Salivary concentrations of hexamethylene bisacetamide ( HMBA ) in patients receiving 5-day continuous infusions
Identifieur interne : 00C055 ( Main/Exploration ); précédent : 00C054; suivant : 00C056Salivary concentrations of hexamethylene bisacetamide ( HMBA ) in patients receiving 5-day continuous infusions
Auteurs : Barbara A. Conley [États-Unis] ; Merrill J. Egorin [États-Unis] ; Eleanor G. Zuhowski [États-Unis] ; Victoria J. Sinibaldi [États-Unis] ; Douglas E. Peterson [États-Unis]Source :
- Cancer Chemotherapy and Pharmacology [ 0344-5704 ] ; 1988-07-01.
English descriptors
- KwdEn :
- Adaptive control algorithm, Assoc cancer, Biochim biophys acta, Bisacetamide, Blood samples, Cell differentiation, Chromatographic analysis, Clin oncol, Clinical trials, Complete edentia, Continuous infusion, Continuous infusions, Crevicular fluid, Dosage adjustment, Egorin, Erythroleukemic differentiation, Functional differentiation, Hexamethylene, Hexamethylene bisacetamide, Hmba, Infusion, Maryland cancer center, Murine erythroleukemia cells, National cancer institute, Oral cavity, Periodontal disease status, Pharmacokinetic study, Pharmacologic study, Plasma concentrations, Plasma hmba concentrations, Proc natl acad, Saliva, Salivary, Salivary concentrations, Salivary hmba concentrations.
- Teeft :
- Adaptive control algorithm, Assoc cancer, Biochim biophys acta, Bisacetamide, Blood samples, Cell differentiation, Chromatographic analysis, Clin oncol, Clinical trials, Complete edentia, Continuous infusion, Continuous infusions, Crevicular fluid, Dosage adjustment, Egorin, Erythroleukemic differentiation, Functional differentiation, Hexamethylene, Hexamethylene bisacetamide, Hmba, Infusion, Maryland cancer center, Murine erythroleukemia cells, National cancer institute, Oral cavity, Periodontal disease status, Pharmacokinetic study, Pharmacologic study, Plasma concentrations, Plasma hmba concentrations, Proc natl acad, Saliva, Salivary, Salivary concentrations, Salivary hmba concentrations.
Abstract
Summary: Salivary and plasma concentrations of hexamethylene bisacetamide (HMBA) were studied to determine (1) how the concentrations of HMBA achieved in saliva compared with those required to induce differentiation in vitro, and (2) whether saliva might substitute for plasma as a biologic fluid on which to base dosage adjustment. Plasma and expectorated saliva were collected concomitantly from 16 patients receiving 5-day continuous infusions of HMBA. The concentrations of HMBA in each fluid were determined by gas chromatography. The patients displayed a range of periodontal disease from gingivitis to complete edentia, but periodontal disease status did not appear to influence the salivary behavior of HMBA, which mirrored that of the drug in plasma, with concentrations of HMBA increasing in both fluids during the first 12–16 h of infusion. Between 24 and 120 h, HMBA concentrations in saliva and plasma remained constant. In some patients, salivary HMBA concentrations lagged behind those in plasma during the first 6–8 h of infusion, but after that the salivary HMBA concentrations approximated those in the plasma. Salivary concentrations of HMBA between 0.96 and 2.56 mM were associated with nontoxic plasma concentrations of HMBA. Therefore, in patients with restricted venous access, saliva might be a suitable substitute for plasma if adaptive control-dosing schemes for HMBA are employed. Moreover, the concentrations of HMBA in saliva bathing the oral cavity are quantitatively comparable to those required for induction of cell differentiation in vitro.
Url:
DOI: 10.1007/BF00254184
Affiliations:
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<term>Blood samples</term>
<term>Cell differentiation</term>
<term>Chromatographic analysis</term>
<term>Clin oncol</term>
<term>Clinical trials</term>
<term>Complete edentia</term>
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<term>Continuous infusions</term>
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<term>Pharmacologic study</term>
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<front><div type="abstract" xml:lang="en">Summary: Salivary and plasma concentrations of hexamethylene bisacetamide (HMBA) were studied to determine (1) how the concentrations of HMBA achieved in saliva compared with those required to induce differentiation in vitro, and (2) whether saliva might substitute for plasma as a biologic fluid on which to base dosage adjustment. Plasma and expectorated saliva were collected concomitantly from 16 patients receiving 5-day continuous infusions of HMBA. The concentrations of HMBA in each fluid were determined by gas chromatography. The patients displayed a range of periodontal disease from gingivitis to complete edentia, but periodontal disease status did not appear to influence the salivary behavior of HMBA, which mirrored that of the drug in plasma, with concentrations of HMBA increasing in both fluids during the first 12–16 h of infusion. Between 24 and 120 h, HMBA concentrations in saliva and plasma remained constant. In some patients, salivary HMBA concentrations lagged behind those in plasma during the first 6–8 h of infusion, but after that the salivary HMBA concentrations approximated those in the plasma. Salivary concentrations of HMBA between 0.96 and 2.56 mM were associated with nontoxic plasma concentrations of HMBA. Therefore, in patients with restricted venous access, saliva might be a suitable substitute for plasma if adaptive control-dosing schemes for HMBA are employed. Moreover, the concentrations of HMBA in saliva bathing the oral cavity are quantitatively comparable to those required for induction of cell differentiation in vitro.</div>
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