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Bioavailability of ifosfamide in patients with bronchial carcinoma

  • Original Articles
  • Ifosfamide, HPLC, Bronchial Carcinoma
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Summary

The pharmacokinetics of ifosfamide (I) were determined in ten patients with bronchogenic carcinoma. In seven patients, doses of 1 and 2 g (I) were given both as a bolus orally and later intravenously and were well tolerated. A further three patients received 5 g (I) as a single oral dose but in two this produced reversible CNS toxicity and severe vomiting. The area under the curve (AUC, μg.h.l-1) for the 1-g dose was the same following oral and i. v. treatment and this was also true for the 2-g doses. There was a proportionate increase in the AUC for the 5-g oral dose, indicating 100% bioavailability at all three dose levels. We conclude that doses up to 2 g by mouth represent a well-tolerated alternative route of administration.

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References

  1. Brade WP, Herdrich K, Varini M (1985) Ifosfamide — pharmacology, safety and therapeutic potential. Cancer Treat Rev 12: 1–47

    Google Scholar 

  2. Brock N (1980) Konzeption und Wirkmechanismus von Uromitexan (Mesna) Beitr Onkol 5 1–12

    Google Scholar 

  3. Craeven PJ, Allen LM, Cohen MH, Nelson RL (1976) Studies on the clinical pharmacology and toxicology of ifosfamide (NSC 109724). Cancer Treat Rep 60 445–449

    Google Scholar 

  4. Goldin A, Venditti JM, Kline I, Wodinsky I, Little AD, Schabel FM (1977) Preclinical investigations with ifosfamide in relation to cyclophosphamide. Proc Int Holoxan Symposium, D∭seldorf 19–28

  5. Goldin A (1982) Ifosfamide in experimental systems. Semin Oncol 9 [Suppl 1] 14–23

    Google Scholar 

  6. Karnofsky DA, Abelmann WH, Craver LF, Burshenal JH (1948) The use of the nitrogen mustards in the palliative treatment of carcinoma. Cancer 1 634–656

    Google Scholar 

  7. Klein H, Dias P, Christian E, Coerper C (1984) Therapeutic effects of single-push or fractionated injections or continous infusion of oxazaphosphorine (cyclophosphamide, ifosfamide, ASTA Z 7557). Cancer 54 1193–1203

    Google Scholar 

  8. Margison JM, Cerny T, Thatcher N, Wilkinson PM (1986) A simple quantitative HPLC assay for ifosfamide in biological fluids. Bromed Chromat 1 (3) (in press)

  9. McNiel NO and Morgan LR (1981) The bioavailability of oral and intravenous ifosfamide in the treatment of bronchogenic carcinoma. Int J Clin Pharmacol Toxicol 19: 490–493

    Google Scholar 

  10. Miller AB, Hoogstraten B, Staquet M, Winkler A (1981) Reporting results of cancer treatment. Cancer 47 207–214

    Google Scholar 

  11. Morgan LR, Harrison EF, Hawke JE, Hunter HL, Costanzi JJ, Plotkin D, Tucker WG, Worrall PM (1982) Toxicity of single- v. s. fractionated-dose Ifosfamide in non-small cell lung cancer a multi-center study. Semin Oncol 9 (Suppl. 1) 66–70

    Google Scholar 

  12. Seeber S, Niederle N, Osieka N, Osieka R, Schuette J (1984) Experimentelle und klinische Untersuchungen zur Wirksamkeit von Ifosfamide bei refrakt→en Neoplasien. Tumor Diagnost Ther 5 39–43

    Google Scholar 

  13. Wilkinson PM, O'Neill PA, Thatcher N, Lucas SB (1983) Pharmacokinetics of high-dose cyclophosphamide in patients with metastatic bronchogenic carcinoma. Cancer Chemother Pharmacol 11 196–199

    Google Scholar 

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T. Cerny is the recipient of an EORTC Research Fellowship

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Cerny, T., Margison, J.M., Thatcher, N. et al. Bioavailability of ifosfamide in patients with bronchial carcinoma. Cancer Chemother. Pharmacol. 18, 261–264 (1986). https://doi.org/10.1007/BF00273399

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  • DOI: https://doi.org/10.1007/BF00273399

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