Global CINV Treatment Market Growth, Share, Size, Trends and Forecast (2025 - 2031)
By Drug Type;
5-HT3 Inhibitors, NK1 Inhibitors, and Others.By Type of Treatment;
Pharmacological Treatment , Non-Pharmacological Treatment, and Prophylactic Treatment.By Administration Route;
Oral, Intravenous, and Subcutaneous.By Patient Type;
Adult Patients, Pediatric Patients, and Geriatric Patients.By End-User;
Hospitals, Specialty Clinics, and Others.By Geography;
North America, Europe, Asia Pacific, Middle East & Africa, and Latin America - Report Timeline (2021 - 2031).Introduction
Global CINV Treatment Market (USD Million), 2021 - 2031
In the year 2024, the Global CINV Treatment Market was valued at USD 2224.36 million. The size of this market is expected to increase to USD 3344.61 million by the year 2031, while growing at a Compounded Annual Growth Rate (CAGR) of 6.0%.
Chemotherapy-induced nausea and vomiting (CINV) is a common and distressing side effect experienced by cancer patients undergoing chemotherapy treatment. It significantly impacts patients' quality of life and can lead to treatment interruptions or discontinuations, thereby affecting the effectiveness of cancer therapy. As a result, there has been a growing focus on developing effective treatments to manage CINV and improve patients' overall well-being during cancer treatment.
The global CINV treatment market encompasses a wide range of pharmaceuticals and supportive care therapies aimed at preventing or alleviating chemotherapy-induced nausea and vomiting. This market is driven by several factors, including the increasing incidence of cancer worldwide, advancements in cancer treatments leading to higher survival rates, and the growing recognition of the importance of supportive care in cancer management.
Key players in the CINV treatment market include pharmaceutical companies developing antiemetic drugs specifically designed to target CINV symptoms. These drugs may include serotonin receptor antagonists, neurokinin-1 receptor antagonists, corticosteroids, and other medications that work through different mechanisms to prevent or reduce nausea and vomiting in cancer patients. Additionally, the market for non-pharmacological interventions such as acupuncture, acupressure, and behavioral therapies aimed at managing CINV is also gaining traction. These complementary approaches offer patients alternative methods to alleviate symptoms and improve their overall treatment experience.
The global CINV treatment market is characterized by ongoing research and development efforts aimed at introducing novel therapies with improved efficacy and safety profiles. Furthermore, the market is witnessing increasing collaborations between pharmaceutical companies, academic institutions, and research organizations to accelerate the development of innovative CINV treatments.
In terms of geographical distribution, the market is broadly segmented into North America, Europe, Asia Pacific, Latin America, and the Middle East and Africa. North America currently dominates the market due to high healthcare expenditure, a well-established healthcare infrastructure, and a significant patient population undergoing cancer treatment. However, the Asia Pacific region is expected to witness rapid growth in the coming years due to increasing cancer incidence rates and improving access to healthcare services.
Global CINV Treatment Market Recent Developments
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In October 2020, Tetra Bio-Pharma has unveiled its commercial vision on a Robust chemotherapy induced nausea & vomiting portfolio. Company has the strategy to bring the innovative therapies to patients suffering from chemotherapy-induced nausea & vomiting.
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In July 2019, Nuformix, the pharmaceutical development company used cocrystal technology and commenced the clinical studies for NXP001.
Segment Analysis
The Global Chemotherapy-Induced Nausea and Vomiting (CINV) Treatment Market is segmented across several key factors, providing a comprehensive view of its diverse treatment approaches. By drug type, the market is largely dominated by 5-HT3 inhibitors, which are the first-line treatment for managing acute and delayed CINV. These drugs, such as ondansetron and granisetron, block serotonin receptors, which are involved in triggering nausea and vomiting during chemotherapy. NK1 inhibitors like aprepitant are also crucial, particularly in high-risk chemotherapy regimens, as they target substance P to prevent nausea and vomiting. Additionally, the Others category includes corticosteroids, benzodiazepines, and other adjunct therapies, which provide added benefits, especially in preventing delayed and breakthrough CINV.
