Therapeutic drug monitoring in cancer chemotherapy

Dylan M. Bach, Joely A. Straseski, William Clarke

Research output: Contribution to journalReview articlepeer-review

Abstract

For a select number of drugs, proper management of patients includes monitoring serum or plasma concentrations of the drugs and adjusting the doses accordingly - this practice is referred to as therapeutic drug monitoring (TDM). The need for TDM arises when pharmacokinetic variability of drugs is not easily accounted for by common clinical parameters. Many chemotherapeutic drugs have large interindividual variability, yet TDM is not commonplace in chemotherapy management. This review will discuss pharmacokinetics in the context of chemotherapeutic drugs, examine the few instances where TDM is currently used in the field of oncology and propose other drugs where TDM might be useful for dose adjustments in the management of chemotherapy.

Original languageEnglish (US)
Pages (from-to)863-879
Number of pages17
JournalBioanalysis
Volume2
Issue number5
DOIs
StatePublished - May 1 2010

ASJC Scopus subject areas

  • Analytical Chemistry
  • Pharmacology, Toxicology and Pharmaceutics(all)
  • Clinical Biochemistry
  • Medical Laboratory Technology

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