Drug intelligence / Profile preview

fosaprepitant + tropisetron + olanzapine + dexamethasone

Development stage
Preclinical
Lead developer
Merck
Modality
Small Molecules
Administration
Intravenous, Oral
01

Overview

A combination antiemetic regimen consisting of fosaprepitant (a neurokinin-1 receptor antagonist), tropisetron (a 5-hydroxytryptamine-3 receptor antagonist), olanzapine (an atypical antipsychotic), and dexamethasone (a corticosteroid). This combination targets multiple pathways involved in chemotherapy-induced nausea and vomiting (CINV) and has shown superior efficacy compared to standard antiemetic protocols, particularly for preventing delayed CINV in patients receiving highly emetogenic chemotherapy or conditioning regimens before stem cell transplantation.

Other names
FTO
02

Targets

HTR2A (Serotonin receptor 5-HT2A)HTR2C (5-hydroxytryptamine 2C receptor)HTR3A (5-hydroxytryptamine receptor 3A)TACR1 (Neurokinin‑1 Receptor)HRH1 (Histamine H1 Receptor)GR (Glucocorticoid receptor)CHRNA7 (α7 nicotinic receptor)DRD2 (Dopamine D2 Receptor)

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