In terms of type of treatment, the market is divided into pharmacological, non-pharmacological, and prophylactic treatments. Pharmacological treatments are the most common, involving the use of antiemetic drugs such as 5-HT3 inhibitors and NK1 inhibitors, which are effective in both acute and delayed CINV. Non-pharmacological treatments, including acupuncture, acupressure, and behavioral therapies, serve as complementary options to help manage CINV, often improving patient quality of life when used alongside medications. Prophylactic treatments, primarily preventive medications, are essential in high-risk patients to reduce the likelihood of developing CINV, especially before chemotherapy sessions. These treatments help to manage nausea and vomiting before symptoms even begin, ensuring a proactive approach.
The market is further segmented by administration route, with oral, intravenous (IV), and subcutaneous routes offering distinct advantages. Oral administration is the most convenient and widely used, allowing patients to take medications at home, especially for managing less severe cases of CINV. Intravenous administration is preferred for more immediate action, particularly for acute CINV, and is often administered in a hospital setting. Subcutaneous administration is becoming more popular due to its convenience and ability to provide continuous release of medication, often used in patients with breakthrough CINV. Additionally, the market is segmented by patient type, focusing on adult, pediatric, and geriatric patients, each requiring specialized treatments due to differences in their physiological response and potential drug side effects. Finally, the end-user segment includes hospitals, specialty clinics, and others, with hospitals being the largest end-user due to the higher volume of chemotherapy treatments administered in these settings. Specialty clinics and other healthcare providers also play a significant role in the delivery of CINV treatments, especially in outpatient care. This segmentation ensures that treatment options are tailored to meet the specific needs of different patient groups and healthcare environments.
Global CINV Treatment Segment Analysis
In this report, the Global CINV Treatment Market has been segmented by Drug Type, Type of Treatment, Administration Route, Patient Type, End-User, and Geography.
Global CINV Treatment Market, Segmentation by Drug Type
The Global CINV Treatment Market has been segmented by Drug Type into 5-HT3 inhibitors, NK1 inhibitors, and Others.
5-HT3 inhibitors, such as ondansetron, granisetron, and palonosetron, constitute a significant portion of the market share. These drugs work by blocking serotonin receptors in the central nervous system, effectively preventing nausea and vomiting triggered by chemotherapy. Ondansetron, the first 5-HT3 inhibitor introduced to the market, remains a cornerstone in CINV management due to its proven efficacy in both acute and delayed phases of nausea and vomiting. Granisetron and palonosetron, with longer half-lives and improved receptor selectivity, offer extended protection against CINV, particularly in patients receiving highly emetogenic chemotherapy regimens.
NK1 inhibitors, including aprepitant, fosaprepitant, and netupitant, represent another vital segment in the CINV treatment market. These drugs target neurokinin-1 receptors in the brainstem, blocking the action of substance P, a key neurotransmitter involved in emesis. NK1 inhibitors are primarily utilized to manage delayed-onset nausea and vomiting, providing enhanced control over CINV when used in combination with 5-HT3 inhibitors and corticosteroids. Aprepitant, the first NK1 inhibitor approved for clinical use, has paved the way for subsequent formulations, such as fosaprepitant, which offers the convenience of intravenous administration, and netupitant, combined with palonosetron in a single oral capsule, providing simplified dosing regimens for patients. In addition to 5-HT3 and NK1 inhibitors, the "Others" category encompasses a diverse range of medications used in CINV management. This includes corticosteroids (e.g., dexamethasone), dopamine receptor antagonists (e.g., metoclopramide), and benzodiazepines (e.g., lorazepam). Corticosteroids, often administered concomitantly with 5-HT3 and NK1 inhibitors, exert anti-inflammatory effects and enhance the efficacy of antiemetic therapy. Dopamine receptor antagonists, such as metoclopramide, offer relief from nausea and vomiting by blocking dopamine receptors in the chemoreceptor trigger zone. Benzodiazepines are utilized to alleviate anxiety and anticipatory nausea associated with chemotherapy, thereby improving patients' overall treatment experience.
Global CINV Treatment Market, Segmentation by Type of Treatment
The Global CINV Treatment Market has been segmented by Type of Treatment into Pharmacological Treatment , Non-Pharmacological Treatment, and Prophylactic Treatment.
