Drugs / Palonosetron
last change 10 days ago re-read 8 days ago

Palonosetron

Other / unclassified targets HTR3A via inhibition

Developed for
chemotherapy-induced toxicity · cancer · breast cancer · endometrial cancer · leukemia · lung cancer · lymphoma · poisoning
+1 more · substance-related disorder
Investigated by
Helsinn Healthcare SA · Eisai Inc. · National Cancer Institute (NCI) · Merck Sharp & Dohme LLC · Ajou University School of Medicine · Duke University
+67 more · HK inno.N Corporation · Kyungpook National University Hospital · M.D. Anderson Cancer Center · OHSU Knight Cancer Institute · PSI CRO · Parexel · University of Malaya · Xiamen LP Pharmaceutical Co., Ltd · Xijing Hospital · Alliance for Clinical Trials in Oncology · Blood and Marrow Transplant Group of Georgia · Bonsucesso Federal Hospital · Brazilian National Cancer Institute · Chinese Academy of Medical Sciences · Chinese University of Hong Kong · Clinica Universidad de Navarra, Universidad de Navarra · Dr. Edward Chow · Emerald Clinical Inc. · Fluminense Federal University · Fondazione IRCCS Istituto Nazionale dei Tumori, Milano · Fujian Shengdi Pharmaceutical Co., Ltd. · Gerhild Becker · Gruppo Italiano Studio Linfomi · Hangzhou Jiuyuan Gene Engineering Co. Ltd. · Helsinn Therapeutics (U.S.), Inc · Henan Cancer Hospital · Hospital de Base · Hubei Cancer Hospital · Instituto Brasileiro de Controle do Cancer · JiangSu Chia-Tai Tianqin Pharmacy Co.Ltd · Jiangsu Simcere Pharmaceutical Co., Ltd. · Joseph Ma · Joseph Roscoe · Memorial Sloan Kettering Cancer Center · Nanyang Central Hospital · National Cancer Institute of Mexico · National Institute of General Medical Sciences (NIGMS) · National Institute of Neurological Disorders and Stroke (NINDS) · Northside Hospital, Inc. · Ohio State University · Ohio State University Comprehensive Cancer Center · Oregon Health and Science University · Ottawa Hospital Research Institute · PETHEMA Foundation · Peking University Cancer Hospital & Institute · Princess Margaret Hospital, Hong Kong · Rutgers University · Samsung Medical Center · Second Affiliated Hospital, School of Medicine, Zhejiang University · Seoul National University Bundang Hospital · Seoul National University Hospital · Shanghai 6th People's Hospital · Shanghai Changzheng Hospital · Stanford University · Sun Yat-sen University · Taiho Pharmaceutical Co., Ltd. · The Physicians' Services Incorporated Foundation · Tigermed Consulting Co., Ltd · Union Hospital, Tongji Medical College, Huazhong University of Science and Technology · Universiti Kebangsaan Malaysia Medical Centre · University of Colorado, Denver · University of Kansas Medical Center · University of Michigan Rogel Cancer Center · University of Washington · VIFORFRANCE · Yonsei University · Zhuhai Beihai Biotech Co., Ltd

Regulatory milestones approvals, filings & regulatory actions · 7 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansion US (FDA) POSFREA — 2025-04-16 fda.gov ↗
Label expansion US (FDA) PALONOSETRON HYDROCHLORIDE — 2018-12-06 fda.gov ↗
Label expansions (3) US (FDA) ALOXI — 2007-08-30 – 2014-05-27 fda.gov ↗
Approved EU (EMA) Aloxi — 2005-03-22 europa.eu ↗
Approved US (FDA) ALOXI — 2003-07-25 fda.gov ↗

