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Relative Importance of Dose, Body Surface Area, Sex, and Age for 5-Fluorouracil Clearance

 

作者: Rudiger E. Port,   Barbel Daniel,   Reinhard W. Ding,   Richard Herrmann,  

 

期刊: Oncology  (Karger Available online 1991)
卷期: Volume 48, issue 4  

页码: 277-281

 

ISSN:0030-2414

 

年代: 1991

 

DOI:10.1159/000226942

 

出版商: S. Karger AG

 

关键词: 5-Fluorouracil;Pharmacokinetics;Methotrexate

 

数据来源: Karger

 

摘要:

The pharmacokinetics of 5-fluorouracil (FU) has been investigated in 26 cancer patients; 15 of these patients were pretreated with methotrexate (MTX). FU was given by a constant rate intravenous infusion within lOmin, at doses of 320–960 mg/m2. Total plasma clearance, P-half-life, and steady-state distribution volume were determined with 43 treatments, based on plasma level measurements up to 90 min after the end of the infusion. Average clearance decreased from 1.3 1/min for 320 to 0.7 1/min for 960 mg FU/m2. Multiple linear regression calculations with dose, body surface area, sex, age, and MTX pretreatment as independent variable and clearance as dependent variable confirmed the dependency of clearance on dose and body surface area but also showed that, with equal FU dose per m2, clearance was higher in males than in females, on the average, by 0.22 1/min. There was also suggestive (although not significant) evidence of a (reducing) influence of age on FU clearanc

 

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