代谢
泼尼松和苯丁酸氮芥(氯安布西林)及其β-氧化代谢物苯乙酸氮芥(PAM)的药代动力学特性在口服200毫克泼尼莫司汀(Sterecyt)和分别给予20毫克泼尼松加20毫克苯丁酸氮芥的方案后在血浆中进行了研究。共有12名癌症患者完成了这项试验。药物在交叉研究中作为单次剂量给药,并收集了32小时的连续血浆样本。通过气相色谱/质谱法测定苯丁酸氮芥和PAM,通过放射免疫分析法测定泼尼松。泼尼莫司汀中泼尼松和苯丁酸氮芥部分的平均相对利用度分别为19%和16%。与单独使用苯丁酸氮芥和泼尼松相比,泼尼莫司汀治疗后泼尼松以及苯丁酸氮芥和PAM在血浆中出现较晚且浓度显著较低。我们还发现,与单独使用苯丁酸氮芥相比,泼尼莫司汀给药后苯丁酸氮芥和PAM在血浆中的消除期延长。相比之下,泼尼莫司汀中泼尼松部分的消除与单独使用泼尼松片剂的消除似乎没有差异。泼尼莫司汀给药后烷化成分的修改血浆谱可能对泼尼莫司汀的临床疗效很重要。
The pharmacokinetic characteristics of prednisolone & of chlorambucil & its beta-oxidized metabolite, phenylacetic mustard (PAM) were studied in plasma after the oral admin of 200 mg prednimustine (Sterecyt) & a regimen consisting of 20 mg prednisolone plus 20 mg chlorambucil, respectively. A total of 12 cancer patients completed this trial. The drugs were given in a cross-over study as single doses, & serial plasma samples were collected for 32 h. Chlorambucil & PAM were assayed by a gas chromatographic/mass spectrometry method & prednisolone, by radioimmunoassay. The median relative availability of the prednisolone & chlorambucil moiety in prednimustine was 19% & 16%, respectively. Prednisolone, as well as chlorambucil & PAM, appeared later & at a significantly lower concn in plasma after treatment with prednimustine as compared with the mixture of chlorambucil & prednisolone. We also found that the elimination phase of chlorambucil & PAM in plasma is prolonged after the admin of prednimustine as compared with chlorambucil per se. In contrast, the elimination of the prednisolone moiety of prednimustine & that following the admin of a plain prednisolone tablet did not seem to differ. The modified plasma profile of the alkylating components following prednimustine admin may be important for the clinical efficacy of prednimustine.
来源:Hazardous Substances Data Bank (HSDB)