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PEMETREXED, (R)-

  • Prescription medicine
  • Given by a clinician
  • Identity checked
  • Sources last checked 2026-09-04

This page shows what was measured, who it was measured in, and what that does not settle.

What PEMETREXED, (R)- does in the body

Recurrent, metastatic non-squamous NSCLC after prior chemotherapy

From the FDA-approved label: Pemetrexed for injection, is a folate analog metabolic inhibitor that exerts its action by disrupts folate-dependent metabolic processes essential for cell replication. In vitro studies show that pemetrexed inhibits thymidylate synthase (TS), dihydrofolate reductase, and glycinamide ribonucleotide formyltransferase (GARFT), which are folate-dependent enzymes involved in the de novo biosynthesis of thymidine and purine nucleotides. Pemetrexed is taken into cells by membrane carriers such as the reduced folate carrier and membrane folate binding protein transport systems. Once in the cell, pemetrexed is converted to polyglutamate forms by the enzyme folylpolyglutamate synthetase.

What happened in people

RNAWiki has not yet published a reviewed conclusion for this use.

A fixed RNAWiki sentence

Where this came from

Wording RNAWiki always uses, not a finding about this substance.

No reviewed claim names a result for any goal on this record.

No source is stored against this line.

The limit that matters most

Not recorded.

Where it acts
Not recorded.
Kind of result
No result is published, so no kind of result applies yet
Supervision
Professional supervision is normally required. A regulator classifies this substance in a way that restricts how it is supplied.

What the registries record it as

  • Its recorded molecular formula is C20H19N5Na2O6, weighing 516.41.

    US prescribing information · 0f006b06-ab85-423d-ba0c-dfc3fc25844e · read 2026-08-30

Where each sentence above came from

No recorded sentence describes the change this makes in a way that stands on its own. The page opens with what it is taken for instead, and the recorded explanation follows below.

Shown as the opening line on this page.

No statement of the main limit is recorded.

The four opening statements run to 114 words.

Words this page uses

Four words worth knowing first

Chosen from what this page shows, with each one explained before the word it depends on.

Formulation

A formulation is the exact made-up form a substance comes in.

A picture of it, and where the picture fails

It is like the difference between a whole bean and instant coffee.

Where that stops being true. Coffee tastes different. A formulation can change how much reaches the blood.

What people get wrong. Two products with the same name are assumed to behave the same. They often do not.

The specific composition and physical form of a product, including salt, excipients and release profile.

What happened in peopleRead from sources, not yet reviewed

What happened in people

Each card is one study: the exact question it asked, who was in it, and whether it showed what it set out to show.

Correlation between Adverse events (AEs) and gene profile

The study did not show it

Who was studied
NCT05055908
How many people
12000
Study design
Phase 3
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Intravenous

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Central and local clinical genotyping to facilitate accrual to the adjuvant Intergroup studies, E4512 and A081105

The study did not show it

Who was studied
NCT02194738
How many people
8300
Study design
Not applicable
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Intravenous

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Progression-free survival (PFS)

The study did not show it

Who was studied
NCT04322890
How many people
6000
Study design
Phase 2
Compared against
Not recorded for this study
Kind of result
Living longer, or avoiding a major event
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Intravenous

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Progression-free survival (PFS)

The study did not show it

Who was studied
NCT06824792
How many people
3000
Study design
Phase 4
Compared against
Not recorded for this study
Kind of result
Living longer, or avoiding a major event
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Intravenous

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Progression-Free Survival Per BICR

The study did not show it

Who was studied
NCT02477826
How many people
2747
Study design
Phase 3
Compared against
Not recorded for this study
Kind of result
Living longer, or avoiding a major event
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Intravenous

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Overall survival

The study did not show it

Who was studied
NCT00087711
How many people
1713
Study design
Phase 3
Compared against
Not recorded for this study
Kind of result
Living longer, or avoiding a major event
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Intravenous

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot
What we know
RNAWiki holds 6 written-up human studies for this substance, each with the question it asked.
How we know it
Each card names the study, the number of people and what the study set out to measure.
What this does not prove
These summaries were written by a person and have not been signed off as reviewed claims.
Why it matters
A study that failed is as informative as one that worked, and both are here.
What we still do not know
No reviewed claim exists, so no exact population, effect size or interval is published yet.

