Pemetrexed for ovarian cancer: A systematic review of the published literature and a consecutive series of patients treated in a nonclinical trial setting

Heidi Egloff, Aminah Jatoi

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective: To gain a better understanding of the role of pemetrexed in ovarian cancer patients, we conducted a systematic review of the published literature and evaluated a consecutive, single-institution series of non-study pemetrexed-treated patients. Methods/Results: Thirteen published articles met this study's eligibility criteria, providing a total of 376 unique and evaluable ovarian cancer patients. This systematic review demonstrated tumor response rates with pemetrexed-based chemotherapy from 9 to 84%; the agent appeared to be well tolerated. Similarly, 13 consecutive patients with ovarian, fallopian tube, or primary peritoneal cancer were treated with pemetrexed at the Mayo Clinic, Rochester, Minn., USA, from 2004 through 2013. The median number of previous chemotherapy regimens was 4; most patients received single-agent pemetrexed (n = 9). Patients received a median of 2 cycles of pemetrexed-based chemotherapy; 1 patient received 10 cycles (7 months' worth) with treatment ongoing at the time of this report. The median survival from the start of pemetrexed was 4.8 months (95% confidence interval 1.2, 15 months). Two patients manifested a 50% drop in Ca-125 levels. Again, pemetrexed was relatively well tolerated. Conclusion: Pemetrexed has antineoplastic activity in patients with ovarian cancer - even among those who have been heavily pretreated - and therefore merits further study.

Original languageEnglish (US)
Pages (from-to)541-549
Number of pages9
JournalCase Reports in Oncology
Volume7
Issue number2
DOIs
StatePublished - Mar 6 2014

Fingerprint

Pemetrexed
Ovarian Neoplasms
Drug Therapy
Fallopian Tubes
Antineoplastic Agents
Neoplasms

Keywords

  • Antineoplastic activity
  • Ovarian cancer
  • Pemetrexed

ASJC Scopus subject areas

  • Oncology

Cite this

@article{9de28d9990874accb30425a7a0efa516,
title = "Pemetrexed for ovarian cancer: A systematic review of the published literature and a consecutive series of patients treated in a nonclinical trial setting",
abstract = "Objective: To gain a better understanding of the role of pemetrexed in ovarian cancer patients, we conducted a systematic review of the published literature and evaluated a consecutive, single-institution series of non-study pemetrexed-treated patients. Methods/Results: Thirteen published articles met this study's eligibility criteria, providing a total of 376 unique and evaluable ovarian cancer patients. This systematic review demonstrated tumor response rates with pemetrexed-based chemotherapy from 9 to 84{\%}; the agent appeared to be well tolerated. Similarly, 13 consecutive patients with ovarian, fallopian tube, or primary peritoneal cancer were treated with pemetrexed at the Mayo Clinic, Rochester, Minn., USA, from 2004 through 2013. The median number of previous chemotherapy regimens was 4; most patients received single-agent pemetrexed (n = 9). Patients received a median of 2 cycles of pemetrexed-based chemotherapy; 1 patient received 10 cycles (7 months' worth) with treatment ongoing at the time of this report. The median survival from the start of pemetrexed was 4.8 months (95{\%} confidence interval 1.2, 15 months). Two patients manifested a 50{\%} drop in Ca-125 levels. Again, pemetrexed was relatively well tolerated. Conclusion: Pemetrexed has antineoplastic activity in patients with ovarian cancer - even among those who have been heavily pretreated - and therefore merits further study.",
keywords = "Antineoplastic activity, Ovarian cancer, Pemetrexed",
author = "Heidi Egloff and Aminah Jatoi",
year = "2014",
month = "3",
day = "6",
doi = "10.1159/000365885",
language = "English (US)",
volume = "7",
pages = "541--549",
journal = "Case Reports in Oncology",
issn = "1662-6575",
number = "2",

}

TY - JOUR

T1 - Pemetrexed for ovarian cancer

T2 - A systematic review of the published literature and a consecutive series of patients treated in a nonclinical trial setting

AU - Egloff, Heidi

AU - Jatoi, Aminah

PY - 2014/3/6

Y1 - 2014/3/6

N2 - Objective: To gain a better understanding of the role of pemetrexed in ovarian cancer patients, we conducted a systematic review of the published literature and evaluated a consecutive, single-institution series of non-study pemetrexed-treated patients. Methods/Results: Thirteen published articles met this study's eligibility criteria, providing a total of 376 unique and evaluable ovarian cancer patients. This systematic review demonstrated tumor response rates with pemetrexed-based chemotherapy from 9 to 84%; the agent appeared to be well tolerated. Similarly, 13 consecutive patients with ovarian, fallopian tube, or primary peritoneal cancer were treated with pemetrexed at the Mayo Clinic, Rochester, Minn., USA, from 2004 through 2013. The median number of previous chemotherapy regimens was 4; most patients received single-agent pemetrexed (n = 9). Patients received a median of 2 cycles of pemetrexed-based chemotherapy; 1 patient received 10 cycles (7 months' worth) with treatment ongoing at the time of this report. The median survival from the start of pemetrexed was 4.8 months (95% confidence interval 1.2, 15 months). Two patients manifested a 50% drop in Ca-125 levels. Again, pemetrexed was relatively well tolerated. Conclusion: Pemetrexed has antineoplastic activity in patients with ovarian cancer - even among those who have been heavily pretreated - and therefore merits further study.

AB - Objective: To gain a better understanding of the role of pemetrexed in ovarian cancer patients, we conducted a systematic review of the published literature and evaluated a consecutive, single-institution series of non-study pemetrexed-treated patients. Methods/Results: Thirteen published articles met this study's eligibility criteria, providing a total of 376 unique and evaluable ovarian cancer patients. This systematic review demonstrated tumor response rates with pemetrexed-based chemotherapy from 9 to 84%; the agent appeared to be well tolerated. Similarly, 13 consecutive patients with ovarian, fallopian tube, or primary peritoneal cancer were treated with pemetrexed at the Mayo Clinic, Rochester, Minn., USA, from 2004 through 2013. The median number of previous chemotherapy regimens was 4; most patients received single-agent pemetrexed (n = 9). Patients received a median of 2 cycles of pemetrexed-based chemotherapy; 1 patient received 10 cycles (7 months' worth) with treatment ongoing at the time of this report. The median survival from the start of pemetrexed was 4.8 months (95% confidence interval 1.2, 15 months). Two patients manifested a 50% drop in Ca-125 levels. Again, pemetrexed was relatively well tolerated. Conclusion: Pemetrexed has antineoplastic activity in patients with ovarian cancer - even among those who have been heavily pretreated - and therefore merits further study.

KW - Antineoplastic activity

KW - Ovarian cancer

KW - Pemetrexed

UR - http://www.scopus.com/inward/record.url?scp=84924042941&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84924042941&partnerID=8YFLogxK

U2 - 10.1159/000365885

DO - 10.1159/000365885

M3 - Article

AN - SCOPUS:84924042941

VL - 7

SP - 541

EP - 549

JO - Case Reports in Oncology

JF - Case Reports in Oncology

SN - 1662-6575

IS - 2

ER -