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卢比卡丁诱导的血小板减少症:体表面积的作用。

Lurbinectedin-induced thrombocytopenia: the role of body surface area.

机构信息

Committee on Clinical Pharmacology and Pharmacogenomics, The University of Chicago, 5841 S. Maryland Ave., MC 2115, Chicago, IL, 60637, USA.

Section of Hematology/Oncology, Department of Medicine, The University of Chicago, Chicago, IL, USA.

出版信息

Cancer Chemother Pharmacol. 2022 May;89(5):573-575. doi: 10.1007/s00280-022-04422-6. Epub 2022 Apr 1.

Abstract

Lurbinectedin is an alkylating agent approved for the second-line treatment of small cell lung cancer. Although initial studies showed no association between body surface area (BSA) and drug clearance, the recommended dose is 3.2 mg/m every 3 weeks. This recommendation was based on an exposure-response study, which demonstrated that patients with lower BSA had a higher incidence of thrombocytopenia. Herein we present the factors associated with BSA and thrombopoiesis, which may have contributed to the observed relationship.

摘要

鲁比卡丁是一种烷化剂,被批准用于小细胞肺癌的二线治疗。尽管最初的研究表明,体表面积(BSA)与药物清除率之间没有关联,但推荐剂量为每 3 周 3.2 毫克/平方米。这一推荐是基于一项暴露-反应研究得出的,该研究表明 BSA 较低的患者血小板减少症的发生率更高。在此,我们介绍了与 BSA 和血小板生成相关的因素,这些因素可能导致了观察到的关系。

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本文引用的文献

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Integrated exposure-response analysis of efficacy and safety of lurbinectedin to support the dose regimen in small-cell lung cancer.
Cancer Chemother Pharmacol. 2022 May;89(5):585-594. doi: 10.1007/s00280-021-04366-3. Epub 2021 Nov 5.
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Estrogens as regulator of hematopoietic stem cell, immune cells and bone biology.
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