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泽尼铂在人体中的药代动力学评估。

Pharmacokinetic evaluation of zeniplatin in humans.

作者信息

DeMarco L C, Budman D R, Lathia C, Amorusi P, Birkhofer M, Lichtman S, Weiselberg L, Vinciguerra V, Lovecchio J, Gal D

机构信息

Don Monti Division of Medical Oncology, Department of Medicine, North Shore University Hospital/Cornell University Medical College, Manhasset, NY 11030, USA.

出版信息

Cancer Chemother Pharmacol. 1995;36(1):35-40. doi: 10.1007/BF00685729.

DOI:10.1007/BF00685729
PMID:7720173
Abstract

Zeniplatin, a more water-soluble organoplatinum than cisplatin, was evaluated for clinical pharmacology in the context of a phase II trial in previously treated patients with ovarian carcinoma. A total of 12 patients were given zeniplatin at 120 mg/m2 by rapid intravenous infusion over 90 min, with both blood and urine being sampled. All platinum moieties were analyzed in whole blood, plasma, plasma ultrafiltrate, and urine by atomic absorption, and free zeniplatin was analyzed in plasma ultrafiltrate by specific high-performance liquid chromatography (HPLC). In a comparison of the platinum-time concentration curve, AUC (area under the curve) values indicated that approximately 90% of platinum moieties were bound to circulating plasma proteins. There was no evidence of drug accumulation after repetitive dosing. The terminal half-life (t1/2) of this drug in plasma ultrafiltrate (3.7-7.2 h.) as measured by HPLC was slightly longer than that of carboplatin, whereas total platinum moieties in plasma displayed a long t1/2 (124-154 h). Approximately 60% of platinum moieties could be recovered in the urine within 24 h. These findings suggest that zeniplatin has a pharmacokinetic profile similar to that of carboplatin.

摘要

泽铂是一种比顺铂水溶性更强的有机铂化合物,在一项针对既往接受过治疗的卵巢癌患者的II期试验中对其进行了临床药理学评估。共有12例患者接受了90分钟内快速静脉输注120mg/m²泽铂的治疗,并采集了血液和尿液样本。通过原子吸收法对全血、血浆、血浆超滤液和尿液中的所有铂部分进行分析,通过特定的高效液相色谱法(HPLC)对血浆超滤液中的游离泽铂进行分析。在铂-时间浓度曲线的比较中,曲线下面积(AUC)值表明约90%的铂部分与循环血浆蛋白结合。重复给药后没有药物蓄积的证据。通过HPLC测定,该药物在血浆超滤液中的终末半衰期(t1/2)(3.7 - 7.2小时)略长于卡铂,而血浆中的总铂部分显示出较长的t1/2(124 - 154小时)。约60%的铂部分可在24小时内从尿液中回收。这些发现表明泽铂具有与卡铂相似的药代动力学特征。

相似文献

1
Pharmacokinetic evaluation of zeniplatin in humans.泽尼铂在人体中的药代动力学评估。
Cancer Chemother Pharmacol. 1995;36(1):35-40. doi: 10.1007/BF00685729.
2
Phase I clinical and pharmacokinetic study of zeniplatin, a new platinum complex.新型铂配合物泽铂的Ⅰ期临床及药代动力学研究
Ann Oncol. 1991 Sep;2(8):589-96. doi: 10.1093/oxfordjournals.annonc.a058026.
3
cis-Amminedichloro(2-methylpyridine) platinum(II) (AMD473), a novel sterically hindered platinum complex: in vivo activity, toxicology, and pharmacokinetics in mice.顺式二氯(2-甲基吡啶)氨铂(II)(AMD473),一种新型空间位阻铂配合物:小鼠体内活性、毒理学及药代动力学
Clin Cancer Res. 1997 Nov;3(11):2063-74.
4
Clinical pharmacokinetics and dose optimisation of carboplatin.卡铂的临床药代动力学与剂量优化
Clin Pharmacokinet. 1997 Sep;33(3):161-83. doi: 10.2165/00003088-199733030-00002.
5
The disposition of carboplatin in ovarian cancer patients.卡铂在卵巢癌患者体内的处置情况。
Cancer Chemother Pharmacol. 1988;22(3):263-70. doi: 10.1007/BF00273422.
6
Clinical pharmacokinetics of carboplatin.卡铂的临床药代动力学
J Clin Pharmacol. 1988 Mar;28(3):208-15. doi: 10.1002/j.1552-4604.1988.tb03134.x.
7
Phase II trial of zeniplatin (CL 286,558), a new patinum compound, in patients with advanced ovarian cancer previously treated with organoplatinum-based therapy.新型铂化合物泽铂(CL 286,558)用于既往接受过铂类药物治疗的晚期卵巢癌患者的II期试验。
J Cancer Res Clin Oncol. 1993;119(4):234-6. doi: 10.1007/BF01624436.
8
Pharmacokinetics of carboplatin after i.v. administration.静脉注射后卡铂的药代动力学。
Cancer Treat Rep. 1987 Dec;71(12):1231-7.
9
Pharmacokinetics of (glycolate-0,0')-diammine platinum (II), a new platinum derivative, in comparison with cisplatin and carboplatin.新型铂衍生物(乙醇酸根-0,0')-二胺铂(II)与顺铂和卡铂相比的药代动力学
Cancer Chemother Pharmacol. 1989;23(4):243-6. doi: 10.1007/BF00451649.
10
Pharmacokinetically guided dose escalation of carboplatin in epithelial ovarian cancer: effect on drug-plasma AUC and peripheral blood drug-DNA adduct levels.上皮性卵巢癌中卡铂的药代动力学指导剂量递增:对药物血浆AUC及外周血药物-DNA加合物水平的影响
Ann Oncol. 1999 Mar;10(3):329-34. doi: 10.1023/a:1008355506863.

本文引用的文献

1
Phase II trial of zeniplatin (CL 286,558), a new patinum compound, in patients with advanced ovarian cancer previously treated with organoplatinum-based therapy.新型铂化合物泽铂(CL 286,558)用于既往接受过铂类药物治疗的晚期卵巢癌患者的II期试验。
J Cancer Res Clin Oncol. 1993;119(4):234-6. doi: 10.1007/BF01624436.
2
Pharmacokinetics of cis-diammine-1,1-cyclobutane dicarboxylate platinum(II) in patients with normal and impaired renal function.顺式-二氨-1,1-环丁烷二羧酸铂(II)在肾功能正常和受损患者中的药代动力学。
Cancer Res. 1984 Apr;44(4):1693-7.
3
Metoclopramide decreases renal plasma flow.
甲氧氯普胺会降低肾血浆流量。
Clin Pharmacol Ther. 1986 Mar;39(3):261-4. doi: 10.1038/clpt.1986.36.
4
Pharmacokinetics of carboplatin after i.v. administration.静脉注射后卡铂的药代动力学。
Cancer Treat Rep. 1987 Dec;71(12):1231-7.
5
Clinical pharmacokinetics of carboplatin.卡铂的临床药代动力学
J Clin Pharmacol. 1988 Mar;28(3):208-15. doi: 10.1002/j.1552-4604.1988.tb03134.x.
6
Pharmacokinetics of unchanged carboplatin (CBDCA) in patients with small cell lung carcinoma.小细胞肺癌患者中未变化的卡铂(CBDCA)的药代动力学。
Cancer Chemother Pharmacol. 1987;19(4):326-30. doi: 10.1007/BF00261482.
7
Pharmacokinetics of (glycolate-0,0')-diammine platinum (II), a new platinum derivative, in comparison with cisplatin and carboplatin.新型铂衍生物(乙醇酸根-0,0')-二胺铂(II)与顺铂和卡铂相比的药代动力学
Cancer Chemother Pharmacol. 1989;23(4):243-6. doi: 10.1007/BF00451649.
8
Phase I clinical and pharmacokinetic study of zeniplatin, a new platinum complex.新型铂配合物泽铂的Ⅰ期临床及药代动力学研究
Ann Oncol. 1991 Sep;2(8):589-96. doi: 10.1093/oxfordjournals.annonc.a058026.