Abbas Richat, Hsyu Poe-Hirr
Pfizer Inc, 500 Arcola Road, Collegeville, PA, 19426, USA.
Pfizer Inc, San Diego, CA, USA.
Clin Pharmacokinet. 2016 Oct;55(10):1191-1204. doi: 10.1007/s40262-016-0391-6.
Chronic myeloid leukemia (CML) is a clonal myeloproliferative stem cell disorder. Bosutinib is an oral, once-daily SRC/ABL tyrosine kinase inhibitor with very potent inhibitory activity. Bosutinib is effective against all phases of intolerant or resistant Philadelphia chromosome-positive CML that do not harbor the T315I or V299LABL kinase domain mutations. Peak plasma concentrations of bosutinib occur at 4-6 h following oral administration, and dose-proportional increases in exposure are observed at doses ranging from 200 to 800 mg. Absorption of bosutinib increases with food. Bosutinib is distributed extensively into the tissues. It is highly plasma protein bound (94 %) and is primarily metabolized in the liver by cytochrome P450 3A4. Bosutinib is well tolerated overall and has a unique but manageable toxicity profile. This article provides a review of the available clinical pharmacokinetic, pharmacodynamic, and drug-drug interaction data on bosutinib in healthy subjects, patients with CML, and special populations.
慢性髓性白血病(CML)是一种克隆性骨髓增殖性干细胞疾病。博舒替尼是一种口服的、每日一次的SRC/ABL酪氨酸激酶抑制剂,具有非常强的抑制活性。博舒替尼对所有不耐受或耐药的、不携带T315I或V299LABL激酶结构域突变的费城染色体阳性CML各阶段均有效。博舒替尼口服给药后4 - 6小时达到血浆峰浓度,在200至800毫克剂量范围内观察到暴露量随剂量成比例增加。博舒替尼的吸收随食物增加。博舒替尼广泛分布于组织中。它与血浆蛋白高度结合(94%),主要在肝脏中由细胞色素P450 3A4代谢。博舒替尼总体耐受性良好,具有独特但可控的毒性特征。本文综述了关于博舒替尼在健康受试者、CML患者及特殊人群中的现有临床药代动力学、药效学和药物相互作用数据。