The Global Chemotherapy-Induced Nausea and Vomiting (CINV) Treatment Market is segmented by the type of treatment into pharmacological, non-pharmacological, and prophylactic treatments, each addressing different aspects of CINV management. Pharmacological treatment is the most common approach and includes the use of drugs such as 5-HT3 receptor antagonists, NK1 receptor antagonists, corticosteroids, and benzodiazepines. These medications are prescribed based on the severity and type of CINV, with each class targeting specific pathways involved in nausea and vomiting. Pharmacological treatments offer immediate relief and are often used in both acute and delayed phases of CINV, making them essential in comprehensive chemotherapy care.
Non-pharmacological treatment strategies focus on complementary therapies that can be used alongside pharmacological options to improve outcomes. These treatments may include techniques such as acupuncture, acupressure, mindfulness meditation, and dietary adjustments. While these approaches are generally used as adjuncts rather than stand-alone treatments, they have shown efficacy in reducing the severity and frequency of CINV for some patients. Non-pharmacological methods can also help alleviate the psychological distress that often accompanies chemotherapy, providing a holistic approach to patient care.
Prophylactic treatment refers to preventive measures taken before chemotherapy to reduce the risk of developing CINV. This includes the preemptive use of antiemetic drugs, such as 5-HT3 receptor antagonists or NK1 receptor antagonists, as well as the use of corticosteroids to manage delayed nausea and vomiting. Prophylactic treatment is particularly important in high-risk chemotherapy regimens, where the likelihood of developing CINV is elevated. By addressing the problem before it arises, prophylactic treatments can significantly improve patient quality of life and reduce the need for rescue therapies. Together, these treatment types offer a multi-faceted approach to managing CINV, ensuring that patients receive tailored and effective care.
Global CINV Treatment Market, Segmentation by Administration Route
The Global CINV Treatment Market has been segmented by Administration Route into Oral, Intravenous, and Subcutaneous.
The Global Chemotherapy-Induced Nausea and Vomiting (CINV) Treatment Market is segmented by administration route into oral, intravenous (IV), and subcutaneous methods, each providing distinct benefits based on patient needs and the type of CINV being managed. Oral administration is the most widely used route, offering convenience and ease of use for patients. Oral medications such as tablets or capsules are typically prescribed for the prevention and treatment of CINV, especially for outpatient chemotherapy settings. These treatments are effective in managing both acute and delayed nausea and vomiting, providing a non-invasive option that patients can take at home.
Intravenous (IV) administration is crucial for more immediate and controlled relief of CINV, particularly for patients undergoing chemotherapy in clinical settings or those unable to tolerate oral medications due to severe nausea or vomiting. IV treatments have a faster onset of action, ensuring that patients receive prompt relief from acute CINV. Drugs administered through this route are generally given in a healthcare facility under the supervision of medical professionals, ensuring proper dosage and minimizing side effects. This route is often preferred when quick relief is necessary or when the patient cannot take oral medications.
Subcutaneous administration, an alternative method, involves the injection of medications just beneath the skin. This route is gaining popularity due to its relatively easy application and ability to provide continuous or controlled release of medication. Subcutaneous treatments can be beneficial in managing breakthrough CINV or for patients who require ongoing symptom management. It is also a convenient option for patients who are not comfortable with intravenous therapies but still need more effective solutions than oral treatments provide. Overall, the segmentation by administration route ensures that the CINV treatment market offers diverse, flexible options to cater to various patient preferences and treatment requirements.
Global CINV Treatment Market, Segmentation by Patient Type
The Global CINV Treatment Market has been segmented by Patient Type into Adult Patients, Pediatric Patients, and Geriatric Patients.
The Global Chemotherapy-Induced Nausea and Vomiting (CINV) Treatment Market is segmented by patient type into adult, pediatric, and geriatric patients, recognizing that each group has unique treatment needs and considerations. Adult patients make up the largest segment, as they are the primary recipients of chemotherapy treatments. In this group, the management of CINV typically involves the use of pharmacological treatments such as 5-HT3 receptor antagonists, NK1 receptor antagonists, and corticosteroids, with dosing and treatment regimens adjusted based on the type and intensity of chemotherapy. Adult patients are also more likely to benefit from a combination of pharmacological and non-pharmacological treatments to effectively manage nausea and vomiting.
