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Population pharmacokinetics of 3-aminopyridine-2-carboxaldehyde thiosemicarbazone (Triapine (R)) in cancer patients
Journal article   Peer reviewed

Population pharmacokinetics of 3-aminopyridine-2-carboxaldehyde thiosemicarbazone (Triapine (R)) in cancer patients

Jill Kolesar, Richard C. Brundage, Marcia Pomplun, Dona Alberti, Kyle Holen, Anne Traynor, Percy Ivy and George Wilding
Cancer chemotherapy and pharmacology, Vol.67(2), pp.393-400
02/01/2011
DOI: 10.1007/s00280-010-1331-z
PMCID: PMC3059107
PMID: 20440618
url
https://www.ncbi.nlm.nih.gov/pmc/articles/3059107View
Open Access

Abstract

The purpose of this study was to develop a population pharmacokinetic (PK) model for 3-AP, to evaluate the effect of ABCB1 polymorphisms on the pharmacokinetic profile of 3-AP, and to assess the relationship between 3AP disposition and patient covariates. A total of 40 patients with advanced cancer from two phase 1 studies were included in the population PK model building. Patients received 3-AP 25-105 mg/m(2) IV on day 1. 3-AP plasma and erythrocyte levels were sampled at 10 timepoints over a 24-h period and measured by a validated HPLC method. Data were analyzed by a nonlinear mixed-effects modeling approach using the NONMEM system. 3-AP pharmacokinetics were described as a 3-compartment model with first-order elimination, with one compartment representing the plasma and another representing erythrocyte concentrations. Gender was associated with volume of distribution, in which women had a lower V2. The number of cycles administered was associated with clearance; those with decreased clearance were more likely to receive less than 2 cycles before going off study. This study suggests that monitoring 3-AP plasma concentrations in the first cycle and dose adjustment in those with decreased clearance may be helpful in decreasing toxicity associated with the 3-AP.
Life Sciences & Biomedicine Oncology Pharmacology & Pharmacy Science & Technology

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