Ninomiya Kiichiro, Kunimasa Kei, Kurata Yasuko, Sato Yuki, Fujisaka Yasuhito, Ishikawa Hitoshi, Hotta Katsuyuki
Center for Comprehensive Genomic Medicine, Okayama University Hospital, Okayama, Japan.
Department of Thoracic Oncology, Osaka International Cancer Institute, Osaka, Japan.
Int J Clin Oncol. 2025 Jul;30(7):1287-1293. doi: 10.1007/s10147-025-02780-8. Epub 2025 Jun 4.
Cisplatin is currently used as the central agent in several cancer chemotherapy protocols because of its broad antitumor spectrum and potent antitumor effects; however, preventing cisplatin-induced renal damage and other adverse events is challenging. Recently, several clinical studies have shown that a short hydration method could prevent cisplatin-induced renal damage. In addition, appropriate magnesium supplementation and administration of forced diuretics have been shown to be renoprotective. The Japanese Lung Cancer Society Guidelines Committee has summarized the evidence of renal protection regarding cisplatin administration to provide optimal administration guidance for the cisplatin short hydration method.
顺铂因其广泛的抗肿瘤谱和强大的抗肿瘤作用,目前在多种癌症化疗方案中作为核心药物使用;然而,预防顺铂引起的肾损伤和其他不良事件具有挑战性。最近,多项临床研究表明,短程水化方法可预防顺铂引起的肾损伤。此外,适当补充镁和使用强制利尿剂已被证明具有肾脏保护作用。日本肺癌学会指南委员会总结了关于顺铂给药肾脏保护的证据,为顺铂短程水化方法提供最佳给药指导。