2014
DOI: 10.1007/s12038-013-9399-3
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Pharmaceutical and pharmacological approaches for bioavailability enhancement of etoposide

Abstract: Etoposide, a semi-synthetic derivative of podophyllotoxin, is one of the most active and useful antineoplastic agent used routinely in firstline combination chemotherapy of testicular cancer, small-cell lung cancer and non-Hodgkin's lymphoma. Etoposide displays narrow therapeutic index, erratic pharmacokinetics and dose individualization that needs to be achieved for overcoming inter- and intra-patient variability (25-80 percent), so as to maintain proper drug exposure within a therapeutic range. Etoposide pos… Show more

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Cited by 28 publications
(13 citation statements)
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“…Removal of the glycoside group from the compound’s structure does not significantly affect the etoposide-induced DNA cleavage process and substituting it with, for example, a spermine fragment (as in the case of the mentioned below compound - F14512) significantly increases the potency of the parent compound 136 . Etoposide is used for the treatment of SCLCs, lymphomas (including non-Hodgkin’s lymphomas), acute myeloid leukaemia (AML), testicular and ovarian cancer 123 , 137 , 138 .…”
Section: Topoisomerase Inhibitorsmentioning
confidence: 99%
“…Removal of the glycoside group from the compound’s structure does not significantly affect the etoposide-induced DNA cleavage process and substituting it with, for example, a spermine fragment (as in the case of the mentioned below compound - F14512) significantly increases the potency of the parent compound 136 . Etoposide is used for the treatment of SCLCs, lymphomas (including non-Hodgkin’s lymphomas), acute myeloid leukaemia (AML), testicular and ovarian cancer 123 , 137 , 138 .…”
Section: Topoisomerase Inhibitorsmentioning
confidence: 99%
“…Podophyllotoxin does not cause cell DNA fragmentation and inhibits microtubule assembly in vitro (Loike and Horwitz, 1976b). Related research shows that the semi-derivatives of podophyllotoxin combined with other drugs are widely used in the clinical treatment of small cell lung cancer and lymphoma (Najar and Johri, 2014). At present, there are few studies on breast cancer with podophyllotoxin.…”
Section: Discussionmentioning
confidence: 99%
“…Podophyllotoxin isolated from resin of Podophyllum peltatum was found to be too toxic to host so its derivatives were made [103]. Etoposide and teniposide are two semi-synthetic derivatives of epipodophyllotoxin and are used in the treatment of lymphomas, bronchial and testicular cancers [100] [102] [103] [104]. The epipodophyllotoxin binds tubulin, causing DNA strand breaks during the G2 phase of the cell cycle by irreversibly inhibiting DNA topoisomerase II [103].…”
Section: Traditional Medicine and Anti-cancer Propertiesmentioning
confidence: 99%