2020
DOI: 10.1007/s00216-020-02545-4
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Towards point of care systems for the therapeutic drug monitoring of imatinib

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Cited by 11 publications
(9 citation statements)
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“…Many studies have highlighted the clinical benefit of TDM for the first tyrosine kinase inhibitor—imatinib [ 19 , 20 , 21 ]. Like many other TKIs, imatinib exhibits large interpatient pharmacokinetic variability with more than ten-fold differences in drug plasma concentration, which sometimes results in therapeutic failures [ 22 , 23 ]. This variation has been linked to multiple genetic factors but may also be influenced by other physiological and environmental factors, such as drug–drug/food interactions and patient adherence [ 24 ].…”
Section: Introductionmentioning
confidence: 99%
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“…Many studies have highlighted the clinical benefit of TDM for the first tyrosine kinase inhibitor—imatinib [ 19 , 20 , 21 ]. Like many other TKIs, imatinib exhibits large interpatient pharmacokinetic variability with more than ten-fold differences in drug plasma concentration, which sometimes results in therapeutic failures [ 22 , 23 ]. This variation has been linked to multiple genetic factors but may also be influenced by other physiological and environmental factors, such as drug–drug/food interactions and patient adherence [ 24 ].…”
Section: Introductionmentioning
confidence: 99%
“…Clinical data have also shown that the plasma concentration of imatinib is directly linked to therapeutic success; for example, in the case of chronic myeloid leukemia, the concentration needs to be higher than 1000 ng·mL −1 , while for GISTs, the minimum concentration is 1100 ng·mL −1 . Current literature data recommend that the therapeutic dose should not exceed 3000 ng·mL −1 ; however, a systematic analysis of available patient data, where side effects were reported, appears to suggest that a much lower value (closer to 1500 ng·mL −1 ) should be used [ 22 ].…”
Section: Introductionmentioning
confidence: 99%
“…Imatinib drug was approved in anticancer therapy in 2001 [11] and is used to treat certain types of cancer such as chronic myeloid leukaemia [12]. Monitoring of a content of Imatinib in biological samples as blood, plasma or urine is a crucial and essential issue in terms of appropriate selection of a drug dosage, avoiding overdosing, increasing its biological effects and minimising its toxicity.…”
Section: Introductionmentioning
confidence: 99%
“…while a frequent/near-continuous measurement remains a challenging task in the clinical practice, so far confined to laboratory and at prototype level, with the exclusion of rare exceptions such as the detection of glucose in diabetic patients. The advent of personalised medicine has shown the importance, if not the compelling need, to tailor the right therapeutic strategy for the right person at the right time, and therapeutic drug monitoring (TDM) with POCT devices is becoming more and more important in many pathologies, very often associated to the need of frequent/ near-continuous measurement of the analyte of interest [4][5][6].…”
Section: Introductionmentioning
confidence: 99%