Article
Pre-treatment serum total bilirubin level as an indicator of optimal CPT-11 dosage.
Cancer chemotherapy and pharmacology - 1 Feb 2015
Makihara Katsuya, Azuma Sayaka, Kawato Nobuyuki, Ueno Hiroyuki, Nakata Izumi
Abstract excerpt
BACKGROUND: Irinotecan (CPT-11), a highly effective chemotherapeutic agent, can cause severe neutropenia and diarrhea. The area under the curve of plasma levels over time of SN-38, an active metabolite of CPT-11, was previously reported to correlate with the pre-treatment serum total bilirubin level (PTB). However, there are no established criteria for selecting CPT-11 dose on the basis of PTB. Therefore, we...
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