优化口服小分子抑制剂的间歇剂量
1Department of Pharmacy, Fred Hutchinson Cancer Center, University of Washington, Seattle, WA, USA.
口服小分子抑制剂的最佳剂量指南是有限的. 这次系统性审查发现,没有足够的数据来个性化间歇性剂量策略,用于患有治疗毒性的患者.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
- 临床试验 临床试验
背景情况:
- 与传统化疗相比,口服小分子抑制剂需要不同的剂量策略.
- 针对毒性的个性化治疗需要明确的剂量指导方针.
研究的目的:
- 系统地审查有关口服小分子抑制剂间歇剂量的现有指导方针.
- 识别支持个性化剂量超越标准标签的数据.
主要方法:
- 对口服小分子抑制剂与间歇剂量的PubMed数据库的系统审查.
- 纳入/排除标准适用于55项试验.
- 提取了关于剂量策略,疗效和安全结果的数据.
主要成果:
- 大多数试验的重点是固体瘤,特别是细胞癌,而sunitinib经常被研究.
- 28项试验比较了不同的剂量策略,评估了疗效和安全性.
- 关于优化间歇剂量以满足特定患者需求的数据有限.
结论:
- 对于临床医生管理间歇剂量的口服小分子抑制剂而言,存在严重的指导缺乏.
- 需要进一步的研究来建立个性化剂量建议,以改善患者的治疗结果.
更多相关视频
09:39Drug-induced Sensitization of Adenylyl Cyclase: Assay Streamlining and Miniaturization for Small Molecule and siRNA Screening Applications
Published on: January 27, 2014
06:14Optimized LC-MS/MS Method for the High-throughput Analysis of Clinical Samples of Ivacaftor, Its Major Metabolites, and Lumacaftor in Biological Fluids of Cystic Fibrosis Patients
Published on: October 15, 2017
相关概念视频
Dosage Regimen: Fixed Dose
Fixed-dose regimens can be used for various routes of administration, including intravenous (IV) injections and oral medications. For IV administration, a predetermined amount of the drug is...
Rational Dosage Regimen: Maintenance Dose and Loading Dose
In most cases, drugs are administered repetitively or infused continuously to maintain a steady-state concentration in the body. At a steady...
Drug Dosage Regimen: Overview
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
Factors Affecting Dissolution: Particle Size and Effective Surface Area
Factors Affecting Drug Response: Overview
Renal Failure: Dose Adjustments
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
