Rituximab pharmacokinetics in children and adolescents with de novo intermediate and advanced mature B-cell lymphoma/leukaemia: a Children's Oncology Group report

被引:30
作者
Barth, Matthew J. [1 ]
Goldman, Stanton [2 ]
Smith, Lynette [3 ]
Perkins, Sherrie [4 ]
Shiramizu, Bruce [5 ]
Gross, Thomas G. [6 ]
Harrison, Lauren [7 ]
Sanger, Warren [8 ]
Geyer, Mark B. [9 ]
Giulino-Roth, Lisa [10 ,11 ]
Cairo, Mitchell S. [7 ,12 ,13 ,14 ,15 ]
机构
[1] SUNY Coll Buffalo, Div Pediat Hematol Oncol, Buffalo, NY 14222 USA
[2] Med City Childrens Hosp, Div Pediat Hematol Oncol, Dallas, TX USA
[3] Univ Nebraska, Coll Publ Hlth, Dept Biostat, Omaha, NE 68182 USA
[4] Univ Utah, Dept Pathol, Salt Lake City, UT USA
[5] Univ Hawaii, Div Pediat Hematol Oncol, Honolulu, HI 96822 USA
[6] Ohio State Univ, Div Pediat Hematol Oncol Blood & Marrow Transplan, Columbus, OH 43210 USA
[7] New York Med Coll, Dept Pediat, Valhalla, NY 10595 USA
[8] Univ Nebraska Med Ctr, Dept Cytogenet, Omaha, NE USA
[9] Harvard Univ, Sch Med, Dept Med, Massachusetts Gen Hosp, Boston, MA USA
[10] Weill Cornell Med Coll, Dept Pediat, Div Pediat Hematol Oncol, New York, NY USA
[11] Mem Sloan Kettering Canc Ctr, Dept Pediat, New York, NY 10021 USA
[12] New York Med Coll, Dept Med, Valhalla, NY 10595 USA
[13] New York Med Coll, Dept Pathol, Valhalla, NY 10595 USA
[14] New York Med Coll, Dept Microbiol, Valhalla, NY 10595 USA
[15] New York Med Coll, Dept Cell Biol & Anat, Valhalla, NY 10595 USA
基金
美国国家卫生研究院;
关键词
non-Hodgkin lymphoma; rituximab; pharmacokinetics; pediatric; CD20; NON-HODGKINS-LYMPHOMA; SERUM CONCENTRATIONS; RISK; IDEC-C2B8;
D O I
10.1111/bjh.12434
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The ANHL01P1 trial was undertaken to determine pharmacokinetics and safety following the addition of rituximab to French-American-British/Lymphome Malins de Burkitt (FAB/LMB96) chemotherapy in 41 children and adolescents with Stage III/IV mature B-cell lymphoma/leukaemia. Patients received rituximab (375mg/m(2)) days -2 and 0 of two induction cycles and day 0 of two consolidation cycles. Highest peak levels were achieved following the second dose of each induction cycle [299 +/- 19 and 384 +/- 25 mu g/ml (Group-B); 245 +/- 31 and 321 +/- 32g/ml (Group-C)] with sustained troughs and t1/2 of 26-29d. Rituximab can be safely added to FAB chemotherapy with high early rituximab peak/trough levels and a long t1/2.
引用
收藏
页码:678 / 683
页数:6
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