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Br J Clin Pharmacol. 1995 Apr;39(4):452-5. doi: 10.1111/j.1365-2125.1995.tb04477.x.
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Clinical pharmacokinetics and pharmacodynamics of ifosfamide and its metabolites.异环磷酰胺及其代谢产物的临床药代动力学和药效学
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Metabolism and pharmacokinetics of oxazaphosphorines.恶唑磷类化合物的代谢与药代动力学
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本文引用的文献

1
Pharmacokinetics and metabolism of ifosfamide administered as a continuous infusion in children.
Cancer Res. 1993 Aug 15;53(16):3758-64.
2
Identification of the major human hepatic cytochrome P450 involved in activation and N-dechloroethylation of ifosfamide.参与异环磷酰胺活化和N-去氯乙基化的主要人肝细胞色素P450的鉴定。
Biochem Pharmacol. 1994 Mar 29;47(7):1157-63. doi: 10.1016/0006-2952(94)90387-5.
3
Ifosfamide enantiomers: pharmacokinetics in children.异环磷酰胺对映体:儿童药代动力学
Cancer Chemother Pharmacol. 1994;34(5):447-9. doi: 10.1007/BF00685573.
4
Enantiomeric separation of R- and S-ifosfamide and their determination in serum from clinical subjects.R-和S-异环磷酰胺的对映体拆分及其在临床受试者血清中的测定。
J Chromatogr B Biomed Appl. 1994 Mar 18;654(1):152-8. doi: 10.1016/0378-4347(93)e0446-w.
5
Comparative studies on biological activity of /+/R and /-/S enantiomers of cyclophosphamide and ifosfamide. I. Antitumour effect of cyclophosphamide and ifosfamide enantiomers.环磷酰胺和异环磷酰胺的 /+/R 及 /-/S 对映体生物活性的比较研究。I. 环磷酰胺和异环磷酰胺对映体的抗肿瘤作用。
Arch Immunol Ther Exp (Warsz). 1986;34(3):275-84.
6
Comparative pharmacokinetics and alkylating activity of fractionated intravenous and oral ifosfamide in patients with bronchogenic carcinoma.
Cancer Res. 1989 Feb 1;49(3):753-7.
7
Prolongation of ifosfamide elimination half-life in obese patients due to altered drug distribution.由于药物分布改变,肥胖患者异环磷酰胺消除半衰期延长。
Cancer Chemother Pharmacol. 1989;25(2):139-42. doi: 10.1007/BF00692355.
8
Fractionated ifosfamide therapy produces a time-dependent increase in ifosfamide metabolism.分次给予异环磷酰胺治疗会使异环磷酰胺代谢随时间增加。
Br J Clin Pharmacol. 1990 Nov;30(5):725-32. doi: 10.1111/j.1365-2125.1990.tb03842.x.
9
The effect of age on the pharmacokinetics of ifosfamide.年龄对异环磷酰胺药代动力学的影响。
Br J Clin Pharmacol. 1990 Jul;30(1):140-3. doi: 10.1111/j.1365-2125.1990.tb03754.x.
10
The pharmacokinetics of ifosfamide given as short and long intravenous infusions in cancer patients.癌症患者中短时间和长时间静脉输注异环磷酰胺的药代动力学。
Br J Clin Pharmacol. 1991 Jan;31(1):77-82. doi: 10.1111/j.1365-2125.1991.tb03860.x.

在小细胞肺癌患者中单次静脉输注消旋体1小时后异环磷酰胺及其对映体的药代动力学。

Pharmacokinetics of ifosfamide and its enantiomers following a single 1 h intravenous infusion of the racemate in patients with small cell lung carcinoma.

作者信息

Corlett S A, Parker D, Chrystyn H

机构信息

Postgraduate Studies in Pharmaceutical Technology, School of Pharmacy, University of Bradford.

出版信息

Br J Clin Pharmacol. 1995 Apr;39(4):452-5. doi: 10.1111/j.1365-2125.1995.tb04477.x.

DOI:10.1111/j.1365-2125.1995.tb04477.x
PMID:7640155
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1365136/
Abstract

Ifosfamide is a chiral pro-drug which is administered clinically in its racemic form. Serum concentrations of rac-ifosfamide and its enantiomers were measured in 12 patients with lung carcinoma following a mean (+/- s.d.) intravenous dose of 4.2 (0.83) g infused over 1 h. The mean (+/- s.d.) volumes of distribution (VSS) of rac, (R)- and (S)-ifosfamide were 0.61 (0.17), 0.60 (0.16) and 0.61 (0.19) l kg-1, respectively. The mean (+/- s.d.) half-lives and clearances were 6.57 (1.69), 7.12 (1.92) and 5.98 (1.52) h and 0.065 (0.013), 0.060 (0.013) and 0.072 (0.014) l h-1 kg-1 for rac, (R)- and (S)-ifosfamide, respectively. The half-life of (S)-ifosfamide was significantly (P < 0.001) shorter than that of (R)-ifosfamide and it had a significantly higher clearance (P < 0.001). There was no significant difference in the volumes of distribution of the enantiomers. The clinical significance of the faster elimination of (S)-ifosfamide is not known.

摘要

异环磷酰胺是一种手性前体药物,临床上以外消旋形式给药。对12例肺癌患者静脉输注平均(±标准差)剂量为4.2(0.83)g,历时1小时后,测定了消旋异环磷酰胺及其对映体的血清浓度。消旋、(R)-和(S)-异环磷酰胺的平均(±标准差)分布容积(VSS)分别为0.61(0.17)、0.60(0.16)和0.61(0.19)L·kg⁻¹。消旋、(R)-和(S)-异环磷酰胺的平均(±标准差)半衰期和清除率分别为6.57(1.69)、7.12(1.92)和5.98(1.52)小时以及0.065(0.013)、0.060(0.013)和0.072(0.014)L·h⁻¹·kg⁻¹。(S)-异环磷酰胺的半衰期显著(P<0.001)短于(R)-异环磷酰胺,且清除率显著更高(P<0.001)。对映体的分布容积无显著差异。(S)-异环磷酰胺更快消除的临床意义尚不清楚。