HPE CINV Pocket Guide 2018 | Page 23

• Multidisciplinary team (26 people) US antiemetic drug development is still very active, and newer NK1 RAs have recently come on to the market besides the initial one, that of aprepitant (and its IV formulation, fosaprepitant), rolapitant, and netupitant (which is only available in fixed combination with palonosetron in NEPA). There are multiple trials published for each of these agents and the information that is becoming available on their antiemetic efficacy as well as that of other classes of drugs is multiplying rapidly. 14 Because there are so many antiemetic treatment options, it is difficult for some clinicians to identify the best evidence available, as it would need a significant amount of time and dedication to the particular symptoms on an ongoing basis, which is not feasible as the management of these two symptoms is only a small part of the clinicians’ workload, who often work in very busy clinics. Also, some clinicians change their practice very slowly Updated annually. Last update: 2018 hospitalpharmacyeurope.com | 2018 | 23