Coadministration of oxaliplatin does not influence the pharmacokinetics of gemcitabine.

作者: Periklis Pappas , Dimitris Mavroudis , Martha Nikolaidou , Vassilis Georgoulias , Marios Marselos

DOI: 10.1097/01.CAD.0000236303.97467.49

关键词: DosingIn patientPharmacologyGemcitabineSingle agentAdvanced stageChemistryOxaliplatinPharmacokinetics

摘要: We investigated the possible pharmacokinetic interactions of gemcitabine and oxaliplatin in patients with advanced solid tumors. Ten stage tumors were treated (1500 mg/m 2 ) as a 30-min intravenous infusion on days 1 8, followed by (130 4-h infusion, day 8 every 21 days. Pharmacokinetic data for 24 h after dosing obtained both (gemcitabine without coadministration) oxaliplatin) during first cycle treatment. Gemcitabine levels plasma quantified using reverse-phase high-performance liquid chromatography assay ultraviolet detection, total ultrafiltrated platinum flameless atomic absorption spectrophotometry deuterium correction. All parameters seemed to be unchanged when coadministered (day 8) compared given single agent 1). The mean (maximum) concentration was 13.57 (±7.42) 10.23 (±5.21) mg/l, respectively (P=0.28), half-life 0.32 0.44 h, (P=0.40). Similarly, P-values AUC 0-24 observed clearance 0.61 0.30, respectively. Plasma free agreement other published data. disposition appeared unaffected coadministration because no significant changes pharmacokinetics between observed.

参考文章(31)
Larry W. Hertel, Peng Huang, William Plunkett, Gerald B. Grindey, Sherri Chubb, Sherri Chubb, Action of 2',2'-difluorodeoxycytidine on DNA synthesis. Cancer Research. ,vol. 51, pp. 6110- 6117 ,(1991)
Frank V Fossella, Scott M Lippman, Dong M Shin, Peter Tarassoff, Maria Calayag-Jung, Roman Perez-Soler, Jin Soo Lee, William K Murphy, Bonnie Glisson, Edgardo Rivera, Waun Ki Hong, None, Maximum-tolerated dose defined for single-agent gemcitabine: a phase I dose-escalation study in chemotherapy-naive patients with advanced non-small-cell lung cancer. Journal of Clinical Oncology. ,vol. 15, pp. 310- 316 ,(1997) , 10.1200/JCO.1997.15.1.310
W. Plunkett, S. Chubb, A. Sen, Yi-Zheng Xu, L. W. Hertel, V. Heinemann, G. B. Grindey, Inhibition of ribonucleotide reduction in CCRF-CEM cells by 2',2'-difluorodeoxycytidine. Molecular Pharmacology. ,vol. 38, pp. 567- 572 ,(1990)
J L Misset, M Marty, J M Extra, S Brienza, Pharmacokinetics and safety profile of oxaliplatin. Seminars in Oncology. ,vol. 25, pp. 13- 22 ,(1998)
A.B. Sandler, J. Nemunaitis, C. Denham, J. von Pawel, Y. Cormier, U. Gatzemeier, K. Mattson, Ch. Manegold, M.C. Palmer, A. Gregor, B. Nguyen, C. Niyikiza, L.H. Einhorn, Phase III Trial of Gemcitabine Plus Cisplatin Versus Cisplatin Alone in Patients With Locally Advanced or Metastatic Non–Small-Cell Lung Cancer Journal of Clinical Oncology. ,vol. 18, pp. 122- 122 ,(2000) , 10.1200/JCO.2000.18.1.122
J L Abbruzzese, R Grunewald, E A Weeks, D Gravel, T Adams, B Nowak, S Mineishi, P Tarassoff, W Satterlee, M N Raber, A phase I clinical, plasma, and cellular pharmacology study of gemcitabine. Journal of Clinical Oncology. ,vol. 9, pp. 491- 498 ,(1991) , 10.1200/JCO.1991.9.3.491
Jean-Louis Misset, Esteban Cvitkovic, Ernesto Wasserman, Caroline Cuvier, François Lokiec, François Goldwasser, Salima Kalla, Dominique Méry-Mignard, Mahmoud Ouldkaci, Amine Besmaine, Ghislaine Dupont-André, Mondher Mahjoubi, Michel Marty, Combination of Oxaliplatin Plus Irinotecan in Patients With Gastrointestinal Tumors: Results of Two Independent Phase I Studies With Pharmacokinetics Journal of Clinical Oncology. ,vol. 17, pp. 1751- 1751 ,(1999) , 10.1200/JCO.1999.17.6.1751
Pankaj Bhargava, John Marshall, Karen Fried, Marion Williams, Patricia Lefebvre, William Dahut, John Hanfelt, Edmund Gehan, Manuela Figuera, Michael Hawkins, Naiyer Rizvi, Phase I and pharmacokinetic study of two sequences of gemcitabine and docetaxel administered weekly to patients with advanced cancer Cancer Chemotherapy and Pharmacology. ,vol. 48, pp. 95- 103 ,(2001) , 10.1007/S002800100317
Francesco Raspagliesi, Flavia Zanaboni, Francesca Vecchione, Francesco Hanozet, Paolo Scollo, Antonino Ditto, Barbara Grijuela, Rosanna Fontanelli, Eugenio Solima, Gianbattista Spatti, Giuseppe Scibilia, Shigeki Kusamura, Gemcitabine Combined with Oxaliplatin (GEMOX) as Second-Line Chemotherapy in Patients with Advanced Ovarian Cancer Refractory or Resistant to Platinum and Taxane Oncology. ,vol. 67, pp. 376- 381 ,(2004) , 10.1159/000082921
Hui K. Gan, Paul L. Mitchell, Peter Galettis, Ian D. Davis, Jonathan Cebon, Paul de Souza, Matthew Links, A phase 1 and pharmacokinetic study of gemcitabine and oxaliplatin in patients with solid tumors Cancer Chemotherapy and Pharmacology. ,vol. 58, pp. 157- 164 ,(2006) , 10.1007/S00280-005-0152-Y