What is missing or unclearRead from sources, not yet reviewed

Were people like you studied?

RNAWiki cannot tell whether a study fits you. It can show who was in it, and where the result stops carrying.

Who was studied

People similar to this profile were included.

  • PEMFEXY™ is a folate analog metabolic inhibitor indicated for: in combination with pembrolizumab and platinum chemotherapy, for the initial treatment of patients with metastatic non-squamous NSCLC, with no EGFR or ALK genomic tumor aberrations. ( 1.1 ) in combination with cisplatin for the initial treatment of patients with locally advanced or metastatic non-squamous, non-small cell lung cancer (NSCLC).

Who is missing from the studies

  • Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

What the label states about particular groups

  • On pediatric, the label states: “The safety and effectiveness of pemetrexed in pediatric patients have not been established.”

    US prescribing information · 0f006b06-ab85-423d-ba0c-dfc3fc25844e · read 2026-08-30

  • On older people, the label states: “Of the 3,946 patients enrolled in clinical studies of pemetrexed, 34% were 65 and over and 4% were 75 and over.”

    US prescribing information · 0f006b06-ab85-423d-ba0c-dfc3fc25844e · read 2026-08-30

  • On people who are pregnant, the label states: “Risk Summary Based on findings from animal studies and its mechanism of action, pemetrexed can cause fetal harm when administered to a pregnant woman [see Clinical Pharmacology ( 12.1 ) ] .”

    US prescribing information · 0f006b06-ab85-423d-ba0c-dfc3fc25844e · read 2026-08-30

  • On people who are breastfeeding, the label states: “Risk Summary There is no information regarding the presence of pemetrexed or its metabolites in human milk, the effects on the breastfed child, or the effects on milk production.”

    US prescribing information · 0f006b06-ab85-423d-ba0c-dfc3fc25844e · read 2026-08-30

Where the result stopped carrying

  • This is a scope explorer, not a diagnosis engine.
  • It shows who was studied so you can see whether people similar to you were included.

RNAWiki cannot tell whether a study fits you. It can show who was in it.

What it would be like to takeRead from sources, not yet reviewed

Why it might seem to do nothing

A real effect and a noticed effect are different things. These are the recorded reasons the two come apart.

It was studied in different people

The people in the studies were not much like the reader.

On this record: Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

A different form was studied

The studied form is not the form on the shelf.

On this record: This record is linked to 1 related forms. Evidence does not carry across all of them.

The evidence may simply be wrong

Small early studies often do not hold up.

On this record: RNAWiki has not yet published a reviewed conclusion for this use.

Other reasons RNAWiki checked and found nothing for (10)
It was studied for a different goal
The studies measured something else entirely. Nothing in this record points to this reason.
There was nothing to correct
Where a level is already normal, topping it up may change nothing. Nothing in this record points to this reason.
Something else had to happen too
In the studies it was paired with training, a diet or another treatment. Nothing in this record points to this reason.
The change is too small to feel
A real change can still sit below what a person notices. Nothing in this record points to this reason.
Day-to-day swing hides it
Sleep, food, stress and time of day move most numbers more than this would. Nothing in this record points to this reason.
Not enough time yet
The studies ran longer than the person has waited. Nothing in this record points to this reason.
It was not taken as studied
Missed days change the result, and studies count them. Nothing in this record points to this reason.
Something else changed at the same time
Two changes at once cannot be told apart afterwards. Nothing in this record points to this reason.
The product may not be what it says
Contents of a sold product are not always what the label states. Nothing in this record points to this reason.
No recorded reason
RNAWiki has nothing stored that would explain it. Nothing in this record points to this reason.

None of these is a reason to take more. Taking more is not a step this page ever suggests.

What it would be like to takeRead from sources, not yet reviewed

What taking it involves

The recorded facts about getting hold of it and using it. Nothing here is a suggestion about what you should do.

How it is supplied

Given by a clinician

Quoted from a source

Where this came from

Copied from a source RNAWiki stored, with the source named.

Read from the recorded approval status.

No source is stored against this line.

Form and route

Intravenous

Source-linked record

Where this came from

A person wrote this into the record with the study named beside it. No reviewer has signed it off.

The form and route recorded on this substance.

