New combo aims to stop nausea in breast cancer patients

NCT ID NCT07254416

First seen Jun 27, 2026 ยท Last updated Jun 27, 2026

Summary

This study tests whether a combination of two anti-nausea drugs (NEPA plus megestrol acetate) works better than the standard regimen (NEPA plus dexamethasone) for preventing nausea and vomiting in breast cancer patients receiving T-DXd therapy. 120 participants will be randomly assigned to one of the two groups. The goal is to improve quality of life and help patients stay on their cancer treatment without dose reductions.

What this could mean

Our plain-language read of the trial. This is informational only โ€” not medical advice or a prediction.

Active substance
NEPA (netupitant/palonosetron), megestrol acetate, dexamethasone
What this could lead to
If successful, this could offer a better way to prevent nausea and vomiting in breast cancer patients on T-DXd, improving quality of life and reducing treatment interruptions.
What could go wrong
This is a small, early-stage trial (Phase 4) with only 120 participants. The new combination may not be more effective than the standard regimen, and side effects from the drugs themselves are possible.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

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