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LABELS · 21155bd2-118e-4ce6-adb8-dddc69ae34c7

Pemetrexed

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Preserved label snapshot, not confirmation of a current approved indication. Approval/withdrawal status must be checked for the exact disease, setting and regimen.

Label effective date
2022-12-01
Captured
2026-09-09T23:37:42.544548+00:00
Current indication reconciliation
Not reconciled

Indications and usage: exact source text

  1. 1 INDICATIONS AND USAGE Pemetrexed 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 epidermal growth factor receptor (EGFR) or anaplastic lymphoma kinase (ALK) genomic tumor aberrations. ( 1.1 ) in combination with cisplatin for the initial treatment of patients with locally advanced or metastatic, non-squamous NSCLC. ( 1.1 ) as a single agent for the maintenance treatment of patients with locally advanced or metastatic, non-squamous NSCLC whose disease has not progressed after four cycles of platinum-based first-line chemotherapy. ( 1.1 ) as a single agent for the treatment of patients with recurrent, metastatic non-squamous, NSCLC after prior chemotherapy. ( 1.1 ) Limitations of Use: Pemetrexed Injection is not indicated for the treatment of patients with squamous cell, non-small cell lung cancer. ( 1.1 ) initial treatment, in combination with cisplatin, of patients with malignant pleural mesothelioma whose disease is unresectable or who are otherwise not candidates for curative surgery. (1.2) 1.1 Non-Squamous Non-Small Cell Lung Cancer (NSCLC) Pemetrexed Injection is 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 epidermal growth factor receptor (EGFR) or anaplastic lymphoma kinase (ALK) genomic tumor aberrations. in combination with cisplatin for the initial treatment of patients with locally advanced or metastatic, non- squamous NSCLC. as a single agent for the maintenance treatment of patients with locally advanced or metastatic, non-squamous NSCLC whose disease has not progressed after four cycles of platinum-based first-line chemotherapy. as a single agent for the treatment of patients with recurrent, metastatic non-squamous, NSCLC after prior chemotherapy. Limitations of Use: Pemetrexed Injection is not indicated for the treatment of patients with squamous cell, non-small cell lung cancer [see Clinical Studies ( 14.1 )] . 1.2 Mesothelioma Pemetrexed Injection is indicated, in combination with cisplatin, for the initial treatment of patients with malignant pleural mesothelioma whose disease is unresectable or who are otherwise not candidates for curative surgery.
Full extracted label fields
application numbers
  1. NDA208419
boxed warning exact
    brand names
    1. Pemetrexed
    current indication status
    not_reconciled
    dailymed set url
    https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=8b660f68-b770-4e0a-b2f9-25e663deecc3
    generic names
    1. PEMETREXED
    id
    21155bd2-118e-4ce6-adb8-dddc69ae34c7
    indications and usage exact
    1. 1 INDICATIONS AND USAGE Pemetrexed 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 epidermal growth factor receptor (EGFR) or anaplastic lymphoma kinase (ALK) genomic tumor aberrations. ( 1.1 ) in combination with cisplatin for the initial treatment of patients with locally advanced or metastatic, non-squamous NSCLC. ( 1.1 ) as a single agent for the maintenance treatment of patients with locally advanced or metastatic, non-squamous NSCLC whose disease has not progressed after four cycles of platinum-based first-line chemotherapy. ( 1.1 ) as a single agent for the treatment of patients with recurrent, metastatic non-squamous, NSCLC after prior chemotherapy. ( 1.1 ) Limitations of Use: Pemetrexed Injection is not indicated for the treatment of patients with squamous cell, non-small cell lung cancer. ( 1.1 ) initial treatment, in combination with cisplatin, of patients with malignant pleural mesothelioma whose disease is unresectable or who are otherwise not candidates for curative surgery. (1.2) 1.1 Non-Squamous Non-Small Cell Lung Cancer (NSCLC) Pemetrexed Injection is 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 epidermal growth factor receptor (EGFR) or anaplastic lymphoma kinase (ALK) genomic tumor aberrations. in combination with cisplatin for the initial treatment of patients with locally advanced or metastatic, non- squamous NSCLC. as a single agent for the maintenance treatment of patients with locally advanced or metastatic, non-squamous NSCLC whose disease has not progressed after four cycles of platinum-based first-line chemotherapy. as a single agent for the treatment of patients with recurrent, metastatic non-squamous, NSCLC after prior chemotherapy. Limitations of Use: Pemetrexed Injection is not indicated for the treatment of patients with squamous cell, non-small cell lung cancer [see Clinical Studies ( 14.1 )] . 1.2 Mesothelioma Pemetrexed Injection is indicated, in combination with cisplatin, for the initial treatment of patients with malignant pleural mesothelioma whose disease is unresectable or who are otherwise not candidates for curative surgery.
    indications and usage tables exact
      is original packager
      1. true
      manufacturer names
      1. Teva Pharmaceuticals, Inc.
      matched search terms
      1. cancer
      2. lymphoma
      3. tumor
      4. malignant
      package ndcs
      1. 0480-4516-01
      2. 0480-4514-01
      3. 0480-4515-01
      product ndcs
      1. 0480-4514
      2. 0480-4516
      3. 0480-4515
      product types
      1. HUMAN PRESCRIPTION DRUG
      recent major changes exact
      1. RECENT MAJOR CHANGES Indications and Usage ( 1.1 ) 11/2022 Indications and Usage ( 1.2 ) 11/2022 Dosage and Administration ( 2.1 , 2.2 , 2.6 ) 11/2022 Warnings and precautions ( 5.1 , 5.2 ) 11/2022 Indications and Usage ( 1.1 ) 11/2022 Indications and Usage ( 1.2 ) 11/2022 Dosage and Administration ( 2.1 , 2.2 , 2.6 ) 11/2022 Warnings and precautions ( 5.1 , 5.2 ) 11/2022
      record type
      complete_spl_indications_section_candidate
      routes
      1. INTRAVENOUS
      rxcuis
      1. 2602363
      2. 2602365
      3. 2602366
      source batch
      file
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      meta
      disclaimer
      Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. We may limit or otherwise restrict your access to the API in line with our Terms of Service.
      last updated
      2026-09-09
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      limit
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      skip
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      sha256
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      url
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      source url
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      spl effective date
      2022-12-01
      spl effective time
      20221201
      spl set id
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      spl version
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      substance names
      1. PEMETREXED MONOHYDRATE
      uniis
      1. 236Y2F7D9J
      verification flags
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      Drugs@FDA application source records
      1. application number
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        payload
        all indexed label documents
        1. Appl No
          208419
          Application Docs Date
          2022-11-23 00:00:00
          Application Docs ID
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          Application Docs Type ID
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          Submission No
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          Submission Type
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        2. Appl No
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          Application Docs Date
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          Submission No
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        3. Appl No
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          Application Docs Date
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          Submission No
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        4. Appl No
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          Application Docs Date
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          Application Docs ID
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          Application Docs Title
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          Application Docs Type ID
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          Submission No
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          Submission Type
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        all submission records
        1. Appl No
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          Review Priority
          STANDARD
          Submission Class Code ID
          9
          Submission No
          1
          Submission Status
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          Submission Status Date
          2020-08-21 00:00:00
          Submission Type
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          Submissions Public Notes
        2. Appl No
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          Review Priority
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          Submission Class Code ID
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          Submission No
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          Submission Status Date
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          Submissions Public Notes
        3. Appl No
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          Review Priority
          STANDARD
          Submission Class Code ID
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          Submission No
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          Submission Status
          AP
          Submission Status Date
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          Submission Type
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          Submissions Public Notes
        4. Appl No
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          Review Priority
          STANDARD
          Submission Class Code ID
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          Submission No
          4
          Submission Status
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          Submission Status Date
          2022-11-22 00:00:00
          Submission Type
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          Submissions Public Notes
        application number
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        approval interpretation
        Application linkage and approved submission are not indication-level current approval verification
        current indication status
        not_reconciled
        has approved submission record
        true
        latest approved submission date
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        latest label selection rule
        max FDA ApplicationDocsDate, including all ties; posting date is not approval date and latest indexed document may be incomplete
        latest posted label documents
        1. Appl No
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          Application Docs Date
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          Application Docs ID
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          Application Docs Title
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          Application Docs Type ID
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          Submission No
          1
          Submission Type
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        official application record
        Appl No
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        Appl Public Notes
        Appl Type
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        Sponsor Name
        ACTAVIS
        openfda application present
        true
        products
        1. Active Ingredient
          PEMETREXED
          Appl No
          208419
          Drug Name
          PEMETREXED
          Form
          SOLUTION;INTRAVENOUS
          Product No
          001
          Reference Drug
          1
          Reference Standard
          1
          Strength
          100MG/4ML (25MG/ML)
          marketing status
          1. Prescription
        2. Active Ingredient
          PEMETREXED
          Appl No
          208419
          Drug Name
          PEMETREXED
          Form
          SOLUTION;INTRAVENOUS
          Product No
          002
          Reference Drug
          1
          Reference Standard
          1
          Strength
          500MG/20ML (25MG/ML)
          marketing status
          1. Prescription
        3. Active Ingredient
          PEMETREXED
          Appl No
          208419
          Drug Name
          PEMETREXED
          Form
          SOLUTION;INTRAVENOUS
          Product No
          003
          Reference Drug
          1
          Reference Standard
          1
          Strength
          1GM/40ML (25MG/ML)
          marketing status
          1. Prescription

