4.4分；其中60%（6名）的患者显示出临床意义的改善（评分变化>2分），20%（2名）的患者达到了最小症状表达（MSE）。（2）从依库珠单抗转换至Ravulizumab的患者中，平均MG-ADL评分从基线的3.25分降低至1.5分。没有患者的症状出现恶化。（3）未接受过补体抑制剂治疗的患者中，8名（9名评估了强的松剂量的患者中的8名）能够减少强的松剂量，平均日剂量从20.44mg降低至15.55mg。（4）在从依库珠单抗转换至Ravulizumab的患者中，5名（5名评估了强的松剂量的患者中的3名）能够减少强的松剂量，平均日剂量从17mg降低至9mg。（5）4名患者经历了不良事件，其中3名患者出现头痛，1名患者出现上呼吸道感染和腹泻。所有不良事件均为轻微，患者能够耐受进一步输注。没有患者经历任何重大不良事件。 17、礼来：Donanemab 作用机制：靶向pGlu3-Aβ单抗适应症：阿尔茨海默病 Donanemab是一款靶向pGlu3-Aβ单抗，是首个且唯一通过有限给药疗程靶向清除淀粉样蛋白斑块的疗法。2024年7月，FDA批准礼来的Kisunla（Donanemab）的上市申请，用于治疗成人早期症状性阿尔茨海默病（AD），包括轻度认知功能障碍（MCI）患者和轻度痴呆阶段AD且有确诊的淀粉样蛋白病理改变的患者。 3期TRAILBLAZER-ALZ 2研究旨在评估donanemab对早期症状性阿尔茨海默病（由阿尔茨海默病引起的MCI或轻度痴呆）且具有已确认的阿尔茨海默病神经病理学改变的患者的安全性和有效性，显示：（1）在18个月时，使用Kisunla治疗可以显著减缓包括低、中和高tau水平受试者的临床衰退；（2）在疾病进展较早的人群中，接受Kisunla治疗的患者在综合阿尔茨海默病评分量表（iADRS），包含记忆、思维和日常功能的衰退速度与安慰剂相比显著减缓了35%；在整体人群中，药物治疗则显著减缓了22%。（3）与研究开始时相比，Kisunla使用6个月平均减少了61%的淀粉样蛋白斑块，12个月时为80%，18个月时为84%。在安全性上，Kisunla可能会导致与淀粉样蛋白斑块靶向疗法相关的影像学异常，还可能引起某些类型的过敏反应，以及头痛等。 18、诺华/爱尔康：布西珠单抗作用机制：VEGF-A 抑制剂适应症：糖尿病黄斑水肿布西珠单抗（Brolucizumab）是全 VEGF-A 抑制剂，属于新型人源化单链抗体片段，分子量仅为 26kDa，亲和力高、组织渗透力强、全身副反应小。与现有的治疗手段相比，该药物能够更早吸收视网膜内积液/视网膜下积液，负荷期后只需要每3个月注射一次，在持续改善解剖结构上具有一定优势，对nAMD（新生血管性年龄相关性黄斑变性）和DME（糖尿病黄斑水肿）等眼底病患者显示出较好的积液控制效果。公司于2023年8月向NMPA提交用于DME的上市申请，于2024年10月提交用于nAMD的上市申请。3期研究KITE显示，布西珠单抗治疗DME患者达到了主要终点和关键的次要终点，与对照药相比，6mg布西珠单抗在第1年（第52周）最佳矫正视力（BCVA）的平均变化上达到了非劣效性效果。 19、强生/Genmab：塔奎妥单抗作用机制：靶向CD3/GPRC5D双抗适应症：多发性骨髓瘤塔奎妥单抗（Talquetamab）是一种CD3/GPRC5D双特异性T细胞结合抗体，可与T细胞表面的CD3受体和多发性骨髓瘤细胞、非恶性浆细胞和健康组织（如皮肤和舌头角质化组织中的上皮细胞）表面表达的G蛋白偶联受体C类5成员D （GPRC5D）结合；即通过吸引T细胞来靶向表达GPRC5D的血液癌细胞。