CINV: still troubling patients after all these years

被引:88
作者
Aapro, Matti [1 ]
机构
[1] Clin Genolier, Ctr Canc, Route Muids 3,POB 100, CH-1272 Genolier, Switzerland
关键词
Chemotherapy-induced nausea and vomiting; CINV; NK-1 receptor antagonist; 5-HT3 receptor antagonist; Anticipatory CINV; Breakthrough CINV; CHEMOTHERAPY-INDUCED NAUSEA; EUROPEAN EMESIS REGISTRY; CANCER-PATIENTS; EMETOGENIC CHEMOTHERAPY; RECEPTOR ANTAGONISTS; GUIDELINE UPDATE; PREVENTION; ANTIEMETICS; ROLAPITANT; 5-HT3;
D O I
10.1007/s00520-018-4131-3
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Chemotherapy-induced nausea and vomiting (CINV) is one of the most feared side effects experienced by patients with cancer. The precise physiologic mechanisms responsible for acute and delayed CINV continue to be elucidated and have provided an opportunity to develop antiemetic therapies targeting these pathways. The emergence of receptor antagonists targeting serotonin and neurokinin-1 have revolutionized the prevention of CINV, significantly reducing the impact of this side effect and improving patient quality of life. However, several areas of unmet need remain, including adequate prevention of nausea, rather than just vomiting, in patients receiving chemotherapy for cancer. Prevention of delayed CINV and anticipatory CINV, as well as management of breakthrough CINV, also continues to challenge patients and clinicians. Ongoing research continues to address these areas to improve antiemetic therapies and guidelines.
引用
收藏
页码:S5 / S9
页数:5
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