Ognerubov NA. Fosaprepitant: current options to prevent chemotherapy-induced nausea and vomiting. Journal of Modern Oncology. 2022;24(4):477–486. DOI: 10.26442/18151434.2022.4.202019
Фосапрепитант: современные возможности предупреждения тошноты и рвоты, индуцированных химиотерапией
Огнерубов Н.А. Фосапрепитант: современные возможности предупреждения тошноты и рвоты, индуцированных химиотерапией. Современная Онкология. 2022;24(4):477–486.
DOI: 10.26442/18151434.2022.4.202019
Ognerubov NA. Fosaprepitant: current options to prevent chemotherapy-induced nausea and vomiting. Journal of Modern Oncology. 2022;24(4):477–486. DOI: 10.26442/18151434.2022.4.202019
Актуальность. Среди современных методов лечения злокачественных опухолей химиотерапия (ХТ) занимает лидирующее положение. Тошнота и рвота, индуцированные ХТ, наблюдаются у 30–90% пациентов на протяжении 0–120 ч после применения умеренно и высокоэметогенной ХТ. Их наличие может весьма серьезно повлиять на качество лечения, повседневную жизнедеятельность и приверженность лечению, что снижает эффективность терапии и продолжительность жизни. Материалы и методы. Автор приводит результаты систематического обзора научных статей, включая клинические исследования, посвященные эффективности применения антагониста рецепторов нейрокинина-1 фосапрепитанта для предотвращения тошноты и рвоты, индуцированных ХТ. Исследовались данные из базы PubMed. Результаты. Предупреждение и лечение тошноты и рвоты, ассоциированных с ХТ, представляет жизненно важную проблему, и ее следует рассматривать как необходимый этап при применении специальных методов лечения, включая симптоматическую терапию. С этой целью международные организации рекомендуют применять тройную комбинацию с включением антагонистов рецепторов нейрокинина-1, серотониновых 5-гидрокситриптамин-3-рецепторов и дексаметазона. Согласно полученным данным эффективность фосапрепитанта доказана в острой, отсроченной и общей фазах в ряде крупных, хорошо спланированных исследований – препарат позволяет снизить частоту нежелательных явлений в 2,7–4,4 раза по сравнению с апрепитантом. Заключение. Фосапрепитант является антагонистом рецепторов нейрокинина-1, при внутривенном введении он быстро превращается в апрепитант. Применение его в составе триплета с антагонистами серотониновых 5-гидрокситриптамин-3-рецепторов и дексаметазоном у пациентов, получающих умеренно и высокоэметогенную ХТ, позволяет достичь большей частоты полных ответов при контроле тошноты и рвоты. В целом фосапрепитант хорошо переносится.
Background. Chemotherapy (CT) is a mainstay of treatment for malignant tumors. CT-induced nausea and vomiting are observed in 30–90% of patients within 0–120 h after moderate and highly emetogenic CT administration. These adverse events can severely impact the quality of treatment, daily life, and adherence to treatment, thus reducing the effectiveness of therapy and survival. Materials and methods. The author provides the results of a systematic review of research papers, including clinical studies, on the efficacy of the neurokinin-1 receptor antagonist fosaprepitant to prevent CT-induced nausea and vomiting. Data from the PubMed database were reviewed. Results. The prevention and treatment of CT-associated nausea and vomiting are vital during special therapy, including symptomatic therapy. International organizations recommend using a triple combination with antagonists of neurokinin-1 and 5-hydroxytryptamine-3 receptors and dexamethasone. According to the data obtained, the efficacy of fosaprepitant has been proven in delayed and general phases in several large, well-planned studies; the drug reduces the incidence of adverse events by 2.7–4.4 times compared with aprepitant. Conclusion. Fosaprepitant is an antagonist of neurokinin-1 receptors; when administered intravenously, it rapidly converts into aprepitant. When used as part of a triple combination with 5-hydroxytryptamine-3 receptor antagonists and dexamethasone in patients receiving moderate and highly emetogenic CT leads to a higher rate of complete response when controlling nausea and vomiting. In general, fosaprepitant is well tolerated.
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4. Zhang B, Li XL. Adherence to clinical guidelines for prophylaxis of chemotherapy induced nausea and vomiting. Chin Hosp Pharm J. 2018;38(12):1325-9 (in Chinese). DOI:10.13286/j.cnki.chinhosppharmacyj.2018.12.19
5. Hesketh PJ, Bohlke K, Lyman GH, et al. Antiemetics: American Society of Clinical Oncology Focused Guideline Update. J Clin Oncol. 2016;34(4):381-6. DOI:10.1200/JCO.2015.64.3635
6. Warr DG, Grunberg SM, Gralla RJ, et al. The oral NK(1) antagonist aprepitant for the prevention of acute and delayed chemotherapy-induced nausea and vomiting: Pooled data from 2 randomised, double-blind, placebo controlled trials. Eur J Cancer. 2005;41(9):1278-85. DOI:10.1016/j.ejca.2005.01.024
7. Tsuji D, Suzuki K, Kawasaki Y, et al. Risk factors associated with chemotherapy-induced nausea and vomiting in the triplet antiemetic regimen including palonosetron or granisetron for cisplatin-based chemotherapy: analysis of a randomized, double-blind controlled trial. Support Care Cancer. 2019;27(3):1139‑47. DOI:10.1007/s00520-018-4403-y
8. Mosa ASM, Hossain AM, Lavoie BJ, Yoo I. Patient-related risk factors for chemotherapy-induced nausea and vomiting: a systematic review. Front Pharmacol. 2020;11:329. DOI:10.3389/fphar.2020.00329
9. Navari RM, Schwartzberg LS. Evolving role of neurokinin 1-receptor antagonists for chemotherapy-induced nausea and vomiting. Onco Targets Ther. 2018;11:6459-78. DOI:10.2147/OTT.S158570
10. Kreys ED, Kim TY, Delgado A, Koeller JM. Impact of cancer supportive care pathways compliance on emergency department visits and hospitalizations. J Oncol Pract. 2014;10(3):168-73. DOI:10.1200/JOP.2014.001376
11. Dranitsaris G, Molassiotis A, Clemons M, et al. The development of a prediction tool to identify cancer patients at high risk for chemotherapy-induced nausea and vomiting. Ann Oncol. 2017;28(6):1260-7. DOI:10.1093/annonc/mdx100
12. Rojas C, Raje M, Tsukamoto T, Slusher BS. Molecular mechanisms of 5-HT(3) and NK(1) receptor antagonists in prevention of emesis. Eur J Pharmacol. 2014;722:26-37. DOI:10.1016/j.ejphar.2013.08.049
13. Aogi K, Takeuchi H, Saeki T, et al. Optimizing antiemetic treatment for chemotherapy-induced nausea and vomiting in Japan: Update summary of the 2015 Japan Society of Clinical Oncology Clinical Practice Guidelines for Antiemesis. Int J Clin Oncol. 2021;26(1):1-17. DOI:10.1007/s10147-020-01818-3
14. Piechotta V, Adams A, Haque M, et al. Antiemetics for adults for prevention of nausea and vomiting caused by moderately or highly emetogenic chemotherapy: a network meta-analysis. Cochrane Database Syst Rev. 2021;11(11):CD012775. DOI:10.1002/14651858.CD012775.pub2
15. Kraut L, Fauser AA. Anti-emetics for cancer chemotherapy-induced emesis: Potential of alternative delivery systems. Drugs. 2001;61(11):1553-62.
