Proposal for dosage adjustment and timing of chemotherapy in hemodialyzed patients

被引:119
作者
Janus, N. [1 ]
Thariat, J. [2 ]
Boulanger, H. [3 ]
Deray, G. [1 ]
Launay-Vacher, V. [1 ]
机构
[1] Hop La Pitie Salpetriere, Dept Nephrol, ICAR, F-75013 Paris, France
[2] Univ Nice Sophia Antipolis, Ctr Antoine Lacassagne, Dept Radiat Oncol, Nice, France
[3] Clin Estree, Dept Nephrol & Dialysis, Stains, France
关键词
cytotoxic drugs; dosing recommendations; hemodialysis; pharmacokinetics; LOW-DOSE METHOTREXATE; CHRONIC-RENAL-FAILURE; METASTATIC COLORECTAL-CANCER; ADVANCED OVARIAN-CANCER; MAGNETIC-RESONANCE-SPECTROSCOPY; HIGH-FLUX HEMODIALYSIS; CELL LUNG-CANCER; PHARMACOKINETIC ANALYSIS; COMBINATION CHEMOTHERAPY; CLINICAL PHARMACOKINETICS;
D O I
10.1093/annonc/mdp598
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Methods: We reviewed the international literature on the pharmacokinetics, efficacy, tolerance and dosage adjustment of cytotoxic drugs used to treat solid tumor patients and when available, specific literature on HD cancer patients. Results: From these data, dosing recommendations are given for the most prescribed cytotoxic drugs in clinical practice. Conclusions: Dosage adjustments are often necessary in HD cancer patients. These adaptations have to be carefully carried out to optimize drug exposure, ensure efficacy and reduce the risk of side-effects.
引用
收藏
页码:1395 / 1403
页数:9
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