Carboplatin Therapeutic Drug Monitoring in Intermittent Hemodialysis—A Case Report and Review of the Literature

IF 3.6 4区 医学 Q2 PHARMACOLOGY & PHARMACY Clinical therapeutics Pub Date : 2025-03-20 DOI:10.1016/j.clinthera.2025.02.007
Martin Christian Bucher MD , Daniel Andreas Bossard MD , Marco Bonani PD, MD , Michael Paul PhD , Christopher Geinitz PhD , Jérôme Bonzon MD
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Abstract

Purpose

We present the case of a 45-year-old female patient with hemodialysis-dependent renal failure due to FSGS who was diagnosed with FIGO IIIc ovarian cancer and treated with carboplatin/gemcitabine under hemodialysis.

Methods

A carboplatin dose of 200 mg/m2 was administered (target AUC 4.0 min*mg/mL). Hemodialysis was started 2 hours after carboplatin administration and continued over 4 hours, with an additional dialysis session the day after.

Findings

The measured AUC was 5.8 min*mg/mL.

Implications

A dose reduction to 250 mg resulted in an AUC of 2.3 min*mg/mL. This is the first case of an ovarian cancer treated with a high-dose scheme of carboplatin under hemodialysis.
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间歇性血液透析中的卡铂治疗药物监测--病例报告和文献综述。
目的:我们报告了一例45岁女性患者因FSGS导致的血液透析依赖性肾衰竭,她被诊断为FIGO IIIc型卵巢癌,并在血液透析下接受卡铂/吉西他滨治疗。方法:给予卡铂剂量200mg /m2(靶AUC 4.0 min*mg/mL)。卡铂给药后2小时开始血液透析,持续4小时以上,第二天再进行一次透析。结果:测得AUC为5.8 min*mg/mL。含义:剂量降低至250mg导致AUC为2.3 min*mg/mL。这是第一例在血液透析下使用高剂量卡铂治疗卵巢癌的病例。
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来源期刊
Clinical therapeutics
Clinical therapeutics 医学-药学
CiteScore
6.00
自引率
3.10%
发文量
154
审稿时长
9 weeks
期刊介绍: Clinical Therapeutics provides peer-reviewed, rapid publication of recent developments in drug and other therapies as well as in diagnostics, pharmacoeconomics, health policy, treatment outcomes, and innovations in drug and biologics research. In addition Clinical Therapeutics features updates on specific topics collated by expert Topic Editors. Clinical Therapeutics is read by a large international audience of scientists and clinicians in a variety of research, academic, and clinical practice settings. Articles are indexed by all major biomedical abstracting databases.
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