Rolapitant: a pooled analysis of its efficacy and safety in the prophylaxis of chemotherapy-induced nausea and vomiting

Future Oncol. 2016 Mar;12(6):871-9. doi: 10.2217/fon.15.360. Epub 2016 Jan 25.

Abstract

Background: We conducted a pooled analysis of rolapitant-containing regimens versus control in the prophylaxis of chemotherapy-induced nausea and vomiting.

Methodology: Eligible studies included randomized studies evaluating rolapitant-containing regimens in the settings of highly emetogenic and moderately emetogenic chemotherapy.

Results: The pooled relative risk for complete response in the overall phase was 1.23 (95% CI: 1.18-1.33; p < 0.00001), the pooled relative risk for no significant nausea in the overall phase was 1.17 (95% CI: 1.04-1.32; p = 0.008) and the pooled RR for no emesis in the overall phase was 1.24 (95% CI: 1.18-1.31; p < 0.00001).

Conclusion: Rolapitant-based regimens are associated with higher rates of complete response, no significant nausea and no emesis with highly/moderately emetogenic chemotherapy compared with control regimens.

Keywords: chemotherapy; nausea; rolapitant; vomiting.

Publication types

  • Meta-Analysis
  • Review

MeSH terms

  • Antiemetics / adverse effects
  • Antiemetics / therapeutic use*
  • Antineoplastic Agents / adverse effects*
  • Antineoplastic Agents / therapeutic use
  • Humans
  • Nausea / drug therapy*
  • Nausea / etiology*
  • Neoplasms / complications*
  • Neoplasms / drug therapy
  • Odds Ratio
  • Premedication
  • Publication Bias
  • Randomized Controlled Trials as Topic
  • Spiro Compounds / adverse effects
  • Spiro Compounds / therapeutic use*
  • Treatment Outcome
  • Vomiting / drug therapy*
  • Vomiting / etiology*

Substances

  • Antiemetics
  • Antineoplastic Agents
  • Spiro Compounds
  • rolapitant