MedPath

Palonosetron

Generic Name
Palonosetron
Brand Names
Akynzeo, Aloxi, Palonosetron Accord
Drug Type
Small Molecule
Chemical Formula
C19H24N2O
CAS Number
135729-56-5
Unique Ingredient Identifier
5D06587D6R
Background

Palonosetron (INN, trade name Aloxi) is an antagonist of 5-HT3 receptors that is indicated for the prevention and treatment of chemotherapy-induced nausea and vomiting (CINV). It is the most effective of the 5-HT3 antagonists in controlling delayed CINV nausea and vomiting that appear more than 24 hours after the first dose of a course of chemotherapy and is the only drug of its class approved for this use by the U.S. Food and Drug Administration. As of 2008, it is the most recent 5-HT3 antagonist to enter clinical use.

Indication

For the prevention of acute and delayed nausea and vomiting associated with initial and repeat courses of moderately emetogenic cancer chemotherapy, as well as prevention of acute nausea and vomiting associated with highly emetogenic cancer chemotherapy. Also used for the prevention of postoperative nausea and vomiting for up to 24 hours post operation.

Associated Conditions
Nausea caused by Chemotherapy, Post Operative Nausea and Vomiting (PONV), Acute chemotherapy-induced nausea and vomiting, Delayed chemotherapy-induced nausea and vomiting

Safety and Efficacy of Aprepitant for CINV in Patients With Lung Cancer Receiving Multiple-day Cisplatin Chemotherapy

Phase 2
Conditions
Chemotherapy-Induced Nausea and Vomiting
Lung Cancer
Interventions
First Posted Date
2015-05-15
Last Posted Date
2015-12-09
Lead Sponsor
Zhejiang University
Target Recruit Count
80
Registration Number
NCT02445872
Locations
🇨🇳

The first affiliated hospital, Zhejiang University, Hangzhou, Zhejiang, China

Prospective Study of Palonosetron in Radiation Induced Nausea and Vomiting (RINV)

Phase 2
Completed
Conditions
Nausea
Vomiting
Interventions
Radiation: Low or moderate risk radiotherapy
First Posted Date
2015-03-17
Last Posted Date
2017-10-06
Lead Sponsor
Dr. Edward Chow
Target Recruit Count
96
Registration Number
NCT02388750
Locations
🇨🇦

Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada

Palonosetron Plus Aprepitant Versus Palonosetron in Preventing Nausea and Vomiting in Leukemic Patients

Phase 2
Conditions
Chemotherapy Induced Nausea and Vomiting
Interventions
First Posted Date
2014-07-31
Last Posted Date
2014-07-31
Lead Sponsor
Associazione Salentina Angela Serra
Target Recruit Count
134
Registration Number
NCT02205164
Locations
🇮🇹

Ospedale Perrino, Brindisi, BR, Italy

🇮🇹

A.O. Riuniti Papardo - Piemonte, Messina, ME, Italy

🇮🇹

Università-Azienda Policlinico di Bari, Bari, BA, Italy

and more 8 locations

Efficacy of Thalidomide in Preventing Chemotherapy-induced Delayed Nausea and Vomiting

First Posted Date
2014-07-29
Last Posted Date
2016-08-24
Lead Sponsor
China Medical University, China
Target Recruit Count
642
Registration Number
NCT02203253
Locations
🇨🇳

The First Hospital of Liaoning Medical University, Jinzhou, Liaoning, China

🇨🇳

The First Hospital of China Medical University, Shenyang, Liaoning, China

🇨🇳

Shengjing Hospital of China Medical University, Shenyang, Liaoning, China

and more 8 locations

MEtoclopramide, DExamethasone or Axoli to Prevent or Delay Chemotherapy-induced Nausea and Vomiting in Moderately Emetogenic Non-AC-based Chemotherapy

Phase 3
Completed
Conditions
Solid Tumors
Interventions
First Posted Date
2014-05-12
Last Posted Date
2020-03-31
Lead Sponsor
Amsterdam UMC, location VUmc
Target Recruit Count
249
Registration Number
NCT02135510
Locations
🇳🇱

Tergooiziekenhuizen, Hilversum, Noord Holland, Netherlands

🇳🇱

Rijnstate, Arnhem, Netherlands

🇳🇱

Medisch Centrum Alkmaar, Alkmaar, Noord-Holland, Netherlands

and more 4 locations

Prevention of Intrathecal Morphine Induced Pruritus: Comparison of Ondansetron and Palonosetron

Not Applicable
Completed
Conditions
Morphine Adverse Reaction
Interventions
First Posted Date
2013-09-30
Last Posted Date
2015-04-09
Lead Sponsor
Kyungpook National University Hospital
Target Recruit Count
80
Registration Number
NCT01952626
Locations
🇰🇷

Kyungpook National Hospital, Daegu, Korea, Republic of

The Efficacy and Safety of Palonosetron in Preventing the Gastrointestinal Reactions Induced by 3-day Highly Emetogenic Chemotherapy

First Posted Date
2013-07-29
Last Posted Date
2015-12-04
Lead Sponsor
Jiangsu Simcere Pharmaceutical Co., Ltd.
Target Recruit Count
92
Registration Number
NCT01909856
Locations
🇨🇳

Tongji Hospital,Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China

Comparison of Palonosetron and Ramosetron for Preventing Patient-controlled Analgesia Related Nausea and Vomiting Following Spine Surgery

Not Applicable
Completed
Conditions
Postoperative Nausea and Vomiting
Interventions
First Posted Date
2013-04-08
Last Posted Date
2014-02-19
Lead Sponsor
Yonsei University
Target Recruit Count
196
Registration Number
NCT01825733

The Effect of Palonosetron on the QTc Interval During Perioperative Period

Not Applicable
Completed
Conditions
Anesthesia, General
Palonosetron
Interventions
Drug: Normal saline
First Posted Date
2012-07-26
Last Posted Date
2013-08-07
Lead Sponsor
Seoul National University Hospital
Target Recruit Count
100
Registration Number
NCT01650961
Locations
🇰🇷

Seoul National University Hospital, Seoul, Korea, Republic of

Ondansetron Versus Palonosetron Antiemetic Regimen Prior to Highly Emetogenic Chemotherapy(HEC)

Not Applicable
Completed
Conditions
Malignant Neoplasm
Interventions
First Posted Date
2012-07-13
Last Posted Date
2013-11-07
Lead Sponsor
Ohio State University Comprehensive Cancer Center
Target Recruit Count
40
Registration Number
NCT01640340
Locations
🇺🇸

Ohio State University Medical Center, Columbus, Ohio, United States

© Copyright 2025. All Rights Reserved by MedPath