Table 6.
Dose level | Irinotecan dose (mg/m2) | No. of patients | Pharmacokinetic variables |
||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Cmax (ng/ml) |
AUC (ng h/ml) |
Metabolite:irinotecan AUC ratio |
T1/2 (h) |
||||||||
Dl | D8 | Dl | D8 | Dl | D8 | Dl | D8 | ||||
Irinotecan | 1, 2, and 3 | 60 | 10 | 1,060 ± 294 | 1,203 ± 405 | 5,534 ± 2,187 (n = 7) | 6,567 ± 4,466 | 5.9 ± 1.8 (n = 7) | 8.5 ± 8.7 | ||
4 | 90 | 5 | 1,018 ± 113 | 916 ± 351 | 5,525 ± 1,465 | 4,943 ± 1,512 | 10.2 ± 6.0 | 13.9 ± 7.1 | |||
All | 15 | 7.9 ±4.6 (n = 12) | 10.4 ± 8.3 | ||||||||
SN-38 | 1, 2, and 3 | 60 | 10 | 40 ± 24 | 30 ± 24 | 572 ± 515 | 345 ± 247 | 0.12 ±0.07 (n = 7) | 0.05 ± 0.03 (n = 8) | 11.4 ± 8.2 | 18.2 ± 17.2 (n = 8) |
4 | 90 | 5 | 24 ± 8 | 23 ± 11 | 446 ± 192 (n = 3) | 461 ± 349 | 0.09 ± 0.06 (n = 3) | 0.08 ± 0.05 | 32.6 ± 22.7 (n = 3) | 42.4 ± 27.5 | |
All | 15 | 0.11 ±0.07 (n = 10) | 0.06 ± 0.04 (n = 13) | 16.7 ± 15.3 (n = 12) | 28.3 ± 24.3 (n = 13) | ||||||
APC | 1, 2, and 3 | 60 | 10 | 223 ± 144 | 176 ± 127 | 2,507 ± 1,384 | 1,650 ± 1,344 | 0.52 ± 0.26 (n = 7) | 0.31 ± 0.23 | 7.3 ± 2.2 | 6.7 ± 2.3 |
4 | 90 | 5 | 129 ± 60 | 115 ± 58 | 2,327 ± 1,494 (n = 4) | 1,948 ± 1,647 | 0.38 ± 0.18 (n = 4) | 0.35 ± 0.24 | 13.9 ± 7.3 (n = 4) | 13.9 ± 11.4 | |
All | 15 | 0.47 ± 0.23 (n = 11) | 0.32 ± 0.22 | 9.3 ± 5.2 (n = 13) | 9.3 ± 7.5 | ||||||
SN-38G | 1, 2, and 3 | 60 | 10 | 372 ± 165 (n = 4) | 473 ± 164 (n = 3) | 4,213 ± 298 (n = 3) | 3,419 ± 724 (n = 3) | 0.70 ± 0.22 (n = 3) | 0.50 ± 0.12 (n = 3) | 6.0 ± 2.9 (n = 3) | 5.0 ± 1.2 (n = 3) |
4 | 90 | 5 | 151 (n = 1) | 186, 214 (n = 2) | (n = 0) | 2,671, 4,944 (n = 2) | (n = 0) | 0.56, 0.79 (n = 2) | (n = 0) | 7.7, 17.8 (n = 2) | |
All | 15 | 0.70 ± 0.22 (n = 3) | 0.57 ± 0.15 (n = 5) | 6.0 ± 2.9 (n = 3) | 8.1 ± 5.6 (n = 5) |
Values ar e reported as the mean ± standard deviation. Actual value are reported when n < 2
AUC area under the concentration-time curve, Cmax maximal plasma concentration, T1/2 terminal half-life