Evidence map›Paper›PMID 41366147›Full record

Observational studyInternational journal of clinical oncology2026

Sustained antiemetic efficacy of fosnetupitant versus aprepitant in carboplatin-based chemotherapy: a retrospective observational study.

Hiroshi Inano, Yoshihito Morimoto, Atsushi Kawamura, Taichi Ikegami, Tomoki Niizuma, Kanata Kitagawa, Rie Usami, Kozue Nakagomi, Yuri Anzo, Misaki Uchikawa and 4 more

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in International journal of clinical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Hyperprogressive disease in carcinoma induced by immune checkpoint inhibitor therapy: a systematic review.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Hiroshi InanoDepartment of Pharmacy, Kitasato University Hospital, 1-15-1, Kitasato, Minami, Sagamihara, Kanagawa, 252-0375, Japan. i-nano@kitasato-u.ac.jp.ORCID http://orcid.org/0000-0003-1921-9822
Yoshihito MorimotoEducation and Research Center for Clinical Pharmacy, Showa Pharmaceutical University, 3-3165 Higashi-Tamagawagakuen, Machida, Tokyo, 194-8543, Japan.ORCID http://orcid.org/0000-0002-1058-0614
Atsushi KawamuraDepartment of Pharmacy, Kitasato University Hospital, 1-15-1, Kitasato, Minami, Sagamihara, Kanagawa, 252-0375, Japan.
Taichi IkegamiDepartment of Pharmacy, Kitasato University Hospital, 1-15-1, Kitasato, Minami, Sagamihara, Kanagawa, 252-0375, Japan.
Tomoki NiizumaDepartment of Pharmacy, Kitasato University Hospital, 1-15-1, Kitasato, Minami, Sagamihara, Kanagawa, 252-0375, Japan.
Kanata KitagawaDepartment of Pharmacy, Kitasato University Hospital, 1-15-1, Kitasato, Minami, Sagamihara, Kanagawa, 252-0375, Japan.
Rie UsamiDepartment of Pharmacy, Kitasato University Hospital, 1-15-1, Kitasato, Minami, Sagamihara, Kanagawa, 252-0375, Japan.
Kozue NakagomiDepartment of Pharmacy, Kitasato University Hospital, 1-15-1, Kitasato, Minami, Sagamihara, Kanagawa, 252-0375, Japan.
Yuri AnzoDepartment of Pharmacy, Kitasato University Hospital, 1-15-1, Kitasato, Minami, Sagamihara, Kanagawa, 252-0375, Japan.
Misaki UchikawaDepartment of Pharmacy, Kitasato University Hospital, 1-15-1, Kitasato, Minami, Sagamihara, Kanagawa, 252-0375, Japan.
Haruki YamamotoDepartment of Pharmacy, Kitasato University Hospital, 1-15-1, Kitasato, Minami, Sagamihara, Kanagawa, 252-0375, Japan.
Aiko ShonoLaboratory of Public Health, Showa Pharmaceutical University, 3-3165 Higashi-Tamagawagakuen, Machida, Tokyo, 194-8543, Japan.
Kazuhiro WatanabeEducation and Research Center for Clinical Pharmacy, Showa Pharmaceutical University, 3-3165 Higashi-Tamagawagakuen, Machida, Tokyo, 194-8543, Japan.
Katsuya OtoriDepartment of Pharmacy, Kitasato University Hospital, 1-15-1, Kitasato, Minami, Sagamihara, Kanagawa, 252-0375, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCarboplatin (CBDCA) is highly emetogenic when administered at an area under the curve (AUC) ≥ 4, requiring triple antiemetic therapy, including an NK

methodsThis retrospective single-center observational study included patients with cancer receiving CBDCA (AUC ≥ 4)-based regimens. Propensity score matching was performed using clinical factors. The primary endpoint was the complete response (CR; no emesis or rescue medication) rate between 0 and 168 h. The secondary endpoints included phase-specific CR rates, time to treatment failure (TTF), and adverse events (AEs).

resultsAfter matching, 242 patients were included in each group. The overall CR rate at 0-168 h was significantly higher with F-NTP (83.5%) than with APR (69.4%) (p < 0.001). F-NTP significantly prolonged TTF (hazard ratio = 0.48, 95% confidence interval: 0.33-0.71, p < 0.001). The multivariate analysis revealed female sex, younger age, and high CBDCA dose as significant risk factors for non-CR, while F-NTP use was a protective factor. AEs did not differ significantly between the groups and were mostly Grade 1.

conclusionF-NTP demonstrated superior antiemetic efficacy to that of APR in CBDCA-based regimens, particularly maintaining higher CR rates through the acute and delayed phases. F-NTP was also well tolerated, supporting its potential as a strong prophylactic agent for preventing chemotherapy-induced nausea and vomiting.

Indexed as

AntiemeticsAprepitantNauseaPyridinesVomitingAdultAgedAntineoplastic Combined Chemotherapy ProtocolsCarboplatinFemaleHumansMaleMiddle AgedNeoplasmsRetrospective StudiesTreatment OutcomeAntiemeticsAprepitantCarboplatinPyridinesBeyond-delayedCBDCACINVFosnetupitantNK1 RA

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.