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Itasetron is a small molecule antiemetic that acts as a selective antagonist of the serotonin 5-hydroxytryptamine 3 (5‑HT₃) receptor. It was developed for the prevention and treatment of nausea and vomiting, particularly chemotherapy-induced emesis. The drug demonstrated potent antagonistic activity at the 5‑HT₃ receptor in preclinical studies and advanced to phase II/III clinical trials for indications including nausea and vomiting as well as anxiety disorders and psychotic disorders. However, development was discontinued before approval[3][5]. The originator company was Boehringer Ingelheim.
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