Trials 74 · started per year

today
US approved 2003
EU approved 2005
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20032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025202620272028
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 02 trials
Phase 0 NCT07662200 Aug 2026 → Aug 2027 expected malignant germ cell tumor Ottawa Hospital Research Institute Not yet recruiting No outcome recorded
Phase 0 NCT06427681 May → Sep 2024 — Zhuhai Beihai Biotech Co., Ltd Unknown No outcome recorded
Phase 12 trials
Phase 1 NCT06840769 Jun → Oct 2023 — Helsinn Healthcare SA Terminated No outcome recorded
Phase 1 NCT05465681 Aug 2022 → Jan 2023 — Fujian Shengdi Pharmaceutical Co., Ltd. Completed No outcome recorded
Phase 1/21 trial
Phase 1/2 NCT01046240 Oct 2009 → Nov 2010 — Clinica Universidad de Navarra, Universidad de Navarra Completed No outcome recorded
Phase 226 trials
Phase 2 NCT07841210 Sep 2026 → Jan 2028 expected — Union Hospital, Tongji Medical College, Huazhong University of Science and Technology Active not recruiting No outcome recorded
Phase 2 NCT07692451 Jul 2026 → Jul 2027 expected chemotherapy-induced toxicity Peking University Cancer Hospital & Institute Not yet recruiting No outcome recorded
Phase 2 NCT06904235 Jul 2025 → Oct 2027 expected chemotherapy-induced toxicity Helsinn Healthcare SA Recruiting No outcome recorded
Phase 2 NCT05315999 May 2022 → Dec 2024 — Gerhild Becker Completed No outcome recorded
Phase 2 NCT04669132 Dec 2020 → Dec 2021 chemotherapy-induced toxicity Instituto Brasileiro de Controle do Cancer Completed No outcome recorded
Phase 2 NCT05202275 Dec 2020 → Dec 2022 head and neck squamous cell carcinoma Chinese Academy of Medical Sciences Unknown No outcome recorded
Phase 2 NCT04592198 Oct 2020 → Mar 2021 chemotherapy-induced toxicity Xiamen LP Pharmaceutical Co., Ltd Completed No outcome recorded
Phase 2 NCT03386617 Feb 2018 → Dec 2027 expected breast cancer Chinese University of Hong Kong Active not recruiting No outcome recorded
Phase 2 NCT03204279 Aug 2017 → Sep 2019 chemotherapy-induced toxicity Helsinn Healthcare SA Completed No outcome recorded
Phase 2 NCT03097588 Apr 2017 → Feb 2020 cancer OHSU Knight Cancer Institute Completed No outcome recorded
Phase 2/32 trials · 1 missed
Phase 2/3 NCT03040726 May 2017 → Feb 2022 cancer M.D. Anderson Cancer Center Completed Missed primary
Phase 2/3 NCT03606369 Nov 2015 → Jul 2018 breast neoplasm National Cancer Institute of Mexico Unknown No outcome recorded
Phase 314 trials · 3 met primary
Phase 3 NCT05199818 Mar 2022 → Sep 2023 chemotherapy-induced toxicity Xiamen LP Pharmaceutical Co., Ltd Unknown No outcome recorded
Phase 3 NCT03817970 Nov 2019 → Sep 2027 expected cisplatin toxicity University of Colorado, Denver Active not recruiting No outcome recorded
Phase 3 NCT04060771 Aug 2018 → Nov 2019 strabismus Fluminense Federal University Unknown No outcome recorded
Phase 3 NCT03403712 Mar → Sep 2018 chemotherapy-induced toxicity Helsinn Healthcare SA Completed No outcome recorded
Phase 3 NCT02517021 Nov 2015 → Aug 2016 chemotherapy-induced toxicity Helsinn Healthcare SA Completed No outcome recorded
Phase 3 NCT02557035 Oct 2015 → Mar 2016 chemotherapy-induced toxicity Helsinn Healthcare SA Completed No outcome recorded
Phase 3 NCT01568268 Jan → Jun 2012 — Samsung Medical Center Completed No outcome recorded
