Supko J G, Garcia-Carbonero R, Puchalski T A, Malspeis L
Division of Hematology/Oncology, Massachusetts General Hospital, Harvard Medical School, Boston 02114, USA.
Cancer Chemother Pharmacol. 2001 Sep;48(3):202-8. doi: 10.1007/s002800100326.
Chloroethylnitrosoureas are among the most widely used chemotherapeutic agents for the treatment of brain tumors. SarCNU (1-(2-chloroethyl)3-sarcosinamide-1-nitrosourea) is an investigational nitrosourea analogue that has shown greater antitumor activity and a more favorable toxicity profile than 1,3-bis(2-chloroethyl)-1-nitrosourea in preclinical studies. The purpose of the present study was to characterize the plasma pharmacokinetics and oral bioavailability of SarCNU in mice and dogs treated by intravenous infusion and gastric intubation.
SarCNU was administered to mice by i.v. injection or orally at doses ranging from 10 to 100 mg/kg. Plasma samples were obtained from groups of five animals at each time-point at intervals ranging from 3 min to 2.5 h after dosing. A group of three male beagle dogs were treated with Sar CNU 10 mg/kg given both by i.v. infusion and orally in a crossover design. The concentration of SarCNU in plasma was measured by high-performance liquid chromatography.
During the initial 90 min after i.v. injection to mice, SarCNU was eliminated from plasma in a monoexponential manner with a mean half-life of 9.8 +/- 0.8 min. The total plasma clearance was 47.3 +/- 8.7 ml/min per kg and the apparent volume of distribution was 0.7 +/- 0.1 l/kg. SarCNU exhibited linear pharmacokinetic behavior following both i.v. and oral administration of doses ranging from approximately 10 to 100 mg/kg. Peak plasma levels provided by a dose of 100 mg/kg given by the i.v. and oral routes were 142.4 microg/ml (0.5 min) and 27.8 microg/ml (9.8 min), respectively. The mean oral bioavailability of the drug was 57.3 +/- 12.6% in mice. In comparison, the disposition of SarCNU in dogs after rapid i.v. injection was biexponential, with half-lives of 5.4 +/- 8.4 min and 40.8 +/- 9.0 min for the initial and terminal disposition phases, respectively. Mean values of the total plasma clearance and apparent volume of distribution were 17.8 +/- 1.8 ml/min per kg and 1.1 +/- 0.3 l/kg, respectively. The Cmax was 18.5 +/- 6.5 microg/ml after i.v. injection and 8.5 0.4 microg/ml after oral administration of a 10 mg/kg dose. Oral bioavailability of the drug in dogs (71.7 +/- 21.2%) was greater than that observed in mice.
SarCNU exhibited linear and consistent pharmacokinetics in mice and dogs with very good oral bioavailability in both species. These findings support the rationale for evaluating SarCNU given by the oral route of administration in phase I clinical trials.
氯乙基亚硝脲是治疗脑肿瘤最广泛使用的化疗药物之一。SarCNU(1-(2-氯乙基)-3-肌氨酸酰胺-1-亚硝脲)是一种正在研究的亚硝脲类似物,在临床前研究中显示出比1,3-双(2-氯乙基)-1-亚硝脲更强的抗肿瘤活性和更有利的毒性特征。本研究的目的是表征SarCNU在通过静脉输注和胃插管给药的小鼠和犬中的血浆药代动力学及口服生物利用度。
以10至100mg/kg的剂量通过静脉注射或口服给予小鼠SarCNU。给药后,在3分钟至2.5小时的时间间隔内,从每组五只动物中获取血浆样本。一组三只雄性比格犬采用交叉设计,通过静脉输注和口服给予10mg/kg的SarCNU。采用高效液相色谱法测定血浆中SarCNU的浓度。
在静脉注射给小鼠后的最初90分钟内,SarCNU以单指数方式从血浆中消除,平均半衰期为9.8±0.8分钟。总血浆清除率为47.3±8.7ml/(min·kg),表观分布容积为0.7±0.1l/kg。在静脉注射和口服给予约10至100mg/kg剂量后,SarCNU均表现出线性药代动力学行为。静脉注射和口服给予100mg/kg剂量后的血浆峰值水平分别为142.4μg/ml(0.5分钟)和27.8μg/ml(9.8分钟)。该药物在小鼠中的平均口服生物利用度为57.3±12.6%。相比之下,快速静脉注射后SarCNU在犬体内的处置呈双指数,初始和终末处置阶段的半衰期分别为5.4±8.4分钟和40.8±9.0分钟。总血浆清除率和表观分布容积的平均值分别为17.8±1.8ml/(min·kg)和1.1±0.3l/kg。静脉注射10mg/kg剂量后Cmax为18.5±6.5μg/ml,口服给药后为8.5±0.4μg/ml。该药物在犬中的口服生物利用度(71.7±21.2%)高于在小鼠中观察到的。
SarCNU在小鼠和犬中表现出线性且一致的药代动力学,在两个物种中口服生物利用度都非常好。这些发现支持了在I期临床试验中评估口服给药SarCNU的理论依据。