Abstract
2',3'-Didehydro-3'-deoxythymidine (D4T, or stavudine) has been recently approved for the treatment of AIDS. In the present study, a specific and sensitive radioimmunoassay (RIA) was developed for the quantitation of D4T in human plasma. The RIA is a double-antibody competitive binding assay which uses anti-D4T antiserum raised in rabbits as the primary antibody, a tritiated derivative of D4T as the radioactive tracer, and goat anti-rabbit immunoglobulin G as the secondary antibody. No cross-reaction between D4T and various nucleoside analogs was detected. The limit of quantitation of the method approximated 20 ng/ml. Replicate analyses of quality control samples (40 to 3,500 ng/ml) had satisfactory intra- and interassay precision (coefficient of variation, 1.7 to 16.7%) and accuracy (deviation, -9.5 to +21.0). This newly developed RIA was successfully used in the monitoring of plasma drug levels in healthy volunteers receiving an oral dose of D4T.
Full Text
The Full Text of this article is available as a PDF (246.9 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Browne M. J., Mayer K. H., Chafee S. B., Dudley M. N., Posner M. R., Steinberg S. M., Graham K. K., Geletko S. M., Zinner S. H., Denman S. L. 2',3'-didehydro-3'-deoxythymidine (d4T) in patients with AIDS or AIDS-related complex: a phase I trial. J Infect Dis. 1993 Jan;167(1):21–29. doi: 10.1093/infdis/167.1.21. [DOI] [PubMed] [Google Scholar]
- Burger D. M., Rosing H., van Gijn R., Meenhorst P. L., van Tellingen O., Beijnen J. H. Determination of stavudine, a new antiretroviral agent, in human plasma by reversed-phase high-performance liquid chromatography with ultraviolet detection. J Chromatogr. 1992 Dec 23;584(2):239–247. doi: 10.1016/0378-4347(92)80581-a. [DOI] [PubMed] [Google Scholar]
- Cretton E. M., Zhou Z., Kidd L. B., McClure H. M., Kaul S., Hitchcock M. J., Sommadossi J. P. In vitro and in vivo disposition and metabolism of 3'-deoxy-2',3'-didehydrothymidine. Antimicrob Agents Chemother. 1993 Sep;37(9):1816–1825. doi: 10.1128/aac.37.9.1816. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dudley M. N., Graham K. K., Kaul S., Geletko S., Dunkle L., Browne M., Mayer K. Pharmacokinetics of stavudine in patients with AIDS or AIDS-related complex. J Infect Dis. 1992 Sep;166(3):480–485. doi: 10.1093/infdis/166.3.480. [DOI] [PubMed] [Google Scholar]
- Ferrua B., Tran T. T., Quaranta J. F., Kubar J., Roptin C., Condom R., Durant J., Guedj R. Measurement of the anti-HIV agent 2',3'-didehydro-2',3'-dideoxythymidine (D4T) by competitive ELISA. J Immunol Methods. 1994 Nov 10;176(1):103–110. doi: 10.1016/0022-1759(94)90354-9. [DOI] [PubMed] [Google Scholar]
- Huang P., Farquhar D., Plunkett W. Selective action of 2',3'-didehydro-2',3'-dideoxythymidine triphosphate on human immunodeficiency virus reverse transcriptase and human DNA polymerases. J Biol Chem. 1992 Feb 5;267(4):2817–2822. [PubMed] [Google Scholar]
- Janiszewski J. S., Mulvana D. E., Kaul S., Dandekar K. A., Barbhaiya R. H. High-performance liquid chromatographic determination of 2',3'-didehydro-3'-deoxythymidine, a new anti-human immunodeficiency virus agent, in human plasma and urine. J Chromatogr. 1992 May 20;577(1):151–156. doi: 10.1016/0378-4347(92)80611-s. [DOI] [PubMed] [Google Scholar]
- Lin T. S., Schinazi R. F., Prusoff W. H. Potent and selective in vitro activity of 3'-deoxythymidin-2'-ene (3'-deoxy-2',3'-didehydrothymidine) against human immunodeficiency virus. Biochem Pharmacol. 1987 Sep 1;36(17):2713–2718. doi: 10.1016/0006-2952(87)90253-x. [DOI] [PubMed] [Google Scholar]
- Mansuri M. M., Starrett J. E., Jr, Ghazzouli I., Hitchcock M. J., Sterzycki R. Z., Brankovan V., Lin T. S., August E. M., Prusoff W. H., Sommadossi J. P. 1-(2,3-Dideoxy-beta-D-glycero-pent-2-enofuranosyl)thymine. A highly potent and selective anti-HIV agent. J Med Chem. 1989 Feb;32(2):461–466. doi: 10.1021/jm00122a029. [DOI] [PubMed] [Google Scholar]
- Murray H. W., Squires K. E., Weiss W., Sledz S., Sacks H. S., Hassett J., Cross A., Anderson R. E., Dunkle L. M. Stavudine in patients with AIDS and AIDS-related complex: AIDS clinical trials group 089. J Infect Dis. 1995 Mar;171 (Suppl 2):S123–S130. doi: 10.1093/infdis/171.supplement_2.s123. [DOI] [PubMed] [Google Scholar]
- Seifert R. D., Stewart M. B., Sramek J. J., Conrad J., Kaul S., Cutler N. R. Pharmacokinetics of co-administered didanosine and stavudine in HIV-seropositive male patients. Br J Clin Pharmacol. 1994 Nov;38(5):405–410. doi: 10.1111/j.1365-2125.1994.tb04374.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sommadossi J. P. Comparison of metabolism and in vitro antiviral activity of stavudine versus other 2',3'-dideoxynucleoside analogues. J Infect Dis. 1995 Mar;171 (Suppl 2):S88–S92. doi: 10.1093/infdis/171.supplement_2.s88. [DOI] [PubMed] [Google Scholar]
- Sommadossi J. P. Nucleoside analogs: similarities and differences. Clin Infect Dis. 1993 Feb;16 (Suppl 1):S7–15. doi: 10.1093/clinids/16.supplement_1.s7. [DOI] [PubMed] [Google Scholar]
- Wong S. L., Sawchuk R. J. High-performance liquid chromatographic determination of 2',3'-didehydro-3'-deoxythymidine (d4T) in human and rabbit plasma and urine and its application to pharmacokinetic studies in the rabbit. Pharm Res. 1991 May;8(5):619–623. doi: 10.1023/a:1015808808115. [DOI] [PubMed] [Google Scholar]