Phase 3 NCT01442376 Sep 2011 → Oct 2012 chemotherapy-induced toxicity Helsinn Healthcare SA Completed Met primary
Phase 3 NCT01363479 Jul 2011 → Nov 2012 chemotherapy-induced toxicity Helsinn Healthcare SA Completed No outcome recorded
Phase 3 NCT01395901 Jun 2011 → Mar 2012 — Helsinn Healthcare SA Completed No outcome recorded
Phase 416 trials
Phase 4 NCT07482891 Mar → Oct 2026 expected chemotherapy-induced toxicity Shanghai 6th People's Hospital Recruiting No outcome recorded
Phase 4 NCT06540885 Jan 2025 → Jul 2026 overdue idiopathic scoliosis University of Malaya Recruiting No outcome recorded
Phase 4 NCT06726291 Feb 2024 → Dec 2025 overdue endometrial cancer Fondazione IRCCS Istituto Nazionale dei Tumori, Milano Recruiting No outcome recorded
Phase 4 NCT05841849 Jul 2023 → Jul 2028 expected breast cancer, chemotherapy-induced toxicity Second Affiliated Hospital, School of Medicine, Zhejiang University Not yet recruiting No outcome recorded
Phase 4 NCT05956899 Jun 2023 → Mar 2024 idiopathic scoliosis University of Malaya Completed No outcome recorded
Phase 4 NCT03831633 Sep 2018 → Jul 2019 — VIFORFRANCE Unknown No outcome recorded
Phase 4 NCT06043336 May 2018 → May 2019 — Universiti Kebangsaan Malaysia Medical Centre Completed No outcome recorded
Phase 4 NCT02941913 Oct 2016 → Feb 2018 — Brazilian National Cancer Institute Completed No outcome recorded
Phase 4 NCT02809378 Jun 2016 → Apr 2017 — Ajou University School of Medicine Completed No outcome recorded
Phase 4 NCT02468323 Oct 2015 → Feb 2017 — Hospital de Base Completed No outcome recorded
Phase not applicable11 trials · 2 met primary
— NCT07442890 Apr 2026 → Apr 2028 expected lung cancer Henan Cancer Hospital Not yet recruiting No outcome recorded
— NCT05690802 May 2022 → May 2027 expected — Xijing Hospital Recruiting No outcome recorded
— NCT04563260 Oct 2020 → Mar 2021 gallbladder disorder Ajou University School of Medicine Completed No outcome recorded
— NCT04507711 Sep 2020 → Nov 2023 blood coagulation disease Seoul National University Bundang Hospital Unknown No outcome recorded
— NCT02597907 Jul 2014 → May 2015 — Kyungpook National University Hospital Completed Met primary
— NCT01952626 Apr 2013 → Jun 2014 poisoning Kyungpook National University Hospital Completed No outcome recorded
— NCT01650961 Jul → Dec 2012 — Seoul National University Hospital Completed No outcome recorded
— NCT01640340 Jan → Aug 2011 cancer Ohio State University Comprehensive Cancer Center Completed No outcome recorded
— NCT01169805 Aug 2010 → Jun 2011 non-congenital cyst of kidney Yonsei University Completed No outcome recorded
— NCT00661674 Apr → Aug 2008 substance-related disorder Stanford University Completed Met primary
Comparator or background therapy58 trials
Phase 1 NCT07817004 Comparator Sep → Nov 2026 expected chemotherapy-induced toxicity Qilu Pharmaceutical (Hainan) Co., Ltd. Not yet recruiting No outcome recorded
Phase 1 NCT02650479 Background Jan → Apr 2016 — Intarcia Therapeutics Completed No outcome recorded
Phase 1/2 NCT00412425 Comparator Nov 2006 → May 2009 melanoma M.D. Anderson Cancer Center Completed No outcome recorded
Phase 2 NCT07848984 Background Oct 2026 → Aug 2028 expected breast neoplasm Second Affiliated Hospital, Zhejiang University, School of Medicine Not yet recruiting No outcome recorded
Phase 2 NCT07709897 Background Jul → Dec 2026 expected — Fujian Shengdi Pharmaceutical Co., Ltd. Not yet recruiting No outcome recorded

