Tackling Oncologic Emergencies in Patients Treated with High-Dose Methotrexate

December 17, 2025

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Overview:

High-dose methotrexate (HDMTX) is a fundamental treatment for certain cancers but is often complicated by acute kidney injury and delayed drug clearance, resulting in increased toxicity and poorer outcomes. Clinicians frequently encounter difficulties in identifying at-risk patients, understanding methotrexate pharmacokinetics, and implementing evidence-based interventions like leucovorin and glucarpidase to prevent and manage associated oncologic emergencies.

This live virtual webcast will feature a panel of three expert faculty discussing the recognition, prevention, and management of these oncologic emergencies. The initiative includes guideline-focused discussions and integrates clinical decision tools, such as MTXPK, to support improved detection and management of HDMTX toxicities. Participants will be instructed on applying guideline-based recommendations for managing oncologic emergencies in patients with delayed methotrexate clearance after HDMTX administration.

Learning Objectives:

Upon completion of this activity, learners will be better able to:

  • Determine supportive care requirements for patients with cancer receiving treatment with high-dose methotrexate (HDMTX)
  • Integrate online clinical support tools such as MTXPK to aid identification of delayed methotrexate clearance
  • Apply guideline-based recommendations to manage oncologic emergencies in patients with delayed methotrexate clearance following HDMTX administration