Pemetrexed

Carcinoma, Non-Small-Cell Lung, Thymoma, Ovarian Cancer + 7 more

Treatment

7 FDA approvals

20 Active Studies for Pemetrexed

What is Pemetrexed

Pemetrexed

The Generic name of this drug

Treatment Summary

Pemetrexed is a chemotherapy drug sold under the brand name Alimta. It is prescribed alongside cisplatin to treat malignant pleural mesothelioma, a type of cancer that affects the lining of the lungs. Pemetrexed has also been studied to treat non-small cell lung cancer.

Alimta

is the brand name

image of different drug pills on a surface

Pemetrexed Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Alimta

Pemetrexed

2004

76

Approved as Treatment by the FDA

Pemetrexed, also known as Alimta, is approved by the FDA for 7 uses which include Malignant Pleural Mesothelioma (MPM) and locally advanced nonsquamous non-small cell lung cancer .

Malignant Pleural Mesothelioma (MPM)

Used to treat Malignant Pleural Mesothelioma (MPM) in combination with Cisplatin

locally advanced nonsquamous non-small cell lung cancer

Used to treat locally advanced nonsquamous non-small cell lung cancer in combination with Cisplatin

Metastatic Non-squamous Non Small Cell Lung Cancer

Used to treat Metastatic Non-squamous Non Small Cell Lung Cancer in combination with Cisplatin

Malignant Mesothelioma

Used to treat Malignant Pleural Mesothelioma (MPM) in combination with Cisplatin

Malignant Neoplasms

Used to treat Metastatic Non-squamous Non Small Cell Lung Cancer in combination with Cisplatin

Carcinoma, Non-Small-Cell Lung

Used to treat locally advanced nonsquamous non-small cell lung cancer in combination with Cisplatin

Pharmacotherapy

Used to treat platinum-based chemotherapy in combination with Pembrolizumab

Effectiveness

How Pemetrexed Affects Patients

Pemetrexed can stop the growth of certain types of cancer cells when used alone or with another medication, cisplatin. The amount of white blood cells in the body may decrease with use of pemetrexed, and taking folic acid and vitamin B12 can help prevent this. There is no evidence that repeated use of pemetrexed leads to an increased decrease in white blood cells.

How Pemetrexed works in the body

Pemetrexed works by blocking enzymes necessary for the replication of cancerous cells. It is transported into cells by two systems and then converted into a form that is more resistant to exiting the cell. This form blocks three key enzymes responsible for the creation of molecules needed for cell replication. The blocking of these enzymes stops cancer cells from reproducing, which in turn kills them.

When to interrupt dosage

The suggested dosage of Pemetrexed relies upon the indicated state of affairs, including locally advanced nonsquamous non-small cell lung cancer, unresectable Thymoma and Ovarian Cancer. The measure of dosage can be found in the table below, contingent upon the technique of delivery (e.g. Injection, solution - Intravenous or Injection, powder, lyophilized, for solution).

Condition

Dosage

Administration

Carcinoma, Non-Small-Cell Lung

, 500.0 mg, 100.0 mg, 1000.0 mg, 100.0 mg/mL, 50.0 mg/mL, 25.0 mg/mL

, Intravenous, Powder, for solution, Powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, for solution - Intravenous, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Solution, Injection, solution, concentrate, Injection, solution, concentrate - Intravenous, Solution - Intravenous, Injection, Injection - Intravenous

Thymoma

, 500.0 mg, 100.0 mg, 1000.0 mg, 100.0 mg/mL, 50.0 mg/mL, 25.0 mg/mL

, Intravenous, Powder, for solution, Powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, for solution - Intravenous, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Solution, Injection, solution, concentrate, Injection, solution, concentrate - Intravenous, Solution - Intravenous, Injection, Injection - Intravenous

Ovarian Cancer

, 500.0 mg, 100.0 mg, 1000.0 mg, 100.0 mg/mL, 50.0 mg/mL, 25.0 mg/mL

, Intravenous, Powder, for solution, Powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, for solution - Intravenous, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Solution, Injection, solution, concentrate, Injection, solution, concentrate - Intravenous, Solution - Intravenous, Injection, Injection - Intravenous