News releases announcing trial results or a regulatory action · 11

DateIssuerRelease
2026-02-18 Helsinn Healthcare SA Regulatory Helsinn announces European Commission approval of AKYNZEO® Oral Suspension helsinn.com ↗
Lugano, Switzerland – February 18th, 2026 – Helsinn Healthcare SA (“Helsinn”), a global pharmaceutical group focused on supporting patients with cancer and chronic diseases, today announced that the European Commission (EC) has granted marketing authorization for the new oral suspension formulation of AKYNZEO® (netupitant/palonosetron) on 12th of February 2026.
2026-02-05 Jiangsu HengRui Medicine Co., Ltd. Regulatory 恒瑞创新药注射用磷罗拉匹坦帕洛诺司琼新适应症上市许可申请获受理 hengrui.com ↗
2025-10-17 Helsinn Healthcare SA Results Results from the MyRisk clinical trial, accepted for publication in the Annals of Oncology, will be presented today at ESMO 2025 as an oral presentation helsinn.com ↗
The primary endpoint was met; patients receiving AKYNZEO® were significantly more likely to achieve a complete response (CR: no emesis and no use of rescue medication) than those in the SOC arm in the overall phase (0-120 h after
2023-06-12 Helsinn Healthcare SA Results Helsinn announces publication of data evaluating impact of AKYNZEO® (fosnetupitant/palonosetron) on treatment outcomes and healthcare costs helsinn.com ↗
Referring to the details of the publication below, these real-world data showed that healthcare resource utilization, such as CINV-related visits were significantly lower after AKYNZEO® compared to fosaprepitant/palonosetron (APPA).
2023-02-03 Helsinn Healthcare SA Results Helsinn announces publication of new data evaluating impact of NEPA (netupitant/palonosetron) on hospital costs helsinn.com ↗
Results from the study indicate that CINV-related hospitalization costs were significantly lower in patients who received NEPA compared to aprepitant/fosaprepitant with ondansetron (APON) or aprepitant/fosaprepitant with palonosetron (APPA) (P <.0001 for both comparisons).
2023-01-04 Helsinn Healthcare SA Results Helsinn publishes results from a secondary analysis of a Phase 3 trial in patients with CINV in The Oncologist helsinn.com ↗
The analysis indicated that patients who experienced CR in their first cycle had a 93% or higher CR rates in subsequent cycles.
2021-02-15 Upsher-Smith Laboratories Regulatory Sawai Receives Approvals for Eight Generic Drugs with 20 Strengths upsher-smith.com ↗
Osaka, Japan – February 15, 2021 – Sawai Pharmaceutical Co., Ltd. (Sawai, Head office: Osaka, Japan, President: Kenzo Sawai) received approvals by the Ministry of Health, Labour and Welfare for eight generic drugs with 20 strengths.
2014-10-14 Eisai Inc. Regulatory U.S. FDA APPROVES ANTIEMETIC AGENT AKYNZEO® FOR PREVENTION OF CHEMOTHERAPY-INDUCED NAUSEA AND VOMITING (CINV) World’s First Oral Fixed Combination Targeting Two Critical Pathways Involved in CINV eisai.com ↗
2014-05-29 Eisai Inc. Regulatory ANTIEMETIC AGENT ALOXI® APPROVED FOR CHILDREN BY THE U.S. FDA U.S. MARKET EXCLUSIVITY EXTENDED BY SIX MONTHS TO OCTOBER 13, 2015 eisai.com ↗
2008-08-24 Eisai Inc. Regulatory FDA Approves ALOXI® (Palonosetron HCl) Capsules for Prevention of Acute Chemotherapy-induced Nausea and Vomiting eisai.com ↗
the U.S. Food and Drug Administration (FDA) has approved a new oral formulation of ALOXI® (palonosetron hydrochloride)
2008-03-03 Eisai Inc. Regulatory FDA APPROVES ALOXI® (PALONOSETRON HCL) INJECTION FOR PREVENTION OF POSTOPERATIVE NAUSEA AND VOMITING eisai.com ↗

All press releases naming this drug 24 releases

DateIssuerRelease

Evidence & citations 22 cited values

Every value below carries the sentence it was read from. 137 sources stand behind the page.

