Eli Lilly and Company — Alimta EMA EPAR variation assessment report (EMEA/H/C/000564, 2004)
Eli Lilly and Company · 2004 · EMA EPAR variation assessment report · company profile →
Report summary
This report summarizes a variation application for Alimta (pemetrexed) to broaden its maintenance treatment indication for non-small cell lung cancer (NSCLC) to all patients post-first-line platinum-based chemotherapy. The application is based on the Phase III PARAMOUNT study, which compared pemetrexed plus best supportive care to placebo in NSCLC patients who had not progressed after pemetrexed and cisplatin induction. The study's primary endpoint was Progression-Free Survival (PFS), with Overall Survival (OS) and Objective Response Rate (RR) as secondary endpoints. Efficacy data includes investigator and independently assessed PFS, tumor response rates, and preliminary OS. Safety data covers deaths during induction, dose modifications, serious adverse events, and identifies pulmonary embolism as a new adverse drug reaction.
Key findings — cited to the page
| Marketing Authorisation (MA) grant date | 20 September 2004 | Alimta · EU · p.3 |
| Randomisation ratio | 2:1 | PARAMOUNT (H3E-EW-S124) · p.8 |
| Number of randomised patients | 539 | PARAMOUNT (H3E-EW-S124) · p.12 |
| Median Progression-Free Survival (months) | 4.11 months | PARAMOUNT (H3E-EW-S124) · p.12 |
| Median Progression-Free Survival (months) for placebo arm | 2.83 months | PARAMOUNT (H3E-EW-S124) · p.12 |
| Progression-Free Survival Hazard Ratio | 0.62 | PARAMOUNT (H3E-EW-S124) · p.12 |
| Progression-Free Survival p-value | 0.00006 | PARAMOUNT (H3E-EW-S124) · p.12 |
| Median Overall Survival (months) | 13.86 months | PARAMOUNT (H3E-EW-S124) · p.14 |
| Median Overall Survival (months) for placebo arm | 11.10 months | PARAMOUNT (H3E-EW-S124) · p.14 |
| Overall Survival Hazard Ratio | 0.78 | PARAMOUNT (H3E-EW-S124) · p.14 |
| Overall Survival p-value | 0.0343 | PARAMOUNT (H3E-EW-S124) · p.14 |
| Objective Response Rate (CR + PR) | 4.2 % | PARAMOUNT (H3E-EW-S124) · p.14 |
Source: Eli Lilly and Company ↗ · License: EMA - reuse permitted with acknowledgement. Summary and findings are extracted from the published document; every figure cites its page. Informational only — not investment advice. Explore the Oncology library →