No source is stored against this line.

Who oversees it

Professional supervision is normally required. A regulator classifies this substance in a way that restricts how it is supplied.

Quoted from a source

Where this came from

Copied from a source RNAWiki stored, with the source named.

Suppression classes recorded: S1, S3, S4.

No source is stored against this line.

What is in the pack

Sold as powder, solution, injectable, injection, solution, concentrate, given by the intravenous, injection route.

Source-linked record

Where this came from

A person wrote this into the record with the study named beside it. No reviewer has signed it off.

Recorded notes on how this is sold and what that means for what is in the pack.

No source is stored against this line.

Where it is registered

Regulatory records are listed in the technical disclosure at the foot of this page.

Counted from records

Where this came from

A count of rows RNAWiki holds. It describes our records, not your body.

Register entries are stored per jurisdiction and shown with their dates.

No source is stored against this line.

Why people stop

Not recorded.

Nothing recorded

Where this came from

RNAWiki holds nothing here and says so rather than guessing.

No record of why people stopped taking it is stored for this substance.

No source is stored against this line.

What it would be like to takeNothing found in the sources checked

What can go wrong

Sorted by where each line came from. A regulator's label and a report somebody sent in are not the same kind of fact.

Nothing found in the sources checked

No harm is recorded against this substance in the sources RNAWiki checked. Finding nothing is not the same as showing there is nothing.

The sources listed were searched and held nothing. That is not the same as nothing existing.

Over a long time. No completed tested study window is recorded, so long-term effects are not established by the registry record.

Groups the studies covered thinly. Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

What is missing or unclearRead from sources, not yet reviewed

Does the exact form matter?

Evidence belongs to the exact thing that was tested. A different salt, a different mixture or a different preparation is a different question.

The form that was studied

Intravenous

Source-linked record

Where this came from

A person wrote this into the record with the study named beside it. No reviewer has signed it off.

The form used in the studies cited on this page.

No source is stored against this line.

What is sold

Not recorded.

Nothing recorded

Where this came from

RNAWiki holds nothing here and says so rather than guessing.

Nothing further is recorded about which forms are sold.

No source is stored against this line.

What is recorded as being sold

  • 49 products list this as an active ingredient in the United States drug directory. 49 of them contain it and nothing else.

    FDA National Drug Code directory · 83831-111 · read 2026-08-29

  • They are sold as injection, injection, powder, lyophilized, for solution, injection, solution, injection, solution, concentrate, powder and solution, concentrate, taken intravenous.

    FDA National Drug Code directory · 83831-111 · read 2026-08-29

  • The regulator's established pharmacologic class for it is folate analog metabolic inhibitor [epc] and folic acid metabolism inhibitors [moa].

    FDA National Drug Code directory · 83831-111 · read 2026-08-29

  • 33 published labels name it as an active ingredient. 33 of them describe this substance alone, which is where its own label text on this page comes from.

    US prescribing information · 0f006b06-ab85-423d-ba0c-dfc3fc25844e · read 2026-08-29

  • Those labels are classed as human prescription drug.

    US prescribing information · 0f006b06-ab85-423d-ba0c-dfc3fc25844e · read 2026-08-29

  • PEMRYDI RTU is intravenous at 3., recorded as fda label in effect 2025-07-08 in the United States.

    US prescribing information · 0f006b06-ab85-423d-ba0c-dfc3fc25844e · read 2026-08-30

Evidence carries across two names for one substance. It does not carry across a salt, a mirror form or a mixture.

Names and forms linked to this record

  • Stereoisomer of

    Pemetrexed

    Evidence on this page does not automatically apply to this one.

What it would be like to takeRead from sources, not yet reviewed

What you could measure

This one is decided with a clinician, so this section holds questions to ask rather than a plan to run.

Self-experiment planning is not offered for a prescription or clinician-supervised medicine. The questions below are for a clinician or pharmacist.

Questions worth asking

  • Which of the trials of PEMETREXED, (R)- studied people like me?
  • What was measured, and for how long?
  • Was the result a laboratory value or a health outcome?
  • What would we watch for, and when would we stop?

Tracking can show whether something changed for you. It cannot show what caused it.

RNAWiki records evidence. It does not say whether this substance is right for you.

