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哌柏西利和瑞博西尼治疗乳腺癌:合并用药管理共识研讨会

Palbociclib and ribociclib in breast cancer: consensus workshop on the management of concomitant medication.

作者信息

Bellet Meritxell, Ahmad Faten, Villanueva Rafael, Valdivia Carolina, Palomino-Doza Julián, Ruiz Ada, Gonzàlez Xavier, Adrover Encarna, Azaro Analía, Valls-Margarit Maria, Parra Josep Lluís, Aguilar Juan, Vidal Maria, Martín Anastasi, Gavilá Joaquín, Escrivá-de-Romaní Santiago, Perelló Antonia, Hernando Cristina, Lahuerta Ainhara, Zamora Pilar, Reyes Victoria, Alcalde María, Masanas Helena, Céliz Pamela, Ruíz Isabel, Gil Miguel, Seguí Miguel Àngel, de la Peña Lorena

机构信息

Vall d'Hebron University Hospital and Vall d'Hebron Institute of Oncology, Passeig Vall d'Hebron 119-129, Barcelona, Spain.

Vall d'Hebron Research Institute, Vall d'Hebron University Hospital, Barcelona, Spain.

出版信息

Ther Adv Med Oncol. 2019 May 10;11:1758835919833867. doi: 10.1177/1758835919833867. eCollection 2019.

Abstract

Drug-drug interactions are of significant concern in clinical practice in oncology, particularly in patients receiving Cyclin-dependent kinase (CDK) 4/6 inhibitors, which are typically exposed to long-term regimens. This article presents the highlights from the 'First Workshop on Pharmacology and Management of CDK4/6 Inhibitors: Consensus about Concomitant Medications'. The article is structured into two modules. The educational module includes background information regarding drug metabolism, corrected QT (QTc) interval abnormalities, management of psychotropic drugs and a comprehensive review of selected adverse effects of palbociclib and ribociclib. The collaborative module presents the conclusions of the five working groups, each of which comprised five experts from different fields. From these conclusions positive lists of drugs for treating common comorbid conditions that can be safely administered concomitantly with palbociclib and/or ribociclib were developed.

摘要

药物相互作用在肿瘤学临床实践中备受关注,尤其是在接受细胞周期蛋白依赖性激酶(CDK)4/6抑制剂治疗的患者中,这些患者通常需长期用药。本文介绍了“CDK4/6抑制剂药理与管理首次研讨会:关于合并用药的共识”的要点。文章分为两个模块。教育模块包括有关药物代谢、校正QT(QTc)间期异常、精神药物管理的背景信息,以及对帕博西尼和瑞博西尼特定不良反应的全面综述。协作模块展示了五个工作组的结论,每个工作组由来自不同领域的五名专家组成。根据这些结论,制定了可与帕博西尼和/或瑞博西尼安全联用的治疗常见合并症的药物正面清单。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cdb/6535716/2eb64219a5eb/10.1177_1758835919833867-fig1.jpg

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