Can food affect the bioavailability of chlorambucil in patients with haematological malignancies?

Can food affect the bioavailability of chlorambucil in patients with haematological malignancies?
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食物会影响血液恶性肿瘤患者中苯丁酸氮芥的生物利用度吗?

DOI:
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发表时间:
2004
影响因子:
3
通讯作者:
Z. Desai
Z. Desai
中科院分区:
医学3区
文献类型:
--
作者:
C. G. Adair;J. Bridges;Z. Desai

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本文对10例血液病患者在化疗第一、二天进行了药代动力学研究。患者在空腹和非空腹条件下接受苯丁酸氮芥。通过反相高效液相色谱法测定苯丁酸氮芥的血浆浓度。通过Wilcoxon符号秩检验对非参数数据进行的统计学分析表明,食物导致血浆峰浓度(P <0.01)、消除速率常数(P <0.01)和血浆苯丁酸氮芥/时间曲线下面积(P = 0.01)显著降低。食物也能延长血药浓度达到峰值的时间(P <0.01)。肾功能与消除速率常数的回归分析显示,苯丁酸氮芥消除与肾功能无关(n = 8; r =-0.007; P = 0.72)。鉴于这些结果,我们建议,苯丁酸氮芥是空腹。
SummaryPharmacokinetic studies in ten patients with haematological disorders were undertaken on the first and second days of one course of chemotherapy. Patients received chlorambucil under fasting and non-fasting conditions. Plasma concentrations of chlorambucil were determined by a reversed-phase high-performance liquid chromatography assay. Statistical analysis by the Wilcoxon signed rank test for non-parametric data indicated that food caused a significant reduction in peak plasma levels (P<0.01), elimination rate constants (P<0.01) and area under the plasma chlorambucil/time curve (P=0.01). Food was also found to prolong the time taken to attain peak plasma levels (P<0.01). Regression analysis of renal function with elimination rate constants showed that chlorambucil elimination was independent of renal function (n=8; r=-0.007; P=0.72). In view of these results we suggest that chlorambucil is given on an empty stomach.
苯丁酸氮芥和美法仑在人体中的药代动力学比较。
DOI: 10.1007/978-3-642-81488-4_16
发表时间: 1980
期刊: Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer
影响因子: --
作者:
Alberts,DS;Chang,SY;Chen,HS;Larcom,BJ;Evans,TL
通讯作者: Evans,TL