Radiotherapy-Induced Nausea and Vomiting Treatment Market Growth Driven by 6.01% CAGR Until 2033

Trishita Deb
Trishita Deb

Updated · Mar 24, 2025

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Introduction

The Global Radiotherapy-Induced Nausea And Vomiting (RINV) Treatment Market is projected to grow significantly, reaching USD 5,808.1 million by 2033, up from USD 3,259.8 million in 2023. This growth is expected at a CAGR of 6.01% during the forecast period from 2024 to 2033. The increasing incidence of cancer worldwide and the rising demand for supportive care treatments are key factors driving this market. Effective management of RINV is essential to ensure patient comfort and improve treatment adherence, which is crucial for successful cancer care.

Advancements in antiemetic therapies have significantly contributed to the treatment of RINV. 5-HT3 receptor antagonists, such as granisetron and ondansetron, have proven effective in controlling both acute nausea and vomiting. These drugs are often combined with corticosteroids to prevent RINV in patients undergoing moderate to high-emetogenic risk radiotherapy. Prophylactic treatment, given before symptoms occur, is preferred over rescue treatment, as it better prevents the onset of RINV and improves patient comfort.

The global market is characterized by a shift toward the use of targeted therapies. Prophylactic antiemetic therapy is the preferred treatment approach, with guidelines from leading organizations like the American Society of Clinical Oncology (ASCO) recommending 5-HT3 receptor antagonists, often in combination with corticosteroids, for radiotherapy patients. These treatment protocols are increasingly standardized, which ensures better management of RINV and supports improved patient outcomes.

Regional market dynamics also play a significant role in the growth of the RINV treatment sector. North America dominates the market, driven by a robust healthcare infrastructure and substantial healthcare expenditure. In 2023, the North American market was valued at approximately USD 1.14 billion. However, the Asia-Pacific region is the fastest-growing market, propelled by increasing healthcare awareness and government efforts to modernize healthcare systems. This trend is expected to accelerate the growth of the RINV treatment market in the coming years.

While the market is expanding, challenges persist. Side effects of antiemetic drugs, such as headaches and constipation, can affect patient compliance. Addressing these challenges presents opportunities for developing improved therapies. Additionally, the introduction of NK1 receptor antagonists provides new treatment avenues, offering hope for further enhancing the management of RINV. These developments will help improve the quality of life for cancer patients undergoing radiotherapy, ensuring better overall treatment experiences.

Radiotherapy-Induced Nausea and Vomiting Treatment Market Size

Key Takeaways

  • The market is expected to grow from USD 3259.8 million in 2023 to USD 5808.1 million by 2033, at a CAGR of 6.01%.
  • Prophylactic treatment leads the market with a 71.4% share in 2023, owing to its preventive efficacy in clinical settings for managing radiotherapy side effects.
  • 5-HT3 Receptor Antagonists dominate the drug class, making up 53.7% of the market in 2023 due to their proven effectiveness and safety in treatment.
  • Hospital pharmacies are the leading distribution channel, accounting for over 53.7% of the market share in 2023, providing easy access to treatments.
  • Adults constitute the largest demographic for treatment, representing more than 68.3% of the market in 2023 due to higher cancer incidence in this age group.
  • Increasing global cancer incidence is driving the market, emphasizing the need for effective management of radiotherapy side effects and enhancing market demand.
  • Side effects of antiemetic drugs, such as headaches and constipation, pose challenges to market growth by impacting patient compliance and treatment continuation.
  • NK1 receptor antagonists create new market opportunities by enhancing the quality of life for patients undergoing radiotherapy, making them a promising treatment option.
  • North America leads the market with a value of USD 1140.9 million in 2023, fueled by advanced healthcare infrastructure and significant spending on healthcare.
  • The Asia-Pacific region is the fastest-growing, driven by rising healthcare awareness, increasing cancer prevalence, and strong government support for healthcare modernization.

Emerging Trends

  • Combination Antiemetic Therapy: Using a combination of antiemetic agents has proven effective in managing RINV. One common combination includes dexamethasone with 5-HT3 receptor antagonists. This approach improves control over both acute and delayed phases of RINV. Research has shown that adding dexamethasone to 5-HT3 receptor antagonists leads to modest improvements in preventing nausea and vomiting. Combining these agents provides better outcomes compared to using a single drug. This strategy is gaining recognition for its enhanced effectiveness in preventing RINV during cancer treatments.
  • Neurokinin-1 (NK1) Receptor Antagonists: The introduction of NK1 receptor antagonists, like aprepitant, has shown promise in managing RINV. These agents work alongside traditional antiemetics to help reduce nausea and vomiting. NK1 receptor antagonists have been particularly beneficial when used in combination with other drugs. However, more research is necessary to confirm their long-term effectiveness in RINV prevention. Current studies suggest that NK1 receptor antagonists could play a key role in improving patient outcomes during chemotherapy and radiotherapy.
  • Extended-Release Antiemetic Formulations: Long-acting antiemetic formulations, such as the granisetron transdermal delivery system (GTDS) patch, offer sustained relief for patients. The GTDS patch delivers granisetron continuously over seven days, making it ideal for multi-day chemotherapy or radiotherapy regimens. Studies show that the GTDS patch achieved complete control of nausea in 60% of patients. This result is similar to the 65% control achieved with daily oral granisetron. The patch’s extended-release formula allows for consistent, long-term management of RINV, improving patient comfort throughout treatment.

Use Cases

  • Upper Abdominal Radiotherapy and RINV Treatment: Patients undergoing upper abdominal radiotherapy face a higher risk of radiotherapy-induced nausea and vomiting (RINV). Studies have shown that 5-HT3 receptor antagonists, like ondansetron, are effective in reducing the incidence of vomiting in these patients. In a randomized trial of 82 patients, ondansetron achieved a complete response rate of 97%, significantly higher than the lower rate observed with a placebo. This highlights the importance of using effective antiemetics to manage RINV and improve patient comfort during treatment.
  • Concurrent Chemoradiation and Emetogenic Risk: The combination of chemotherapy and radiotherapy increases the risk of nausea and vomiting. Anti-nausea guidelines recommend customizing prophylactic strategies based on the chemotherapy regimen’s emetogenic potential. Research shows that following these guidelines can significantly improve patient outcomes. In one study, structured education and feedback systems helped increase physician adherence to antiemetic protocols from 58% to 90%. This improved adherence resulted in a noticeable reduction in patient-reported chemotherapy-induced nausea and vomiting (CINV), ensuring better treatment tolerance and patient quality of life.

Conclusion

In conclusion, the global market for radiotherapy-induced nausea and vomiting (RINV) treatment is expected to experience significant growth, driven by the increasing incidence of cancer and the demand for effective supportive care. Advancements in antiemetic therapies, particularly 5-HT3 receptor antagonists and combination treatments, have enhanced patient comfort and improved treatment outcomes. The introduction of NK1 receptor antagonists and extended-release formulations further provides opportunities for better management of RINV. Regional trends show North America leading the market, while the Asia-Pacific region is the fastest-growing. However, challenges such as side effects from antiemetic drugs and patient compliance remain, providing areas for continued development and innovation.

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Trishita Deb

Trishita Deb

Trishita has more than 8+ years of experience in market research and consulting industry. She has worked in various domains including healthcare, consumer goods, and materials. Her expertise lies majorly in healthcare and has worked on more than 400 healthcare reports throughout her career.

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