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pemetrexed + docetaxel is a combination chemotherapy regimen investigated by the University of Arizona in a Phase I dose-escalation trial for patients with advanced solid tumors. Pemetrexed (Alimta) is a multi-targeted antifolate that inhibits thymidylate synthase (TS), dihydrofolate reductase (DHFR), and glycinamide ribonucleotide formyltransferase (GARFT), thereby disrupting the synthesis of purines and pyrimidines required for DNA and RNA replication. Docetaxel (Taxotere) is a taxane that binds to and stabilizes microtubules, preventing their depolymerization and leading to cell cycle arrest in the G2/M phase and subsequent apoptosis. The combination was studied on a biweekly dosing schedule in various cancers, including breast, esophageal, gastric, head and neck, non-small cell lung, ovarian, and prostate cancers.
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