Contribution of modelling chemotherapy-induced hematological toxicity for clinical practice

Crit Rev Oncol Hematol. 2007 Jul;63(1):1-11. doi: 10.1016/j.critrevonc.2007.01.005. Epub 2007 Apr 5.

Abstract

Anticancer chemotherapies are responsible for numerous adverse events. Among these, hematological toxicity is one of the main causes for ending treatment. These toxicities decrease production of red blood cells (anemia), production of white blood cells (neutropenia or granulocytopenia), and production of platelets (thrombocytopenia), which may be life-threatening to the patient. Preventing such discontinuation would be valuable for treating patients more effectively. In order to achieve this goal, numerous mathematical and physiological or semiphysiological models have been developed. The complexity of models has increased over the years, from empiric E(max) models to mechanistic models including physiological mechanisms such as feedback control. This review discusses several approaches of modelling hematological toxicities illustrated with some examples: pharmacodynamic models for the hematological toxicity of 5-fluorouracil, epirubicin, melphalan, paclitaxel, topotecan, and indisulam.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Antineoplastic Agents / adverse effects*
  • Dose-Response Relationship, Drug
  • Drug Administration Schedule
  • Humans
  • Models, Biological*
  • Models, Statistical*
  • Neutropenia / chemically induced*
  • Thrombocytopenia / chemically induced*

Substances

  • Antineoplastic Agents