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**Ezlopitant** is a selective, non-peptidic small molecule neurokinin-1 receptor (NK1R) antagonist developed by Pfizer for the treatment of chemotherapy-induced nausea and vomiting (CINV), irritable bowel syndrome (IBS), and pain[1][3][5][7][9][12][13]. Its mechanism involves antagonism of the substance-P (NK1) receptor, thereby inhibiting substance P-mediated signaling implicated in emesis, gastrointestinal motility, and pain[1][3][5][12][13].
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