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LABELS · b0e3847a-fdcf-405c-823c-180fa8dad9c2

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
2024-11-28
Captured
2026-09-09T23:37:58.719708+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 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: 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 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 : 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. NDA215179
boxed warning exact
    brand names
    1. Pemetrexed
    current indication status
    not_reconciled
    dailymed set url
    https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=fe432994-e61b-4a87-8c98-cc20b847d0fe
    generic names
    1. PEMETREXED DISODIUM
    id
    b0e3847a-fdcf-405c-823c-180fa8dad9c2
    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 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: 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 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 : 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. Shilpa Medicare Limited
      matched search terms
      1. cancer
      2. tumor
      3. malignant
      package ndcs
      1. 63759-3048-1
      2. 63759-3049-1
      3. 63759-3050-1
      product ndcs
      1. 63759-3048
      2. 63759-3049
      3. 63759-3050
      product types
      1. HUMAN PRESCRIPTION DRUG
      recent major changes exact
      1. RECENT MAJOR CHANGES Dosage and Administration, Preparation for Administration (2.7) 11/2024
      record type
      complete_spl_indications_section_candidate
      routes
      1. INTRAVENOUS
      rxcuis
      1. 2637958
      2. 2637966
      3. 2637968
      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
      results
      limit
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      skip
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      total
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      sha256
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      url
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      source url
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      spl effective date
      2024-11-28
      spl effective time
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      spl set id
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      spl version
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      substance names
      1. PEMETREXED DISODIUM HEMIPENTAHYDRATE
      uniis
      1. F4GSH45R4C
      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
        NDA215179
        payload
        all indexed label documents
        1. Appl No
          215179
          Application Docs Date
          2023-05-23 00:00:00
          Application Docs ID
          74356
          Application Docs Title
          0
          Application Docs Type ID
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          Submission No
          1
          Submission Type
          ORIG
        2. Appl No
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          Application Docs Date
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          Application Docs ID
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          Application Docs Title
          0
          Application Docs Type ID
          2
          Submission No
          2
          Submission Type
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        all submission records
        1. Appl No
          215179
          Review Priority
          STANDARD
          Submission Class Code ID
          15
          Submission No
          1
          Submission Status
          AP
          Submission Status Date
          2023-05-22 00:00:00
          Submission Type
          ORIG
          Submissions Public Notes
        2. Appl No
          215179
          Review Priority
          STANDARD
          Submission Class Code ID
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          Submission No
          2
          Submission Status
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          Submission Status Date
          2024-11-15 00:00:00
          Submission Type
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          Submissions Public Notes
        application number
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        approval interpretation
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        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
          215179
          Application Docs Date
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          Application Docs ID
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          Application Docs Title
          0
          Application Docs Type ID
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          Submission No
          2
          Submission Type
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        official application record
        Appl No
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        Appl Public Notes
        Appl Type
        NDA
        Sponsor Name
        SHILPA
        openfda application present
        true
        products
        1. Active Ingredient
          PEMETREXED DISODIUM
          Appl No
          215179
          Drug Name
          PEMETREXED
          Form
          SOLUTION;INTRAVENOUS
          Product No
          001
          Reference Drug
          1
          Reference Standard
          1
          Strength
          EQ 100MG/10ML BASE (10MG/ML)
          marketing status
          1. Prescription
        2. Active Ingredient
          PEMETREXED DISODIUM
          Appl No
          215179
          Drug Name
          PEMETREXED
          Form
          SOLUTION;INTRAVENOUS
          Product No
          002
          Reference Drug
          1
          Reference Standard
          1
          Strength
          EQ 500MG/50ML BASE (10MG/ML)
          marketing status
          1. Prescription
        3. Active Ingredient
          PEMETREXED DISODIUM
          Appl No
          215179
          Drug Name
          PEMETREXED
          Form
          SOLUTION;INTRAVENOUS
          Product No
          003
          Reference Drug
          1
          Reference Standard
          1
          Strength
          EQ 1GM/100ML BASE (10MG/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. NDA215179
      brand names
      1. Pemetrexed
      classification reasons
      1. explicit_positive_indication_predicate
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      clinical review status
      pending
      content role
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      true
      exact text
      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 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 wi
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      1. PEMETREXED DISODIUM
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      is a folate analog metabolic inhibitor indicated
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      qualifier mentions
      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
        biomarker
        polarity
        not_inferred
        span
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        107
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        true
        exact text
        metabolic inhibitor indicated: in combinati
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      2. context exact
        um chemotherapy, for the initial treatment of patients with metastatic non-squamous non-small cell lung cancer (NSCLC), with no EGFR or ALK genomic tumor aberratio
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        metastatic non-squamous non-small cell lung
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      3. context exact
        ic non-squamous non-small cell lung cancer (NSCLC), with no EGFR or ALK genomic tumor aberrations.
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        EGFR or ALK genomic tumor aberrations
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      4. context exact
        um 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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        metastatic non-squamous non-small cell lung c
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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 EGFR or ALK genomic tumor aberrations.
        kind
        regimen
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        end exclusive
        true
        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
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      regulatory links
        schema version
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        source batch sha256
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        source defined aliases
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          definition exact
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          non-small cell lung cancer (NSCLC)
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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 EGFR or ALK genomic tumor aberrations.
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        Source null
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        Source null
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        Source null
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        Passage 2 · unclassified context
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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 loc
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            th 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-li
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            is a folate analog metabolic inhibitor indicated
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            qualifier mentions
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                                            Preserved source evidence · Not medical advice