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Erschienen in: Cancer Chemotherapy and Pharmacology 6/2012

01.06.2012 | Original Article

Novel physiologically based pharmacokinetic modeling of patupilone for human pharmacokinetic predictions

verfasst von: Binfeng Xia, Tycho Heimbach, Tsu-han Lin, Handan He, Yanfeng Wang, Eugene Tan

Erschienen in: Cancer Chemotherapy and Pharmacology | Ausgabe 6/2012

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Abstract

Purpose

Patupilone (EPO906) is a novel potent microtubule stabilizer, which has been evaluated for cancer treatment. A novel physiologically based pharmacokinetics (PBPK) model was developed based on nonclinical data to predict the disposition of patupilone in cancer patients.

Methods

After a single intravenous dose (1.2 mg/kg) in male Han–Wistar rats, the tissue distribution of 14C-patupilone was investigated by quantitative whole-body autoradiography (QWBA). The blood radioactivity and patupilone concentration were determined by LC–MS/MS and liquid scintillation counting. A novel PBPK model was developed based on rat tissue concentration data to predict blood concentration–time profiles of patupilone in cancer patients. PBPK parameters derived from the rat were applied to a human PBPK model. Phase I clinical pharmacokinetic data in Caucasian and Japanese cancer patients at various doses ranging from 0.75 to 10 mg/m2 were successfully described using the PBPK approach.

Results

Patupilone dispositions in lung, heart, muscle, spleen, liver, brain, adipose, and testes of rats were well described using the PBPK model developed assuming a perfusion rate-limited distribution between different compartments. For skin and bone marrow, concentration–time profiles were modeled assuming a permeability-limited distribution between different compartments. The simulated human pharmacokinetic profiles from the PBPK model showed good agreement with observed clinical pharmacokinetic data, where the model predicted AUC, t 1/2, V ss, and CL values were within approximately twofold of the observed values for all dose groups.

Conclusions

The distribution of patupilone in rats was well described by a PBPK model based on measured tissue distribution profiles generated by QWBA combined with metabolism data. The human PBPK model adequately predicted blood pharmacokinetics of patupilone in cancer patients. The PBPK model based upon preclinical tissue distribution data can aid in successful prediction of pharmacokinetics in humans.
Literatur
1.
Zurück zum Zitat Altmann KH, Wartmann M, O’Reilly T (2000) Epothilones and related structures—a new class of microtubule inhibitors with potent in vivo antitumor activity. Biochim Biophys Acta 1470:M79–M91PubMed Altmann KH, Wartmann M, O’Reilly T (2000) Epothilones and related structures—a new class of microtubule inhibitors with potent in vivo antitumor activity. Biochim Biophys Acta 1470:M79–M91PubMed
2.
Zurück zum Zitat Austin RP, Barton P, Cockroft SL, Wenlock MC, Riley RJ (2002) The influence of nonspecific microsomal binding on apparent intrinsic clearance, and its prediction from physicochemical properties. Drug Metab Dispos 30:1497–1503PubMedCrossRef Austin RP, Barton P, Cockroft SL, Wenlock MC, Riley RJ (2002) The influence of nonspecific microsomal binding on apparent intrinsic clearance, and its prediction from physicochemical properties. Drug Metab Dispos 30:1497–1503PubMedCrossRef
3.
Zurück zum Zitat Beardsley EK, Saad F, Eigl B, Venner P, Hotte S, Winquist E, Ko YJ, Sridhar SS, Chi KN (2009) A phase II study of patupilone in patients (pts) with metastatic castration-resistant prostate cancer (CRPC) who have progressed after docetaxel. J Clin Oncol 27:1–6CrossRef Beardsley EK, Saad F, Eigl B, Venner P, Hotte S, Winquist E, Ko YJ, Sridhar SS, Chi KN (2009) A phase II study of patupilone in patients (pts) with metastatic castration-resistant prostate cancer (CRPC) who have progressed after docetaxel. J Clin Oncol 27:1–6CrossRef
4.
Zurück zum Zitat Bollag DM, McQueney PA, Zhu J, Hensens O, Koupal L, Liesch J, Goetz M, Lazarides E, Woods CM (1995) Epothilones, a new class of microtubule-stabilizing agents with a taxol-like mechanism of action. Cancer Res 55:2325–2333PubMed Bollag DM, McQueney PA, Zhu J, Hensens O, Koupal L, Liesch J, Goetz M, Lazarides E, Woods CM (1995) Epothilones, a new class of microtubule-stabilizing agents with a taxol-like mechanism of action. Cancer Res 55:2325–2333PubMed
5.
Zurück zum Zitat Brezniceanu LM, Deroussent A, Gu H, Mangold JB, