Updated CINV Guidelines New Evidence for Change and Practical Issues

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Presentation transcript:

Updated CINV Guidelines New Evidence for Change and Practical Issues

Making Progress in Controlling Emesis Efficacy and Effectiveness

Clinical Risk Factors for Emesis Personalizing Control

Evidence and Targets

Neurotransmitters and Antiemetic Pathways Targeting Key Pathways to Influence Emetic Control

Antiemetics in 2015 Practical Issues

NK1 RAs Approved* for Use as Antiemetics

Netupitant and NEPA

NEPA Phase 3 Trial Design

NEPA Phase 3 Trial CR Rates

DEX for Delayed Emesis Associated With 1 Dose of Cyclophosphamide or Anthracycline

Rolapitant A New NK1 RA

Rolapitant Phase 3 Trial Clinical Efficacy for Moderately Emetic Chemotherapy

Olanzapine as an Antiemetic Overview

Olanzapine 4-Agent (Including Cisplatin) Phase 2 Trial KCOG-G1301

Olanzapine 4-Agent Phase 3 Trial Alliance 221301

APR in Pediatrics, 2015 Phase 3 Randomized Trial; N = 302

Addition of APR in a 5-Day Cisplatin Trial Germ Cell Tumors

Benefit of NK1 RAs in Patients Receiving Carboplatin Phase 3 Trials

Perceptions and Reality Influence on Overuse and Underuse of Antiemetics

Two Studies Examining the Effectiveness of Guidelines Definitions

Adherence to NCCN Guidelines US Registry (INSPIRE) Study

Adherence to NCCN Guidelines US Registry (INSPIRE) Study: Results

Pan European Emesis Registry (PEER) Study Design Using MASCC Guidelines

Pan European Emesis Registry (PEER) Study Results Using MASCC Guidelines

Resource Use (Cycle 1) PEER Study Using MASCC Guidelines

Overview of Guidelines (NCCN/ASCO®/MASCC-ESMO) for Acute Nausea and Vomiting

Differences Among Guidelines ASCO®

Differences Among Guidelines NCCN and MASCC-ESMO

Recommendations for Refining Guidelines Acute Nausea and Vomiting

Recommendations for Refining Guidelines Delayed Nausea and Vomiting

Case 1 Breast Cancer

Case 2 Lung Cancer

Case 2 Lung Cancer (cont)

Case 2 Lung Cancer (cont)

Case 2: Antiemitic Options Lung Cancer (cont)

Improved Ability to Control Chemotherapy-Induced Emesis

Antiemetic Guidelines Conclusions

Multiple Roles for Supportive Care in Cancer

Abbreviations