Effects of Esomeprazole on the Pharmacokinetics of Lapatinib in Breast Cancer Patients

被引:23
|
作者
Koch, Kevin M. [1 ]
Im, Young-Hyuck [2 ]
Kim, Sung-Bae [3 ]
Ribate, Ander Urruticoechea [4 ]
Stephenson, Joe [5 ]
Botbyl, Jeffrey [6 ]
Cartee, Leanne [7 ]
Holshouser, Jane [8 ]
Ridgway, Derry [7 ]
机构
[1] GlaxoSmithKline, Clin Pharmacol Modeling & Simulat, Res Triangle Pk, NC USA
[2] Samsung Med Ctr, Seoul, South Korea
[3] Asan Med Ctr, Seoul, South Korea
[4] Hosp Duran & Reynals, Inst Catala Oncol, Barcelona, Spain
[5] Canc Ctr Carolinas, Greenville, SC USA
[6] Provonix LLC, Cincinnati, OH USA
[7] GlaxoSmithKline, Oncol Drug Dev, London, England
[8] ICON Clin Res, Dublin, Ireland
来源
关键词
esomeprazole; lapatinib; breast cancer; proton pump inhibitor; drug interaction;
D O I
10.1002/cpdd.45
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
The aqueous solubility of lapatinib declines significantly at pH>4, suggesting that its bioavailability might be lowered by acid-reducing drugs. A study was therefore conducted to assess the effects of esomeprazole on lapatinib pharmacokinetics (PK). Women with metastatic human epidermal growth factor receptor 2 positive (HER2(+)) breast cancer were enrolled. Patients received 1,250 mg lapatinib once daily (QD) in the morning on Days 1-7 (Period 1) and Days 8-14 (Period 2) with 40 mg esomeprazole QD at bedtime 3 hours after dinner on Days 8-14. Lapatinib PK sampling occurred during the 24-hour steady-state dosing intervals on Day 7 (lapatinib alone) and Day 14 (lapatinib with esomeprazole). Esomeprazole treatment resulted in decreased lapatinib bioavailability (mean 26%, range 6-49%) that was inversely associated with patient age as a significant covariate.
引用
收藏
页码:336 / 341
页数:6
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