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首页> 外文期刊>Seminars in Oncology >Pemetrexed (Alimta, MTA, multitargeted antifolate, LY231514) for malignant pleural mesothelioma.
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Pemetrexed (Alimta, MTA, multitargeted antifolate, LY231514) for malignant pleural mesothelioma.

机译:培美曲塞(Alimta,MTA,多靶点抗叶酸,LY231514)用于恶性胸膜间皮瘤。

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摘要

Regimens with antimetabolites such as gemcitabine administered alone or in combination with cisplatin have shown promising phase II study data. Accordingly, antifolate agents are of considerable interest. Pemetrexed (Alimta; Eli Lilly and Company, Indianapolis, IN), a folate-based inhibitor of thymidylate synthase., is currently under phase III investigation. The Evaluation of Mesothelioma in a Phase III Trail of Pemetrexed with Cisplatin (EMPHACIS) trial is the first phase III randomized study in mesothelioma with survival as the primary end point; it showed statistically significant superiority of the pemetrexed/cisplatin combination over cisplatin low-dose folic acid and vitamin B12 supplementation significantly reduced the toxicity observed with the use of pemetrexed/cisplatin will soon be recommended for malignant pleural mesothelioma as first-line standard chemotherapy.
机译:单独或与顺铂组合使用抗代谢物的吉西他滨的疗法已显示出令人鼓舞的II期研究数据。因此,抗叶酸剂引起了极大的兴趣。基于叶酸的胸苷酸合酶抑制剂Pemetrexed(Alimta; Eli Lilly and Company,印第安纳州印第安纳州)目前处于第三阶段研究。培美曲塞的顺铂三期试验对间皮瘤的评估(EMPHACIS)是首次以生存为主要终点的间皮瘤的三期随机研究。它显示出培美曲塞/顺铂组合优于顺铂低剂量叶酸和维生素B12的统计学显着优势,显着降低了使用培美曲塞/顺铂观察到的毒性,不久将推荐用于恶性胸膜间皮瘤作为一线标准化疗。

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