该药物根据病人的体重来给药的，这使得临床医生能够针对患者定制剂量，提高药物的有效性和安全性。2023年8月，塔奎妥单抗获FDA加速批准，用于既往接受过至少4种以上前期疗法（包括蛋白酶体抑制剂、免疫调节剂和抗CD38抗体）的复发性或难治性多发性骨髓瘤（RRMM）成人患者的治疗。 1/2期MonumenTAL-1在多重经治RRMM患者中开展，研究显示接受皮下注射0.8mg/kg（每两周一次）剂量塔奎妥单抗治疗的患者客观缓解率为73.6%，58%的患者得到了非常好的部分缓解，33%的患者得到完全缓解；接受剂量0.4 mg/kg（每周一次）治疗的患者客观缓解率为73.0%，57%患者得到了非常好的部分缓解，35%的患者得到完全缓解。 20、强生/Genmab：埃万妥单抗作用机制：靶向EGFR/MET双抗适应症：非小细胞肺癌埃万妥单抗（amivantamab）是一款靶向EGFR和MET的在研全人源化双特异性抗体，能够阻断EGFR和MET介导的信号传导以外，还可以引导免疫细胞靶向携带激活性和抗性EGFR/MET突变和扩增的肿瘤。该药物静脉制剂最早于2021年5月获得FDA的加速批准，抗皮下注射剂型上市申请也于今年6月和9月陆续获得FDA和NMPA受理。一项埃万妥单抗皮下（SC）vs. 静脉注射（IV）联合拉泽替尼，治疗 EGFR 突变晚期非小细胞肺癌耐药后患者的全球 III 期随机对照试验 PALOMA-3 研究显示：（1）皮下注射组和静脉注射组在 C2D1 峰谷血药浓度的几何平均比率（GMRs）为 1.15（90%CI：1.04–1.26）；C4D1 峰谷血药浓度的 GMRs 为 1.43（90%CI：1.27–1.61）；AUC d1-15 的 GMRs 为 1.03（90%CI：0.98–1.09），研究结果符合非劣效标准。（2）皮下注射组和静脉注射组的 ORR 分别为 30.1% vs. 32.5%（RR 0.92；P = 0.001），符合非劣效标准，而中位缓解时间（DoR）方面，皮下注射组优于静脉注射组（11.2 vs. 8.3 个月）；（3）PFS 方面，皮下注射组相比静脉注射组有良好的获益趋势，中位 PFS 为 6.1 vs. 4.3 个月（HR 0.84；P = 0.20）。（3）皮下注射相比静脉注射显著延长了患者的 OS（HR 0.62；95%CI：0.42–0.92；nominal P = 0.017），12 个月的OS 率为 65% vs. 51%。（4）安全性方面，埃万妥单抗皮下注射安全性有所改善，输液反应和 VTE 发生率较低，预防性抗凝治疗安全性良好并有效降低 VTE 风险。 21、辉瑞：Elranatamab 作用机制：靶向BCMA/CD3 双抗适应症：多发性骨髓瘤 Elranatamab是一款靶向BCMA/CD3双抗，2023年8月获FDA 加速批准用于治疗既往接受过至少 4 种疗法（包括一种蛋白酶体抑制剂、一种免疫调节剂和一种抗 CD38 单抗）的复发性或难治性多发性骨髓瘤（R/R MM）成人患者。