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    Home > Active Ingredient News > Antitumor Therapy > Pemetrexed: Folic acid and VB12 applied 1 week in advance or at the same time?

    Pemetrexed: Folic acid and VB12 applied 1 week in advance or at the same time?

    • Last Update: 2022-05-20
    • Source: Internet
    • Author: User
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    Pemetrexed is a commonly used antitumor drug, commonly used in the treatment of non-squamous non-small cell lung cancer and malignant pleural mesothelioma


    Pemetrexed is a commonly used antitumor drug, commonly used in the treatment of non-squamous non-small cell lung cancer and malignant pleural mesothelioma


     

    1.


    1.


     Pemetrexed is a multi-target folate antagonist Pemetrexed is a multi-target folate antagonist


  • Platelet count ≥100000 cells/mm3

  • CrCl≥45 ml/min

  • Total bilirubin ≤ 1.


  • ALP, AST and ALT ≤ 3 times the upper limit of normal, or 5 times the upper limit of normal (considered when the tumor affects the liver)

  • ANC≥1500 cells/mm3

  • ANC≥1500 cells/mm3

    ANC≥1500 cells/mm3
  • Platelet count ≥100000 cells/mm3

  • Platelet count ≥100000 cells/mm3

    Platelet count ≥100000 cells/mm3
  • CrCl≥45 ml/min

  • CrCl≥45 ml/min

    CrCl≥45 ml/min
  • Total bilirubin ≤ 1.


  • Total bilirubin ≤ 1.


    Total bilirubin ≤ 1.


    ALP, AST and ALT ≤ 3 times the upper limit of normal, or 5 times the upper limit of normal (considered when the tumor affects the liver)

    ALP, AST and ALT ≤ 3 times the upper limit of normal value, or 5 times the upper limit of normal value (can be considered when the tumor affects the liver).


  • CrCl: creatinine clearance

  • ALP: Alkaline Phosphatase

  • AST: aspartate aminotransferase

  • ALT: alanine aminotransferase

  • ANC: Absolute Neutrophil Count Absolute Value

  • ANC: Absolute Neutrophil Count Absolute Value

    ANC: Absolute Neutrophil Count Absolute Value
  • CrCl: creatinine clearance

  • CrCl: creatinine clearance

    CrCl: creatinine clearance
  • ALP: Alkaline Phosphatase

  • ALP: Alkaline Phosphatase

    ALP: Alkaline Phosphatase
  • AST: aspartate aminotransferase

  • AST: aspartate aminotransferase

    AST: aspartate aminotransferase
  • ALT: alanine aminotransferase

  • ALT: alanine aminotransferase

    ALT: alanine aminotransferase

    references:

    references:

    1.


    1.


    2.


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    4.


    5.


    6.
    Kim YS, Sun JM, Ahn JS, Ahn MJ, Park K.
    The optimal duration of vitamin supplementation prior to the first dose of pemetrexed in patients with non-small-cell lung cancer.
    Lung Cancer.
    2013;81(2):231 -235.
    doi:10.
    1016/j.
    lungcan.
    2013.
    04.
    011

    7.
    Takagi Y, Hosomi Y, Sunami K, et al.
    Aprospective study of shortened vitamin supplementation prior tocisplatin-pemetrexed therapy for non-small cell lung cancer.
    Oncologist.
    2014;19(11):1194-1199.
    doi:10.
    1634/ theoncologist.
    2014-0221

    7.
    Takagi Y, Hosomi Y, Sunami K, et al.
    Aprospective study of shortened vitamin supplementation prior tocisplatin-pemetrexed therapy for non-small cell lung cancer.
    Oncologist.
    2014;19(11):1194-1199.
    doi:10.
    1634/ theoncologist.
    2014-0221

    8.
    Schlei Z, Tan W, Faber MG, Chen H, Meagher A, Dy GK.
    Safetyof same-day vitamin B12 supplementation in patients receiving pemetrexed for the treatment of non-small-cell lung cancer or pleural mesothelioma: aretrospective analysis.
    Clin Lung Cancer.
    2018;19(6):467–75.

    8.
    Schlei Z, Tan W, Faber MG, Chen H, Meagher A, Dy GK.
    Safetyof same-day vitamin B12 supplementation in patients receiving pemetrexed for the treatment of non-small-cell lung cancer or pleural mesothelioma: aretrospective analysis.
    Clin Lung Cancer.
    2018;19(6):467–75.


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