The clinical pharmacology of alkylating agents in high-dose chemotherapy

Authors:
  • KSKaren Doesburg Smits
    Karen Doesburg Smits
  • RMRon Aa Mathôt
    Ron Aa Mathôt
  • JSJan Hm Schellens
    Jan Hm Schellens
  • SRSjoerd Rodenhuis
    Sjoerd Rodenhuis
  • JBJos H Beijnen
    Jos H Beijnen

Abstract
Alkylating agents are widely used in high-dose chemotherapy regimens in combination with hematological support. Knowledge about the pharmacokinetics and pharmacodynamics of these agents administered in high doses is critical for the safe and efficient use of these regimens. The aim of this review is to summarize the clinical pharmacology of the alkylating agents (including the platinum compounds) in high-dose chemotherapy. Differences between conventional and high doses will be discussed.

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