Association of ABCB1 polymorphisms with erlotinib pharmacokinetics and toxicity in Japanese patients with non-small-cell lung cancer

被引:3
|
作者
Hamada, Akinobu [1 ,2 ]
Sasaki, Ji-ichiro [1 ]
Saeki, Sho [2 ]
Iwamoto, Norihiro [3 ]
Inaba, Megumi [8 ]
Ushijima, Sunao [8 ]
Urata, Maki [4 ]
Kishi, Hiroto [4 ]
Fujii, Shinji [5 ]
Semba, Hiroshi [5 ]
Kashiwabara, Kosuke [6 ]
Tsubata, Yukari [7 ]
Kai, Yuki [2 ]
Isobe, Takeshi [7 ]
Kohrogi, Hirotsugu [2 ]
Saito, Hideyuki [1 ,2 ]
机构
[1] Kumamoto Univ Hosp, Kumamoto, Japan
[2] Kumamoto Univ, Kumamoto, Japan
[3] Saiseikai Kumamoto Hosp, Kumamoto, Japan
[4] Kumamoto City Hosp, Kumamoto, Japan
[5] Kumamoto Reg Med Ctr, Kumamoto, Japan
[6] Kumamoto Med Ctr, Kumamoto, Japan
[7] Shimane Univ Hosp, Matsue, Shimane, Japan
[8] Kumamoto City Hosp, Kumamoto, Japan
关键词
ABCB1; erlotinib; Japanese; P-glycoprotein; pharmacokinetic; polymorphism; toxicity; TYROSINE KINASE INHIBITOR; P-GLYCOPROTEIN; GENETIC POLYMORPHISMS; MULTIDRUG-RESISTANCE; FUNCTIONAL POLYMORPHISMS; ANTIEPILEPTIC DRUGS; CLINICAL-RELEVANCE; TRANSPORTER ABCB1; SOLID TUMORS; IN-VIVO;
D O I
10.2217/PGS.11.176
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Aims: We analyzed the association of ABCB1 polymorphisms with erlotinib-induced toxicity and the pharmacokinetics in patients with non-small-cell lung cancer. Materials & methods: After erlotinib 150 mg was administered to 50 patients, ABCB1 polymorphisms were analyzed via either TaqMan (R) assays or direct nucleotide sequencing. Plasma concentrations were measured by HPLC. Results: The trough concentration at steady state in patients with the ABCB1 1236TT-2677TT-3435TT genotype was higher compared with others groups (p = 0.021) and patients carrying this genotype had a higher risk of developing higher grade 2 toxicity (p = 0.012). Conclusion: The present study suggested that the ABCB1 1236TT-2677TT-3435T1 genotype was associated with higher plasma concentration and the risk of developing higher toxicity in patients treated with erlotinib.
引用
收藏
页码:615 / 624
页数:10
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