Solid Tumors

Updated: July 10, 2024

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Background

Epidemiology

Anatomy

Pathophysiology

Etiology

Genetics

Prognostic Factors

Clinical History

Physical Examination

Age group

Associated comorbidity

Associated activity

Acuity of presentation

Differential Diagnoses

Laboratory Studies

Imaging Studies

Procedures

Histologic Findings

Staging

Treatment Paradigm

by Stage

by Modality

Chemotherapy

Radiation Therapy

Surgical Interventions

Hormone Therapy

Immunotherapy

Hyperthermia

Photodynamic Therapy

Stem Cell Transplant

Targeted Therapy

Palliative Care

Medication

 

vincristine

1.4

mg/m^2

Intravenous (IV)

over one minute once a week
Use:
Acute leukemia
This drug shows significant use when combined with other oncolytic agents in Hodgkin's disease, non-Hodgkin's malignant lymphomas, and Wilms' tumor.
Comment:
The manufacturer recommends the dose.



hydroxyurea

intermittent therapy:

80

mg/kg

Orally

once every three days, OR
Continuous treatment: 20-30 mg/kg taken orally once a day



larotrectinib 

100 mg orally twice daily is given to patients having solid tumors with neurotrophic tyrosine receptor kinase



Dose Adjustments

In the case of adverse reactions
When body surface area ≥1 m2
1st occurrence: 75 mg twice daily
2nd occurrence: 50 mg twice daily
3rd occurrence: 100 mg per day
If unable to tolerate 100 mg per day, permanently discontinue the dose

In the case of CYP3A4 inhibitors
Circumvent co-administration
In the case of strong CYP3A4 inducers

Don’t co-administer
If the effect is unavoidable, double the dose

In the case of mild hepatic impairment, no dosage adjustment is required

In the case of moderate to severe hepatic impairment, reduce the starting dose by 50%

In the case of mild to severe renal impairment, no dosage adjustment is required

mistletoe 

Subcutaneous/Intravenous/Intratumoral: Preparations with 20,000 ng/mL lectin concentrations or 100 mcg/mL viscotoxins concentrations were used.
Subcutaneous/Intravenous:
Several times weekly dosing with 0.1–30 mg has been successful



hydroxycarbamide 

A single oral dose of 20 to 30 mg/kg/day. As an alternative, administer 80 mg/kg as a single dose every three days (for solid tumours). Concomitant irradiation treatment: 80 mg/kg as a single dosage given every three days, starting at least 1 week before radiotherapy, is considered



epofolate 

Indicated for Advanced Solid Tumours:


In phase I/II clinical trials
In the first study, patients received BMS-753493 once a day on Days 1, 4, 8, and 11 of every 21 days at an initial dose of 5 mg intravenously.
In Study 2, patients received BMS-753493 once a day on Days 1-4 of every 21 days at an initial dose of 2.5 mg everyday intravenously.
Outcomes In all, two investigations involved the treatment of sixty-five individuals.
In Study 1, the maximum tolerated dosage (MTD) was 15 mg, while in Study 2, it was 26 mg.



patupilone 

Indicated for advanced solid tumors
The drug is investigated in phase I trial for advanced solid tumors
The administration dose is 2.5 mg/m2 is well tolerated by the patients for three weeks or six weeks off



 

larotrectinib 

When (BSA) body surface area <1 m2: 100 mg/m2 orally twice daily
BSA ≥1 m2: 100 mg orally twice daily
Continue until unacceptable toxicity or disease progression



Dose Adjustments

In case of mild hepatic impairment, no dosage adjustment is required
In case of moderate to severe hepatic impairment reduce the starting dose by 50%
In case of mild to severe renal impairment, no dosage adjustment is required

larotrectinib 

When (BSA) body surface area <1 m2: 100 mg/m2 orally twice daily
BSA ≥1 m2: 100 mg orally twice daily
Continue until unacceptable toxicity or disease progression



Dose Adjustments

In case of mild hepatic impairment, no dosage adjustment is required
In case of moderate to severe hepatic impairment reduce the starting dose by 50%
In case of mild to severe renal impairment, no dosage adjustment is required

 

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Solid Tumors

Updated : July 10, 2024

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