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The use of dexrazoxane for the prevention of anthracycline extravasation injury

  作者 Hasinoff, BB  
  选自 期刊  Expert opinion on investigational drugs;  卷期  2008年17-2;  页码  217-223  
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[摘要]

Background: The use of the anthracycline anticancer drugs doxorubicin, daunorubicin, epirubicin and idarubicin sometimes results in accidental extravasation injury and can be a serious complication of their use. Objective: The object of this review was to evaluate the preclinical and clinical literature on the use of dexrazoxane in preventing anthracycline-induced extravasation injury. Methods: A review of the literature was carried out using PubMed. Results/conclusions: Dexrazoxane, which is clinically used to reduce doxorubicin-induced cardiotoxicity, has been shown in two clinical studies and in several case reports to be highly efficacious in preventing anthracycline-induced extravasation injury. Dexrazoxane is a prodrug analog of the metal chelator EDTA that likely acts by removing iron from the iron-anthracycline complex, thus preventing formation of damaging reactive oxygen species.

 
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