DOI:10.2165/00003495-200161110-00003
16. Jordan K, Gralla R, Jahn F, Molassiotis A. International antiemetic guidelines on chemotherapy induced nausea and vomiting (CINV): content and implementation in daily routine practice. Eur J Pharmacol. 2014;722:197-202. DOI:10.1016/j.ejphar.2013.09.073
17. Soukop M. Management of cyclophosphamide-induced emesis over repeat courses. Oncology. 1996;53(Suppl. 1):39-45. DOI:10.1159/000227639
18. Gralla RJ, Osoba D, Kris MG, et al. Recommendations for the use of antiemetics: evidence-based, clinical practice guidelines. American Society of Clinical Oncology. J Clin Oncol. 1999;17(9):2971-94. DOI:10.1200/JCO.1999.17.9.2971
19. Roscoe JA, Morrow GR, Hickok JT, Stern RM. Nausea and vomiting remain a significant clinical problem: Trends over time in controlling chemotherapy-induced nausea and vomiting in 1413 patients treated in community clinical practices. J Pain Symptom Manage. 2000;20(2):113-21. DOI:10.1016/s0885-3924(00)00159-7
20. Nakamura M, Ishiguro A, Muranaka T, et al. A prospective observational study on effect of short-term periodic steroid premedication on bone metabolism in gastrointestinal cancer (ESPRESSO-01). Oncologist. 2017;22(5):592-600. DOI:10.1634/theoncologist.2016-0308
21. Celio L, Bonizzoni E, Zattarin E, et al. Impact of dexamethasonesparing regimens on delayed nausea caused by moderately or highly emetogenic chemotherapy: a meta-analysis of randomized evidence. BMC Cancer. 2019;19(1):1268. DOI:10.1186/s12885-019-6454-y
22. Hesketh PJ, Kris MG, Basch E, et al. Antiemetics: ASCO Guideline Update. J Clin Oncol. 2020;38(24):2782-97. DOI:10.1200/JCO.20.01296
23. Watanabe D, Iihara H, Fujii H, et al. One-Day Versus Three-Day Dexamethasone with NK1RA for Patients Receiving Carboplatin and Moderate Emetogenic Chemotherapy: A Network Meta-analysis. Oncologist. 2022;27(6):e524-32. DOI:10.1093/oncolo/oyac060
24. Di Maio M, Baratelli C, Bironzo P, et al. Efficacy of neurokinin-1 receptor antagonists in the prevention of chemotherapy-induced nausea and vomiting in patients receiving carboplatin-based chemotherapy: a systematic review and meta-analysis. Crit Rev Oncol Hematol. 2018;124:21-8. DOI:10.1016/j.critrevonc.2018.02.001
25. Wang DS, Hu MT, Wang ZQ, et al. Effect of Aprepitant for the Prevention of Chemotherapy-Induced Nausea and Vomiting in Women: A Randomized Clinical Trial. JAMA Netw Open. 2021;4(4):e215250. DOI:10.1001/jamanetworkopen.2021.5250
26. Kim JE, Jang JS, Kim JW, et al. Efficacy and safety of aprepitant for the prevention of chemotherapy-induced nausea and vomiting during the first cycle of moderately emetogenic chemotherapy in Korean patients with a broad range of tumor types. Support Care Cancer. 2017;25(3):801-9. DOI:10.1007/s00520-016-3463-0
27. National Comprehensive Cancer Network (NCCN). Clinical Practice Guidelines in Oncology. Antiemesis, Version 2. 2020. Available at: https://www.nccn.org. Accessed: 20.10.2020.
