PMID- 22430749 OWN - NLM STAT- MEDLINE DCOM- 20120511 LR - 20151119 IS - 0034-1193 (Print) IS - 0034-1193 (Linking) VI - 103 IP - 2 DP - 2012 Feb TI - [Pemetrexed monotherapy in previously treated patients with advanced non small cell lung cancer; differences by histology. Our experience]. PG - 62-5 LID - 10.1701/1045.11387 [doi] AB - Emerging data suggest pemetrexed is active in patients with adenocarcinoma of lung compared to those with squamous cell carcinoma. We retrospectively reviewed advanced non small cell lung cancer (NSCLC) patients previously treated, analysing efficacy on histologic characteristics. From January 2007 to December 2010, 25 patients with stage IIIB or IV NSCLC (17 with adenocarcinoma and 8 with squamous cell carcinoma), who had previously failed on platinum-based chemotherapy, received pemetrexed 500 mg/mq every 3 weeks until disease progression or unacceptable toxicities. Analysing the histologic subgroups we observed 1 (5.9%) complete response, partial response in 5 patients (29.4%), stable disease in 6 (35.3%), progression disease in 5 (29.4%) in adenocarcinoma group compared to 4 (50%) stable disease and 4 (50%) progression disease in squamous cell carcinoma group. Median progression free survival was 8 months (range 3-22) for adenocarcinoma patients and 4 months (range 2-6) for squamous cell patients. According to data of the literature, also our small retrospective study conducted on unselected patients confirms the difference of pemetrexed efficacy by histology type, with better results in patients with adenocarcinoma lung cancer. FAU - Pistillucci, Giorgio AU - Pistillucci G AD - UO Oncologia Medica, Ospedale Santa Maria Goretti, Latina. g.pistillucci@panservice.it FAU - Sciacca, Venerina AU - Sciacca V FAU - Ciorra, Alida AU - Ciorra A FAU - Di Palma, Teresa AU - Di Palma T FAU - Calabretta, Francesca AU - Calabretta F FAU - Lugini, Antonio AU - Lugini A FAU - Rossi, Rosalinda AU - Rossi R FAU - D'Aprile, Modesto AU - D'Aprile M FAU - Veltri, Enzo AU - Veltri E LA - ita PT - Comparative Study PT - English Abstract PT - Journal Article TT - Monoterapia con pemetrexed in pazienti pretrattati affetti da carcinoma polmonare non a piccole cellule in fase avanzata: impatto dell'istologia. Nostra esperienza. PL - Italy TA - Recenti Prog Med JT - Recenti progressi in medicina JID - 0401271 RN - 0 (Antineoplastic Agents) RN - 0 (Glutamates) RN - 04Q9AIZ7NO (Pemetrexed) RN - 5Z93L87A1R (Guanine) SB - IM MH - Adenocarcinoma/drug therapy MH - Adult MH - Aged MH - Antineoplastic Agents/*therapeutic use MH - Carcinoma, Non-Small-Cell Lung/*drug therapy/mortality/pathology MH - Carcinoma, Squamous Cell/drug therapy MH - Disease-Free Survival MH - Female MH - Follow-Up Studies MH - Glutamates/*therapeutic use MH - Guanine/*analogs & derivatives/therapeutic use MH - Humans MH - Lung Neoplasms/*drug therapy/mortality/pathology MH - Male MH - Middle Aged MH - Neoplasm Staging MH - Pemetrexed MH - Retrospective Studies MH - Treatment Outcome EDAT- 2012/03/21 06:00 MHDA- 2012/05/12 06:00 CRDT- 2012/03/21 06:00 PHST- 2012/03/21 06:00 [entrez] PHST- 2012/03/21 06:00 [pubmed] PHST- 2012/05/12 06:00 [medline] AID - 10.1701/1045.11387 [doi] PST - ppublish SO - Recenti Prog Med. 2012 Feb;103(2):62-5. doi: 10.1701/1045.11387.