Eiseman J L, Eddington N D, Leslie J, MacAuley C, Sentz D L, Zuhowski M, Kujawa J M, Young D, Egorin M J
Division of Developmental Therapeutics, University of Maryland Cancer Center, Baltimore.
Cancer Chemother Pharmacol. 1994;34(6):465-71. doi: 10.1007/BF00685656.
We defined the pharmacokinetics of paclitaxel after i.v., i.p., p.o., and s.c. administration of 22.5 mg/kg to CD2F1 mice. Additional mice were studied after i.v. bolus dosing at 11.25 mg/kg or 3-h continuous i.v. infusions delivered at 43.24 micrograms kg-1 min-1. Plasma was sampled between 5 min and 40 h after dosing. Brains, hearts, lungs, livers, kidneys, skeletal muscles, and, where applicable, testicles were sampled after i.v. dosing at 22.5 mg/kg. Liquid-liquid extraction followed by isocratic high-performance liquid chromatography (HPLC) with UV detection was used to determine paclitaxel concentrations in plasma and tissues. After i.v. administration to male mice, paclitaxel clearance (CLtb) was 3.25 ml min-1 kg-1 and the terminal half-life (t1/2) was 69 min. After i.v. administration to female mice, paclitaxel CLtb was 4.54 ml min-1 kg-1 and the terminal t1/2 was 43 min. The bioavailability of paclitaxel was approximately 10%, 0, and 0 after i.p., p.o., and s.c. administration, respectively. Paclitaxel bioavailability after i.p. administration was the same when the drug was delivered in a small volume to mimic the delivery method used to evaluate in vivo antitumor efficacy or when it was delivered in a large volume to simulate clinical protocols using i.p. regional therapy. Paclitaxel was not detected in the plasma of mice after i.p. delivery of the drug as a suspension in Klucel: Tween 80. Pharmacokinetic parameters were similar after i.v. delivery of paclitaxel at 22.5 and 11.25 mg/kg; however, the CLtb calculated in these studies was much lower than that associated with 3-h continuous i.v. infusions. After i.v. administration, paclitaxel was distributed extensively to all tissues but the brain and testicle. These data are useful in interpreting preclinical efficacy studies of paclitaxel and predicting human pharmacokinetics through scaling techniques.
我们测定了CD2F1小鼠静脉注射、腹腔注射、口服和皮下注射22.5mg/kg紫杉醇后的药代动力学。另外,在静脉推注11.25mg/kg或按43.24微克/千克·分钟持续静脉输注3小时后,对小鼠进行了研究。给药后5分钟至40小时采集血浆。静脉注射22.5mg/kg后,采集脑、心、肺、肝、肾、骨骼肌以及(如适用)睾丸样本。采用液-液萃取,随后进行等度高效液相色谱(HPLC)并通过紫外检测来测定血浆和组织中的紫杉醇浓度。雄性小鼠静脉注射后,紫杉醇清除率(CLtb)为3.25毫升/分钟·千克,终末半衰期(t1/2)为69分钟。雌性小鼠静脉注射后,紫杉醇CLtb为4.54毫升/分钟·千克,终末t1/2为43分钟。腹腔注射、口服和皮下注射后,紫杉醇的生物利用度分别约为10%、0和0。当以小体积给药模拟用于评估体内抗肿瘤疗效的给药方式,或大体积给药模拟腹腔区域治疗的临床方案时,腹腔注射后紫杉醇的生物利用度相同。将药物以悬浮液形式在羟丙基纤维素:吐温80中腹腔注射后,小鼠血浆中未检测到紫杉醇。静脉注射22.5mg/kg和11.25mg/kg紫杉醇后的药代动力学参数相似;然而,这些研究中计算出的CLtb远低于3小时持续静脉输注相关的CLtb。静脉注射后,紫杉醇广泛分布于除脑和睾丸外的所有组织。这些数据有助于解释紫杉醇的临床前疗效研究,并通过比例缩放技术预测人体药代动力学。