Neeltje Steeghs
内尔切·斯特赫斯
MD, PhD
Head, Clinical Pharmacology and Phase I Unit; Internist-Oncologist临床药理学与I期部主任;内科肿瘤学家
👥Biography 个人简介
Neeltje Steeghs, MD, PhD is Head of the Clinical Pharmacology and Phase I Unit at the Netherlands Cancer Institute (NKI-AVL) in Amsterdam, one of Europe's leading comprehensive cancer centers. She is an internationally recognized expert in early-phase oncology drug development and clinical pharmacology, with particular expertise in pharmacokinetically guided dose escalation, drug-drug interactions (DDIs) in oncology patients, and phase I trial design methodology. Dr. Steeghs has led or co-led over 80 phase I and first-in-human trials at the NKI, covering targeted agents, immunotherapies, ADCs, and novel combinations. She has published extensively on the application of accelerated titration designs and model-based Bayesian dose escalation approaches (CRM, BOIN) at the NKI, contributing to Dutch and European adoption of these methods over the 3+3 design. Her work on DDI studies in cancer patients—assessing the impact of CYP enzyme induction/inhibition on oncology drug exposure—has generated data that informed dosing labels for multiple approved agents. Dr. Steeghs also leads NKI's sarcoma early-phase trial program, contributing to the development of trabectedin, pazopanib, and other sarcoma-active agents.
🧪Research Fields 研究领域
🎓Key Contributions 主要贡献
Clinical Pharmacology-Guided Phase I at NKI
Established a rigorous clinical pharmacology framework at NKI's Phase I Unit including routine PK sampling, DDI sub-studies, and pharmacokinetically guided dose escalation, generating PK/PD datasets that have informed dosing recommendations for 15+ approved agents.
Drug-Drug Interaction Studies in Oncology
Conducted systematic DDI studies assessing the impact of cytochrome P450 modulation, P-glycoprotein, and gastric acid reduction on novel oncology drug exposure in cancer patients, contributing to drug labeling for multiple agents.
Sarcoma Phase I Drug Development
Led early-phase trials of trabectedin, pazopanib, olaratumab, and multiple investigational agents in soft tissue sarcoma, contributing translational datasets on sarcoma molecular biology and drug-sensitivity biomarkers.
Model-Based Dose Escalation Adoption in Europe
Championed transition from 3+3 to model-based (CRM, BOIN) dose escalation designs at NKI and contributed to European guidelines on optimal phase I dose escalation methodology through EORTC and consortium publications.
Representative Works 代表性著作
Drug-drug interactions in oncology: pharmacokinetic principles and management
Lancet Oncology (2020)
Comprehensive review of CYP enzyme, transporter, and gastric pH-mediated DDIs relevant to oral oncology drugs, with guidance on clinical management and study design.
Pharmacokinetics of trabectedin in patients with soft tissue sarcoma
Clinical Pharmacokinetics (2015)
Population PK analysis of trabectedin from NKI phase I and II trials, characterizing variability in drug exposure and its determinants in sarcoma patients.
Comparison of 3+3 and Bayesian dose escalation methods in oncology phase I trials
European Journal of Cancer (2018)
Retrospective comparison of dose escalation designs at NKI showing superior MTD estimation accuracy and lower patient exposure to sub-therapeutic doses with model-based methods compared to 3+3.
🏆Awards & Recognition 奖项与荣誉
📄Data Sources 数据来源
Last updated: 2026-01-15 | All information from publicly available academic sources
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