Pediatric patients present unique challenges when it comes to CINV treatment, as younger patients may have difficulty tolerating certain medications or may experience different side effects compared to adults. Pediatric oncology treatments require careful consideration of drug dosages, as well as the potential for adverse effects on growth and development. Medications used for CINV in children are typically adjusted for age and weight, and pediatric patients may benefit from gentler approaches, such as acupressure or behavioral interventions, alongside standard pharmacological therapies. As the incidence of cancer in children is lower than in adults, the market for pediatric CINV treatments is relatively smaller but continues to grow as more effective therapies are developed.
The geriatric patient segment also requires specialized care, as older patients often have comorbid conditions and may experience a higher incidence of drug-related side effects or complications. This group may have altered drug metabolism, making them more susceptible to adverse effects from standard antiemetic therapies. Therefore, CINV treatment for geriatric patients often involves lower drug doses or modified regimens to minimize side effects while ensuring effectiveness. Additionally, geriatric patients are more likely to experience additional psychological challenges, such as anxiety and depression, which can further complicate CINV management. As the global population ages, the demand for geriatric-specific CINV treatments is expected to increase, driving innovations in drug development and delivery for this vulnerable group.
Global CINV Treatment Market, Segmentation by End-User
The Global CINV Treatment Market has been segmented by End-User into Hospitals, Specialty Clinics, and Others.
Hospitals, Specialty Clinics, and Others, each playing a distinct role in the landscape of cancer care and supportive treatment. Hospitals stand as the cornerstone of cancer treatment, serving as hubs for chemotherapy administration, inpatient care, and comprehensive oncology services. Within hospital settings, dedicated oncology departments or infusion centers are equipped with specialized resources and expertise to manage chemotherapy-induced nausea and vomiting (CINV) effectively. These facilities offer a range of pharmacological interventions, including 5-HT3 inhibitors, NK1 inhibitors, corticosteroids, and other supportive medications, to mitigate CINV symptoms and enhance patients' treatment experience.
Specialty Clinics emerge as specialized healthcare facilities focused exclusively on oncology care, providing a tailored environment for cancer patients to receive treatment and supportive care services. These clinics often operate in conjunction with hospitals or as standalone entities, offering a more personalized and patient-centered approach to CINV management. In specialty clinics, oncologists and supportive care teams collaborate closely to assess patients' individual needs, adjust treatment regimens, and implement multidisciplinary interventions to address CINV effectively. Additionally, specialty clinics may offer complementary therapies such as acupuncture, nutritional counseling, and psychosocial support to augment traditional pharmacological treatments and improve overall patient outcomes.
Global CINV Treatment Market, Segmentation by Geography
In this report, the Global CINV Treatment Market has been segmented by Geography into five regions; North America, Europe, Asia Pacific, Middle East and Africa, and Latin America.
Global CINV Treatment Market Share (%), by Geographical Region, 2024
North America is poised to maintain its dominance in the global Chemotherapy-Induced Nausea and Vomiting (CINV) treatment market throughout the forecast period. Several factors contribute to this anticipated growth trajectory, cementing the region's position as a key player in the market landscape. One primary driver of market growth is the significant presence of key pharmaceutical players headquartered in North America. These companies possess advanced research and development capabilities, enabling them to innovate and introduce new CINV treatments to the market. Moreover, their strong distribution networks and established market presence bolster the accessibility of CINV therapies across the region.
Another pivotal factor fueling the growth of the North American CINV treatment market is the high prevalence of cancer patients in the region. The United States and Canada exhibit notably high incidences of various types of cancer, necessitating the widespread utilization of chemotherapy as a primary treatment modality. Consequently, the demand for effective CINV therapies remains robust, driving market expansion.
The well-developed healthcare infrastructure in North America further contributes to the region's dominance in the CINV treatment market. Advanced medical facilities, state-of-the-art oncology centers, and specialized clinics equipped with the latest technologies ensure comprehensive cancer care delivery, including the management of chemotherapy-induced side effects like nausea and vomiting. This infrastructure facilitates timely diagnosis, treatment initiation, and supportive care interventions, enhancing patient outcomes and satisfaction.
