Evidence map›Paper›PMID 32662214›Full record

ReviewPharmacology research & perspectives2020

Nuances to precision dosing strategies of targeted cancer medicines.

Ashley M Hopkins, Bradley D Menz, Michael D Wiese, Ganessan Kichenadasse, Howard Gurney, Ross A McKinnon, Andrew Rowland, Michael J Sorich

Abstract readReview
In one paragraph

Review in Pharmacology research & perspectives, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Virtual twin for healthcare management.Frontiers in digital health · 2023
    Article
  4. Article
  5. Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ashley M HopkinsCollege of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.ORCID 0000-0001-7652-4378
Bradley D MenzDivision of Pharmacy, Southern Adelaide Local Health Network, Flinders Medical Centre, Adelaide, South Australia, Australia.ORCID 0000-0002-0855-5081
Michael D WieseSchool of Pharmacy and Medical Sciences, University of South Australia, Adelaide, South Australia, Australia.
Ganessan KichenadasseCollege of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.ORCID 0000-0001-9923-5149
Howard GurneyDepartment of Medical Oncology, Westmead Hospital, Sydney, New South Wales, Australia.ORCID 0000-0003-0217-5261
Ross A McKinnonCollege of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.ORCID 0000-0002-3725-793X
Andrew RowlandCollege of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.
Michael J SorichCollege of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.ORCID 0000-0003-1999-866X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Selecting the dose of a targeted cancer medicine that is most appropriate for a specific individual is a rational approach to maximize therapeutic outcomes and minimize toxicity. There are many different options for optimizing the dose of targeted cancer medicines and the purpose of this review is to provide a comprehensive comparison of the main options explored in prospective studies. Precision initial dose selection of targeted cancer therapies has been minimally explored to date; however, concentration, toxicity, and therapeutic outcome markers are used to guide on-therapy dose adaption of targeted cancer therapies across several medicines and cancers. While a specific concentration, toxicity, or therapeutic outcome marker commonly dominates an investigated precision on-therapy dose adaption strategy, greater attention to simultaneously account for exposure, toxicity, therapeutic outcomes, disease status, time since treatment initiation and patient preferences are required for optimal patient outcomes. To enable successful implementation of precision dosing strategies for targeted cancer medicines into clinical practice, future prospective studies aiming to develop strategies should consider these elements in their design.

Indexed as

Molecular Targeted TherapyAntineoplastic AgentsDose-Response Relationship, DrugHumansNeoplasmsPrecision MedicineTreatment OutcomeAntineoplastic Agentsinitial dose selectionon-therapy dose adaptationprecision dosingprospective studiestargeted cancer medicines

Identifiers

PMID32662214
PMCPMC7358594

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.