Lack of effect of casopitant on the pharmacokinetics of docetaxel in patients with cancer

Purpose The neurokinin-1 receptor antagonist, casopitant, is a weak-to-moderate inhibitor of cytochrome P450 isoenzyme 3A4 (CYP3A) and has the potential to inhibit the metabolism of CYP3A substrates such as docetaxel. Methods Fourteen cancer patients were enrolled in this phase 1, open-label, random...

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Veröffentlicht in:Cancer chemotherapy and pharmacology 2011-04, Vol.67 (4), p.783-790
Hauptverfasser: Dandamudi, Uday B., Adams, Laurel M., Johnson, Brendan, Bauman, John, Morris, Shannon, Murray, Sharon, Webb, R. Timothy, Gartner, Elaina, Hohl, Raymond, Lewis, Lionel D.
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container_end_page 790
container_issue 4
container_start_page 783
container_title Cancer chemotherapy and pharmacology
container_volume 67
creator Dandamudi, Uday B.
Adams, Laurel M.
Johnson, Brendan
Bauman, John
Morris, Shannon
Murray, Sharon
Webb, R. Timothy
Gartner, Elaina
Hohl, Raymond
Lewis, Lionel D.
description Purpose The neurokinin-1 receptor antagonist, casopitant, is a weak-to-moderate inhibitor of cytochrome P450 isoenzyme 3A4 (CYP3A) and has the potential to inhibit the metabolism of CYP3A substrates such as docetaxel. Methods Fourteen cancer patients were enrolled in this phase 1, open-label, randomized, two-period crossover study. Intravenous (i.v.) docetaxel was coadministered with oral ondansetron and dexamethasone with (Regimen B) or without (Regimen A) 150 mg single-dose oral casopitant. Results The geometric least-squares mean Regimen B: Regimen A ratios (90% confidence interval) for docetaxel maximum plasma concentration and area under the concentration–time curve from time 0 extrapolated to infinity were 0.97 (0.83, 1.12) and 1.06 (0.94, 1.19), respectively. Coadministration of casopitant and docetaxel was well tolerated, with adverse event profiles and absolute neutrophil count nadirs similar for both treatments. Conclusions C max and AUC of docetaxel were similar when given as monotherapy or when given in combination with casopitant. Likewise, absolute neutrophil count nadirs were similar for docetaxel alone or docetaxel with casopitant.
doi_str_mv 10.1007/s00280-010-1381-2
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Timothy ; Gartner, Elaina ; Hohl, Raymond ; Lewis, Lionel D.</creator><creatorcontrib>Dandamudi, Uday B. ; Adams, Laurel M. ; Johnson, Brendan ; Bauman, John ; Morris, Shannon ; Murray, Sharon ; Webb, R. Timothy ; Gartner, Elaina ; Hohl, Raymond ; Lewis, Lionel D.</creatorcontrib><description>Purpose The neurokinin-1 receptor antagonist, casopitant, is a weak-to-moderate inhibitor of cytochrome P450 isoenzyme 3A4 (CYP3A) and has the potential to inhibit the metabolism of CYP3A substrates such as docetaxel. Methods Fourteen cancer patients were enrolled in this phase 1, open-label, randomized, two-period crossover study. Intravenous (i.v.) docetaxel was coadministered with oral ondansetron and dexamethasone with (Regimen B) or without (Regimen A) 150 mg single-dose oral casopitant. Results The geometric least-squares mean Regimen B: Regimen A ratios (90% confidence interval) for docetaxel maximum plasma concentration and area under the concentration–time curve from time 0 extrapolated to infinity were 0.97 (0.83, 1.12) and 1.06 (0.94, 1.19), respectively. Coadministration of casopitant and docetaxel was well tolerated, with adverse event profiles and absolute neutrophil count nadirs similar for both treatments. Conclusions C max and AUC of docetaxel were similar when given as monotherapy or when given in combination with casopitant. Likewise, absolute neutrophil count nadirs were similar for docetaxel alone or docetaxel with casopitant.</description><identifier>ISSN: 0344-5704</identifier><identifier>EISSN: 1432-0843</identifier><identifier>DOI: 10.1007/s00280-010-1381-2</identifier><identifier>PMID: 20556613</identifier><identifier>CODEN: CCPHDZ</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Aged ; Aged, 80 and over ; Antiemetics - adverse effects ; Antiemetics - pharmacology ; Antineoplastic agents ; Antineoplastic Agents - adverse effects ; Antineoplastic Agents - pharmacokinetics ; Antineoplastic Agents - therapeutic use ; Area Under Curve ; Biological and medical sciences ; Cancer Research ; Cross-Over Studies ; Cytochrome P-450 CYP3A ; Cytochrome P-450 CYP3A Inhibitors ; Dexamethasone - pharmacology ; Docetaxel ; Drug Therapy, Combination ; Enzyme Inhibitors - pharmacology ; Female ; Humans ; Least-Squares Analysis ; Leukocyte Count ; Male ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Neoplasms - drug therapy ; Neurokinin-1 Receptor Antagonists ; Neutrophils - metabolism ; Oncology ; Ondansetron - pharmacology ; Original Article ; Pharmacology. 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Timothy</creatorcontrib><creatorcontrib>Gartner, Elaina</creatorcontrib><creatorcontrib>Hohl, Raymond</creatorcontrib><creatorcontrib>Lewis, Lionel D.