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The Pharmaceutical Journal Vol 267 No 7172 p633-638
3 November 2001

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Anti-cancer agent of benefit in pleural mesothelioma

Pemetrexed, an anti-cancer agent, could be beneficial for the treatment of pleural mesothelioma (a malignant tumour of the lining of the lung), newly presented data suggest.

In a phase II study, 62 patients with advanced mesothelioma who had not received chemotherapy and who were not amenable to curative therapy were treated with pemetrexed 500mg/m2, given as a 10-minute intravenous infusion. Treatment was repeated every three weeks (median of three cycles) and tumour response recorded.

Results from the study show that, to date, the median survival time is 10.7 months and the median time to progression is 5.4 months (confidence intervals not given). Adverse events included granulocytopenia (grade 3/4), thrombocytopenia, anaemia, fatigue, anorexia, nausea and febrile neutropenia.

The data were presented at the 11th European Cancer Congress in Lisbon on 23 October. Pemetrexed is an antifolate agent that targets several enzymes in the folate pathway necessary for thymidine and purine synthesis.

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