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Therapeutic Drug Monitoring in Oncology: International Association of Therapeutic Drug Monitoring and Clinical Toxicology Recommendations for 5-Fluorouracil Therapy

  • Jan H. Beumer*
  • , Edward Chu
  • , Carmen Allegra
  • , Yusuke Tanigawara
  • , Gerard Milano
  • , Robert Diasio
  • , Tae Won Kim
  • , Ron H. Mathijssen
  • , Li Zhang
  • , Dirk Arnold
  • , Katsuki Muneoka
  • , Narikazu Boku
  • , Markus Joerger
  • *Corresponding author for this work
  • University of Pittsburgh Cancer Institute
  • University of Pittsburgh
  • University of Pittsburgh School of Medicine
  • University of Florida
  • Keio University School of Medicine
  • Centre Antoine Lacassagne
  • Mayo Clinic Rochester, MN
  • Mayo Clinic College of Medicine and Science
  • University of Ulsan College of Medicine
  • Sun Yat-Sen University
  • Asklepios Klinik St. Georg
  • Niitsu Medical Center Hospital
  • National Cancer Center Japan
  • Cantonal Hospital St. Gallen

Research output: Contribution to journalArticleAcademicpeer-review

114 Citations (Scopus)

Abstract

5-Fluorouracil (5-FU) is dosed by body surface area, a practice unable to reduce the interindividual variability in exposure. Endorsed by the International Association of Therapeutic Drug Monitoring and Clinical Toxicology (IATDMCT), we evaluated clinical evidence and strongly recommend TDM for the management of 5-FU therapy in patients with colorectal or head-and-neck cancer receiving common 5-FU regimens. Our systematic methodology provides a framework to evaluate published evidence in support of TDM recommendations in oncology.

Original languageEnglish
Pages (from-to)598-613
Number of pages16
JournalClinical Pharmacology & Therapeutics
Volume105
Issue number3
DOIs
Publication statusPublished - Mar 2019

Bibliographical note

Funding Information:
Supported in part by grant P30-CA47904 from the National Cancer Institute, National Institutes of Health (NCI-NIH). The content of this position paper and its main conclusions was presented to, and endorsed by, the Therapeutic Drug Monitoring (TDM) in Oncology Scientific Committee of the International Association of Therapeutic Drug Monitoring and Clinical Toxicology (IATDMCT) at the 15th annual meeting in Kyoto, Japan, 2017, and the main conclusions were presented at the IATDMCT 2017 annual meeting. We thank Dr. Salvatore Salamone and Dr. William Clarke for valuable contributions and insights provided to the TDM in Oncology Scientific Committee and to our 5-FU working group. This working group was charged by the TDM in Oncology Scientific Committee of the IATDMCT.

Funding Information:
Supported in part by grant P30-CA47904 from the National Cancer Institute, National Institutes of Health (NCI-NIH).

Publisher Copyright:
© 2018 American Society for Clinical Pharmacology and Therapeutics

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Research programs

  • EMC MM-03-86-08

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