Download PDF File Mesothelioma Chemotherapy Algorithm . Key. Wherever possible, eligible patients should be offered access to treatment as part of clinical trials. No. OR. Mesothelioma Chemotherapy Algorithm.
Mesothelioma Chemotherapy Algorithm
Key
Mesothelioma diagnosis
Funded via PCTs May be applied for via Cancer Drugs Fund
Suitable for surgery
Yes No
Patient Discussion inc palliative care
PSO-2
No
Palliative care/ Symptom control
Yes
Surgery
Early symptomatic and/or radiological progression
Pemetrexed Platinum up to 6 cycles
OR
Vinorelbine or Gemcitabine
Relapse
PS >2 PS 0-2
Chemotherapy regimen detail
Relapse < 6 months
Relapse > 6 months
Palliative Care/ Symptom Control
Vinorelbine or Gemcitabine
Relapse PS 0-2
Pemetrexed Platinum rechallenge
Wherever possible, eligible patients should be offered access to treatment as part of clinical trials