Pemetrexed single agent chemotherapy in previously treated patients with locally advanced or metastatic non-small cell lung cancer
2008

Pemetrexed for Lung Cancer Treatment

Sample size: 95 publication Evidence: moderate

Author Information

Author(s): Francesca Russo, Alessandra Bearz, Gianni Pampaloni

Primary Institution: Eli Lilly Italia S.p.A.

Hypothesis

The study aimed to evaluate the safety of second-line pemetrexed in patients with Stage IIIB or IV non-small cell lung cancer (NSCLC).

Conclusion

Patients with locally advanced or metastatic NSCLC could benefit from second-line pemetrexed, with a low incidence of hematological and non-hematological toxicities.

Supporting Evidence

  • 78.9% of treated patients reported at least one adverse event.
  • The most common drug-related toxicities were pyrexia, vomiting, nausea, diarrhea, and fatigue.
  • The tumor response rate was 9.2% in treated patients.
  • The median progression-free survival was 3.1 months.

Takeaway

This study looked at how well a drug called pemetrexed works for people with advanced lung cancer who have already had treatment. It found that it can help patients with fewer side effects.

Methodology

95 patients received pemetrexed 500 mg/m2 intravenously over Day 1 of a 21-day cycle, along with vitamin and steroid supplements to reduce toxicity.

Limitations

The study did not assess the correlation between the number of previous lines of treatment and response to pemetrexed due to a flaw in the original study design.

Participant Demographics

{"age_mean":62.4,"age_range":"25-82","gender_distribution":{"males":72,"females":23},"ECOG_performance_status":{"0":58,"1":29,"2":5,"3":1}}

Statistical Information

Confidence Interval

{"response_rate":"95% CI: 4.1 to 17.3","survival_rate":"95% CI: 71 to 88%"}

Digital Object Identifier (DOI)

10.1186/1471-2407-8-216

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication