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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2001-9-20
pubmed:abstractText
This study was undertaken to evaluate the toxicity and pharmacokinetics of a dimethyl sulphoxide (DMSO)-based intravenous formulation of busulphan in the conditioning of 45 patients undergoing allogeneic or autologous stem cell transplantation (SCT). Busulphan was given as a single daily dose. In 15 patients a single dose of intravenous busulphan, given over 3 h in 1 d, was combined with additional oral (single daily) doses. Thirty patients received all four daily doses intravenously. Busulphan plasma levels were analysed using high performance liquid chromatography. There was no major acute toxicity with daily intravenous doses of 2.8-3.1 mg/kg infused over 3 h. No veno-occlusive disease (VOD) was seen in 30 patients receiving busulphan as an intravenous formulation over 4 d. In the group of 15 patients receiving three oral doses and one intravenous single daily dose, one patient experienced mild VOD. Pharmacokinetic samples were taken over at least 2 d of treatment in 44 patients. The area under the concentration time curve (AUC) values normalized for a dose of 1 mg/kg were 7000 ng/ml x h on d 1 and 5890 ng/ml x h on d 4, thus showing a moderate decrease over time. This was accompanied by a moderate increase of the clearance from 2.6 to 3.0 ml/min/kg. Administration of busulphan as a DMSO-based intravenous formulation was well tolerated. The total dose of busulphan can be given in four (rather than the typical 16) doses. With such a regimen, the intravenous administration becomes feasible on an outpatient basis.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0007-1048
pubmed:author
pubmed:issnType
Print
pubmed:volume
114
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
944-50
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:11564090-Acute Disease, pubmed-meshheading:11564090-Adolescent, pubmed-meshheading:11564090-Adult, pubmed-meshheading:11564090-Area Under Curve, pubmed-meshheading:11564090-Busulfan, pubmed-meshheading:11564090-Drug Administration Schedule, pubmed-meshheading:11564090-Female, pubmed-meshheading:11564090-Hematopoietic Stem Cell Transplantation, pubmed-meshheading:11564090-Humans, pubmed-meshheading:11564090-Immunosuppressive Agents, pubmed-meshheading:11564090-Infusions, Intravenous, pubmed-meshheading:11564090-Leukemia, pubmed-meshheading:11564090-Leukemia, Myelogenous, Chronic, BCR-ABL Positive, pubmed-meshheading:11564090-Leukemia, Myeloid, pubmed-meshheading:11564090-Lymphoma, pubmed-meshheading:11564090-Male, pubmed-meshheading:11564090-Middle Aged, pubmed-meshheading:11564090-Myelodysplastic Syndromes, pubmed-meshheading:11564090-Precursor Cell Lymphoblastic Leukemia-Lymphoma, pubmed-meshheading:11564090-Transplantation, Autologous, pubmed-meshheading:11564090-Transplantation, Homologous, pubmed-meshheading:11564090-Transplantation Conditioning
pubmed:year
2001
pubmed:articleTitle
Intravenous busulphan for conditioning before autologous or allogeneic human blood stem cell transplantation.
pubmed:affiliation
Department of Internal Medicine I, Technical University, Fetscherstrasse 74, D-01307 Dresden, Germany. schuler@mk1.med.tu-dresden.de
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Research Support, Non-U.S. Gov't