28. Javid H, Afshari AR, Avval FZ, et al. Aprepitant Promotes Caspase-Dependent Apoptotic Cell Death and G2/M Arrest through PI3K/Akt/NF-κB Axis in Cancer Stem-Like Esophageal Squamous Cell Carcinoma Spheres. BioMed Res Int. 2021;2021:8808214. DOI:10.1155/2021/8808214
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31. Rapoport BL, Jordan K, Boice JA, et al. Aprepitant for the prevention of chemotherapy-induced nausea and vomiting associated with a broad range of moderately emetogenic chemotherapies and tumor types: a randomized, double-blind study. Support Care Cancer. 2010;18(4):423-31. DOI:10.1007/s00520-009-0680-9
32. Bošnjak SM, Gralla RJ, Schwartzberg L. Prevention of chemotherapy-induced nausea: the role of neurokinin-1 (NK1) receptor antagonists. Support Care Cancer. 2017;25(5):1661-71. DOI:10.1007/s00520-017-3585-z
33. Colon-Gonzalez F, Kraft WK. Pharmacokinetic evaluation of fosaprepitant dimeglumine. Expert Opin Drug Metab Toxicol. 2010;6(10):1277-86. DOI:10.1517/17425255.2010.513970
34. Van Laere K, De Hoon J, Bormans G, et al. Equivalent dynamic human brain NK1-receptor occupancy following single-dose i.v. fosaprepitant vs. oral aprepitant as assessed by PET imaging. Clin Pharmacol Ther. 2012;92(2):243-50. DOI:10.1038/clpt.2012.62
35. Boccia R, Geller RB, Clendeninn N, Ottoboni T. Hypersensitivity and infusion-site adverse events with intravenous fosaprepitant after anthracycline-containing chemotherapy: a retrospective study. Future Oncol. 2019;15(3):297‑303. DOI:10.2217/fon-2018-0662
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________________________________________________
1. Cancer fact sheets. Globocan 2020. Available at: https://gco.iarc.fr/today/fact-sheets-cancers. Accessed: 15.07.2022.
2. National Comprehensive Cancer Network. Clinical Practice Guidelines in Oncology: Antiemesis. Version 2.2019. Available at: https://www.nccn.org. Accessed: 15.07.2022.
3. Bloechl-Daum B, Deuson RR, Mavros P. Delayed nausea and vomiting continue to reduce patients' quality of life after highly and moderately emetogenic chemotherapy despite antiemetic treatment. J Clin Oncol. 2006;24(27):4472-8. DOI:10.1200/JCO.2006.05.6382
4. Zhang B, Li XL. Adherence to clinical guidelines for prophylaxis of chemotherapy induced nausea and vomiting. Chin Hosp Pharm J. 2018;38(12):1325-9 (in Chinese). DOI:10.13286/j.cnki.chinhosppharmacyj.2018.12.19
5. Hesketh PJ, Bohlke K, Lyman GH, et al. Antiemetics: American Society of Clinical Oncology Focused Guideline Update. J Clin Oncol. 2016;34(4):381-6. DOI:10.1200/JCO.2015.64.3635
6. Warr DG, Grunberg SM, Gralla RJ, et al. The oral NK(1) antagonist aprepitant for the prevention of acute and delayed chemotherapy-induced nausea and vomiting: Pooled data from 2 randomised, double-blind, placebo controlled trials. Eur J Cancer. 2005;41(9):1278-85. DOI:10.1016/j.ejca.2005.01.024
7. Tsuji D, Suzuki K, Kawasaki Y, et al. Risk factors associated with chemotherapy-induced nausea and vomiting in the triplet antiemetic regimen including palonosetron or granisetron for cisplatin-based chemotherapy: analysis of a randomized, double-blind controlled trial. Support Care Cancer. 2019;27(3):1139‑47. DOI:10.1007/s00520-018-4403-y
8. Mosa ASM, Hossain AM, Lavoie BJ, Yoo I. Patient-related risk factors for chemotherapy-induced nausea and vomiting: a systematic review. Front Pharmacol. 2020;11:329. DOI:10.3389/fphar.2020.00329
