Pharmacological bases of intraperitoneal chemotherapy

Bulletin du cancer
L GladieffG Ferron

Abstract

Intraperitoneal chemotherapy is a very attractive therapeutic alternative in the treatment of advanced ovarian carcinoma, due to its intraperitoneal spreading. Pharmacokinetic rational was described 30 years ago: a drug administered within the peritoneal cavity diffuse through the peritoneum towards the plasmatic compartment, depending on both its molecular weight and its lipid solubility. A slow output of the drug from the peritoneal cavity and a high plasma clearance are associated with a great pharmacokinetic advantage, illustrated by the area under the concentration time curve ratio. Then it is possible to increase the amount of drug directly delivered at the tumor site, while controlling the systemic toxicity. The agent administered in a large fluid volume come into direct contact with the tumor nodules, into which it penetrates from the free surface while it also reaches them by blood flow. The peripheral penetration being however limited to the first cellular layers, this way of delivery is interesting only for small residual disease. The most active drugs in the treatment of ovarian cancer, paclitaxel and platinum agents, are particularly convenient for this way of administration. The most optimal administration modalit...Continue Reading

Citations

May 21, 2016·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Michelle DavisMarcela Del Carmen
May 26, 2017·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Lieselotte LemoineKurt Van der Speeten
Apr 18, 2014·Journal of Ovarian Research·Laetitia PicaudGwenael Ferron

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