Risks and benefits of phase I liver dysfunction studies: should patients with severe liver dysfunction be included in these trials?

C Fountzilas, S Stuart, B Hernandez… - Investigational New …, 2017 - Springer
Introduction The goal of organ dysfunction Phase I trials is to characterize the safety and
pharmacokinetics of novel agents in cancer patients with liver or kidney dysfunction, but the …

Organ Dysfunction Trials: Background, Historical Barriers, Progress in Overcoming Barriers, and Suggestions for Future Trials

S Kummar, SP Ivy, PJ Harris - Handbook of Anticancer Pharmacokinetics …, 2014 - Springer
In the past, patients with cancer, who also have hepatic or renal dysfunction, have carried a
triple burden. Not only have they suffered from cancer and organ dysfunction, but until …

Patterns of hepatic impairment in phase I clinical trials.

AS Mansfield, D Vulih, GL Smith, PJ Harris, SP Ivy - 2015 - ascopubs.org
2567 Background: Liver impairment confounds dosing of anti-neoplastic agents. The Cancer
Therapy Evaluation Program (CTEP) at the National Cancer Institute (NCI) sponsors …

The effect of hepatic impairment on outcomes in phase I clinical trials in cancer subjects

AS Mansfield, MA Rudek, D Vulih, GL Smith… - Clinical Cancer …, 2016 - AACR
Abstract Purpose: The NCI Cancer Therapy Evaluation Program sponsors hepatic
dysfunction phase I clinical trials (HDCT) and phase 1 clinical trials (P1CT) to determine safe …

Qualitative and quantitative variations in liver function thresholds among clinical trials in cancer: a need for harmonization

E Wang, F Song, JK Paulus, D Hackenyos… - Cancer chemotherapy …, 2019 - Springer
Purpose The liver is critically involved in drug metabolism pathways and the potential for
hepatic toxicity is significant with specific cancer therapeutics. Variations in the definition of …

Comparison of Child-Pugh (CP) criteria and NCI organ dysfunction working group (NCI-ODWG) criteria for hepatic dysfunction (HD): implications for chemotherapy …

H Patel, MJ Egorin, SC Remick, D Mulkerin… - Journal of Clinical …, 2004 - ascopubs.org
6051 Background: Patients with HD may require drug dose modification based on the
severity of HD. HD is often assessed using CP criteria, the use of which is advocated by the …

[HTML][HTML] Eligibility of patients with renal impairment for Phase I trials: Time for a rethink?

L Malik, A Mejia, S Weitman - European Journal of Cancer, 2014 - Elsevier
Since the inception of Phase I clinical trials in cancer, patients with renal dysfunction have
commonly been excluded from participation because of a poor outlook. Most cancer drugs …

[PDF][PDF] A review of regulatory guidance for conducting hepatic impairment studies: a case study in oncology

R D'Cunha, S Lin - J Oncol Cancr Res, 2018 - scholar.archive.org
The liver is a vital organ that plays a central role in the metabolism and elimination of drug
molecules. Impairment of this vital organ can lead to increased accumulation of parent drug …

Discordance between child‐pugh and national cancer institute classifications for hepatic dysfunction: implications on dosing recommendations for oncology …

M Elmeliegy, DZ Yang, E Salama… - The Journal of …, 2021 - Wiley Online Library
Guidance from the US Food and Drug Administration (FDA) and the European Medicines
Agency recommends using Child‐Pugh classification for pharmacokinetic evaluation in …

[PDF][PDF] Do We Have the Right Dose? Dose Adjustments for Organ Dysfunction

MA Rudek - Chemotherapy, 2012 - pdfs.semanticscholar.org
Cancer patients with adequate hepatic or renal function are typically studied in clinical trials.
Since most anticancer agents are cleared via hepatic or renal mechanisms, dose …