What is missing or unclearRead from sources, not yet reviewed

What nobody knows yet

Open questions, each with why it is open and what would close it.

Missing populations

Which groups were under-represented in the studies has not been recorded.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Missing long-term data

No completed tested study window is recorded.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

No reviewed conclusion

RNAWiki has not yet published a reviewed conclusion for this use.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Missing interaction studies

No interaction was found in the registers checked. Not finding one is not the same as showing there is none.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Formulation uncertainty

Several salts, forms or products of PEMETREXED, (R)- are recorded. Results from one form may not transfer to another.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Mechanism not reviewed

No reviewed mechanism story exists for this substance.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

What happened in peopleRead from sources, not yet reviewed

Check any of this yourself

Every line above traced back to the study it came from. This is the technical layer, and the vocabulary changes here.

Read from sources, not yet reviewed

No traced study record is stored for this substance.

Built from stored sources by fixed rules. No reviewer has signed it off.

How many documents were read

  • 32 documents were read for this substance.

    RNAWiki source record

  • 32 of them state the same halfLife, and they agree.

    RNAWiki source record

Checks this page had to pass

  • Passed

    Identity resolved

    no open identity hold

  • Passed

    No unresolved merge across substance families

    no quarantine open

  • Passed

    Every public sentence names a source

    The opening statement carries the origin: Written into the record, not signed off.

  • Not passed

    Trial roles classified for highlighted evidence

    No registered study is classified as testing this substance.

  • Passed

    No internal keys in reader text

    enforced by the copy-contract test over the rendered page

  • Passed

    Safety mode resolved

    Suppression classes recorded: S1, S3, S4.

  • Passed

    Canonical metadata present

    slug and display name present

What is missing or unclearRead from sources, not yet reviewed

How this medicine reached us

Kept near the foot of the page. A historical event moves up only when it changes something about this substance today.

What the approval register records

  • 32 approved applications cover products containing this substance. The earliest was NDA021462, approved 20040204 to LILLY.

    Drugs@FDA application register · NDA021462 · read 2026-08-29

  • Marketing status on the register: discontinued, none (tentative approval) and prescription.

    Drugs@FDA application register · NDA021462 · read 2026-08-29

  • The earliest marketing start date recorded for a listed product is 20101123.

    FDA National Drug Code directory · 83831-111 · read 2026-08-29

What is missing or unclearRead from sources, not yet reviewed

What to learn next

Ordered by what would most change how you read this page, starting with what is easiest to misunderstand.

This order is fixed in code and does not count clicks or time on the page.

What is not here

9 questions this page could not answer

These sections were prepared and left out because there was nothing to put in them. They are listed rather than hidden, so the gaps in this record are visible.

  • What was measured, goal by goal — found nothing in the sources checked.
  • How close this is to real life — found nothing in the sources checked.
  • The path through the body — found nothing in the sources checked.
  • Felt, measured, or meaningful — found nothing in the sources checked.
  • How long anything takes — found nothing in the sources checked.
  • What it may clash with — found nothing in the sources checked.
  • Other ways to the same goal — found nothing in the sources checked.
  • Claims that go past the evidence — found nothing in the sources checked.
  • What changed on this page — found nothing in the sources checked.

The record as stored

The full record, for auditing

Everything above is built from what is below. This layer keeps the technical vocabulary, record identifiers and every stored row, so a reader who wants to check the page can.

Recorded evidence blocks (9)

On the PEMETREXED, (R)- label: indicated for what?


"Pemetrexed for Injection is a folate analog metabolic inhibitor indicated: in combination with pembrolizumab and platinum chemotherapy, for the initial treatment of patients with metastatic non-squamous non-small cell lung cancer (NSCLC), with no EGFR or ALK genomic tumor aberrations. ( 1.1 ) in combination with…": indications and usage on PEMETREXED, (R)-'s label. DailyMed label · 5fb3a2d5-b9ec-4044-abb9-3e0d848a448e · 2026-08-21

928 registered trials of PEMETREXED, (R)- — at which phases?


