Risk Analysis · 1988 · 110 citations · 20 references
PharmacyOncologyToxicologyCancer PharmacologyChemotherapyDose-response ModelingChemotherapy Dose CalculationDose-exposure RelationshipsDose-response RelationshipsToxicity ManagementToxicity Risk AssessmentAnticancer ChemotherapyBody Surface Area - Based DosingBody Weight - Based DosingCancer Risk AssessmentMaximum Tolerated Dose ExtrapolationMaximum Tolerated Dose ModelingScaling Factor EstimationSurface Area
This paper reexamines the scaling approaches used in cancer risk assessment and proposes a more precise body weight scaling factor. Two approaches are conventionally used in scaling exposure and dose from experimental animals to man: body weight scaling (used by FDA) and surface area scaling (BW0.67--used by EPA). This paper reanalyzes the Freireich et al. (1966) study of the maximum tolerated dose (MTD) of 14 anticancer agents in mice, rats, dogs, monkeys, and humans, the dataset most commonly cited as justification for surface area extrapolation. This examination was augmented with an analysis of a similar dataset by Schein et al. (1970) of the MTD of 13 additional chemotherapy agents. The reanalysis shows that BW0.75 is a more appropriate scaling factor for the 27 direct-acting compounds in this dataset.
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Max Kleiber · Hilgardia · 1932 · 2.2K citations · Full text
Life Sciences, Physiology, Zoology +10
Max Kleiber · Physiological Reviews · 1947 · 1.8K citations
Emil J. Freireich, E. A. Gehan, David P. Rall et al. · PubMed · 1966 · 1.4K citations
Pharmacy, Oncology, Toxicology +14
Thomas A. McMahon · Science · 1973 · 1.2K citations
Life Sciences, Biology, Physiology +14
Scaling of respiratory variables in mammals
W. R. Stahl · Journal of Applied Physiology · 1967 · 858 citations
Life Sciences, Physiology, Zoology +12