Article
Dose-finding and pharmacokinetic study to optimize the dosing of irinotecan according to the UGT1A1 genotype of patients with cancer.
Journal of clinical oncology : official journal of the American Society of Clinical Oncology - 1 Aug 2014
Innocenti Federico, Schilsky Richard L, Ramírez Jacqueline, Janisch Linda, Undevia Samir, House Larry K, Das Soma, Wu Kehua, Turcich Michelle, Marsh Robert, Karrison Theodore, Maitland Michael L, Salgia Ravi, Ratain Mark J
Abstract excerpt
PURPOSE: The risk of severe neutropenia from treatment with irinotecan is related in part to UGT1A1*28, a variant that reduces the elimination of SN-38, the active metabolite of irinotecan. We aimed to identify the maximum-tolerated dose (MTD) and dose-limiting toxicity (DLT) of irinotecan in patients with advanced solid tumors stratified by the *1/*1, *1/*28, and *28/*28 genotypes. PATIENTS AND METHODS:...
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