II 期 MagnetisMM-3 研究显示，此前曾接受 4 线或更多线数治疗患者（n=97），采用Elranatamab 治疗的ORR 为 58%，估计 82% 的患者维持至少9 个月的缓解，首次出现缓解的中位时间为 1.2 个月。队列 B研究数据显示，既往接受过 4 种疗法的患者，包括 BCMA 定向治疗（CAR-T 或抗体药物结合）的患者，ORR 为 33%，估计有 84% 的患者保持缓解至少 9 个月。长期疗效数据显示，中位随访时间为 14.7 个月时，ORR 为 61%，中位 DOR、OS 和 PFS 尚未达到。对于产生缓解的患者，在 15 个月时维持缓解的概率为 72%。 22、阿斯利康/BMS：Andexanet alfa 作用机制：Xa抑制剂适应症：抗凝血 Andexanet alfa是一种经过修饰的、重组的、无活性的人类FXa，能可逆性地与FXa抑制剂分子结合，从而降低其其活性并恢复未结合的内源性FXa的量。一项在急性颅内出血前15小时内服用了Xa因子抑制剂，并接受Andexanet或常规护理的相关研究显示：接受Andexanet的224例患者中，有150例(67.0%)实现了止血效果，在接受常规护理的228例患者中，有121例(53.1%)实现了止血效果(校正后的差异为13.4%;95%CI 4.6~22.2;P=0.003)。从基线到1~2小时最低点的抗Xa因子活性中位数下降，使用Andexanet时为94.5%，使用常规护理时为26.9%(P<0.001)。在接受Andexanet的263例患者中，有27例(10.3%)发生了血栓事件，在接受常规护理的267例患者中，有15例(5.6%)发生了血栓事件(差异为4.6%;95% CI0.1~9.2;P=0.048);分别有17例患者(6.5%)和4例患者(1.5%)发生了缺血性卒中。两组在改良Rankin量表评分或30天内死亡方面没有显著差异。 23、罗氏/勃林格殷格翰：替奈普酶作用机制：纤溶酶原激活剂适应症：溶栓替奈普酶是一种改良型组织型纤溶酶原激活剂，作为一种新型溶栓药物，该药物是基于阿替普酶的三个氨基酸结构位点修饰而来；在既往研究中，证实替奈普酶非劣效于标准治疗药物（阿替普酶），适用于卒中发作4.5小时内接受治疗的符合条件的患者。III期ORIGINAL临床研究显示，在主要疗效终点方面，72.7%（532/732）原研替奈普酶组和70.3% （515/733）阿替普酶组达到了90天时的良好功能结局（调整后RR=1.0278，95% CI 0.9678–1.0915）；主要结局的敏感性分析和补充分析的结果与主要分析的结果保持一致。在安全性方面，原研普酶组和阿替普酶组中36h出现sICH的患者比例均为1.2%（RR=1.005，P>0.05），90天死亡率分别为4.6%和5.8%（RR=0.795，P>0.05），安全性相似。参考资料 1、各公司官网 2、凯莱英药闻、Insight数据库、医药魔方info、肿瘤资讯、智慧芽新药情报库、肾医线、丁香园神经时间、丁香园肿瘤时间、医学界血液频道、征战重症肌无力、医学瞭望、医脉通神经科 END 免责声明：本文仅作知识交流与分享及科普目的，不涉及商业宣传，不作为相关医疗指导或用药建议。文章如有侵权请联系删除。 IND2025主会场授课已被预定，大会第一天下午茶歇前授课时间段预定开始，咨询热线：177 0186 0390。点击图片，查看IND2025首批重磅嘉宾

