Table 2.
PK Concentration Ranges
Study | Route | Sample Collected | AUC (h*µM) | HL (h) | C max (µM) | T max (h) | CL |
---|---|---|---|---|---|---|---|
5-AZA PK | IV | Plasma | 2.4–3.2 | 0.25–0.29 | 4.6–7.6 | 0.5 | 95.4–130.0 l/h/ m2 |
Ventricular CSF | 3 samples quantifiable (n = 2) Not detectable (n = 1) | ||||||
IT-V | Plasma | 0.17–0.44 | 0.52–1.4 | 0.15–0.33 | 0.08–1.0 | ||
Lumbar CSF | 1234.6–5368.4 | 0.49–0.91 | 1035.3–3015.7 | 0.45–1.1 | 0.13–0.55 ml/ min | ||
IT-L | Plasma | 0.24–0.74 | 0.28–1.8 | 0.16–1.54 | 0.08–0.5 | ||
Ventricular CSF | 7.5–19.3 | 0.52–0.84 | 6.1–9.8 | 0.5–1.1 | 35.3–91.0 ml/ min | ||
5-AZA MD/PK | IT-C | Plasma | 0.14–0.18 | 1.1–1.3 | 0.06–0.10 | 0.50 | |
Subarachnoid CSF | 187.6–1313.6 | 0.7–1.3 | 57.5–753.9 | 0.5–2.0 | 0.52–3.6 ml/ min | ||
5-AZA and inulin PK | IT-V | Plasma | 2 samples quantifiable (n = 2) at 2 h Not detectable (n = 1) | ||||
Lumbar CSF | 1108.91–2747.94 | 0.75–2.2 | 434.0–1820.64 | 0.32–1.0 | 0.25–0.62 ml/ min |
CSF, cerebrospinal fluid; PK, pharmacokinetics; IV, intravenous; AUC, area under the curve; HL, half-life; CL, clearance; 5-AZA, 5-azacytidine; MD, microdialysis; IT-V, intraventricular; IT-L, intralumbar; IT-C, intracisternal.
A mean CSF flow rate of 0.018 ± 0.003 ml/min was determined by IT-V administration of inulin.