Malignant Mesothelioma

, 500.0 mg, 100.0 mg, 1000.0 mg, 100.0 mg/mL, 50.0 mg/mL, 25.0 mg/mL

, Intravenous, Powder, for solution, Powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, for solution - Intravenous, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Solution, Injection, solution, concentrate, Injection, solution, concentrate - Intravenous, Solution - Intravenous, Injection, Injection - Intravenous

Metastatic Ureter Urothelial Carcinoma

, 500.0 mg, 100.0 mg, 1000.0 mg, 100.0 mg/mL, 50.0 mg/mL, 25.0 mg/mL

, Intravenous, Powder, for solution, Powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, for solution - Intravenous, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Solution, Injection, solution, concentrate, Injection, solution, concentrate - Intravenous, Solution - Intravenous, Injection, Injection - Intravenous

Malignant Neoplasms

, 500.0 mg, 100.0 mg, 1000.0 mg, 100.0 mg/mL, 50.0 mg/mL, 25.0 mg/mL

, Intravenous, Powder, for solution, Powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, for solution - Intravenous, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Solution, Injection, solution, concentrate, Injection, solution, concentrate - Intravenous, Solution - Intravenous, Injection, Injection - Intravenous

Malignant Mesothelioma

, 500.0 mg, 100.0 mg, 1000.0 mg, 100.0 mg/mL, 50.0 mg/mL, 25.0 mg/mL

, Intravenous, Powder, for solution, Powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, for solution - Intravenous, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Solution, Injection, solution, concentrate, Injection, solution, concentrate - Intravenous, Solution - Intravenous, Injection, Injection - Intravenous

Disease Progression

, 500.0 mg, 100.0 mg, 1000.0 mg, 100.0 mg/mL, 50.0 mg/mL, 25.0 mg/mL

, Intravenous, Powder, for solution, Powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, for solution - Intravenous, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Solution, Injection, solution, concentrate, Injection, solution, concentrate - Intravenous, Solution - Intravenous, Injection, Injection - Intravenous

Pharmacotherapy

, 500.0 mg, 100.0 mg, 1000.0 mg, 100.0 mg/mL, 50.0 mg/mL, 25.0 mg/mL

, Intravenous, Powder, for solution, Powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, for solution - Intravenous, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Solution, Injection, solution, concentrate, Injection, solution, concentrate - Intravenous, Solution - Intravenous, Injection, Injection - Intravenous

Pharmacotherapy

, 500.0 mg, 100.0 mg, 1000.0 mg, 100.0 mg/mL, 50.0 mg/mL, 25.0 mg/mL

, Intravenous, Powder, for solution, Powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, for solution - Intravenous, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, Solution, Injection, solution, concentrate, Injection, solution, concentrate - Intravenous, Solution - Intravenous, Injection, Injection - Intravenous

Warnings

Pemetrexed has one contraindication. Combining it with any of the conditions in the following table is not recommended.

There are 20 known major drug interactions with Pemetrexed.

Common Pemetrexed Drug Interactions

Drug Name

Risk Level

Description

2-Methoxyethanol

Major

The risk or severity of adverse effects can be increased when Pemetrexed is combined with 2-Methoxyethanol.

9-(N-methyl-L-isoleucine)-cyclosporin A

Major

The risk or severity of adverse effects can be increased when Pemetrexed is combined with 9-(N-methyl-L-isoleucine)-cyclosporin A.

Abetimus

Major

The risk or severity of adverse effects can be increased when Pemetrexed is combined with Abetimus.

Acteoside

Major

The risk or severity of adverse effects can be increased when Pemetrexed is combined with Acteoside.

Aldosterone

Major

The risk or severity of adverse effects can be increased when Pemetrexed is combined with Aldosterone.

image of a doctor in a lab doing drug, clinical research

Pemetrexed Novel Uses: Which Conditions Have a Clinical Trial Featuring Pemetrexed?

277 active clinical trials are currently being conducted to assess the ability of Pemetrexed to mitigate Mesotheliomas, Unresectable Thymoma and Malignant Neoplasms.

