The invention relates to a pharmaceutical composition comprising a
fixed dose combination of (a) Netupitant or salt or
hydrate thereof, and (b)
Palonosetron or salt or
hydrate thereof, in a single pharmaceutical unit. The invention further relates to a method of preparing a pharmaceutical composition in the form of a tablet, the method comprising: (i) wet granulating a dry mixture comprising Netupitant or a salt or
hydrate thereof, filler, a binder, a disintegrant, and optionally a surfactant and / or a
lubricant, with a solution comprising
Palonosetron or a salt or hydrate thereof, and optionally a surfactant and / or a binder, to produce granules, (ii) blending the granules with a
lubricant, a disintegrant and a
glidant, and optionally a filler, and (iii) compressing of the lubricated granules to produce a tablet. The invention further relates to the pharmaceutical composition for use in the treatment and / or prevention of
nausea and / or
vomiting, preferably in the treatment and / or prevention of acute or delayed
nausea and
vomiting associated with
chemotherapy, such as highly or moderately emetogenic
cancer chemotherapy, for example
cisplatin cancer chemotherapy.