FieldValueCited text
Known as Palonosetrón “BACKGROUND: This phase I trial aimed to assess the pharmacokinetics (PK), safety, and preliminary efficacy of a single dose of HR20013 (mixed formulation of fosrolapitant and...” PMID 40866861 ↗ Aug 2025
126

“Efficacy and safety of palonosetron as salvage treatment in the prevention of chemotherapy-induced nausea and vomiting in patients receiving low emetogenic chemotherapy (LEC).” PMID 22733373 ↗ Jun 2012

“Olanzapine 2.5 mg per day orally on days 1 through 4 + fosaprepitant 150 mg intravenous (IV) or aprepitant injectable emulsion 130 mg IV + palonosetron 0.25 mg” NCT06200168 ↗

“Dexamethasone 5mg and palonosetron 0.25mg i.v. will be given after induction, and droperidol 1.25 mg i.v. will be given during the abdominal closure.” NCT07480785 ↗

“Palonosetron 0.25 mg intravenously on day 1; or 1st-generation 5-HT3 antagonists (used as clinal routine) on day 1-3” NCT03601871 ↗

“The registered product Akynzeo® (235 mg fosnetupitant/0.25 mg palonosetron) solution for intravenous injection” NCT06840769 ↗

“flurbiprofen axetil 250mg,palonosetron 0.5mg,pentazocine 240mg.dezocine 30mg” NCT02114463 ↗

“flurbiprofen axetil 250mg,palonosetron 0.5mg,pentazocine 240mg.dezocine 30mg” NCT02094339 ↗

“Oral Fixed-dose Combination of 300 mg Netupitant and 0.50 mg Palonosetron” NCT03386617 ↗

“5-HT3 receptor antagonists may include palonosetron or ondansetron.” NCT07848984 ↗

“0.25 mg palonosetron intravenously 30 minutes (±1 minute)” NCT06427681 ↗

Show 116 more sources

Known as Aloxi “Oral palonosetron 0.50 mg (Aloxi) with oral dexamethasone (20 mg) both given on Day 1, prior to each scheduled chemotherapy cycle” NCT01339260 ↗
6

“single oral dose of palonosetron compared to a single intravenous dose of palonosetron (Aloxi, an antiemetic drug)” NCT01363479 ↗

“.075 mg IV Palonosetron (Aloxi) with 8mg IV Dexamethasone (Decadron) before surgery to see if this reduces PONV.” NCT00952133 ↗

“Palonosetron (Aloxi) and Dexamethasone” NCT00636805 ↗

“IV palonosetron 0.25 Mg (ALOXI®)” NCT04592198 ↗

“Palonosetron Injection [Aloxi]” NCT04563260 ↗

“Aloxi (Palonosetron HCl)” NCT00306735 ↗

Known as Aloxi (palonosetron) “Aloxi (palonosetron)” NCT01568268 ↗
Known as NSC-743769 ChEMBL registry synonym — accepted as the source's own label CHEMBL1189679 ↗
Known as PALO “BACKGROUND: NEPA, an oral fixed combination of the NK1RA netupitant (300 mg) and clinically/pharmacologically distinct 5-HT3RA palonosetron (PALO, 0.50 mg), is the first fixed...” PMID 29722791 ↗ Jul 2018
2

“This post-hoc analysis evaluated the efficacy of NEPA, a fixed combination of netupitant (NETU [NK1RA]) and palonosetron (PALO [5-HT3RA]) in BC patients from two phase III studies.” PMID 28285236 ↗ Mar 2017

