Study of Clinical Pharmacokinetics in Oncology Diseases

A special issue of Pharmaceutics (ISSN 1999-4923). This special issue belongs to the section "Pharmacokinetics and Pharmacodynamics".

Deadline for manuscript submissions: closed (20 October 2022) | Viewed by 3021

Special Issue Editors


E-Mail Website
Chief Guest Editor
Department of Clinical and Experimental Medicine School of Medicine, University of Pisa, Via Roma 55, 56126 Pisa, Italy
Interests: cancer cell biology; mechanisms of cancer cell death; cancer stem cells; drug resistance; tumor microenvironment; microbiome and cancer; pharmacology; pharmacokinetics of antineoplastic drugs
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 55, 56126 Pisa, Italy
Interests: pharmacokinetics; pharmacometrics; antibacterial drugs; intensive care units; therapeutic drug monitoring
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Anticancer drugs have different pharmacokinetic profiles depending on their chemical structures and on the schedules used in clinical practice. Furthermore, antineoplastic agents may significantly interact with drugs that are used to treat co-morbidities in oncological patients. Therefore, the pharmacokinetics of anticancer drugs should be adequately described and investigated by the scientific literature in order to avoid severe adverse drug reactions and to maintain plasma drug concentrations within the therapeutic range. It is worth noting that the alteration of pharmacokinetic parameters may determine a therapeutic failure and a pharmacokinetic-based resistance to the treatment, reducing the survival of cancer patients and worsening quality of life. Relationships between systemic exposure to anticancer drugs, for example, those described by the area under the concentration–time curve, and both toxicity and response have been described for various classes of drugs. However, the relationship between pharmacokinetic parameters and the response rate is usually neglected for many anticancer drugs, and this may be related to the lack of studies describing this particular but fundamental aspect of anticancer pharmacology. The scientific community should prioritize the active therapeutic drug monitoring of anticancer drugs in order to rationalize the administration of these compounds. This is even more urgent in the paediatric field.

With this Special Issue, we hope to encourage submissions that discuss the current state-of-the-art, address ongoing knowledge gaps, and focus on ongoing controversies related to clinical pharmacokinetics in oncology diseases. 

Prof. Dr. Guido Bocci
Prof. Dr. Antonello Di Paolo
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Pharmaceutics is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • antineoplastic drugs
  • pharmacokinetics
  • interindividual variability
  • efficacy
  • toxicity
  • therapeutic drug monitoring

Benefits of Publishing in a Special Issue

  • Ease of navigation: Grouping papers by topic helps scholars navigate broad scope journals more efficiently.
  • Greater discoverability: Special Issues support the reach and impact of scientific research. Articles in Special Issues are more discoverable and cited more frequently.
  • Expansion of research network: Special Issues facilitate connections among authors, fostering scientific collaborations.
  • External promotion: Articles in Special Issues are often promoted through the journal's social media, increasing their visibility.
  • e-Book format: Special Issues with more than 10 articles can be published as dedicated e-books, ensuring wide and rapid dissemination.

Further information on MDPI's Special Issue polices can be found here.

Published Papers (1 paper)

Order results
Result details
Select all
Export citation of selected articles as:

Research

19 pages, 4354 KiB  
Article
A Physiologically-Based Pharmacokinetic Model of Ruxolitinib and Posaconazole to Predict CYP3A4-Mediated Drug–Drug Interaction Frequently Observed in Graft versus Host Disease Patients
by Bettina Gerner, Fatemeh Aghai-Trommeschlaeger, Sabrina Kraus, Götz Ulrich Grigoleit, Sebastian Zimmermann, Max Kurlbaum, Hartwig Klinker, Nora Isberner and Oliver Scherf-Clavel
Pharmaceutics 2022, 14(12), 2556; https://doi.org/10.3390/pharmaceutics14122556 - 22 Nov 2022
Cited by 3 | Viewed by 2413
Abstract
Ruxolitinib (RUX) is approved for the treatment of steroid-refractory acute and chronic graft versus host disease (GvHD). It is predominantly metabolized via cytochrome P450 (CYP) 3A4. As patients with GvHD have an increased risk of invasive fungal infections, RUX is frequently combined with [...] Read more.
Ruxolitinib (RUX) is approved for the treatment of steroid-refractory acute and chronic graft versus host disease (GvHD). It is predominantly metabolized via cytochrome P450 (CYP) 3A4. As patients with GvHD have an increased risk of invasive fungal infections, RUX is frequently combined with posaconazole (POS), a strong CYP3A4 inhibitor. Knowledge of RUX exposure under concomitant POS treatment is scarce and recommendations on dose modifications are inconsistent. A physiologically based pharmacokinetic (PBPK) model was developed to investigate the drug–drug interaction (DDI) between POS and RUX. The predicted RUX exposure was compared to observed concentrations in patients with GvHD in the clinical routine. PBPK models for RUX and POS were independently set up using PK-Sim® Version 11. Plasma concentration-time profiles were described successfully and all predicted area under the curve (AUC) values were within 2-fold of the observed values. The increase in RUX exposure was predicted with a DDI ratio of 1.21 (Cmax) and 1.59 (AUC). Standard dosing in patients with GvHD led to higher RUX exposure than expected, suggesting further dose reduction if combined with POS. The developed model can serve as a starting point for further simulations of the implemented DDI and can be extended to further perpetrators of CYP-mediated PK-DDIs or disease-specific physiological changes. Full article
(This article belongs to the Special Issue Study of Clinical Pharmacokinetics in Oncology Diseases)
Show Figures

Graphical abstract

Back to TopTop