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High-throughput Fluorometric Measurement of Potential Soil Extracellular Enzyme Activities
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[Not Available].

Pauline Gerritsen-van Schieveen1, Anne Hulin2, Patrice Muret3

  • 1CHU Besançon, Laboratoire de Pharmacologie Clinique, Hôpital Jean Minjoz, Besançon, France.

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Summary
This summary is machine-generated.

Oral etoposide shows significant variability, impacting patient safety. Therapeutic drug monitoring is recommended to manage hematological toxicities by optimizing etoposide exposure levels.

Keywords:
level of evidenceniveau de preuveoral etoposideétoposide oral

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Area of Science:

  • Pharmacology
  • Clinical Pharmacy
  • Oncology

Context:

  • Oral etoposide exhibits substantial inter- and intra-patient variability in absorption and metabolism.
  • Hematological toxicities are a significant concern in etoposide treatment.
  • Current clinical practice lacks consistent monitoring of oral etoposide exposure.

Purpose:

  • To investigate the relationship between etoposide exposure and hematological toxicities.
  • To evaluate the utility of therapeutic drug monitoring for oral etoposide.
  • To determine the optimal exposure metric for managing toxicity.

Summary:

  • A strong correlation exists between hematological toxicities and etoposide exposure, with total etoposide area under the curve being the most relevant metric.
  • Linear pharmacokinetics and reduced variability in controlled studies support the feasibility of therapeutic drug monitoring.
  • Therapeutic drug monitoring for oral etoposide is considered recommended or potentially useful.

Impact:

  • Optimizing oral etoposide dosing through therapeutic drug monitoring can improve patient safety by minimizing hematological toxicities.
  • This approach can lead to more predictable treatment outcomes in patients receiving oral etoposide.
  • Further research utilizing a Bayesian approach is warranted to solidify the evidence base for therapeutic drug monitoring of oral etoposide.