Improved pharmacodynamics of l-asparaginase-loaded in human red blood cells.

Autor: Kravtzoff, R., Ropars, C., Desbois, I., Chassaigne, M., Lamagnere, J., Colombat, Ph., Muh, J., Valat, Ch.
Zdroj: European Journal of Clinical Pharmacology; 1996, Vol. 49 Issue 6, p465-470, 6p
Abstrakt: To evaluate the modification of pharmacodynamic parameters induced by the administration of l-asparaginase loaded into red blood cells, 13 patients received a single dose of l-asparaginase internalised into the carrier. The enzyme was loaded using a reversible lysis-resealing process. The dose per patient ranged from 30 to 200 IU·kg. Considerable heterogeneity occurred between patients: the level of l-asparaginase circulating after 24 h represented 47% of the total injected dose as compared to 74.8% for red blood cells (RBCs). However, the half-life of the enzyme remaining in the circulation was very similar to that of the RBC carrier, i.e. 29 days and 27 days, respectively, compared with 8-24 h for the free enzyme. Sustained elimination of plasma l-asparagine occurred, the duration of which was dependent on the injected dose. A single injection of 30·IU·kg was sufficient to eliminate plasma l-asparagine over 10 days. With 150-200 IU·kg the elimination period was extended to 50 days. These data show that the use of RBCs as carriers of l-asparaginase greatly improves the pharmacodynamic parameters of the drug. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index