Parsad S, Ratain M J
University of Chicago Medicine, Chicago, Illinois, USA.
University of Chicago, Chicago, Illinois, USA.
Clin Pharmacol Ther. 2017 May;101(5):606-612. doi: 10.1002/cpt.610. Epub 2017 Mar 20.
Oral antineoplastic agents provide convenience to the patient, but are accompanied by challenges distinct from parenteral cancer treatment. Challenges include a more complex pharmacokinetic profile, with food influencing the absorption of many agents. Standards for evaluating and labeling prandial implications on oral chemotherapy are inconsistent; studies to determine food effects should be conducted early, and potentially often, during drug development with standardization on how rational fasting or fed recommendations are presented in the package insert (PI).
口服抗肿瘤药物为患者提供了便利,但也伴随着与肠胃外癌症治疗不同的挑战。挑战包括更复杂的药代动力学特征,食物会影响许多药物的吸收。评估和标注口服化疗的餐食影响的标准并不一致;在药物研发过程中,应尽早且可能经常进行确定食物影响的研究,并对如何在药品说明书(PI)中合理呈现禁食或进食建议进行标准化。