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LABELS · 3af0bc84-13d6-46aa-a4c0-c62410b73bc6

Alimta

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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
2023-05-19
Captured
2026-09-09T23:37:44.904352+00:00
Current indication reconciliation
Not reconciled

Indications and usage: exact source text

  1. 1 INDICATIONS AND USAGE ALIMTA ® 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 EGFR or 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: ALIMTA 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) ALIMTA ® 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 EGFR or 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: ALIMTA is not indicated for the treatment of patients with squamous cell, non-small cell lung cancer [see Clinical Studies ( 14.1 )]. 1.2 Mesothelioma ALIMTA 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. NDA021462
boxed warning exact
    brand names
    1. Alimta
    current indication status
    not_reconciled
    dailymed set url
    https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f5a860f3-37ec-429c-ae04-9c88d7c55c08
    generic names
    1. PEMETREXED DISODIUM
    id
    3af0bc84-13d6-46aa-a4c0-c62410b73bc6
    indications and usage exact
    1. 1 INDICATIONS AND USAGE ALIMTA ® 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 EGFR or 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: ALIMTA 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) ALIMTA ® 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 EGFR or 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: ALIMTA is not indicated for the treatment of patients with squamous cell, non-small cell lung cancer [see Clinical Studies ( 14.1 )]. 1.2 Mesothelioma ALIMTA 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. Eli Lilly and Company
      matched search terms
      1. cancer
      2. tumor
      3. malignant
      package ndcs
      1. 0002-7640-01
      2. 0002-7623-01
      product ndcs
      1. 0002-7623
      2. 0002-7640
      product types
      1. HUMAN PRESCRIPTION DRUG
      recent major changes exact
        record type
        complete_spl_indications_section_candidate
        routes
        1. INTRAVENOUS
        rxcuis
        1. 1728072
        2. 1728075
        3. 1728077
        4. 1728079
        source batch
        file
        /private/tmp/cancer-full-research/indications/raw/labels-00200.json
        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
        results
        limit
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        skip
        200
        total
        830
        sha256
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        url
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        source url
        https://api.fda.gov/drug/label.json?search=id%3A%223af0bc84-13d6-46aa-a4c0-c62410b73bc6%22
        spl effective date
        2023-05-19
        spl effective time
        20230519
        spl set id
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        spl version
        59
        substance names
        1. PEMETREXED DISODIUM HEPTAHYDRATE
        uniis
        1. 9T47E4OM16
        verification flags
        1. oncology_keyword_candidate_not_clinically_classified
        2. spl_text_not_verified_identical_to_latest_approved_label
        3. individual_indications_not_split_or_reconciled
        Drugs@FDA application source records
        1. application number
          NDA021462
          payload
          all indexed label documents
          1. Appl No
            021462
            Application Docs Date
            2004-08-19 00:00:00
            Application Docs ID
            15527
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            1
            Submission Type
            SUPPL
          2. Appl No
            021462
            Application Docs Date
            2006-08-04 00:00:00
            Application Docs ID
            15528
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            4
            Submission Type
            SUPPL
          3. Appl No
            021462
            Application Docs Date
            2007-09-11 00:00:00
            Application Docs ID
            15529
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            12
            Submission Type
            SUPPL
          4. Appl No
            021462
            Application Docs Date
            2009-07-09 00:00:00
            Application Docs ID
            15530
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            18
            Submission Type
            SUPPL
          5. Appl No
            021462
            Application Docs Date
            2011-11-25 00:00:00
            Application Docs ID
            15531
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            32
            Submission Type
            SUPPL
          6. Appl No
            021462
            Application Docs Date
            2012-10-17 00:00:00
            Application Docs ID
            15532
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            39
            Submission Type
            SUPPL
          7. Appl No
            021462
            Application Docs Date
            2012-06-05 00:00:00
            Application Docs ID
            15533
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            40
            Submission Type
            SUPPL
          8. Appl No
            021462
            Application Docs Date
            2013-09-17 00:00:00
            Application Docs ID
            15534
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            45
            Submission Type
            SUPPL
          9. Appl No
            021462
            Application Docs Date
            2004-02-05 00:00:00
            Application Docs ID
            36996
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            1
            Submission Type
            ORIG
          10. Appl No
            021462
            Application Docs Date
            2007-02-21 00:00:00
            Application Docs ID
            36997
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            6
            Submission Type
            SUPPL
          11. Appl No
            021462
            Application Docs Date
            2008-09-26 00:00:00
            Application Docs ID
            36998
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            15
            Submission Type
            SUPPL
          12. Appl No
            021462
            Application Docs Date
            2009-07-06 00:00:00
            Application Docs ID
            36999
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            21
            Submission Type
            SUPPL
          all submission records
          1. Appl No
            021462
            Review Priority
            STANDARD
            Submission Class Code ID
            2
            Submission No
            55
            Submission Status
            AP
            Submission Status Date
            2022-08-31 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          2. Appl No
            021462
            Review Priority
            STANDARD
            Submission Class Code ID
            2
            Submission No
            53
            Submission Status
            AP
            Submission Status Date
            2019-01-30 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          3. Appl No
            021462
            Review Priority
            STANDARD
            Submission Class Code ID
            3
            Submission No
            52
            Submission Status
            AP
            Submission Status Date
            2018-04-17 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          4. Appl No
            021462
            Review Priority
            STANDARD
            Submission Class Code ID
            2
            Submission No
            51
            Submission Status
            AP
            Submission Status Date
            2018-06-04 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          5. Appl No
            021462
            Review Priority
            STANDARD
            Submission Class Code ID
            3
            Submission No
            50
            Submission Status
            AP
            Submission Status Date
            2017-10-11 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          6. Appl No
            021462
            Review Priority
            PRIORITY
