Recent advances of cocktail chemotherapy by combination drug delivery systems

Combination chemotherapy is widely exploited for enhanced cancer treatment in the clinic. However, the traditional cocktail administration of combination regimens often suffers from varying pharmacokinetics among different drugs. The emergence of nanotechnology offers an unparalleled opportunity for...

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Veröffentlicht in:Advanced drug delivery reviews 2016-03, Vol.98, p.19-34
Hauptverfasser: Hu, Quanyin, Sun, Wujin, Wang, Chao, Gu, Zhen
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Sun, Wujin
Wang, Chao
Gu, Zhen
description Combination chemotherapy is widely exploited for enhanced cancer treatment in the clinic. However, the traditional cocktail administration of combination regimens often suffers from varying pharmacokinetics among different drugs. The emergence of nanotechnology offers an unparalleled opportunity for developing advanced combination drug delivery strategies with the ability to encapsulate various drugs simultaneously and unify the pharmacokinetics of each drug. This review surveys the most recent advances in combination delivery of multiple small molecule chemotherapeutics using nanocarriers. The mechanisms underlying combination chemotherapy, including the synergistic, additive and potentiation effects, are also discussed with typical examples. We further highlight the sequential and site-specific co-delivery strategies, which provide new guidelines for development of programmable combination drug delivery systems. Clinical outlook and challenges are also discussed in the end. [Display omitted]
doi_str_mv 10.1016/j.addr.2015.10.022
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subjects Animals
Antineoplastic Combined Chemotherapy Protocols - administration & dosage
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Cancer
Chemotherapy
Combination
Drug delivery
Drug Delivery Systems
Humans
Nanocarriers
Nanoparticles - administration & dosage
Nanoparticles - therapeutic use
Neoplasms - drug therapy
title Recent advances of cocktail chemotherapy by combination drug delivery systems
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