Raymond E, Faivre S, Coudray A M, Louvet C, Gespach C
Département de médecine, Institut Gustave-Roussy, 39, rue Camille-Desmoulins, 94805 Villejuif.
Bull Cancer. 2001 Aug;88 Spec No:S26-34.
Therapeutic innovation in oncology often requires the optimization of combinations with active drugs based on in vitro and in vivo data. This is exemplified by oxaliplatin for which several preclinical studies of combinations have been realized. Oxaliplatin has been combined with 5-fluoro-uracile, gemcitabine, topoisomerase I inhibitors, taxanes demonstrating synergy or additivity. Synergistic and additive effects are often due to the optimization in the use of distinct mechanism of action or resistance and might be associated with no overlapping toxicity when combined in clinical trials.
肿瘤治疗创新通常需要根据体外和体内数据优化与活性药物的联合使用。奥沙利铂就是一个例子,已经开展了多项关于其联合用药的临床前研究。奥沙利铂已与5-氟尿嘧啶、吉西他滨、拓扑异构酶I抑制剂、紫杉烷联合使用,显示出协同或相加作用。协同和相加作用通常归因于不同作用机制或耐药性使用的优化,并且在临床试验联合使用时可能与无重叠毒性相关。