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Mesothelioma lung cancer prognosis. Because carboplatin is similar to cisplatin both are platinum based drugs it is often used as a substitute to cisplatin. Doctors often combine alimta with platinum based drugs such as cisplatin and carboplatin to increase its effectiveness. Pemetrexed is marketed by eli lilly and company under the brand name alimta.
Pemetrexed carboplatin for nsclc or mesothelioma carboplatin pemetrexed crp09 l017 v22 page 2 of 5 issue date 02032018 expiry date. Patients were enrolled in a cohort of 3. A phase ii study clin lung cancer.
Eligible patients with unresectable pleural mesothelioma received frontline treatment consisting of carboplatin auc 5 bevacizumab 15 mgkg and pemetrexed 500 mgm2 every 21 days tier 1. It takes about 60 minutes to give a patient an intravenous carboplatin treatment and is repeated every 21 days depending on the patients individual case and treatment needs. Alimta also known as pemetrexed is a first line treatment for pleural mesothelioma patients when combined with cisplatin or carboplatin.
A 2008 phase iii trial compared the effects of carboplatin versus cisplatin in combination with pemetrexed among pleural mesothelioma patients. When combined with alimta platinum based drugs have shown a significant survival benefit for patients in all stages of mesothelioma. While cisplatin and pemetrexed had a higher response rate of 263 compared to the 217 response rate of carboplatin and pemetrexed all other measures were similar.
Mesothelioma patients are typically given a combination of carboplatin and alimta also known as pemetrexed through an iv to help slow down the spread of cancer. This was a planned phase iii dose escalation study. Patients with malignant pleural mesothelioma a rapidly progressing malignancy with a median survival time of 6 to 9 months have previously responded poorly to chemotherapy.
It is the most effective chemotherapy drug for mesothelioma.
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