Availability of branded drugs also plays a significant role in North America's market share dominance. Pharmaceutical companies often launch their innovative CINV treatments first in this region, capitalizing on favorable regulatory frameworks and reimbursement policies. These branded medications offer distinct advantages in terms of efficacy, safety, and patient compliance, further solidifying their market presence and driving revenue growth. Moreover, North America benefits from beneficial government initiatives aimed at improving cancer care and patient outcomes. Increased funding for cancer research, supportive care programs, and awareness campaigns underscores the region's commitment to combating the disease and its associated complications, including CINV. Additionally, a rise in the number of research partnerships between academic institutions, pharmaceutical companies, and healthcare organizations fosters innovation and accelerates the development of novel CINV treatments.
Within North America, the United States emerges as the dominant market player, owing to several factors. The country's rapidly aging population, coupled with a growing pool of cancer patients, fuels demand for CINV therapies. Additionally, advancements in healthcare technology and an emphasis on patient-centered care contribute to the robust market share held by the United States in the region. Overall, North America's leadership in the CINV treatment market is expected to persist, driven by a convergence of favorable factors that support continued growth and innovation in cancer care.
Market Trends
This report provides an in depth analysis of various factors that impact the dynamics of Global CINV Treatment Market. These factors include; Market Drivers, Restraints and Opportunities Analysis.
Drivers, Restraints and Opportunity Analysis
Drivers
- Increasing Cancer Incidence
- Focus on Supportive Care
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Government Initiatives and Funding- As a result, they allocate substantial funding towards cancer research, supportive care programs, and public health initiatives aimed at improving patient outcomes and quality of life. These initiatives encompass a spectrum of activities, including grants for academic research institutions, collaborative partnerships between government agencies and pharmaceutical companies, and public awareness campaigns to educate healthcare professionals and patients about CINV management strategies. Additionally, government-sponsored reimbursement schemes and healthcare policies often prioritize access to innovative CINV treatments, ensuring that patients can afford and benefit from the latest therapeutic advancements.
By fostering a conducive environment for research and innovation, governments empower stakeholders in the CINV treatment ecosystem to develop novel therapies, enhance treatment protocols, and expand patient access to supportive care services. Moreover, government-funded clinical trials and registries facilitate the generation of real-world evidence, driving evidence-based decision-making and continuous improvement in CINV treatment outcomes. Overall, government initiatives and funding serve as catalysts for progress in the CINV treatment landscape, promoting collaboration, innovation, and equitable access to high-quality care for cancer patients worldwide.
Restraints
- Adverse Effects of Current Therapies
- Limited Reimbursement Policies
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High Development Costs- The process of bringing a new CINV treatment from discovery to market approval is lengthy, complex, and capital-intensive, requiring substantial investments in research and development (R&D). Pharmaceutical companies must allocate considerable resources to conduct preclinical studies, clinical trials, regulatory submissions, and post-marketing surveillance to ensure the safety, efficacy, and compliance of their CINV therapies. Additionally, the stringent regulatory requirements imposed by regulatory authorities such as the U.S. Food and Drug Administration (FDA) and the European Medicines Agency (EMA) necessitate comprehensive data generation and validation, further escalating development costs.
The unpredictable nature of clinical trials, including patient recruitment challenges, protocol deviations, and unexpected adverse events, can lead to delays and increased expenditures. Furthermore, the competitive landscape of the pharmaceutical industry intensifies cost pressures, as companies strive to differentiate their products through innovation while managing budgetary constraints. Consequently, addressing the challenge of high development costs requires strategic collaborations, streamlined R&D processes, and innovative financing mechanisms to facilitate sustainable investment in CINV treatment development while ensuring affordability and accessibility for patients worldwide. High development costs pose a barrier to entry for smaller biotechnology firms and startups with limited financial resources, potentially hindering innovation and limiting the diversity of CINV treatment options available to patients.
Opportunities
- Expansion into Adjacent Markets
- Novel Drug Delivery Systems:
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Personalized Medicine- Personalized medicine involves tailoring medical interventions, including pharmacological treatments, to individual patient characteristics such as genetic makeup, biomarker profiles, and treatment response patterns. In the context of CINV treatment, personalized medicine holds promise for optimizing therapeutic outcomes and minimizing adverse effects by identifying patients who are more susceptible to developing severe nausea and vomiting in response to chemotherapy.
