OnCo
termsTerm

Half-life

aka half-lives, half life, plasma half-life, elimination half-life, pharmacokinetics, pharmacokinetic, PK, cleared from the body, drug exposure, peak concentration, Cmax, AUC, steady state, steady-state

The time it takes for the amount of a drug in the blood to fall by half. It determines how often a drug must be given: hours for many chemotherapies, weeks for antibodies.

Small molecules are typically cleared by the liver and kidneys within hours to a day, so kinase inhibitors are taken daily; antibodies are protected from breakdown by recycling receptors and persist for two to four weeks, allowing dosing every three or six weeks. Half-life shapes both benefit and harm: a long-lived checkpoint inhibitor keeps working, and keeps causing immune side effects, for months after the last dose, while a radioactive drug's physical half-life (6.6 days for lutetium-177, 10 days for actinium-225) determines how long it irradiates the tumour. Pharmacokinetics is the study of these processes, and matching dose and schedule to them is central to dose optimisation.

Category
Clinic basics

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