Nedaplatin: A cisplatin derivative in cancer chemotherapy

Muneaki Shimada, Hiroaki Itamochi, Junzo Kigawa

Research output: Contribution to journalReview article

54 Citations (Scopus)

Abstract

Nedaplatin, a cisplatin analog, has been developed to decrease the toxicities induced by cisplatin, such as nephrotoxicity and gastrointestinal toxicity. The dose of nedaplatin is determined by body surface area, not by the area under the curve (AUC). The recommended therapeutic dose is 80-100mg/m2, although the pharmacokinetic profile of nedaplatin is similar to that of carboplatin. In our preliminary study, there was a favorable correlation between AUC and creatinine clearance (CL), suggesting that renal function should be considered when nedaplatin is administered. Ishibashi's formula, ie, DoseNDP =AUC × CLNDP, where CLNDP=0.0738×creatinine clearance + 4.47, would be predictable and useful for estimating the individual dose of nedaplatin. Several Phase II studies have suggested that nedaplatin might be a useful second analog, especially for patients with non-small cell lung cancer, esophageal cancer, uterine cervical cancer, head and neck cancer, or urothelial cancer. Further, nedaplatin was reported to be a useful chemotherapeutic agent with radiosensitizing properties; however, there is no Phase III study of nedaplatin, neither with chemotherapy nor with concurrent chemoradiotherapy, because nedaplatin is not commonly used throughout the world. Further evaluation in a randomized controlled trial is warranted to demonstrate definitively the activity of nedaplatin.

Original languageEnglish
Pages (from-to)67-76
Number of pages10
JournalCancer Management and Research
Volume5
Issue number1
DOIs
Publication statusPublished - 2013 May 7
Externally publishedYes

Keywords

  • Area under the curve
  • Chemotherapy
  • Concurrent chemoradiotherapy
  • Nedaplatin

ASJC Scopus subject areas

  • Oncology

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