“Palonosetron (PALO)” NCT00900757 ↗

Known as Palonocetron hydrochloride ChEMBL registry synonym — accepted as the source's own label CHEMBL1189679 ↗
Known as Palonosetron (as hydrochloride) ChEMBL registry synonym — accepted as the source's own label CHEMBL1189679 ↗
Known as Palonosetron accord ChEMBL registry synonym — accepted as the source's own label CHEMBL1189679 ↗
Known as Palonosetron HCl “Palonosetron HCl Buccal Film 0.25 Mg” NCT04592198 ↗
2

“Palonosetron HCl Buccal Film 0.5 mg” NCT05199818 ↗

“Aloxi (Palonosetron HCl)” NCT00306735 ↗

Known as Palonosetron hospira ChEMBL registry synonym — accepted as the source's own label CHEMBL1189679 ↗
Known as palonosetron hydrochloride “the test product QLM2010 (18 mL: aprepitant 130 mg and palonosetron hydrochloride 0.25 mg, manufactured by Qilu Pharmaceutical \[Hainan\] Co., Ltd.)” NCT07817004 ↗
17

“Fosrolapitant and Palonosetron Hydrochloride for Injection: Intravenous drip for 1 hour (+10 minutes), once before each cycle of chemotherapy.” NCT07617246 ↗

“palonosetron hydrochloride injection: Drug for preventing nausea and vomiting caused by chemotherapy” NCT05509634 ↗

“Rolapitant Palonosetron (Rolapitant 218 mg and Palonosetron Hydrochloride 0.25 mg), IV;” NCT07442890 ↗

“Palonosetron hydrochloride (Aloxi®) is a potent and selective 5-HT3 receptor antagonist” NCT00967499 ↗

“Palonosetron Hydrochloride, 0.25 Mg/5 mL Intravenous Solution” NCT04592198 ↗

“Patients receive palonosetron hydrochloride IV on day 1.” NCT00903396 ↗

“Palonosetron hydrochloride IV injection” NCT05199818 ↗

“Netupitant/Palonosetron Hydrochloride” NCT07662200 ↗

“Drug: Palonosetron Hydrochloride” NCT05315999 ↗

“Drug: Palonosetron Hydrochloride” NCT03040726 ↗

Show 7 more sources

Known as Palonosetron hydrochloride component of akynzeo ChEMBL registry synonym — accepted as the source's own label CHEMBL1189679 ↗
Known as Palonosetron hydrochloride injection “Palonosetron hydrochloride injection: 0.25 mg palonosetron in 5 mL (0.05 mg/mL) infusion time is 30 seconds (﹢5seconds)” NCT06427681 ↗
1

“fosaprepitant dimeglumine for injection+palonosetron hydrochloride injection+dexamethasone” NCT07692451 ↗

Known as Palonosetron injection “Active Comparator: Drug:HR20013 placebo Drug: fosaprepitant dimeglumine for injection Drug:Palonosetron injection Drug: Dexamethasone” NCT07692451 ↗
Known as palonosetron(aloxi) “palonosetron(aloxi)” NCT02532634 ↗
Known as Palonosetron, (3as, 3s)- ChEMBL registry synonym — accepted as the source's own label CHEMBL1189679 ↗
Known as Posfrea ChEMBL registry synonym — accepted as the source's own label CHEMBL1189679 ↗
Known as RS-25259-197 ChEMBL registry synonym — accepted as the source's own label CHEMBL1189679 ↗
Action Inhibit “Palonosetron is a second-generation 5-hydroxytryptamine 3 (5-HT(3))-receptor antagonist” PMID 19135415 ↗ Jan 2009
1

“Serotonin 3a (5-HT3a) receptor antagonist” CHEMBL1189679 ↗

Modality Other / unclassified “Palonosetron hydrochloride (Aloxi®) is a potent and selective 5-HT3 receptor antagonist” NCT00967499 ↗
Route Intravenous “Patients were randomized to subcutaneous APF530 250 or 500 mg (granisetron 5 or 10 mg) or intravenous palonosetron 0.25 mg during cycle 1.” PMID 26921245 ↗ Feb 2016
Target HTR3A “Serotonin 3a (5-HT3a) receptor antagonist” CHEMBL1189679 ↗