Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2010-2-19
pubmed:abstractText
Topotecan pharmacokinetics at higher infusion rates (4 mg/m2 over 30 minutes) have not been studied. The authors report a pharmacokinetics and safety study of this dose in advanced cancer patients. Sixteen patients were given a 4-mg/m2 topotecan infusion intravenously (IV) over 30 minutes weekly for 3 weeks, repeated every 28 days. Pharmacokinetics were determined after the first dose. Plasma concentrations of total topotecan were measured to derive CL, V(ss), C(max), t(max), t(1/2), AUC(0-t), and AUC(0-infinity). Plasma total topotecan concentrations decreased biexponentially, with a mean CL value of 20.6 L/h, V(ss) value of 101 L, and t(1/2) value of 5.0 h. Nine significant adverse events (all hematologic) were topotecan related. Grade 3 or less adverse events included anemia, thrombocytopenia, leukopenia, and fatigue. Pharmacokinetics of the 4-mg/m2 infusion of topotecan over 30 minutes are comparable to findings from studies of lower and higher doses. Toxicities are similar to previous reports.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
1552-4604
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
50
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
268-75
pubmed:meshHeading
pubmed-meshheading:19808951-Adult, pubmed-meshheading:19808951-Aged, pubmed-meshheading:19808951-Aged, 80 and over, pubmed-meshheading:19808951-Anemia, pubmed-meshheading:19808951-Antineoplastic Agents, pubmed-meshheading:19808951-Biological Availability, pubmed-meshheading:19808951-Chromatography, High Pressure Liquid, pubmed-meshheading:19808951-Dose-Response Relationship, Drug, pubmed-meshheading:19808951-Drug Administration Schedule, pubmed-meshheading:19808951-Drug Tolerance, pubmed-meshheading:19808951-Fatigue, pubmed-meshheading:19808951-Female, pubmed-meshheading:19808951-Humans, pubmed-meshheading:19808951-Infusions, Intravenous, pubmed-meshheading:19808951-Leukopenia, pubmed-meshheading:19808951-Male, pubmed-meshheading:19808951-Metabolic Clearance Rate, pubmed-meshheading:19808951-Middle Aged, pubmed-meshheading:19808951-Neoplasms, pubmed-meshheading:19808951-Thrombocytopenia, pubmed-meshheading:19808951-Topotecan
pubmed:year
2010
pubmed:articleTitle
A phase I study to characterize the safety, tolerability, and pharmacokinetics of topotecan at 4 mg/m2 administered weekly as a 30-minute intravenous infusion in patients with cancer.
pubmed:affiliation
Division of Hematology/Oncology, Mayo Clinic, Scottsdale, Arizona 85259, USA.
pubmed:publicationType
Journal Article, Clinical Trial, Phase I