Optimization of cancer chemotherapy on the basis of pharmacokinetics and pharmacodynamics: from patients enrolled in clinical trials to those in the 'real world'.
@article{Fujita2014OptimizationOC, title={Optimization of cancer chemotherapy on the basis of pharmacokinetics and pharmacodynamics: from patients enrolled in clinical trials to those in the 'real world'.}, author={Ken-Ichi Fujita and Yasutsuna Sasaki}, journal={Drug metabolism and pharmacokinetics}, year={2014}, volume={29 1}, pages={ 20-8 } }
Cytotoxic anticancer drugs are the most challenging therapeutic agents among all medicines with relatively narrow efficacy profiles. Therefore, medical oncologists have to practically manage the risk of severe toxic effects to optimize treatment outcomes. Dose and treatment-schedule recommendations for cytotoxic anticancer agents are determined on the basis of clinical trials. Patients enrolled in clinical trials are those likely to receive the drug in clinical practice, excluding those with…
11 Citations
Strategies for Incorporating Pharmacokinetic Studies into Oncology Phase I Trials
- Biology, Medicine
- 2020
This chapter discusses PK concepts specific to clinical drug development of oncology drugs, application of PK in specific situations and drug interactions, and practical issues in designing PK studies in Phase I trials.
Phase I Oncology Drug Development
- Biology, Medicine
- 2020
This chapter reviews the critical steps enabling the early phase clinical development from the perspective of a pharmaceutical drug developer.
Coadministration of cytotoxic chemotherapeutic agents with irinotecan is a risk factor for irinotecan-induced cholinergic syndrome in Japanese patients with cancer
- Medicine, BiologyInternational Journal of Clinical Oncology
- 2018
The incidence rate of irinotecan-induced cholinergic syndrome increased concomitantly with the addition of cytotoxic chemotherapeutic agents administered.
Status and Challenges of Plant-Anticancer Compounds in Cancer Treatment
- BiologyPharmaceuticals
- 2021
Although more research is still necessary to develop more efficient and safe phytochemical drugs, more of these compounds might be used in future cancer therapies, as some strategies to face the limitations have been considered.
Efficacy of tyrosine kinase inhibitors in non-small-cell lung cancer patients undergoing dose reduction and those with a low body surface area.
- Medicine, BiologyMolecular and clinical oncology
- 2014
To confirm the equal efficacy of TKIs in patients undergoing a dose reduction, prospective observational studies with less patient heterogeneity are required.
Efficacy of first-line erlotinib in non-small cell lung cancer patients undergoing dose reduction and those with a low body surface area: A population-based observational study by the Ibaraki Thoracic Integrative (POSITIVE) Research Group.
- Medicine, BiologyMolecular and clinical oncology
- 2016
Dose-reduction estimation studies for TKIs may be crucial, particularly for patients with a low BSA, and confirmation of these results in population-based retrospective ones investigating the incidence of dose reduction in patients with AEs and those withLow BSA may be required for the efficient use of erlotinib in common clinical practice.
Compliance of Patients with Locally Advanced Colorectal Cancer to Chemotherapy Using FOLFOX compared to XELOX Regimen
- Medicine
- 2016
Introduction. Adjuvant chemotherapy become the treatment of choice in advance colorectal cancer to prevent recurrence. Studies showed that FOLFOX and XELOX regimen has been proven to increase overall…
Moringa oleifera and their phytonanoparticles: Potential antiproliferative agents against cancer.
- BiologyBiomedicine & pharmacotherapy = Biomedecine & pharmacotherapie
- 2018
Pazopanib interacts with irinotecan by inhibiting UGT1A1-mediated glucuronidation, but not OATP1B1-mediated hepatic uptake, of an active metabolite SN-38
- Biology, ChemistryCancer Chemotherapy and Pharmacology
- 2019
Investigation of the potential for pazopanib to inhibit UDP-glucuronosyltransferase (UGT)1A1 and organic anion-transporting polypeptide (OATP)1B1, which are involved in detoxification and hepatic uptake of SN-38, showed that the drug–drug interaction is at least partially mediated by inhibition of UGT1A 1.
PERS&O (PERsistent Sitagliptin treatment & Outcomes): observational retrospective study on cardiovascular risk evolution in patients with type 2 diabetes on persistent sitagliptin treatment
- MedicineBMJ Open Diabetes Research and Care
- 2016
These ‘real-world’ data obtained applying UKPDS RE may reflect patients’ and clinicians’ interest in realizing individual CV risk, and its evolution, when applied to patients on persistent sitagliptin treatment.
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