临床结果申请上市临床3期上市批准

2024-06-24

·GlobeNewswire-Health Care

Helsinn Group announces AKYNZEO® (fosnetupitant/palonosetron) injection is now available in a ready-to-use vial in the US

Helsinn Group announces AKYNZEO® (fosnetupitant/palonosetron) injection is now available in a ready-to-use vial in the US Lugano, Switzerland – June 24, 2024 – Helsinn Group (“Helsinn”), a global pharmaceutical company with a track record of over forty-five years of commercial execution and a strong focus in supportive care, oncology and dermato-oncology, is pleased to announce that AKYNZEO® (fosnetupitant/palonosetron) injection is now available in the US in a ready-to-use vial. AKYNZEO injection (Ready-to-Use) is a new method of administration and contains the same formulation as the prior AKYNZEO Injection (To-be-Diluted). The features of the new ready-to-use presentation of AKYNZEO injection include: No reconstitution or dilution required; infuse directly from the vial using a built-in hanging strapNo refrigeration required at any point during distribution, storage, or preparationAccessible via automated dispensing machine, allowing the product to be stored and available near the location of patient care AKYNZEO injection is indicated in combination with dexamethasone in adults for the prevention of acute and delayed nausea and vomiting associated with initial and repeat courses of highly emetogenic cancer chemotherapy. It has not been studied for the prevention of nausea and vomiting associated with anthracycline plus cyclophosphamide chemotherapy. AKYNZEO injection does not contain polysorbate 80 or allergenic excipients such as soy or egg lecithin. It can be administered simultaneously with intravenous dexamethasone sodium phosphate. Dr. Melanie Rolli, Helsinn Group CEO, commented: “As a pioneer in cancer supportive care, Helsinn continues to be unwavering in our pursuit to help patients and clinicians in cancer care. We are very pleased to launch the new AKYNZEO Ready-to-Use vial, building on our legacy of innovation.” Ordering information Clinicians wishing to order the new vial should contact their GPO or distributor. The National Drug Code (NDC) number for AKYNZEO injection vial with hanger (Ready-to-Use) is 69639-106-01 and the J Code is J1454 (Injection, fosnetupitant 235 mg and palonosetron 0.25 mg); billing unit (single dose vial [SDV]). About AKYNZEO® AKYNZEO is the first and only 5-HT3 and NK1 receptor antagonists fixed combination approved for the prevention of chemotherapy-induced acute and delayed nausea and vomiting. A single dose of AKYNZEO given with dexamethasone has been shown to prevent chemotherapy-induced nausea and vomiting for up to 5 days. INDICATION AKYNZEO (fosnetupitant/palonosetron) injection is indicated in combination with dexamethasone in adults for the prevention of acute and delayed nausea and vomiting associated with initial and repeat courses of highly emetogenic cancer chemotherapy. Limitations of Use AKYNZEO injection has not been studied for the prevention of nausea and vomiting associated with anthracycline plus cyclophosphamide chemotherapy. AKYNZEO is a combination of palonosetron, a serotonin-3 (5-HT3) receptor antagonist, and fosnetupitant, a substance P/neurokinin-1 (NK-1) receptor antagonist: palonosetron prevents nausea and vomiting during the acute phase and fosnetupitant prevents nausea and vomiting during both the acute and delayed phase after cancer chemotherapy. IMPORTANT SAFETY INFORMATION Warnings and Precautions Hypersensitivity reactions, including anaphylaxis, have been reported in patients receiving palonosetron, one of the components of AKYNZEO, with or without known hypersensitivity to other 5-HT3 receptor antagonists.Serotonin syndrome has been reported with 5-HT3 receptor antagonists alone but particularly with concomitant use of serotonergic drugs. Serotonin syndrome can be life threatening. Symptoms associated with serotonin syndrome may include the following combination of signs and symptoms: mental status changes, autonomic instability, neuromuscular symptoms, seizures, and gastrointestinal symptoms. Patients should be monitored for the emergence of serotonin syndrome, and if symptoms occur, discontinue AKYNZEO and initiate supportive treatment. Patients should be informed of the increased risk of serotonin syndrome, especially if AKYNZEO is used concomitantly with other serotonergic drugs. Adverse Reactions Most common adverse reactions (≥3%) for AKYNZEO capsules are headache, asthenia, dyspepsia, fatigue, constipation and erythema. The safety profile of AKYNZEO injection was generally similar to AKYNZEO capsules. Drug Interactions Use with caution in patients receiving concomitant medications primarily metabolized by CYP3A4. The plasma concentrations of CYP3A4 substrates can increase when co-administered with AKYNZEO. The inhibitory effect on CYP3A4 can last for multiple days Dexamethasone doses should be reduced when given with AKYNZEO. A more than two- fold increase in the systemic exposure of dexamethasone was observed 4 days after a single infusion of fosnetupitant.Consider the potential effects of increased plasma concentrations of midazolam or other benzodiazepines metabolized via CYP3A4 (alprazolam, triazolam) when administering with AKYNZEO. When administered with netupitant, the systemic exposure to midazolam was significantly increased. Avoid concomitant use of AKYNZEO in patients on chronic use of a strong CYP3A4 inducer such as rifampin as this may decrease the efficacy of AKYNZEO. Use in Specific Populations Avoid use of AKYNZEO in patients with severe hepatic impairment, severe renal impairment, or end-stage renal disease.Advise women of potential risk to fetus; limited data are available; may cause fetal harm. For more information about AKYNZEO® please see the full US Prescribing Information. About Helsinn Helsinn is a global pharmaceutical company that builds, manufactures, launches, and commercializes products to improve the quality of life for patients with cancer and chronic disease, with a focus on supportive care, oncology and dermato-oncology. Helsinn, headquartered in Lugano, Switzerland, has direct commercial operations in the U.S. and an extensive network of long-standing trusted partners enabling a commercial presence in more than 90 countries. Established in 1976, Helsinn is a third-generation family-owned company with broad pharmaceutical and technical expertise. Helsinn is proud of its history of operating with great integrity, passion and quality. The company is committed to continuously striving for innovation for its patients and embracing sustainable growth as a core element of its strategic vision. To learn more about Helsinn, please visit www.helsinn.com or follow us on LinkedIn and X. For more information: Helsinn Group Media Contact:Sabrina PerucchiGroup Communication ManagerLugano, Switzerland Tel: +41 (0) 91 985 21 21 Email: Info-hhc@helsinn.com

