Birner Ann
Dartmouth-Hitchcock Medical Center (DHMC), Lebanon, NH, USA.
Clin J Oncol Nurs. 2003 Nov-Dec;7(6 Suppl):11-9. doi: 10.1188/03.CJON.S6.11-19.
The abundance of orally formulated chemotherapy agents reflects the expanding role of oral chemotherapy in the care of patients with cancer. Many oral chemotherapy agents have been used for a number of years, and several have been developed recently. Newer agents include the prodrugs capecitabine and temozolomide, the retinoid bexarotene, the immunomodulatory agent thalidomide, the protein kinase inhibitor imatinib, and the epidermal growth factor receptor inhibitors gefitinib and erlotinib. Each agent has unique pharmacologic properties, dosing, and side-effect profiles. This article reviews these agents from a pharmacology perspective.
口服化疗药物的丰富多样反映出口服化疗在癌症患者治疗中所发挥的作用日益扩大。许多口服化疗药物已应用多年,且近期又研发出了几种。新型药物包括前体药物卡培他滨和替莫唑胺、类视黄醇贝沙罗汀、免疫调节剂沙利度胺、蛋白激酶抑制剂伊马替尼以及表皮生长因子受体抑制剂吉非替尼和厄洛替尼。每种药物都有独特的药理特性、给药方式和副作用特点。本文从药理学角度对这些药物进行综述。