Title |
Third-space fluid distribution of pemetrexed in non-small cell lung cancer patients
|
---|---|
Published in |
Cancer Chemotherapy and Pharmacology, June 2014
|
DOI | 10.1007/s00280-014-2485-x |
Pubmed ID | |
Authors |
Per Hartvig Honoré, Sigrid Jóhansdóttir Joensen, Michelle Olsen, Steen Honoré Hansen, Anders Mellemgaard |
Abstract |
Hydrophilic drugs particularly those with low plasma protein binding may accumulate in third-space fluid in the body. Cytotoxic drugs like methotrexate (MTX) cause damage in the tissue, and evacuation of the third-space fluid in pleura is strongly recommended before new dosing. Pemetrexed (PEM) is a multi-targeted antifolate similar to MTX approved for the treatment for malignant pleural mesothelioma and non-small cell lung cancer. Current recommendations for patients receiving treatment with PEM prescribe draining of the pleural fluid. This is based upon the recommendations for MTX and not directly to any specific findings relating to PEM. The recommendations are the same because PEM is an analogue of MTX; the molecular structures and pharmacokinetic parameters are similar. However, since draining the pleural fluid is painful and cancer patient are particularly susceptible to infection subsequently, it is relevant to examine the recommendations for PEM explicitly. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 4 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 2 | 50% |
Practitioners (doctors, other healthcare professionals) | 1 | 25% |
Scientists | 1 | 25% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Netherlands | 1 | 7% |
Unknown | 13 | 93% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Ph. D. Student | 5 | 36% |
Student > Doctoral Student | 2 | 14% |
Student > Postgraduate | 1 | 7% |
Student > Bachelor | 1 | 7% |
Unknown | 5 | 36% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 7 | 50% |
Pharmacology, Toxicology and Pharmaceutical Science | 2 | 14% |
Sports and Recreations | 1 | 7% |
Unknown | 4 | 29% |