氨酸激酶抑制剂在癌症中:治疗优化 - - 第二部分
Florent Ferrer1, Pauline Tetu2, Léa Dousset3
1Department of Pharmacology, Clermont-Ferrand University Hospital, Clermont-Ferrand, France; SMARTc Unit, CRCM Inserm U1068, Aix Marseille Univ and APHM, Marseille, France; Service de Pharmacologie, Département de Biologie et Pathologie médicales, Gustave Roussy, Villejuif 94805, France.
Critical reviews in oncology/hematology
|May 29, 2024
概括
管理口服氨酸激酶抑制剂 (TKI) 需要了解诸如坚持和饮食等因素. 通过治疗药物监测,个性化剂量可以提高癌症治疗的有效性并减少不良事件.
科学领域:
- 药理学和瘤学 药理学和瘤学
- 临床药房 临床药房
背景情况:
- 现实世界癌症患者群体比临床试验队伍具有更大的异质性.
- 癌症患者的并发症和共用药物往往会导致严重的不良反应,影响生活质量和治疗疗效.
- 口服氨酸激酶抑制剂 (TKI) 通常使用均剂量,增加由于副作用和个体间变异性导致不良粘附的风险.
研究的目的:
- 审查粘附性,食物摄入量和药物形式对口服TKI药理动学的影响.
- 评估用于优化TKI管理的药理学考虑因素.
- 介绍所选技术知识项的度-有效性和度-毒性数据,并提出治疗药物监测方案,用于个性化剂量.
主要方法:
- 文献综述侧重于影响口服TKI药理动力学的因素.
- 对度-有效性和度-毒性关系的分析.
- 开发一个治疗药物监测 (TDM) 框架.
主要成果:
- 坚持,食物摄入量和药物形式显著影响口服TKI的药理动力学.
- TKI暴露的个体间变异性受遗传,生理,饮食和药物相互作用因素的影响.
- 个性化患者管理策略对于优化TKI治疗至关重要.
结论:
- 了解药物动力学变异性是改善异质患者群体口服TKI管理的关键.
- 治疗药物监测可以促进个性化剂量,提高治疗结果和减轻毒性.
- 对TKI治疗的个性化方法对于最大限度地提高疗效和患者生活质量至关重要.
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