Publikation
Excel-Based Tool for Pharmacokinetically Guided Dose Adjustment of Paclitaxel.
Wissenschaftlicher Artikel/Review - 01.12.2015
Kraff Stefanie, Lindauer Andreas, Joerger Markus, Salamone Salvatore J, Jaehde Ulrich
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Neutropenia is a frequent and severe adverse event in patients receiving paclitaxel chemotherapy. The time above a paclitaxel threshold concentration of 0.05 μmol/L (Tc > 0.05 μmol/L) is a strong predictor for paclitaxel-associated neutropenia and has been proposed as a target pharmacokinetic (PK) parameter for paclitaxel therapeutic drug monitoring and dose adaptation. Up to now, individual Tc > 0.05 μmol/L values are estimated based on a published PK model of paclitaxel by using the software NONMEM. Because many clinicians are not familiar with the use of NONMEM, an Excel-based dosing tool was developed to allow calculation of paclitaxel Tc > 0.05 μmol/L and give clinicians an easy-to-use tool.