Unraveling the complexity of therapeutic drug monitoring for monoclonal antibody therapies to individualize dose in oncology.

作者: Etienne Chatelut , Dirk Jan A. R. Moes , Jennifer Martin , Jeroen J. M. A. Hendrikx , Joseph Ciccolini

DOI: 10.1002/PRP2.757

关键词:

摘要: Monoclonal antibodies (Mabs) have become key drugs in cancer treatment, either as targeted therapies or more recently immune checkpoint inhibitors (ICIs). The fact that only some patients benefit from these poses the usual question field of onco-hematology: individual dosing and potential therapeutic drug monitoring (TDM) to carry out this individualization. However, Mabs present unique pharmacological characteristics for TDM, pharmacokinetic-pharmacodynamic relationship observed should be interpreted differently than conventional small molecules. This pharmacology practice review has been summarized a public debate between authors at International TDM Clinical Toxicology meeting Banff, 2020, regarding roles Mab/ICI setting.

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