The fi ndings of our phase 3 randomised trial show that
one 180 mg oral dose of rolapitant administered on day 1
of chemotherapy, in combination with granisetron and
dexamethasone, provided patients with better protection
from chemotherapy-induced nausea and vomiting
associated with administration of moderately emetogenic
chemotherapy or highly emetogenic anthracycline plus
cyclophosphamide combinations than did an active
control of granisetron and dexamethasone. Rolapitant’s
protective eff ect began in the acute phase of chemotherapyinduced
nausea and vomiting, became signifi cant in the
delayed phase (>24–120 h), and was sustained throughout
the at-risk period of 120 h studied. Moreover, the 180 mg
dose of rolapitant was safe and well tolerated, with rates of
adverse events similar to those reported with the active
control of granisetron and dexamethasone. This global
study of more than 1350 patients represents a broad
oncology population including both men and women with
various tumour types, and receiving chemotherapy based
either on an anthracycline plus cyclophosphamide, or not