Condition

Clinical Trials

Trial Phases

Malignant Mesothelioma

15 Actively Recruiting

Phase 1, Phase 2, Phase 3, Not Applicable

Pharmacotherapy

0 Actively Recruiting

Malignant Neoplasms

2 Actively Recruiting

Phase 2

Pharmacotherapy

0 Actively Recruiting

Thymoma

0 Actively Recruiting

Metastatic Ureter Urothelial Carcinoma

37 Actively Recruiting

Phase 1, Phase 2, Phase 3, Not Applicable

Ovarian Cancer

13 Actively Recruiting

Phase 1, Phase 2, Not Applicable, Phase 3

Carcinoma, Non-Small-Cell Lung

0 Actively Recruiting

Disease Progression

0 Actively Recruiting

Malignant Mesothelioma

6 Actively Recruiting

Phase 1, Phase 2

Pemetrexed Reviews: What are patients saying about Pemetrexed?

4

Patient Review

8/17/2013

Pemetrexed for Non-Small Cell Lung Cancer

Altima has been working well for me so far. The tumor has shrunk every time I've used it, except for the last one where it stayed the same. I'm hoping that the next round will show some more shrinkage. The only side effect I have is tiredness on days three and four, but it's not too bad.

1.7

Patient Review

12/10/2012

Pemetrexed for Nonsquamous Non-Small Cell Lung Cancer

image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about pemetrexed

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What kind of chemo is pemetrexed?

"Pemetrexed is a chemotherapy drug that works by interfering with the growth of cancer cells."

Answered by AI

Is pemetrexed an immunotherapy?

"This is the first time that chemotherapy and immunotherapy have been approved for use together to treat non-small cell lung cancer."

Answered by AI

What is pemetrexed used to treat?

"Pemetrexed injection is used in combination with other cancer medicines to treat metastatic non-squamous non-small cell lung cancer with no EGFR or ALK gene mutations. It is also used together with cisplatin to treat advanced or metastatic, non-squamous NSCLC."

Answered by AI

How long can you take pemetrexed?

"You also take vitamin B12 injections starting 7 days before you begin treatment, continuing throughout treatment, and for after 8 weeks after treatment ends.

Pemetrexed and cisplatin treatments usually last between 3 to 6 months, with 4 to 6 sessions. To reduce potential side effects, patients are advised to take folic acid tablets starting 5 days before the first treatment and continuing for 3 weeks after the last treatment. They are also advised to take vitamin B12 injections starting 7 days before the first treatment and continuing for 8 weeks after the last treatment."

Answered by AI

Clinical Trials for Pemetrexed

Image of Human Performance Clinical Research Lab in Fort Collins, United States.

Virtual Exercise for Cancer

18+
All Sexes
Fort Collins, CO

The goal of this research study is to look at how live, online group exercise compares to recorded videos for helping increase physical activity levels, improve physical fitness and quality of life, and reduce loneliness among those living with and beyond cancer. The following aims have been established for this study: * Aim 1: Examine the effect of a group-based videoconference physical activity (PA) intervention on moderate to vigorous physical activity \[MVPA\] (i.e., aerobic and resistance exercise). * Aim 2: Examine the effect of the intervention on additional health-related outcomes including physical fitness (i.e., aerobic endurance, muscular strength), and quality of life at both timepoints. * Aim 3: Explore potential mediators and moderators of intervention effects. We will examine mediators (e.g., self-efficacy, outcome expectations, group cohesion) and moderators (e.g., age, cancer stage, neighborhood walkability) of the intervention on MVPA. * Exploratory Aim: Determine whether a group-based videoconference PA intervention reduces loneliness among cancer survivors. Researchers will randomize participants into one of two guided exercise groups that are 12-weeks long in duration. Participants will be asked to complete online fitness assessments and surveys as well as wear a physical activity monitor device and watch a few times throughout the study. The whole study is 9-months long in duration with a 6-month free-living period where no study activities will take place.

Recruiting
Has No Placebo

Human Performance Clinical Research Lab

Heather J Leach, PhD

Image of Princess Margaret Cancer Centre in Toronto, Canada.

