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Advances in Brief

Cremophor EL-mediated Alteration of Paclitaxel Distribution in Human Blood

Clinical Pharmacokinetic Implications

Alex Sparreboom, Lia van Zuylen, Eric Brouwer, Walter J. Loos, Peter de Bruijn, Hans Gelderblom, Marrimuthoo Pillay, Kees Nooter, Gerrit Stoter and Jaap Verweij
Alex Sparreboom
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Lia van Zuylen
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Eric Brouwer
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Walter J. Loos
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Peter de Bruijn
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Hans Gelderblom
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Marrimuthoo Pillay
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Kees Nooter
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Gerrit Stoter
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Jaap Verweij
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DOI:  Published April 1999
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    Fig. 1.

    Concentration versus time curves of paclitaxel in whole blood (○) and plasma (•; A) and of CrEL (▪) in plasma (B). Pharmacokinetic data were obtained from a female patient receiving the drug formulated at 6 mg/ml in a mixture of CrEL-dehydrated ethanol USP (1:1, v/v) at an absolute dose of 256 mg.

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  • Table 1

    Blood:plasma concentration ratio of paclitaxel in the absence and presence of various concentrations of CrEL, castor oil, and HPLC fractions of CrELa

    Compound added (%)Blood:plasma ratioPercentage change vs. control (%)Pb
    None1.07 ± 0.004
    CrEL (0.01)1.09 ± 0.009+1.830.387
    CrEL (0.05)0.990 ± 0.015−9.350.012
    CrEL (0.10)0.901 ± 0.017−15.80.003
    CrEL (0.50)0.690 ± 0.005−35.5<0.0001
    CrEL (1.0)0.625 ± 0.008−41.6<0.0001
    Castor oil (0.50)1.23 ± 0.171+13.00.061
    CrEL fraction 1 (0.50)1.06 ± 0.008−0.940.520
    CrEL fraction 2 (0.50)0.926 ± 0.018−13.50.043
    CrEL fraction 3 (0.50)0.763 ± 0.055−28.70.010
    CrEL fraction 4 (0.50)0.645 ± 0.051−39.70.003
    CrEL fraction 5 (0.50)0.943 ± 0.039−11.90.103
    • a Paclitaxel was used at an initial concentration of 1 μg/ml and incubated in whole blood for 15 min at 37°C before fractionation and HPLC analysis. Ratio data are presented as mean values ± SD of (at least) triplicate measurements.

    • b Probability value versus control (unpaired two-sided Student’s t test).

  • Table 2

    Distribution of paclitaxel in artificial binary mixture systems of the main blood fractions in the absence and presence of CrELa

    Binary systemCrEL (%)Total:extracellular ratioPercentage change vs. control (%)Pb
    Erythrocytes/buffercNone3.70 ± 0.061
    0.500.649 ± 0.014−82.5<0.001
    Erythrocytes/plasmacNone1.03 ± 0.021
    0.500.664 ± 0.007−35.50.002
    Platelets/plasmadNone1.33 ± 0.037
    0.501.26 ± 0.024−5.260.018
    • a Paclitaxel was used at an initial concentration of 1 μg/ml and incubated in whole blood for 15 min at 37°C before fractionation and HPLC analysis. Ratio data are presented as mean values ± SD of (at least) triplicate measurements.

    • b Probability value versus control (unpaired two-sided Student’s t test).

    • c Hematocrit, ∼0.45.

    • a Platelet count, ∼750 × 109/L.

  • Table 3

    CrEL concentration-dependent blood:plasma ratio and unbound paclitaxel fraction in plasma of a patienta

    Time (h)bCrEL (%)Blood:plasma ratioUnbound fraction
    0.500.0391.020.076
    1.00.1220.7950.057
    1.50.1570.8510.038
    2.00.2150.7490.028
    2.50.3000.7370.022
    3.00.3350.6230.016
    • a Paclitaxel was administered as an i.v. infusion over a 3-h period at an absolute dose of 256 mg to a single female with advanced ovarian cancer.

    • b Sample collection time point after the start of a 3-h i.v. infusion of paclitaxel.

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April 1999
Volume 59, Issue 7
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Cremophor EL-mediated Alteration of Paclitaxel Distribution in Human Blood
Alex Sparreboom, Lia van Zuylen, Eric Brouwer, Walter J. Loos, Peter de Bruijn, Hans Gelderblom, Marrimuthoo Pillay, Kees Nooter, Gerrit Stoter and Jaap Verweij
Cancer Res April 1 1999 (59) (7) 1454-1457;

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Cremophor EL-mediated Alteration of Paclitaxel Distribution in Human Blood
Alex Sparreboom, Lia van Zuylen, Eric Brouwer, Walter J. Loos, Peter de Bruijn, Hans Gelderblom, Marrimuthoo Pillay, Kees Nooter, Gerrit Stoter and Jaap Verweij
Cancer Res April 1 1999 (59) (7) 1454-1457;
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