Thiotepa

Authors

DEMLOVÁ Regina BOBEKOVÁ Andrea ŠTĚRBA Jaroslav

Year of publication 2011
Type Article in Periodical
Magazine / Source Farmakoterapie
MU Faculty or unit

Faculty of Medicine

Citation
Field Pharmacology and pharmaceutical chemistry
Keywords thiotepa; haematological malignancies; CNS tumours; autologous and allogeneic haematopoietic progenitor cell transplantation
Description Thiotepa (N, N‘, N‘‘-triethylenethiophosphoramide) is an alkylating agent used in the therapy of haematological disorders of both adults (lymphomas, multiple myeloma) and children (lymphomas, leukaemias, thalassaemia, sickle cell anaemia) where it is a component of high-dosed chemotherapy regimens with subsequent autologous or allogeneic haematopoietic progenitor cell transplantation. It is also used in the therapy of CNS tumours in both children and adults, and less frequently in the therapy of other solid tumours in adults (ovarian cancer). The administration of thiotepa may be accompanied by arrhythmias, liver and kidney function disturbances (hemorrhagic cystitis), myelotoxicity, neurotoxicity, skin, gastrointestinal and reproduction toxicity, as well as the risk of secondary malignancies. Its administration should be therefore accompanied by careful monitoring such that possibly occurring undesirable effects are detected and therapeutically managed on time.

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