Trauma-Focused CALM for Ovarian Cancer

18+
Female
Toronto, Canada

The goal of this clinical trial is to investigate if CALM-TF (Trauma-Focused Managing Cancer and Living Meaningfully) is effective in treating traumatic stress symptoms in women with advanced ovarian cancer. It will also learn whether the efficacy differs at new diagnosis versus at recurrence. The main questions it aims to answer are: 1. What is the effectiveness of CALM-TF in reducing traumatic stress symptoms in patients with newly diagnosed or recurrent advanced ovarian cancer, as measured at 3 and 6 months? 2. What are the effects of CALM-TF on depression, quality of life, and patient-perceived benefit of the intervention compared to usual care alone? 3. What are patient perceptions of their care experiences as explored through qualitative interviews? Researchers will compare CALM-TF to usual standard of care (which includes regular conversations with medical teams and meetings with social workers) to see if CALM-TF works to treat traumatic stress. Participants will: * Receive 3-6 sessions of CALM-TF over 3-6 months (45-60 minutes each) via video call, telephone, or in-person based on preference, OR receive usual care only * Complete questionnaires at baseline, 3 months, and 6 months * Continue to receive their standard cancer care throughout the study * Some participants may be invited to participate in qualitative interviews at 6 months

Phase 3
Waitlist Available

Princess Margaret Cancer Centre

Gary Rodin, MD

Image of University of Alabama at Birmingham (O'Neal Comprehensive Cancer Center) in Birmingham, United States.

Visugromab + Nivolumab for Non-Small Cell Lung Cancer

18+
All Sexes
Birmingham, AL

This is an exploratory, signal-finding, randomized, placebo-controlled, blinded, multi-center phase 2b trial of the anti-GDF-15 antibody Visugromab (CTL-002) at two different dose levels plus Nivolumab with Docetaxel versus Visugromab at the higher dose plus Nivolumab with placebo versus double-placebo with Docetaxel, in participants that receive second-line treatment for non-squamous NSCLC after failure of prior first-line treatment including a CPI (checkpoint inhibitor). The trial consists of 3 Parts: an open-label Safety Run-in part (Part A) followed by a subsequent randomized phase 2b part with 4 treatment arms. After the treatment of 15 participants with visugromab at the expansion dose, an interim safety and preliminary efficacy analysis will be conducted (Part B), followed by the treatment of the remaining participants (Part C).

Phase 2
Recruiting

University of Alabama at Birmingham (O'Neal Comprehensive Cancer Center) (+1 Sites)

Lena Lemke, MD

CatalYm GmbH

Have you considered Pemetrexed clinical trials?

We made a collection of clinical trials featuring Pemetrexed, we think they might fit your search criteria.
Go to Trials
Image of BAMF Health in Grand Rapids, United States.

GEH300079 PET/CT for Colorectal Cancer

18+
All Sexes
Grand Rapids, MI

This study is a Phase 2/3, prospective, multicenter, open-label, non-randomized clinical trial, in which GEH300079 (68Ga) PET/CT images will be acquired in patients with primary colorectal, gastric, ovarian, or Pancreatic Ductal Adenocarcinoma (PDAC) cancers and known or suspected Peritoneal Carcinomatosis (PC) before or after institutional Standard of Care (SoC) imaging. The primary objective is to evaluate the diagnostic performance of GEH300079 (68Ga) PET/CT for the detection of PC in patients with colorectal, gastric, or ovarian primary cancers, using a composite standard of truth (SoT), in a region-based analysis. The detection of PC in patients with primary PDAC will be explored in the Phase 2 part of the study. The study is comprised of 2 distinct parts: Phase 2 aims to confirm the statistical and scientific assumptions for the Phase 3 part, and to confirm the optimal dose and timing of acquisition of GEH300079 (68Ga) PET/CT in the PC indication. Phase 2 includes 2 cohorts: Cohort A (participants with colorectal, ovarian and gastric primary cancer), and Cohort B (participants with primary PDAC), where analysis of Cohort B is descriptive only. Phase 3 aims to demonstrate the safety and efficacy of GEH300079 (68Ga) PET/CT for the detection of PC in patients with confirmed colorectal, gastric or ovarian primary cancers.

Phase 2 & 3
Waitlist Available

BAMF Health

GE Healthcare

Image of AHN West Penn Hospital in Pittsburgh, United States.