By leveraging genomic and molecular profiling techniques, healthcare providers can identify genetic variations associated with CINV susceptibility and treatment response. This enables the development of targeted therapies that address specific pathways involved in CINV, offering improved efficacy and safety profiles compared to traditional antiemetic drugs. Moreover, personalized medicine allows for the customization of treatment regimens based on individual patient factors, including cancer type, chemotherapy regimen, and comorbidities, to optimize symptom management and enhance patients' overall treatment experience. The integration of personalized medicine approaches into the CINV treatment paradigm not only improves patient outcomes but also fosters a shift towards more precise and individualized cancer care.
Competitive Landscape Analysis
Key players in Global CINV Treatment Market include:
- Merck & Co. Inc
- GlaxoSmithKline plc
- Heron Therapeutics, Inc
- Helsinn Holding S.A.
- Novartis AG
- Baxter Healthcare
- Orchid Healthcare
- Mylan Pharmaceuticals, Inc
- Sun Pharmaceutical Industries Ltd
- Teva Pharmaceutical Industries Ltd
In this report, the profile of each market player provides following information:
- Company Overview and Product Portfolio
- Key Developments
- Financial Overview
- Strategies
- Company SWOT Analysis
- Introduction
- Research Objectives and Assumptions
- Research Methodology
- Abbreviations
- Market Definition & Study Scope
- Executive Summary
- Market Snapshot, By Drug Type
- Market Snapshot, By Type of Treatment
- Market Snapshot, By Administration Route
- Market Snapshot, By Patient Type
- Market Snapshot, By End-User
- Market Snapshot, By Region
- Global CINV Treatment Market Dynamics
- Drivers, Restraints and Opportunities
- Drivers
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Increasing Cancer Incidence
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Focus on Supportive Care
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Government Initiatives and Funding
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- Restraints
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Adverse Effects of Current Therapies
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Limited Reimbursement Policies
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High Development Costs
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- Opportunities
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Expansion into Adjacent Markets
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Novel Drug Delivery Systems:
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Personalized Medicine
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- Drivers
- PEST Analysis
- Political Analysis
- Economic Analysis
- Social Analysis
- Technological Analysis
- Porter's Analysis
- Bargaining Power of Suppliers
- Bargaining Power of Buyers
- Threat of Substitutes
- Threat of New Entrants
- Competitive Rivalry
- Drivers, Restraints and Opportunities
- Market Segmentation
- Global CINV Treatment Market, By Drug Type, 2021 - 2031 (USD Million)
- 5-HT3 inhibitors
- NK1 inhibitors
- Others
- Global CINV Treatment Market, By Type of Treatment, 2021 - 2031 (USD Million)
- Pharmacological Treatment
- Non-Pharmacological Treatment
- Prophylactic Treatment
- Global CINV Treatment Market, By Administration Route, 2021 - 2031 (USD Million)
- Oral
- Intravenous
- Subcutaneous
- Global CINV Treatment Market, By Patient Type, 2021 - 2031 (USD Million)
- Adult Patients
- Pediatric Patients
- Geriatric Patients
- Global CINV Treatment Market, By End-User, 2021 - 2031 (USD Million)
- Hospitals
- Specialty Clinics
- Others
- Global CINV Treatment Market, By Geography, 2021 - 2031 (USD Million)
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North America
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United States
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Canada
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Europe
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Germany
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United Kingdom
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France
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Italy
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Spain
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Nordic
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Benelux
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Rest of Europe
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Asia Pacific
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Japan
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China
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India
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Australia & New Zealand
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South Korea
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ASEAN (Association of South East Asian Countries)
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Rest of Asia Pacific
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Middle East & Africa
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GCC
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Israel
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South Africa
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Rest of Middle East & Africa
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Latin America
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Brazil
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Mexico
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Argentina
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Rest of Latin America
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- Global CINV Treatment Market, By Drug Type, 2021 - 2031 (USD Million)
- Competitive Landscape
- Company Profiles
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Merck & Co. Inc
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GlaxoSmithKline plc
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Heron Therapeutics, Inc
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Helsinn Holding S.A.
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Novartis AG
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Baxter Healthcare
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Orchid Healthcare
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Mylan Pharmaceuticals, Inc
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Sun Pharmaceutical Industries Ltd
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Teva Pharmaceutical Industries Ltd
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- Company Profiles
- Analyst Views
- Future Outlook of the Market