9. Navari RM, Schwartzberg LS. Evolving role of neurokinin 1-receptor antagonists for chemotherapy-induced nausea and vomiting. Onco Targets Ther. 2018;11:6459-78. DOI:10.2147/OTT.S158570
10. Kreys ED, Kim TY, Delgado A, Koeller JM. Impact of cancer supportive care pathways compliance on emergency department visits and hospitalizations. J Oncol Pract. 2014;10(3):168-73. DOI:10.1200/JOP.2014.001376
11. Dranitsaris G, Molassiotis A, Clemons M, et al. The development of a prediction tool to identify cancer patients at high risk for chemotherapy-induced nausea and vomiting. Ann Oncol. 2017;28(6):1260-7. DOI:10.1093/annonc/mdx100
12. Rojas C, Raje M, Tsukamoto T, Slusher BS. Molecular mechanisms of 5-HT(3) and NK(1) receptor antagonists in prevention of emesis. Eur J Pharmacol. 2014;722:26-37. DOI:10.1016/j.ejphar.2013.08.049
13. Aogi K, Takeuchi H, Saeki T, et al. Optimizing antiemetic treatment for chemotherapy-induced nausea and vomiting in Japan: Update summary of the 2015 Japan Society of Clinical Oncology Clinical Practice Guidelines for Antiemesis. Int J Clin Oncol. 2021;26(1):1-17. DOI:10.1007/s10147-020-01818-3
14. Piechotta V, Adams A, Haque M, et al. Antiemetics for adults for prevention of nausea and vomiting caused by moderately or highly emetogenic chemotherapy: a network meta-analysis. Cochrane Database Syst Rev. 2021;11(11):CD012775. DOI:10.1002/14651858.CD012775.pub2
15. Kraut L, Fauser AA. Anti-emetics for cancer chemotherapy-induced emesis: Potential of alternative delivery systems. Drugs. 2001;61(11):1553-62.
DOI:10.2165/00003495-200161110-00003
16. Jordan K, Gralla R, Jahn F, Molassiotis A. International antiemetic guidelines on chemotherapy induced nausea and vomiting (CINV): content and implementation in daily routine practice. Eur J Pharmacol. 2014;722:197-202. DOI:10.1016/j.ejphar.2013.09.073
17. Soukop M. Management of cyclophosphamide-induced emesis over repeat courses. Oncology. 1996;53(Suppl. 1):39-45. DOI:10.1159/000227639
18. Gralla RJ, Osoba D, Kris MG, et al. Recommendations for the use of antiemetics: evidence-based, clinical practice guidelines. American Society of Clinical Oncology. J Clin Oncol. 1999;17(9):2971-94. DOI:10.1200/JCO.1999.17.9.2971
19. Roscoe JA, Morrow GR, Hickok JT, Stern RM. Nausea and vomiting remain a significant clinical problem: Trends over time in controlling chemotherapy-induced nausea and vomiting in 1413 patients treated in community clinical practices. J Pain Symptom Manage. 2000;20(2):113-21. DOI:10.1016/s0885-3924(00)00159-7
20. Nakamura M, Ishiguro A, Muranaka T, et al. A prospective observational study on effect of short-term periodic steroid premedication on bone metabolism in gastrointestinal cancer (ESPRESSO-01). Oncologist. 2017;22(5):592-600. DOI:10.1634/theoncologist.2016-0308
21. Celio L, Bonizzoni E, Zattarin E, et al. Impact of dexamethasonesparing regimens on delayed nausea caused by moderately or highly emetogenic chemotherapy: a meta-analysis of randomized evidence. BMC Cancer. 2019;19(1):1268. DOI:10.1186/s12885-019-6454-y
22. Hesketh PJ, Kris MG, Basch E, et al. Antiemetics: ASCO Guideline Update. J Clin Oncol. 2020;38(24):2782-97. DOI:10.1200/JCO.20.01296
23. Watanabe D, Iihara H, Fujii H, et al. One-Day Versus Three-Day Dexamethasone with NK1RA for Patients Receiving Carboplatin and Moderate Emetogenic Chemotherapy: A Network Meta-analysis. Oncologist. 2022;27(6):e524-32. DOI:10.1093/oncolo/oyac060
