Dasatinib, a multikinase inhibitor: therapy, safety, and appropriate management of adverse events.

Abstract:

:Tyrosine kinase inhibitors are the standard of care for the treatment of chronic myeloid leukemia or Philadelphia chromosome-positive acute lymphoblastic leukemia. Dasatinib is a second-generation tyrosine kinase inhibitor that has been shown to be efficacious in treatment of patients with chronic myeloid leukemia or Philadelphia chromosome-positive acute lymphoblastic leukemia who are resistant or intolerant to frontline imatinib. In clinical trials of dasatinib, the adverse events that arise during therapy are mostly mild to moderate in severity and are usually reversible and manageable with appropriate intervention. Cytopenias can be treated with dose modification or interruption. Pleural effusions can be effectively managed with prompt delivery of supportive care and dose modification. Patients at risk of cardiac abnormalities or bleeding-related events require careful monitoring. Pharmacokinetic analysis of dasatinib indicates interactions with a number of other agents and a complete treatment history should be taken before initiating therapy because mitigating drug-drug interactions are critical for patient safety.

journal_name

Ther Drug Monit

authors

Shayani S

doi

10.1097/FTD.0b013e3181f4d9c5

subject

Has Abstract

pub_date

2010-12-01 00:00:00

pages

680-7

issue

6

eissn

0163-4356

issn

1536-3694

journal_volume

32

pub_type

杂志文章,评审
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    doi:10.1097/00007691-198804000-00013

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    authors: Gal P,Ransom JL,Weaver RL,Schall S,Wyble LE,Carlos RQ,Brown Y

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    journal_title:Therapeutic drug monitoring

    pub_type: 临床试验,杂志文章,随机对照试验

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    journal_title:Therapeutic drug monitoring

    pub_type: 杂志文章

    doi:

    authors: Höglund P,Nilsson LG

    更新日期:1989-09-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1097/00007691-199202000-00009

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    更新日期:1992-02-01 00:00:00

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    pub_type: 临床试验,杂志文章

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    authors: Mihara K,Otani K,Yasui N,Ishida M,Kondo T,Suzuki A,Furukori H,Nagashima U,Kaneko S,Inoue Y

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  • Pharmacokinetic drug interaction potential of risperidone with cytochrome p450 isozymes as assessed by the dextromethorphan, the caffeine, and the mephenytoin test.

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    authors: Eap CB,Bondolfi G,Zullino D,Bryois C,Fuciec M,Savary L,Jonzier-Perey M,Baumann P

    更新日期:2001-06-01 00:00:00

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    pub_type: 杂志文章,评审

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    journal_title:Therapeutic drug monitoring

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    journal_title:Therapeutic drug monitoring

    pub_type: 杂志文章

    doi:10.1097/00007691-199105000-00011

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  • Comparison of particle-enhanced turbidimetric inhibition immunoassay and fluorescence polarization immunoassay using monoclonal antibodies for theophylline.

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  • Roxithromycin-induced toxic epidermal necrolysis.

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  • Interaction of tricyclic antidepressants with cholestyramine in vitro.

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    journal_title:Therapeutic drug monitoring

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    doi:10.1097/00007691-199208000-00014

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    更新日期:1992-08-01 00:00:00

  • Pharmacokinetics of cocaine and metabolites in human oral fluid and correlation with plasma concentrations after controlled administration.

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    doi:10.1097/FTD.0000000000000820

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    doi:10.1097/00007691-199706000-00009

    authors: Lensmeyer GL,Gidal BE,Wiebe DA

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    pub_type: 杂志文章

    doi:10.1097/00007691-198409000-00019

    authors: Bridges RR,Jennison TA

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    doi:10.1097/00007691-200412000-00011

    authors: Keevil BG,Newman S,Lockhart S,Howard SJ,Moore CB,Denning DW

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