Evidence map›Paper›PMID 42207482›Full record

ArticleTherapeutic innovation & regulatory science2026

Pharmacoeconomic Evaluation of Netupitant Palonosetron for Chemotherapy-Induced Nausea and Vomiting: Evidence from Economic Analyses.

Meiyan Zhang, Fan Zhang, Chen Tian, Yunjin Zhang, Chenghui Wang, Hongnan Zhang, Lei Zhang

Abstract read
PubMed Publisher
In one paragraph

Article in Therapeutic innovation & regulatory science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Meiyan Zhang *Pharmacy Department, The First Hospital of Hebei Medical University, Hebei Shijiazhuang, 050000, China.
Fan Zhang *Pharmacy Department, The First Hospital of Hebei Medical University, Hebei Shijiazhuang, 050000, China.
Chen TianPharmacy Department, The First Hospital of Hebei Medical University, Hebei Shijiazhuang, 050000, China.
Yunjin ZhangGraduate School of Hebei Medical University, Hebei Shijiazhuang, 050011, China.
Chenghui WangPharmacy Department, The First Hospital of Hebei Medical University, Hebei Shijiazhuang, 050000, China.
Hongnan ZhangPharmacy Department, The First Hospital of Hebei Medical University, Hebei Shijiazhuang, 050000, China. 18240359116@163.com.
Lei ZhangPharmacy Department, The First Hospital of Hebei Medical University, Hebei Shijiazhuang, 050000, China. jason752564@sina.com.

Funding

Hebei Provincial Healthcare Security Research Project JYB240310Hebei Provincial Medical Science Research Project Plan 20250369
6 · The paper itself

Abstract

introductionThis study was conducted to systematically evaluate the economic profile of netupitant palonosetron(NEPA) for the prevention of chemotherapy-induced nausea and vomiting(CINV)in patients receiving highly or moderately emetogenic chemotherapy (HEC/MEC). The goal is to provide evidence-based support for optimizing clinical medication decisions and standardizing future pharmacoeconomic research.

methodsLiterature was searched through different Chinese and English databases from database inception to March 16, 2025, with study quality assessed using the CHEERS checklist. Most evaluations utilized cost-utility analysis via Markov or decision tree models, primarily focusing on direct medical costs from healthcare payer or system perspectives.

resultsNine studies meeting the inclusion criteria were analyzed. The results confirm the economic advantages of NEPA for CINV prophylaxis. In Western healthcare systems (UK, Spain, Italy, and the US), NEPA was frequently identified as a dominant strategy, providing greater health benefits (QALYs) at lower total costs. In China, NEPA was shown to be cost-effective at a willingness-to-pay (WTP) threshold equivalent to one times the national GDP per capita. Sensitivity analyses revealed that the cost-effectiveness of NEPA is highly sensitive to local drug pricing and variations in clinical practice.

conclusionNEPA is a cost-effective or even dominant strategy for CINV prophylaxis in both HEC and MEC populations. These findings provide a scientific basis for drug reimbursement negotiations and clinical pathway optimization. Future research should utilize real-world evidence across multiple chemotherapy cycles to further validate its long-term economic value and support value-based healthcare decisions.

Indexed as

AntiemeticsAntineoplastic AgentsNauseaPalonosetronPyridinesVomitingBenzeneacetamidesCost-Benefit AnalysisCost-Effectiveness AnalysisEconomics, PharmaceuticalHumansPiperazinesAntiemeticsAntineoplastic AgentsBenzeneacetamidesnetupitantPalonosetronPiperazinesPyridinesChemotherapy-induced nausea and vomitingNetupitant palonosetronPharmacoeconomicSystematic analysis

Identifiers

PMID42207482

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.