Table 3.
Relation of Response with Pharmacokinetic Parameters.
Unit | Total | Favorable response (N = 64) | Unfavorable response (N = 37) | P-value | |
---|---|---|---|---|---|
(Mean ± SD) | Mean ± SD | Mean ± SD | |||
IM level | |||||
Peak | ng/ml | 2,423 ± 902 | 2,378 ± 893 | 2,433 ± 927 | 0.45 |
Trough | ng/ml | 1,199 ± 506 | 1,281 ± 578 | 935 ± 559 | 0.006* |
P/T ratio | 2.4 ± 1.5 | 2.06 ± 0.8 | 2.8 ± 2.1 | 0.001* | |
N-des-methyl imatinib | |||||
Peak | ng/ml | 311.1 ± 129.2 | 306 ± 131 | 320 ± 128 | 0.61 |
Trough | ng/ml | 208.8 ± 98.2 | 217 ± 94 | 192 ± 104 | 0.22 |
P/T ratio | 1.71 ± 1.33 | 1.51 ± 0.52 | 2.13 ± 2.09 | 0.095 | |
Pyridine-N-oxide imatinib | |||||
Peak | ng/ml | 37.1 ± 22.0 | 38.2 ± 24.3 | 35.5 ± 17.2 | 0.52 |
Trough | ng/ml | 16.8 ± 12.6 | 18.8 ± 14.2 | 13.2 ± 8.1 | 0.01* |
P/T ratio | 2.78 ± 2.13 | 2.06 ± 0.79 | 3.12 ± 2.09 | 0.008* | |
Pharmacokinetic parameters | |||||
Ke | 0.034 (0.0005–0.11) | 0.029 ± 0.018 | 0.040 ± 0.021 | <0.001* | |
CSS | ng/ml | 1,769 ± 689 | 1,840 ± 679 | 1,684 ± 706 | 0.22 |
Vd | L | 186 ±81.7 | 192 ± 89 | 166 ± 64 | 0.41 |
Cl | L/hr | 158 ± 147 | 128 ± 137 | 175 ± 158 | 0.004* |
Alph-1-acid gp | μg/ml | 1.62 ± 0.52 | 1.62 ± 0.55 | 1.58 ± 0.44 | 0.68 |
P value is significant ≤ 0.05.
IM, Imatinib; Ke, elimination constant; CSS, IM Steady State plasma Concentration; Vd, Volume of distribution; Cl, IM Clearance; P/T, Peak/Trough ratio.