            Submission Class Code ID
            4
            Submission No
            49
            Submission Status
            AP
            Submission Status Date
            2016-01-08 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          7. Appl No
            021462
            Review Priority
            PRIORITY
            Submission Class Code ID
            4
            Submission No
            47
            Submission Status
            AP
            Submission Status Date
            2014-08-11 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          8. Appl No
            021462
            Review Priority
            STANDARD
            Submission Class Code ID
            3
            Submission No
            45
            Submission Status
            AP
            Submission Status Date
            2013-09-12 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          9. Appl No
            021462
            Review Priority
            STANDARD
            Submission Class Code ID
            3
            Submission No
            43
            Submission Status
            AP
            Submission Status Date
            2012-11-09 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          10. Appl No
            021462
            Review Priority
            PRIORITY
            Submission Class Code ID
            4
            Submission No
            42
            Submission Status
            AP
            Submission Status Date
            2013-01-18 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          11. Appl No
            021462
            Review Priority
            PRIORITY
            Submission Class Code ID
            4
            Submission No
            41
            Submission Status
            AP
            Submission Status Date
            2013-03-13 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          12. Appl No
            021462
            Review Priority
            STANDARD
            Submission Class Code ID
            3
            Submission No
            40
            Submission Status
            AP
            Submission Status Date
            2012-06-04 00:00:00
            Submission Type
            SUPPL
            Submissions Public Notes
          application number
          NDA021462
          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
          2022-08-31
          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
            021462
            Application Docs Date
            2022-09-01 00:00:00
            Application Docs ID
            71992
            Application Docs Title
            0
            Application Docs Type ID
            2
            Submission No
            55
            Submission Type
            SUPPL
          official application record
          Appl No
          021462
          Appl Public Notes
          Appl Type
          NDA
          Sponsor Name
          LILLY
          openfda application present
          true
          products
          1. Active Ingredient
            PEMETREXED DISODIUM
            Appl No
            021462
            Drug Name
            ALIMTA
            Form
            POWDER;INTRAVENOUS
            Product No
            001
            Reference Drug
            1
            Reference Standard
            1
            Strength
            EQ 500MG BASE/VIAL
            marketing status
            1. Prescription
          2. Active Ingredient
            PEMETREXED DISODIUM
            Appl No
            021462
            Drug Name
            ALIMTA
            Form
            POWDER;INTRAVENOUS
            Product No
            002
            Reference Drug
            1
            Reference Standard
            1
            Strength
            EQ 100MG BASE/VIAL
            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. NDA021462
        brand names
        1. Alimta
        classification reasons
        1. explicit_positive_indication_predicate
        2. tumor_or_malignant_hematology_words_in_positive_statement
        clinical review status
        pending
        content role
        positive_indication_candidate
        context span
        end
        493
        end exclusive
        true
        exact text
        1 INDICATIONS AND USAGE ALIMTA ® 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 EGFR or 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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        duplicate text group
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        extraction review status
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        generic names
        1. PEMETREXED DISODIUM
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        label id
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        exact text
        is a folate analog metabolic inhibitor indicated
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        qualifier mentions
        1. context exact
          1 INDICATIONS AND USAGE ALIMTA ® is a folate analog metabolic inhibitor indicated: in combination with pembrolizumab and platinum chemotherapy, for the ini
          kind
          biomarker
          polarity
          not_inferred
          span
          end
          95
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          true
          exact text
          metabolic inhibitor indicated: in combinati
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        2. context exact
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          kind
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          not_inferred
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        3. context exact
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        4. context exact
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          metastatic non-squamous non-small cell lung c
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        5. context exact
          ALIMTA ® 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 EGFR or ALK genomic tumor aberrations.
          kind
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          exact text
          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 EGFR or
          label id
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        regulatory links
          schema version
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          source batch sha256
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          source defined aliases
          1. abbreviation
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            definition exact
            non-small cell lung cancer
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            end exclusive
            true
            exact text
            non-small cell lung cancer (NSCLC)
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          1 INDICATIONS AND USAGE ALIMTA ® 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 EGFR or ALK genomic tumor aberrations.
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          source url
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          spl effective date
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          spl set id
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          spl version
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          structured fields status
          not_extracted_no_values_inferred_from_mentions
          structured indication
          age
          Source null
          approval pathway
          Source null
          biomarker and test
          Source null
          disease stage
          Source null
          limitations
          Source null
          line
          Source null
          prior therapy
          Source null
          regimen
          Source null
          tumor histology
          Source null
          use intent
          tumor_directed_candidate
          Passage 2 · unclassified context
          application numbers
          1. NDA021462
          brand names
          1. Alimta
          classification reasons
          1. no_unambiguous_positive_indication_predicate
          clinical review status
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          ion with pembrolizumab and platinum chemotherapy, for the initial treatment of patients with metastatic non-squamous non-small cell lung cancer (NSCLC), with no EGFR or 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