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Dose considerations for anti‐cancer drugs in metastatic prostate cancer
Author(s) -
Crumbaker Megan,
Gurney Howard
Publication year - 2017
Publication title -
the prostate
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.295
H-Index - 123
eISSN - 1097-0045
pISSN - 0270-4137
DOI - 10.1002/pros.23378
Subject(s) - cabazitaxel , medicine , enzalutamide , docetaxel , prostate cancer , abiraterone acetate , cancer , drug , oncology , toxicity , pharmacology , androgen deprivation therapy , androgen receptor
Despite a growing number of treatment options, metastatic castrate resistant prostate cancer remains almost universally fatal. Dose individualization ensures patients receive the maximal benefit from each line of treatment potentially leading to improved outcomes, a reduction in quality of life impairment and minimization of premature cessation for avoidable toxicity. Herein, we review drug‐specific issues that may be associated with unexpected or unrecognized variations in drug systemic exposure despite the use of protocol doses. In particular, we discuss the potential for under‐exposure of docetaxel and cabazitaxel; over‐exposure of enzalutamide; and varied absorption of abiraterone acetate.