Registered studies posting no result
619 of 928

928 registered studies of PEMETREXED, (R)-: 541 phase2, 231 phase1, 215 phase3, 16 phase4, 14 na, 11 na or unstated, 5 early phase1. CLINICALTRIALS_SNAPSHOT · 2026-09-01

887 with a PubMed record

Show the evidence
  • phase2
    541
  • phase1
    231
  • phase3
    215
  • phase4
    16
  • na
    14
  • na or unstated
    11
11 more recorded rows
  • early phase1
    5
  • completed
    394
  • recruiting
    132
  • terminated
    132
  • active not recruiting
    99
  • unknown
    98
  • withdrawn
    39
  • not yet recruiting
    29
  • suspended
    3
  • approved for marketing
    1
  • enrolling by invitation
    1

recorded 2026-09-01 · last checked 2026-09-04

159 of PEMETREXED, (R)-'s trials stopped: safety, futility/efficacy, accrual/recruitment, funding/business, sponsor decision unspecified, other?


safety (17), futility/efficacy (17), accrual/recruitment (51), funding/business (20), sponsor decision unspecified (6) and other (48): PEMETREXED, (R)-'s stop wording, clustered. CLINICALTRIALS_SNAPSHOT · 2026-09-01

"lack of acurral"; 159 of 928 registered studies

Show the evidence

Trial

  • NCT00165503
    terminated; "lack of acurral"
  • NCT00203931
    terminated; "Slow accrual and evidence from other studies showing benefit of early initiation of pemetrexed after first-line therapy"
  • NCT00216216
    terminated; "The results from the interim analysis were not favorable to continue this trial."
  • NCT00259285
    terminated; "Trial was stopped early due to low enrollment."
  • NCT00265785
    terminated; "Closed due to poor accrual"
  • NCT00268437
    terminated; "Trial closed early because, during an interim analysis, the primary endpoint fell short."
14 further recorded trials
  • NCT00280748
    terminated; "Slow accrual"
  • NCT00290017
    terminated; "FDA Hold May 2007"
  • NCT00310050
    terminated; "slow accrual"
  • NCT00321308
    terminated; "See Termination Reason in Detailed Description."
  • NCT00351039
    terminated; "slow accrual"
  • NCT00356525
    terminated; "Stopped early due to low enrollment"
  • NCT00369629
    terminated; "This was planned as a phase I/II study originally, but due to a lack of funding, the phase II portion was never conducted."
  • NCT00383266
    terminated; "Low accrual"
  • NCT00383331
    terminated; "Trial was stopped early due to low enrollment"
  • NCT00389688
    terminated; "low accrual"
  • NCT00394147
    terminated; "stopped for lack of efficacy"
  • NCT00402883
    terminated; "Terminated due to bevacizumab and chemoradiotherapy toxicity"
  • NCT00438204
    terminated; "All data collection has completed."
  • NCT00447421
    terminated; "Interim results of another trial showed inferior activity of treatment"

recorded 2026-09-01 · last checked 2026-09-04

Human studies of PEMETREXED, (R)- used Pemetrexed 500 mg/m2 — over how long?


studies of PEMETREXED, (R)- used the recorded amount. ClinicalTrials.gov · 2026-09-01

6 recorded entries; human; also "Pemetrexed 500 mg/m2", "Pemetrexed 1000 mg/m2", "Pemetrexed 500 mg/m^2"

Show the evidence

human

  • NCT00191191
    Pemetrexed 500 mg/m2
  • NCT00191191
    Pemetrexed 1000 mg/m2
  • NCT02862457
    Pemetrexed 500 mg/m^2
  • NCT03110484
    Pemetrexed 500 MG
  • NCT05244837
    pemetrexed 500mg/m2
  • NCT05299125
    Pemetrexed 500 mg

recorded 2026-09-01 · last checked 2026-09-04

PEMETREXED, (R)-'s half-life is 3.5 hours — which schedules were studied?


3.5 hours, the half-life PEMETREXED, (R)-'s label states: "Elimination The total systemic clearance of pemetrexed is 91.8 mL/min and the elimination half-life of pemetrexed is 3.5 hours in patients with normal renal function (creatinine clearance of 90 mL/min)." DailyMed label · 5fb3a2d5-b9ec-4044-abb9-3e0d848a448e · 2026-08-21

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  • half life pharmacokinetics
    3.5 hours; Elimination The total systemic clearance of pemetrexed is 91.8 mL/min and the elimination half-life of pemetrexed is 3.5 hours in patients with normal renal function (creatinine clearance of 90 mL/min).
  • metabolism pharmacokinetics
    Metabolism Pemetrexed is not metabolized to an appreciable extent.

recorded 2026-08-21 · last checked 2026-09-04

Which running trial of PEMETREXED, (R)- could settle lifespan?


