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 |
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container_title | European journal of clinical pharmacology |
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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 |
format | Article |
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H ; HÜGL, E ; DENGLER, H. J</creator><creatorcontrib>LOOS, U ; MUSCH, E ; ENGEL, M ; HARTLAPP, J. H ; HÜGL, E ; DENGLER, H. J</creatorcontrib><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.</description><identifier>ISSN: 0031-6970</identifier><identifier>EISSN: 1432-1041</identifier><identifier>DOI: 10.1007/BF00609251</identifier><identifier>PMID: 3191937</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>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. 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H</creatorcontrib><creatorcontrib>HÜGL, E</creatorcontrib><creatorcontrib>DENGLER, H. J</creatorcontrib><title>The pharmacokinetics of melphalan during intermittent therapy of multiple myeloma</title><title>European journal of clinical pharmacology</title><addtitle>Eur J Clin Pharmacol</addtitle><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.</description><subject>Administration, Oral</subject><subject>Adult</subject><subject>Aged</subject><subject>Antineoplastic agents</subject><subject>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Chemotherapy</subject><subject>Female</subject><subject>Half-Life</subject><subject>Humans</subject><subject>Injections, Intravenous</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Melphalan - administration & dosage</subject><subject>Melphalan - blood</subject><subject>Melphalan - pharmacokinetics</subject><subject>Metabolic Clearance Rate</subject><subject>Middle Aged</subject><subject>Multiple Myeloma - drug therapy</subject><subject>Multiple Myeloma - metabolism</subject><subject>Pharmacology. Drug treatments</subject><subject>Prednisone - administration & dosage</subject><subject>Prednisone - blood</subject><subject>Prednisone - pharmacokinetics</subject><issn>0031-6970</issn><issn>1432-1041</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1LxDAQhoMo67p68S70IB6E6kzTNO1RF79gQYT1XNJ06kb7ZZIe9t9b3bKeBuZ9eJl5GDtHuEEAeXv_CJBAFgk8YHOMeRQixHjI5gAcwySTcMxOnPsEQJEBn7EZxwwzLufsbb2hoN8o2yjdfZmWvNEu6KqgoXpc16oNysGa9iMwrSfbGO-p9YHfkFX99g8cam_6moJmS3XXqFN2VKna0dk0F-z98WG9fA5Xr08vy7tVqDmiD6tUy6IsME4rUaaFjhOKVCFVVkYQpamQBGWiikqMf8Vcx0LwKCOpYwRNmCm-YFe73t523wM5nzfGaarHk6kbXC5TwXkikhG83oHads5ZqvLemkbZbY6Q__rL__2N8MXUOhQNlXt0Ejbml1OunFZ1ZVWrjdtjEmPBRcR_AFMSd8Y</recordid><startdate>19880101</startdate><enddate>19880101</enddate><creator>LOOS, U</creator><creator>MUSCH, E</creator><creator>ENGEL, M</creator><creator>HARTLAPP, J. 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Drug treatments</topic><topic>Prednisone - administration & dosage</topic><topic>Prednisone - blood</topic><topic>Prednisone - pharmacokinetics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>LOOS, U</creatorcontrib><creatorcontrib>MUSCH, E</creatorcontrib><creatorcontrib>ENGEL, M</creatorcontrib><creatorcontrib>HARTLAPP, J. H</creatorcontrib><creatorcontrib>HÜGL, E</creatorcontrib><creatorcontrib>DENGLER, H. 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J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The pharmacokinetics of melphalan during intermittent therapy of multiple myeloma</atitle><jtitle>European journal of clinical pharmacology</jtitle><addtitle>Eur J Clin Pharmacol</addtitle><date>1988-01-01</date><risdate>1988</risdate><volume>35</volume><issue>2</issue><spage>187</spage><epage>193</epage><pages>187-193</pages><issn>0031-6970</issn><eissn>1432-1041</eissn><abstract>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.</abstract><cop>Heidelberg</cop><cop>Berlin</cop><pub>Springer</pub><pmid>3191937</pmid><doi>10.1007/BF00609251</doi><tpages>7</tpages></addata></record> |
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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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