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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1989-7-10
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pubmed:abstractText |
To evaluate the role of amphotericin B (AmB) in the biochemical modulation of antineoplastic agents, AmB was administered as a continuous infusion over a period of 52 to 120 h to 14 patients (26 courses) with advanced carcinomas. Continuous infusion amphotericin B (CI-AmB) was delivered at a rate of 0.5 to 0.8 mg/kg/d (19-31 mg/m2/d). The AmB plateau levels assayed by HPLC ranged from 0.7 to 1.9 micrograms/mL and were directly related to the infusion rate. The AmB plasma disposition was biphasic, with mean half-lives of 17 h for the first phase and 11 d for the terminal phase, and a mean residence time of 12 d. Biochemical modulation of antineoplastic agents (lomustine, doxorubicin, cyclophosphamide) by CI-AmB was not demonstrated clinically. Acute toxicities of fever and chills were noted in only 3 of the 26 courses. Reversible renal toxicity was observed in 23 courses. Therapeutic antifungal plasma levels were rapidly reached and maintained for the duration of infusion, with a reduction of acute toxicities associated with shorter infusions. These observations provide impetus for further clinical investigation of CI-AmB.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0022-3549
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
78
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
307-10
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2724094-Adolescent,
pubmed-meshheading:2724094-Adult,
pubmed-meshheading:2724094-Aged,
pubmed-meshheading:2724094-Aged, 80 and over,
pubmed-meshheading:2724094-Amphotericin B,
pubmed-meshheading:2724094-Chromatography, High Pressure Liquid,
pubmed-meshheading:2724094-Female,
pubmed-meshheading:2724094-Half-Life,
pubmed-meshheading:2724094-Humans,
pubmed-meshheading:2724094-Infusions, Intravenous,
pubmed-meshheading:2724094-Kidney Diseases,
pubmed-meshheading:2724094-Male,
pubmed-meshheading:2724094-Middle Aged,
pubmed-meshheading:2724094-Neoplasms
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pubmed:year |
1989
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pubmed:articleTitle |
Pharmacokinetics and toxicity of continuous infusion amphotericin B in cancer patients.
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pubmed:affiliation |
Division of Hematology and Oncology, Wayne State University School of Medicine, Detroit, MI 48201.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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