NCT03351842 measures Disease-Free-Survival-Rate, reading out 2024-09-01.

95 open trials; n 460; "Surgery With or Without Chemotherapy for Stage I NSCLC With Micropapillary Component ≥ 20%"

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Trial

  • NCT03351842
    "Surgery With or Without Chemotherapy for Stage I NSCLC With Micropapillary Component ≥ 20%"; n 460; "Disease-Free-Survival-Rate"; 2024-09-01
  • NCT06497543
    "Intrathecal Pemetrexed for SCLC Patients With Refractory Brain Metastases or Leptomeninges Metastatic"; n 80; "Overall Survival"; 2026-04-30
  • NCT06927986
    "Phase III Trial of SYS6010 Versus Platinum-based Chemotherapy for EGFR-mutated NSCLC(SYNSTAR01)"; n 380; "Progression-free survival (PFS) assessed by independent review committee (IRC)"; 2026-08-30
  • NCT05184712
    "Phase 3 Clinical Study of AK112 for NSCLC Patients"; n 322; "Progression-free survival (PFS)"; 2026-09
  • NCT04892953
    "Local Consolidative Therapy and Durvalumab for Oligoprogressive and Polyprogressive Stage III NSCLC After Chemoradiation and Anti-PD-L1 Therapy"; n 51; "Progression free survival (PFS)"; 2026-09-30
  • NCT05870319
    "A Phase III Study of SKB264 for EGFR Mutant NSCLC Patients"; n 376; "Progression-free survival (PFS)"; 2026-09-30
14 further recorded trials
  • NCT05689671
    "Pemetrexed-free vs. Pemetrexed-based Immunochemotherapy in Metastatic TTF-1 Negative Lung Adenocarcinoma"; n 136; "Overall Survival (OS)"; 2026-10
  • NCT03425643
    "Efficacy and Safety of Pembrolizumab (MK-3475) With Platinum Doublet Chemotherapy as Neoadjuvant/Adjuvant Therapy for Participants With Resectable Stage II, IIIA, and Resectable IIIB (T3-4N2) Non-small Cell Lung Cancer (MK-3475-671/KEYNOTE-671)"; n 797; "Event Free Survival (EFS)"; 2026-10-15
  • NCT04129502
    "TAK-788 as First-Line Treatment Versus Platinum-Based Chemotherapy for Non-Small Cell Lung Cancer (NSCLC) With EGFR Exon 20 Insertion Mutations"; n 354; "Progression Free Survival (PFS) as Assessed by Blinded Independent Review Committee (IRC) per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1"; 2026-10-31
  • NCT05281406
    "Additional Chemotherapy for EGFRm Patients with the Continued Presence of Plasma CtDNA EGFRm At Week 3 After Start of Osimertinib 1st-line Treatment (PACE-LUNG)"; n 50; "Progression Free Survival (PFS1)"; 2026-11
  • NCT05261399
    "Savolitinib Plus Osimertinib Versus Platinum-based Doublet Chemotherapy in Participants With Non-Small Cell Lung Cancer Who Have Progressed on Osimertinib Treatment"; n 341; "Progression-free survival (PFS) / savolitinib + osimertinib versus platinum doublet chemotherapy in participants with EGFR mutated, MET-overexpressed and/or amplified, locally advanced or metastatic NSCLC who have progressed on osimertinib."; 2026-11-23
  • NCT05990127
    "A Study of AK104/Tislelizumab With Chemotherapy as First-line Treatment in PD-L1 TPS < 1% Non-small Cell Lung Cancer"; n 642; "Overall Survival(OS)"; 2026-11-28
  • NCT04166487
    "Plasma-Adapted First-Line Pembro In NSCLC"; n 40; "6-month Progression Free Survival rate"; 2026-12-01
  • NCT04966663
    "Using ctDNA to Determine Therapies for Lung Cancer"; n 66; "Relapse Free Survival"; 2026-12-01
  • NCT06396065
    "Phase III Study of AK112 for NSCLC Patients"; n 420; "Progression-free survival (PFS)"; 2026-12-31
  • NCT05754853
    "A Study of MRG002 Versus Investigator's Choice of Chemotherapy in the Treatment of Patients With HER2-positive Unresectable Advanced or Metastatic Urothelial Cancer"; n 290; "Overall Survival (OS)"; 2027-01
  • NCT04267848
    "Testing the Addition of a Type of Drug Called Immunotherapy to the Usual Chemotherapy Treatment for Non-small Cell Lung Cancer, an ALCHEMIST Treatment Trial (Chemo-IO [ACCIO])"; n 1210; "Disease free survival (DFS)"; 2027-01-31
  • NCT05766800
    "Induction Therapy With PD-1 Antibody Combined With Platinum-based Doublet Chemotherapy for Locally-advanced Non-small Cell Lung Cancer"; n 100; "Event-free survival (EFS)"; 2027-04-01
  • NCT05715229
    "Immune Profile Selection By Fraction of ctDNA in Patients With Advanced NSCLC Treated With Immunotherapy"; n 108; "Progression Free Survival (PFS)"; 2027-04-28
  • NCT06440954
    "Efficacy and Resistance Mechanisms of IP in NSCLC With Leptomeningeal Metastases"; n 220; "Intracranial progression-free survival (I-PFS)"; 2027-04-30