</creatorcontrib><title>Lack of effect of casopitant on the pharmacokinetics of docetaxel in patients with cancer</title><title>Cancer chemotherapy and pharmacology</title><addtitle>Cancer Chemother Pharmacol</addtitle><addtitle>Cancer Chemother Pharmacol</addtitle><description>Purpose The neurokinin-1 receptor antagonist, casopitant, is a weak-to-moderate inhibitor of cytochrome P450 isoenzyme 3A4 (CYP3A) and has the potential to inhibit the metabolism of CYP3A substrates such as docetaxel. Methods Fourteen cancer patients were enrolled in this phase 1, open-label, randomized, two-period crossover study. Intravenous (i.v.) docetaxel was coadministered with oral ondansetron and dexamethasone with (Regimen B) or without (Regimen A) 150 mg single-dose oral casopitant. Results The geometric least-squares mean Regimen B: Regimen A ratios (90% confidence interval) for docetaxel maximum plasma concentration and area under the concentration–time curve from time 0 extrapolated to infinity were 0.97 (0.83, 1.12) and 1.06 (0.94, 1.19), respectively. Coadministration of casopitant and docetaxel was well tolerated, with adverse event profiles and absolute neutrophil count nadirs similar for both treatments. Conclusions C max and AUC of docetaxel were similar when given as monotherapy or when given in combination with casopitant. 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Drug treatments</topic><topic>Pharmacology/Toxicology</topic><topic>Piperazines - adverse effects</topic><topic>Piperazines - pharmacology</topic><topic>Piperidines - adverse effects</topic><topic>Piperidines - pharmacology</topic><topic>Taxoids - adverse effects</topic><topic>Taxoids - pharmacokinetics</topic><topic>Taxoids - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dandamudi, Uday B.</creatorcontrib><creatorcontrib>Adams, Laurel M.</creatorcontrib><creatorcontrib>Johnson, Brendan</creatorcontrib><creatorcontrib>Bauman, John</creatorcontrib><creatorcontrib>Morris, Shannon</creatorcontrib><creatorcontrib>Murray, Sharon</creatorcontrib><creatorcontrib>Webb, R. 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Timothy</au><au>Gartner, Elaina</au><au>Hohl, Raymond</au><au>Lewis, Lionel D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lack of effect of casopitant on the pharmacokinetics of docetaxel in patients with cancer</atitle><jtitle>Cancer chemotherapy and pharmacology</jtitle><stitle>Cancer Chemother Pharmacol</stitle><addtitle>Cancer Chemother Pharmacol</addtitle><date>2011-04-01</date><risdate>2011</risdate><volume>67</volume><issue>4</issue><spage>783</spage><epage>790</epage><pages>783-790</pages><issn>0344-5704</issn><eissn>1432-0843</eissn><coden>CCPHDZ</coden><abstract>Purpose The neurokinin-1 receptor antagonist, casopitant, is a weak-to-moderate inhibitor of cytochrome P450 isoenzyme 3A4 (CYP3A) and has the potential to inhibit the metabolism of CYP3A substrates such as docetaxel. Methods Fourteen cancer patients were enrolled in this phase 1, open-label, randomized, two-period crossover study. Intravenous (i.v.) docetaxel was coadministered with oral ondansetron and dexamethasone with (Regimen B) or without (Regimen A) 150 mg single-dose oral casopitant. Results The geometric least-squares mean Regimen B: Regimen A ratios (90% confidence interval) for docetaxel maximum plasma concentration and area under the concentration–time curve from time 0 extrapolated to infinity were 0.97 (0.83, 1.12) and 1.06 (0.94, 1.19), respectively. Coadministration of casopitant and docetaxel was well tolerated, with adverse event profiles and absolute neutrophil count nadirs similar for both treatments. Conclusions C max and AUC of docetaxel were similar when given as monotherapy or when given in combination with casopitant. Likewise, absolute neutrophil count nadirs were similar for docetaxel alone or docetaxel with casopitant.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>20556613</pmid><doi>10.1007/s00280-010-1381-2</doi><tpages>8</tpages></addata></record>
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subjects Aged
Aged, 80 and over
Antiemetics - adverse effects
Antiemetics - pharmacology
Antineoplastic agents
Antineoplastic Agents - adverse effects
Antineoplastic Agents - pharmacokinetics
Antineoplastic Agents - therapeutic use
Area Under Curve
Biological and medical sciences
Cancer Research
Cross-Over Studies
Cytochrome P-450 CYP3A
Cytochrome P-450 CYP3A Inhibitors
Dexamethasone - pharmacology
Docetaxel
Drug Therapy, Combination
Enzyme Inhibitors - pharmacology
Female
Humans
Least-Squares Analysis
Leukocyte Count
Male
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Neoplasms - drug therapy
Neurokinin-1 Receptor Antagonists
Neutrophils - metabolism
Oncology
Ondansetron - pharmacology
Original Article
Pharmacology. Drug treatments
Pharmacology/Toxicology
Piperazines - adverse effects
Piperazines - pharmacology
Piperidines - adverse effects
Piperidines - pharmacology
Taxoids - adverse effects
Taxoids - pharmacokinetics
Taxoids - therapeutic use
title Lack of effect of casopitant on the pharmacokinetics of docetaxel in patients with cancer
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