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白血病患者中米托蒽醌的血浆动力学

Plasma kinetics of mitoxantrone in leukemic patients.

作者信息

Hulhoven R, Dumont E, Harvengt C

出版信息

Med Oncol Tumor Pharmacother. 1984;1(3):201-4. doi: 10.1007/BF02934142.

DOI:10.1007/BF02934142
PMID:6544900
Abstract

The plasma kinetics of mitoxantrone (MX), a new cytostatic anthracenedione, were investigated with HPLC in five leukemic patients suffering from acute myeloid leukemia, at the dose of 24 mg m-2 infused over 30 min at constant rate. The decay of the plasma concentrations was best fitted to a three compartment model with average elimination half-lives of respectively 4.1 min (alpha-phase), 19.8 min (beta-phase) and 8.9 h (gamma-phase), a mean distribution volume of 317 l m-2 and an average total body clearance of 0.37 l min-1 m-2. The cumulative urinary recovery of unchanged MX was 7.5% of the administered dose in 4 days, with the highest elimination during the first day. No MX urinary metabolites or conjugates have been detected.

摘要

采用高效液相色谱法(HPLC)对5例急性髓性白血病患者进行研究,以恒定速率在30分钟内输注剂量为24mg/m²的新型细胞毒性蒽二酮米托蒽醌(MX),考察其血浆动力学。血浆浓度的衰减最符合三室模型,平均消除半衰期分别为4.1分钟(α相)、19.8分钟(β相)和8.9小时(γ相),平均分布容积为317l/m²,平均全身清除率为0.37l·min⁻¹·m⁻²。4天内未变化的MX累积尿回收率为给药剂量的7.5%,第一天消除率最高。未检测到MX的尿代谢物或共轭物。

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本文引用的文献

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Cancer Res. 1980 May;40(5):1516-8.
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Toxicol Lett. 1982 May;11(3-4):289-97. doi: 10.1016/0378-4274(82)90163-1.
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Pharmacology of mitoxantrone in cancer patients.
Clin Pharmacokinet. 1990 May;18(5):365-80. doi: 10.2165/00003088-199018050-00003.
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