      Source passages and status connections

      Passage classifications are automated and are not treatment recommendations. Connections apply only to their recorded indication scope.

      Passage 1 · positive indication candidate
      application numbers
      1. NDA208419
      brand names
      1. Pemetrexed
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      clinical review status
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      1 INDICATIONS AND USAGE Pemetrexed 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 epidermal growth factor receptor (EGFR) or anaplastic lymphoma kinase (ALK) genomic tumor aberrations. ( 1.1 ) in combination with cisplatin for the initial treatment of patients with locally advanced or metastatic, non-squamous NSCLC. ( 1.1 ) as a single agent for the maintenance treatment of patient
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      is a folate analog metabolic inhibitor indicated
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      1. context exact
        DICATIONS AND USAGE Pemetrexed Injection is a folate analog metabolic inhibitor indicated: in combination with pembrolizumab and platinum chemotherapy, for the ini
        kind
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        EGFR) or anaplastic lymphoma kinase (ALK) ge
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      4. context exact
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      5. context exact
        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 epidermal growth factor receptor (EGFR) or anaplastic lymphoma kina
        kind
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        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 epiderm
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        1 INDICATIONS AND USAGE Pemetrexed 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 epidermal growth factor receptor (EGFR) or anaplastic lymphoma kinase (ALK) genomic tumor aberrations.
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        l treatment of patients with metastatic non-squamous non-small cell lung cancer (NSCLC), with no epidermal growth factor receptor (EGFR) or anaplastic lymphoma kinase (ALK) genomic tumor aberrations. ( 1.1 ) in combination with cisplatin for the initial treatment of patients with locally advanced or metastatic, non-squamous NSCLC. ( 1.1 ) as a single agent for the maintenance treatment of patients with l
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                                            Preserved source evidence · Not medical advice