Cancer patients are at high risks of manifesting drug-drug interactions (DDIs) which
can potentiate serious negative outcomes. It is important for clinicians to make accurate,
timely, safe and effective decisions with regards to drug use in the patient.
To provide clinicians with an oncology-specific drug interaction database that is
relevant to their daily practice. This database focuses on DDIs with anticancer drugs
(ACDs), single- and multiple-agent chemotherapy regimens.
Drug-related and interaction-related information between anticancer and antiepileptic
drugs were compiled from drug information handbooks and databases, package inserts,
and published literature from PubMed. Web documents were served from a modified web
server with a database engine and programming interface constructed using Adobe software
and various programming scripts.
OncoRx is an oncology-specific database whose structure is designed around chemotherapy
regimens and generic drug names used in anticancer treatment. OncoRx currently comprises
of 117 ACDs and 256 single-agent and combination chemotherapy regimens. It covers
all the major classes of ACDs and their frequently prescribed chemotherapy regimens,
and can detect up to over 2000 interactions with 24 antiepileptic drugs. Data provided
to clinicians include pharmacokinetic parameters of the drugs, information regarding
the chemotherapy regimens and the detected DDIs.
OncoRx is able to identify DDIs between ACDs and adjuvant drug therapy. This is the
first database of its kind to be able to detect interactions for combination chemotherapy
regimens. This tool will assist clinicians in improving clinical response and reducing
adverse effects based on the therapeutic and toxicity profiles of the drugs.
Copyright 2009 British Epilepsy Association. Published by Elsevier Ltd. All rights