The pharmacokinetics of melphalan during intermittent therapy of multiple myeloma

During intermittent melphalan-prednisone therapy the area under the plasma concentration-time curve of melphalan increased by an average of 45% after oral or intravenous administration of the drug in myeloma patients during the initial three courses at six-week intervals. The rise in melphalan plasm...

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Veröffentlicht in:European journal of clinical pharmacology 1988-01, Vol.35 (2), p.187-193
Hauptverfasser: LOOS, U, MUSCH, E, ENGEL, M, HARTLAPP, J. H, HÜGL, E, DENGLER, H. J
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container_end_page 193
container_issue 2
container_start_page 187
container_title European journal of clinical pharmacology
container_volume 35
creator LOOS, U
MUSCH, E
ENGEL, M
HARTLAPP, J. H
HÜGL, E
DENGLER, H. J
description During intermittent melphalan-prednisone therapy the area under the plasma concentration-time curve of melphalan increased by an average of 45% after oral or intravenous administration of the drug in myeloma patients during the initial three courses at six-week intervals. The rise in melphalan plasma concentrations could not be referred to an alteration in melphalan elimination, metabolism, erythrocyte/plasma partition ratio, or protein binding. A possible explanation could be that covalent binding sites of melphalan were successively saturated during intermittent treatment, resulting in higher drug concentrations during successive courses of therapy.
doi_str_mv 10.1007/BF00609251
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subjects Administration, Oral
Adult
Aged
Antineoplastic agents
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Biological and medical sciences
Chemotherapy
Female
Half-Life
Humans
Injections, Intravenous
Male
Medical sciences
Melphalan - administration & dosage
Melphalan - blood
Melphalan - pharmacokinetics
Metabolic Clearance Rate
Middle Aged
Multiple Myeloma - drug therapy
Multiple Myeloma - metabolism
Pharmacology. Drug treatments
Prednisone - administration & dosage
Prednisone - blood
Prednisone - pharmacokinetics
title The pharmacokinetics of melphalan during intermittent therapy of multiple myeloma
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