Which 151 trials of PEMETREXED, (R)- posted no result?


Posted no result
151 of 151 completed trials
Registrations
NCT00005636, NCT00003706, NCT00051493, NCT00003711, NCT00489983 and NCT00490373, and 145 more
Completion dates
oldest 2000-11; newest 2024-08-16
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Trial

  • NCT00005636
    2000-11
  • NCT00003706
    2002-06
  • NCT00051493
    2002-12
  • NCT00003711
    2004-09
  • NCT00489983
    2005-03
  • NCT00490373
    2005-04
14 further recorded trials
  • NCT00065533
    2005-06
  • NCT00072865
    2005-09
  • NCT00190801
    2005-09
  • NCT00190840
    2005-10
  • NCT00190762
    2005-11
  • NCT00191347
    2005-11
  • NCT00191503
    2005-11
  • NCT00061464
    2006-02
  • NCT00191412
    2006-03
  • NCT00079872
    2006-05
  • NCT00192088
    2006-05
  • NCT00101842
    2006-07
  • NCT00071136
    2006-08
  • NCT00251550
    2006-08

At the median, PEMETREXED, (R)-'s trials enrolled 72 people — anything larger?


Median enrolment
72
Largest enrolment
12000
Registered trials counted
914

PEMETREXED, (R)- and OAT3, OAT4 and TRANSPORTER: shared by which compounds?


OAT3, OAT4 and TRANSPORTER appear in PEMETREXED, (R)-'s recorded interaction sentences, 8 in all. DailyMed label · 5fb3a2d5-b9ec-4044-abb9-3e0d848a448e · 2026-08-21