24. Di Maio M, Baratelli C, Bironzo P, et al. Efficacy of neurokinin-1 receptor antagonists in the prevention of chemotherapy-induced nausea and vomiting in patients receiving carboplatin-based chemotherapy: a systematic review and meta-analysis. Crit Rev Oncol Hematol. 2018;124:21-8. DOI:10.1016/j.critrevonc.2018.02.001
25. Wang DS, Hu MT, Wang ZQ, et al. Effect of Aprepitant for the Prevention of Chemotherapy-Induced Nausea and Vomiting in Women: A Randomized Clinical Trial. JAMA Netw Open. 2021;4(4):e215250. DOI:10.1001/jamanetworkopen.2021.5250
26. Kim JE, Jang JS, Kim JW, et al. Efficacy and safety of aprepitant for the prevention of chemotherapy-induced nausea and vomiting during the first cycle of moderately emetogenic chemotherapy in Korean patients with a broad range of tumor types. Support Care Cancer. 2017;25(3):801-9. DOI:10.1007/s00520-016-3463-0
27. National Comprehensive Cancer Network (NCCN). Clinical Practice Guidelines in Oncology. Antiemesis, Version 2. 2020. Available at: https://www.nccn.org. Accessed: 20.10.2020.
28. Javid H, Afshari AR, Avval FZ, et al. Aprepitant Promotes Caspase-Dependent Apoptotic Cell Death and G2/M Arrest through PI3K/Akt/NF-κB Axis in Cancer Stem-Like Esophageal Squamous Cell Carcinoma Spheres. BioMed Res Int. 2021;2021:8808214. DOI:10.1155/2021/8808214
29. The National Comprehensive Cancer Network: NCCN clinical practice guidelines in oncology: Antiemesis, Version 1. 2021. Available at: https://www.nccn.org. Accessed: 20.07.2022.
30. Roila F, Molassiotis A, Herrstedt J, et al; participants of the MASCC/ESMO Consensus Conference Copenhagen 2015. 2016 MASCC and ESMO guideline update for the prevention of chemotherapy- and radiotherapy-induced nausea and vomiting and of nausea and vomiting in advanced cancer patients. Ann Oncol. 2016;27(Suppl. 5):v119-33. DOI:10.1093/annonc/mdw270
31. Rapoport BL, Jordan K, Boice JA, et al. Aprepitant for the prevention of chemotherapy-induced nausea and vomiting associated with a broad range of moderately emetogenic chemotherapies and tumor types: a randomized, double-blind study. Support Care Cancer. 2010;18(4):423-31. DOI:10.1007/s00520-009-0680-9
32. Bošnjak SM, Gralla RJ, Schwartzberg L. Prevention of chemotherapy-induced nausea: the role of neurokinin-1 (NK1) receptor antagonists. Support Care Cancer. 2017;25(5):1661-71. DOI:10.1007/s00520-017-3585-z
33. Colon-Gonzalez F, Kraft WK. Pharmacokinetic evaluation of fosaprepitant dimeglumine. Expert Opin Drug Metab Toxicol. 2010;6(10):1277-86. DOI:10.1517/17425255.2010.513970
34. Van Laere K, De Hoon J, Bormans G, et al. Equivalent dynamic human brain NK1-receptor occupancy following single-dose i.v. fosaprepitant vs. oral aprepitant as assessed by PET imaging. Clin Pharmacol Ther. 2012;92(2):243-50. DOI:10.1038/clpt.2012.62
35. Boccia R, Geller RB, Clendeninn N, Ottoboni T. Hypersensitivity and infusion-site adverse events with intravenous fosaprepitant after anthracycline-containing chemotherapy: a retrospective study. Future Oncol. 2019;15(3):297‑303. DOI:10.2217/fon-2018-0662
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Авторы
Н.А. Огнерубов*
ФГБОУ ВО «Тамбовский государственный университет им. Г.Р. Державина», Тамбов, Россия
*ognerubov_n.a@mail.ru