PMID- 21466778 OWN - NLM STAT- MEDLINE DCOM- 20121211 LR - 20131121 IS - 0040-5957 (Print) IS - 0040-5957 (Linking) VI - 66 IP - 1 DP - 2011 Jan-Feb TI - [Level of evidence for therapeutic drug monitoring of MPA in hematopoietic stem cell transplantation]. PG - 51-5 AB - Mycophenolic acid (MPA) is more and more used to prevent GVHD (Graft Versus Host Disease) during hematopoietic stem cell transplantation with reduce-intensity conditioning. If several facts argue in favor of therapeutic drug monitoring, the used pharmacokinetic parameter is to be defined. Especially, the choice between total or ultrafilterable MPA is still under debate even if therapeutic drug monitoring seems to be more practicable with total MPA. The role of other factors implied in GVHD occurrence are also to be assessed in studies which aim at assessing therapeutic drug monitoring of MPA in such situation. For theses reasons, the level evidence of MPA as GVHD prophylaxis during hematopoietic stem cell transplantation with reduce-intensity conditioning is potentially useful. CI - (c) 2011 Societe Francaise de Pharmacologie et de Therapeutique. FAU - Gerritsen-van Schieveen, Pauline AU - Gerritsen-van Schieveen P AD - CHU Besancon, Laboratoire de Pharmacologie Clinique, Hopital Jean Minjoz, Besancon, France. FAU - Royer, Bernard AU - Royer B CN - Groupe Suivi Therapeutique Pharmacologique de la Societe Francaise de Pharmacologie et de Therapeutique LA - fre PT - English Abstract PT - Journal Article PT - Review TT - Niveau de preuve du suivi therapeutique pharmacologique de l'acide mycophenolique administre pour la prevention des reactions du greffon contre l'hote au cours des greffes de cellules souches avec un conditionnement reduit. DEP - 20110407 PL - France TA - Therapie JT - Therapie JID - 0420544 RN - HU9DX48N0T (Mycophenolic Acid) SB - IM MH - Drug Monitoring/*methods MH - Evidence-Based Medicine MH - Graft vs Host Disease/immunology/*prevention & control MH - Hematopoietic Stem Cell Transplantation/*methods MH - Humans MH - Mycophenolic Acid/adverse effects/pharmacokinetics/*therapeutic use EDAT- 2011/04/07 06:00 MHDA- 2012/12/12 06:00 CRDT- 2011/04/07 06:00 PHST- 2010/01/05 00:00 [received] PHST- 2010/11/30 00:00 [accepted] PHST- 2011/04/07 06:00 [entrez] PHST- 2011/04/07 06:00 [pubmed] PHST- 2012/12/12 06:00 [medline] AID - th101851 [pii] AID - 10.2515/therapie/2010024 [doi] PST - ppublish SO - Therapie. 2011 Jan-Feb;66(1):51-5. doi: 10.2515/therapie/2010024. Epub 2011 Apr 7.