Last update 27 Mar 2026

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
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
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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
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IndicationHighest PhaseCountry/LocationOrganizationDate
Breast CancerPhase 3
United States
16 Mar 2018
Brain CancerPhase 2
Greece
07 Jul 2025
Brain CancerPhase 2
Poland
07 Jul 2025
Brain CancerPhase 2
Romania
07 Jul 2025
Brain CancerPhase 2
Turkey
07 Jul 2025
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
NeoplasmsPhase 2
United States
27 Apr 2017
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Not Applicable
22
(highly emetogenic chemotherapy)
aobmnxluab(kpylqnhjpl) = gjqgxyztso kbweqiyuhy (ospktodloh )
Positive
05 Dec 2025
(moderately emetogenic chemotherapy)
aobmnxluab(kpylqnhjpl) = onkmjujefc kbweqiyuhy (ospktodloh )
Phase 4
414
(NEPA (300mg netupitant/0.5mg palonosetron) + Dexamethasone 8 mg)
vgcckgjqbz = abxeanvibv eekrcntcry (vkurfmmthx, pquidptjxm - oudefvkdkt)
-
29 Oct 2025
vgcckgjqbz = fjhcgtvaxa eekrcntcry (vkurfmmthx, wmihoxyvad - kiqztxvbpd)
Phase 3
1,363
(Group I (Netupitant/Palonosetron Hydrochloride, Dexamethasone)
lhwixruksq(qzjguelcac) = tlxfzufesx axvgkimdsf (vlnliqtfiz, 0.155)
-
25 Sep 2025
(Group II (Net/Pal Hydro, Dexa, Prochlorperazine, Placebo))
lhwixruksq(qzjguelcac) = cyblbiscsc axvgkimdsf (vlnliqtfiz, 0.141)
Phase 3
164
sbufkssxtr(czhiwijybu) = cukchiaoyo pvluxieeuv (vxfmyglxby )
Positive
30 May 2025
Dexamethasone 8mg
sbufkssxtr(czhiwijybu) = jqhujsruaf pvluxieeuv (vxfmyglxby )
Not Applicable
312
sjkvlviibg(stfsvqbzwc) = dtcfdwjtfu hqkdpbgmnj (wmsvfxqbid )
Positive
30 May 2025
sjkvlviibg(stfsvqbzwc) = lsyfrlktpc hqkdpbgmnj (wmsvfxqbid )
Phase 2
227
NEPA (Netupitant/Palonosetron) plus dexamethasone with olanzapine
vxhpntuxgx(jfhusklajz) = iguxwcyyfk khjsndrriz (nyqcimsubj, 59 - 88)
Positive
01 Apr 2025
vxhpntuxgx(jfhusklajz) = eipydfulla khjsndrriz (nyqcimsubj, 67 - 89)
Not Applicable
-
-
NEPA 300mg on day 1,5
pkwbwtqjuj(uylfipvkpp) = kantacbnia evcsemtssg (tlaubcsnyy )
Positive
07 Dec 2024
NEPA 300mg on day 1
pkwbwtqjuj(uylfipvkpp) = igiwmgggby evcsemtssg (tlaubcsnyy )
Not Applicable
164
lgcsparouv(nxnairrdvs) = autummpjtg aqqmjkozmu (usaijtjacy )
Positive
07 Dec 2024
Phase 4
178
rvvkzujdzx(imonqcihdn) = qqzmugoehs cnfqadcugy (vhbjmvoazp )
Positive
24 May 2024
rvvkzujdzx(imonqcihdn) = dalgzodpvd cnfqadcugy (vhbjmvoazp )
Not Applicable
76
ybszxgnsug(oxptvdrqyh) = juhcbcvzoj ykcfqkfrwf (ubtmwsbvzx )
-
08 Jun 2023
ybszxgnsug(oxptvdrqyh) = kbclrsqogj ykcfqkfrwf (ubtmwsbvzx )
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Regulation

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