上市批准临床结果

2023-12-29

·SYNAPSE

Understanding NK1 antagonists and Methods to Keep Abreast of Their Recent Developments

The NK1 receptor, also known as the neurokinin-1 receptor, plays a crucial role in the human body. It is a type of receptor found in the central and peripheral nervous systems, particularly in areas associated with pain, inflammation, and mood regulation. Activation of the NK1 receptor by substance P, a neuropeptide, leads to various physiological responses such as pain transmission, vasodilation, and immune cell activation. Due to its involvement in these processes, the NK1 receptor has become a target for pharmaceutical interventions, particularly in the development of drugs for pain management, anti-inflammatory treatments, and mental health disorders. Neurokinin 1 (NK1) antagonists are a novel class of medications that possess unique antidepressant, anxiolytic, and antiemetic properties. They competitively bind to the NK1 receptor, blocking the binding of substance P and preventing the emetic signal from being transmitted. This makes them effective in preventing acute and delayed nausea and vomiting. The discovery of NK1 receptor antagonists was a turning point in the prevention of nausea and vomiting associated with cancer chemotherapy. The first registered clinical use of NK1 receptor antagonists was for the treatment of emesis associated with cancer chemotherapy. In the 1980s, several peptide antagonists derived from substance P were the first NK1 receptor antagonists. However, these compounds had problems with selectivity, potency, solubility, and bioavailability. For this reason, pharmaceutical companies concentrated on developing non-peptide NK1 receptor antagonists, and in 1991, three different companies revealed their first results. Based on the analysis of the provided data, the current competitive landscape of target NK1 shows that multiple companies are actively involved in the development of drugs targeting this target. Merck & Co., Inc., Ono Pharmaceutical Co., Ltd., and Helsinn Healthcare SA are among the companies with the highest number of drugs in the Approved phase. The indications for these drugs include Chemotherapy-induced nausea and vomiting, Nausea, Vomiting, and various other indications. Small molecule drugs are progressing rapidly, followed by other drug types such as Fusion protein and Radionuclide Drug Conjugates (RDC). The United States, European Union, and Japan are leading in terms of development, with China also showing progress in the Approved phase. Overall, the target NK1 presents a competitive landscape with a diverse range of companies, indications, drug types, and geographical locations. Future development in this area will likely continue to focus on expanding indications and advancing drugs through clinical phases. How do they work?NK1 antagonists are a type of drug that work by blocking the activity of the neurokinin-1 (NK1) receptor. The NK1 receptor is a protein found in the central nervous system, as well as in other tissues throughout the body. It is primarily involved in transmitting signals related to pain, inflammation, and stress. From a biomedical perspective, NK1 antagonists are commonly used in the field of biomedicine to treat various conditions such as chemotherapy-induced nausea and vomiting, postoperative nausea and vomiting, and psychiatric disorders like depression and anxiety. By blocking the NK1 receptor, these antagonists can help alleviate symptoms associated with these conditions. The mechanism of action of NK1 antagonists involves binding to the NK1 receptor and preventing the binding of substance P, a neuropeptide that plays a key role in pain and inflammation signaling. By inhibiting the binding of substance P, NK1 antagonists can reduce the transmission of pain signals and alleviate symptoms. Overall, NK1 antagonists are an important class of drugs in biomedicine that target the NK1 receptor to provide therapeutic benefits in various conditions related to pain, inflammation, and mental health. List of NK1 AntagonistsThe currently marketed NK1 antagonists include: FosnetupitantRolapitant HydrochlorideNetupitant/Palonosetron HydrochlorideFosaprepitant DimeglumineAprepitantElinzanetantSerlopitantTradipitantNetupitantOrvepitantFor more information, please click on the image below. What are NK1 antagonists used for?NK1 antagonists are commonly used in the field of biomedicine to treat various conditions such as chemotherapy-induced nausea and vomiting, postoperative nausea and vomiting, and psychiatric disorders like depression and anxiety. For more information, please click on the image below to log in and search. How to obtain the latest development progress of NK1 antagonists?In the Synapse database, you can keep abreast of the latest research and development advances of NK1 antagonists anywhere and anytime, daily or weekly, through the "Set Alert" function. Click on the image below to embark on a brand new journey of drug discovery!

