Lind M J, Margison J M, Cerny T, Thatcher N, Wilkinson P M
Department of Medical Oncology, Christie Hospital and Holt Radium Institute, Manchester.
Br J Clin Pharmacol. 1990 Jul;30(1):140-3. doi: 10.1111/j.1365-2125.1990.tb03754.x.
The effect of age on the pharmacokinetics of ifosfamide was studied in 20 patients with advanced non small cell lung cancer. A positive correlation was found between the elimination half-life of ifosfamide and age (r = 0.48, 0.05 less than P less than 0.01). This was due to an increase in volume of distribution with age (r = 0.66, 0.001 less than P less than 0.01). Total plasma clearance, renal clearance and non renal clearance did not change with age. Age did not affect the autoinduction of ifosfamide metabolism. Further studies are needed to demonstrate any adverse effects of ifosfamide in the elderly.
在20例晚期非小细胞肺癌患者中研究了年龄对异环磷酰胺药代动力学的影响。发现异环磷酰胺的消除半衰期与年龄呈正相关(r = 0.48,0.05 < P < 0.01)。这是由于分布容积随年龄增加(r = 0.66,0.001 < P < 0.01)。总血浆清除率、肾清除率和非肾清除率不随年龄变化。年龄不影响异环磷酰胺代谢的自身诱导作用。需要进一步研究以证实异环磷酰胺在老年人中的任何不良反应。