1. Pharmacokinetics of multivesicular liposomal encapsulated cytarabine when administered subcutaneously in dogs
- Author
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William R. Ravis, Shanese L. Jasper, S. H. Duran, Annette N. Smith, Robert D. Arnold, Irene B. Vazquez Fuster, and Amanda R. Taylor
- Subjects
Antimetabolites, Antineoplastic ,040301 veterinary sciences ,Injections, Subcutaneous ,Encapsulated Cytarabine ,medicine.medical_treatment ,cytosar ,canine ,lymphoma ,Standard Article ,Absorption (skin) ,030204 cardiovascular system & hematology ,Pharmacology ,chemotherapy ,0403 veterinary science ,Random Allocation ,03 medical and health sciences ,Dogs ,0302 clinical medicine ,Pharmacokinetics ,medicine ,Animals ,Chemotherapy ,Liposome ,lcsh:Veterinary medicine ,Cross-Over Studies ,General Veterinary ,DepoCyt ,business.industry ,leukemia ,Cytarabine ,04 agricultural and veterinary sciences ,Crossover study ,Standard Articles ,Bioavailability ,meningoencephalomyelitis of unknown etiology ,Liposomes ,lcsh:SF600-1100 ,Administration, Intravenous ,Female ,SMALL ANIMAL ,business ,pharmacokinetics ,medicine.drug - Abstract
Background Prolonged cytotoxic concentrations of cytarabine (CA) are required for maximum cytotoxicity. DepoCyt is a human liposomal cytarabine (LC) product that lasts longer in plasma and CSF compared with free CA (FC). The use of LC has not been evaluated in dogs. Objectives To perform a LC pharmacokinetic (PK) study when administered SC in dogs. Animals Five healthy female beagles. Methods Three-period, 3-treatment, nonblinded, randomized, and crossover design, including a pilot study. LC was administered at 50 mg/m2 SC and FC was administered at 25 and 50 mg/m2 SC and IV. Plasma CA concentrations were measured until 240, 72, and 8 hours after SC LC, SC FC, and IV FC administration, respectively. CA plasma concentrations were quantitated by ultra-high-performance liquid chromatography with mass spectrometry (MS/MS) detection and concentration-time profiles were evaluated by noncompartmental analysis. Results Subcutaneous LC administration resulted in a maximum plasma concentration of 26.3 to 59.78 ng/mL, time to reach maximum plasma concentration of 2 hours, area under the concentration-time curve to last measurable concentration of 669.3 to 1126 h × ng/mL, and plasma bioavailability (%F) of 19.6% to 31.3%. The PK profiles of FC after SC and IV administration differed when compared with LC. Conclusions and clinical importance In healthy dogs, SC LC administration at 50 mg/m2 results in measurable plasma CA concentrations, is apparently safe and well tolerated, but does not result in prolonged cytotoxic plasma concentrations. Poor absorption of LC prevented establishment of a complete LC PK profile.
- Published
- 2020
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