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FDA Agrees to Special Protocol Assessment (SPA) toEvaluate the Safety and Efficacy of a Fixed-Dose Combination (FDC) of Netupitant and Palonosetron in the Prevention of CINV

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Helsinn Group and Eisai Inc. announced today that the FDA has agreed to the safety and efficacy protocols for Phase III trials with an investigational oral fixed-dose combination of netupitant and palonosetron in the prevention of chemotherapy-induced nausea and vomiting (CINV).

Netupitant, a highly selective NK1 receptor antagonist, is thought to work by blocking the action of substance P, an endogenous neurotransmitter contained in high concentrations in the vomiting center of the brainstem that can stimulate the vomiting reflex.

Palonosetron is a serotonin-3 (5-HT3) receptor antagonist. The 5-HT3 receptor has been demonstrated to selectively participate in the emetic response.

Riccardo Braglia, CEO of Helsinn Group, said: "We are very excited that the netupitant-palonosetron FDC is entering Phase III, as this is an important milestone towards our goal of giving cancer patients additional options for the prevention of CINV in the future." Recently Helsinn signed a licensing agreement with Eisai Inc., granting the company rights for the new FDC product in the United States. Under the terms of the agreement, Helsinn is responsible for conducting all development activities (Chemistry and Manufacturing Controls CMC, preclinical and clinical), obtaining regulatory approvals, and holding the New Drug Application (NDA). If approved by the FDA, the fixed-dose combination product will be co-promoted in the United States by Eisai Inc. and Helsinn Therapeutics Inc., the U.S.

franchise of the Swiss group, established with the acquisition of Sapphire Therapeutics Inc. in 2009.

Lonnel Coats, President and CEO of Eisai Inc., said: "We are pleased that the FDA has agreed to the Special Protocol Assessment, and look forward to the possibility of further expanding our oncology portfolio in an effort to make a difference in patients' lives."  

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