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New combo aims to stop nausea in breast cancer patients

NCT ID NCT07254416

First seen Dec 16, 2025 · Last updated Jun 20, 2026 · Updated 26 times

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.

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This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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What this could mean

Our plain-language read of the trial. This is informational only — 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.

Conditions

The condition(s) this trial relates to.

breast cancer

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.