在接受延迟释放片的血液恶性病患者中影响血清波萨可纳度的因素
Takaaki Yamada1,2, Tassadit Belabbas3, Kimitaka Suetsugu1
1Department of Pharmacy, Kyushu University Hospital, Higashi-ku, Fukuoka, Japan.
Therapeutic drug monitoring
|April 22, 2024
概括
在血液癌症患者中,由于高体重,低蛋白或腹等因素,可纳 (PCZ) 剂量不足是常见的. 对于这些患者,建议对PCZ延迟释放片进行治疗药物监测.
科学领域:
- 药理动力学 药理动力学
- 药理学 药理学是指药理学的学科.
- 在瘤学瘤学.
背景情况:
- 波萨可纳 (PCZ) 在血液恶性瘤中对侵入性真菌感染至关重要.
- 患者特异性因素影响延迟释放片 (DRT) 的PCZ度.
- 了解这些因素对于优化PCZ治疗至关重要.
研究的目的:
- 评估影响血液恶性瘤患者PCZ度的因素.
- 评估这些因素对目标实现概率 (PTA) 的影响.
- 探索PCZ暴露和肝毒性之间的关系.
主要方法:
- 对接受PCZ DRT的患有血液性恶性瘤的成年患者进行了回顾性研究.
- 使用28名患者130个度的人口药理动力学 (PPK) 模型的开发.
- 用于PTA评估和与肝毒性相关的模拟分析.
主要成果:
- 体重,血清总蛋白和腹显著影响PCZ度.
- 腹降低了PTA高达26%;低蛋白质水平也降低了PTA.
- 肝毒性发生在17.4%的患者中,与PCZ度没有显著相关性.
结论:
- 诸如高体重,低蛋白血症和腹等因素导致血液恶性瘤患者PCZ暴露不足.
- 对于患有这些风险因素的患者,标准PCZ剂量可能不足.
- 建议对PCZ DRT进行治疗药物监测,特别是对于有风险的患者.
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