100 项与福奈妥匹坦相关的药物交易

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KEGG	Wiki	ATC	Drug Bank
D11065	-	-	DB14019

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适应症	国家/地区	公司	日期
化疗引起的恶心和呕吐	日本	Taiho Pharmaceutical Co., Ltd.	2022-03-28

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适应症	最高研发状态	国家/地区	公司	日期
恶心	临床2期	-	Helsinn Healthcare SA	-
呕吐	临床2期	-	Helsinn Healthcare SA	-

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研究	分期	人群特征	评价人数	分组	结果	评价	发布日期


ESMO_ASIA2024	N/A	-	150	Fosnetupitant + Palonosetron (FP)	範憲鹽醖餘淵廠艱餘選(醖繭積夢鬱築衊醖觸願) = 範遞餘築淵鏇衊憲壓窪觸鹹蓋選願憲壓鹹憲膚 (衊顧襯夢夢願膚範夢願 )	积极	2024-12-07
				Oral Aprepitant + Palonosetron (AP)	範憲鹽醖餘淵廠艱餘選(醖繭積夢鬱築衊醖觸願) = 鹹鏇餘襯網襯觸選遞積觸鹹蓋選願憲壓鹹憲膚 (衊顧襯夢夢願膚範夢願 )
CTRI/2023/04/051951 (phase IV Indian study, ESMO2024)	临床4期	-	178	IntraVenous (Fos)NEtupitant and Palonosetron (IV NEPA)	願鹽艱鹹蓋蓋淵糧鬱選(網範製窪範鹽願遞簾網) = 4, 2.25% 築願觸衊製觸蓋襯觸齋 (鬱鑰鬱顧構獵範遞願糧 ) 更多	积极	2024-09-15
JPRN-JapicCTI-194691 (CONSOLE-BC, ASCO2021)	临床3期	化疗引起的恶心和呕吐	102	Fosnetupitant 235 mg	餘齋蓋襯構艱襯齋蓋餘(醖築廠築獵淵願製顧築) = 鏇衊觸壓壓積襯鬱遞鏇鑰鏇襯糧鹹製壓夢膚製 (衊艱鹹壓鏇獵觸網繭蓋 ) 更多	积极	2021-05-28
				Fosaprepitant 150 mg	餘齋蓋襯構艱襯齋蓋餘(醖築廠築獵淵願製顧築) = 廠網憲鹹夢範鏇壓醖顧鑰鏇襯糧鹹製壓夢膚製 (衊艱鹹壓鏇獵觸網繭蓋 ) 更多
JPRN-JapicCTI-194611 (CONSOLE, ASCO2021)	临床3期	化疗引起的恶心和呕吐	795	Fosnetupitant 235 mg	醖觸範糧齋繭構選淵選(襯積艱憲鹽積鬱壓選糧) = 鹹醖窪觸觸蓋鹽顧蓋壓網願艱蓋膚鬱蓋憲築範 (壓鬱願齋積壓觸齋蓋襯 ) 更多	积极	2021-05-28
				Fosaprepitant 150 mg	醖觸範糧齋繭構選淵選(襯積艱憲鹽積鬱壓選糧) = 廠憲齋夢遞膚淵壓築衊網願艱蓋膚鬱蓋憲築範 (壓鬱願齋積壓觸齋蓋襯 ) 更多