A SLOW-RELEASE METHOTREXATE FORMULATION FOR INTRATHECAL CHEMOTHERAPY

被引:18
作者
CHATELUT, E [1 ]
KIM, T [1 ]
KIM, S [1 ]
机构
[1] UNIV CALIF SAN DIEGO,CTR CANC,LA JOLLA,CA 92103
关键词
D O I
10.1007/BF00685832
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Optimal anticancer treatment with cell cycle phase-specific antimetabolites requires a sustained maintenance of cytotoxic drug levels. However, drugs that can be administered intrathecally have short half-lives in cerebrospinal fluid (CSF) and require repeated administrations by lumbar punctures, which are painful and inconvenient. Implantable pumps are expensive and require surgery. In a rat model, a lipid-based formulation of methotrexate (Depo/methotrexate) was tested for extended maintenance of therapeutic CSF concentration after a single injection. The half-life of methotrexate in CSF after an intracisternal injection of Depo/methotrexate was 5.4 days compared to 0.30 days for unencapsulated methotrexate. This 18-fold increase in methotrexate half-life may make Depo/methotrexate useful for intrathecal chemotherapy of neoplastic meningitis.
引用
收藏
页码:179 / 182
页数:4
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