CYP1A2, CYP2C9, CYP2D6, CYP3A, OAT3, OAT3; 7 shared nodes; pharmacokinetics

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Interaction statement

  • pharmacokinetics
    In vitro studies indicated that pemetrexed is a substrate of OAT3 (organic anion transporter 3), a transporter that is involved in the active secretion of pemetrexed.
  • pharmacokinetics
    Drug Interaction Studies Drugs Inhibiting OAT3 Transporter Ibuprofen, an OAT3 inhibitor, administered at 400 mg four times a day decreased the clearance of pemetrexed and increased its exposure (AUC) by approximately 20% in patients with normal renal function (creatinine clearance >80 mL/min).
  • pharmacokinetics
    In Vitro Studies Pemetrexed is a substrate for OAT3.
  • pharmacokinetics
    Ibuprofen, an OAT3 inhibitor inhibited the uptake of pemetrexed in OAT3-expressing cell cultures with an average [I u ]/IC 50 ratio of 0.38.
  • pharmacokinetics
    In vitro data predict that at clinically relevant concentrations, other NSAIDs (naproxen, diclofenac, celecoxib) would not inhibit the uptake of pemetrexed by OAT3 and would not increase the AUC of pemetrexed to a clinically significant extent.
  • pharmacokinetics
    Pemetrexed is a substrate for OAT4.
2 more recorded rows
  • Interaction statement pharmacokinetics
    In vitro, ibuprofen and other NSAIDs (naproxen, diclofenac, celecoxib) are not inhibitors of OAT4 at clinically relevant concentrations.
  • Interaction statement pharmacokinetics
    Drugs Metabolized by Cytochrome P450 Enzymes In vitro studies suggest that pemetrexed does not inhibit the clearance of drugs metabolized by CYP3A, CYP2D6, CYP2C9, and CYP1A2.
  • CYP1A2
    FINGOLIMOD LAURYL SULFATE, FOSAPREPITANT DIMEGLUMINE, TAFAMIDIS MEGLUMINE, Arimoclomol, Rasagiline, Sofpironium, Golodirsen, Tinidazole
  • CYP2C9
    FINGOLIMOD LAURYL SULFATE, FOSAPREPITANT DIMEGLUMINE, TAFAMIDIS MEGLUMINE, Arimoclomol, Rasagiline, Golodirsen, Tinidazole, Naldemedine
  • CYP2D6
    FINGOLIMOD LAURYL SULFATE, Darunavir Propylene Glycolate, FOSAPREPITANT DIMEGLUMINE, TAFAMIDIS MEGLUMINE, Arimoclomol, Rasagiline, Sofpironium, Fluoxetine
  • CYP3A
    FINGOLIMOD LAURYL SULFATE, Darunavir Propylene Glycolate, Vincristine, Naldemedine, Pemetrexed, Eravacycline, Rasburicase, Repotrectinib

OAT3

  • TAFAMIDIS MEGLUMINE, Arimoclomol, Ceftobiprole Medocaril, Deoxycholic acid, Golodirsen, Naldemedine, Pemetrexed, Eravacycline
  • TAFAMIDIS MEGLUMINE, Arimoclomol, Ceftobiprole Medocaril, Deoxycholic acid, Golodirsen, Naldemedine, Pemetrexed, Eravacycline
  • TAFAMIDIS MEGLUMINE, Arimoclomol, Ceftobiprole Medocaril, Deoxycholic acid, Golodirsen, Naldemedine, Pemetrexed, Eravacycline

recorded 2026-08-21 · last checked 2026-09-04

Where it is registered
Identifiers, relations and other names

The exact record

PubChem CID
135565230
CAS number
182009-04-7
InChIKey
WBXPDJSOTKVWSJ-CYBMUJFWSA-N

Relations

Also called
Pemetrexed
Salt form
Pemetrexed Disodium, Pemetrexed Disodium Heptahydrate, Pemetrexed Monohydrate, Pemetrexed Dipotassium, Pemetrexed Sodium, Pemetrexed For Injection, Alimta / Axtle / Pemfexy / Pemetrexed For Injection
Trade name
Alimta, Axtle, Pemfexy, Pemetrexed Accord, Pemetrexed Pfizer (previously Pemetrexed Hospira), Armisarte (previously Pemetrexed Actavis), Pemetrexed medac
Also called
PEMETREXED (R) ENANTIOMER, PEMETREXED DISODIUM HEPTAHYDRATE IMPURITY E [EP IMPURITY]
Component
Pemetrexed
Sources (5)

Sources

  • CLINICALTRIALS_SNAPSHOT K1:FG8Q47888S ·
  • ClinicalTrials.gov clinicaltrials.gov ·
  • drugsfda+ema drugsfda+ema ·
  • DailyMed label 5fb3a2d5-b9ec-4044-abb9-3e0d848a448e ·
  • Drugs@FDA K1:FG8Q47888S ·

ClinicalTrials.gov — US Government work · mixed register set; per-register licences in docs/specs/corpus-20k-sources.md · openFDA / DailyMed — US Government work

How these records are assembled · Which registers were checked

Index-quality checks
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  • required summary fields resolved: 4 required field(s) not terminal: Why people use it, Best-supported result, Biggest unanswered question, Human evidence
  • public claims reviewed: 0 reviewed claim(s); drafts are never rendered
  • source coverage passed: 5 source rows
  • no critical contamination: no quarantine open
  • canonical metadata passed: slug and display name present
  • no raw internal fields: enforced by the copy-contract test over the rendered page

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