Fast TILs + Interleukin-2 for Mesothelioma

18 - 79
All Sexes
Pittsburgh, PA

This research study aims to evaluate the safety and effectiveness of a novel immunotherapy, Fast TIL, an Adoptive Cellular Therapeutic (ACT), to fight cancer that has spread to the pleura or pleural mesothelioma. The ACT product is created at AHN West Penn using the participant's pleural infiltrating T-cells (PIT). It is administered through a pleural catheter along with the drug Interleukin-2 (IL-2). Based on previous research it is believed that it may help fight the tumor and relieve symptoms. As a participant, their pleural fluid will be collected and the PIT cells will be isolated and expanded in the lab to create the ACT product. Before receiving the ACT product through their pleural catheter, they will undergo outpatient lymphodepleting chemotherapy. LDC is a standard procedure for many approved immunotherapy treatments Following the infusion, they'll receive IL-2 through the catheter for two days to stimulate the expanded PIT cells. The active treatment phase lasts about three weeks, with follow-up visits over five years at AHN West Penn Hospital, potentially requiring a hospital stay of up to six days. Blood samples will be taken to monitor their response. As this is a first-in-human study, treatment carries an unknown risk up to and including death from toxicity. However, the risks of similar immunotherapy treatments are well documented.

Phase 1
Recruiting

AHN West Penn Hospital

David Bartlett, MD

Miltenyi Biotec, Inc.

Image of University of Alabama at Birmingham in Birmingham, United States.

Visugromab + Immunochemotherapy for NSCLC

18+
All Sexes
Birmingham, AL

This is an exploratory, signal finding, randomized, placebo-controlled, blinded, multi-center Phase 2b trial of the anti GDF-15 antibody Visugromab (CTL-002) versus Placebo, combined with Immunochemotherapy (ICT: Pembrolizumab, Pemetrexed, Carboplatin) in the first-line treatment of participants with newly diagnosed metastatic non-squamous NSCLC. The trial consists of 3 Parts, a non-randomized Safety-run-in part (Part A) and the subsequent randomized Ph2b trial with 2 treatment arms. After the treatment of 15 participants with visugromab at the expansion dose, an interim safety and preliminary efficacy analysis will be conducted (Part B), followed by the treatment of the remaining participants (Part C).

Phase 2
Recruiting

University of Alabama at Birmingham (+3 Sites)

Felix Lichtenegger, MD

CatalYm GmbH

Have you considered Pemetrexed clinical trials?

We made a collection of clinical trials featuring Pemetrexed, we think they might fit your search criteria.
Go to Trials
Image of ECOG-ACRIN Cancer Research Group in Philadelphia, United States.

Pembrolizumab + Sacituzumab Govitecan for Urothelial Cancer

18+
All Sexes
Philadelphia, PA

This phase III trial compares the effectiveness of pembrolizumab and sacituzumab govitecan to standard of care in treating patients with urothelial cancer that has spread to nearby tissue or lymph nodes (locally advanced) or that has spread to other places in the body (metastatic). Immunotherapy with monoclonal antibodies, such as pembrolizumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Sacituzumab govitecan is a monoclonal antibody, called sacituzumab, linked to a chemotherapy drug called govitecan. Sacituzumab attaches to TROP2 positive tumor cells in a targeted way and delivers govitecan to kill them. The usual treatment approach is treatment with chemotherapy such as cisplatin, carboplatin, gemcitabine, docetaxel or paclitaxel. Cisplatin is in a class of medications known as platinum-containing compounds. It works by killing, stopping or slowing the growth of tumor cells. Carboplatin is in a class of medications known as platinum-containing compounds. It works in a way similar to the anticancer drug cisplatin, but may be better tolerated than cisplatin. Carboplatin works by killing, stopping or slowing the growth of tumor cells. Gemcitabine is a chemotherapy drug that blocks the cells from making deoxyribonucleic acid and may kill tumor cells. Docetaxel is in a class of medications called taxanes. It stops tumor cells from growing and dividing and may kill them. Paclitaxel is in a class of medications called antimicrotubule agents. It stops tumor cells from growing and dividing and may kill them. Giving pembrolizumab and sacituzumab govitecan may be more effective than usual care of carboplatin or cisplatin with gemcitabine, docetaxel or paclitaxel in treating patients with locally advanced or metastatic urothelial cancer.

Phase 3
Recruiting

ECOG-ACRIN Cancer Research Group (+48 Sites)

Monika Joshi

Have you considered Pemetrexed clinical trials?

We made a collection of clinical trials featuring Pemetrexed, we think they might fit your search criteria.
Go to Trials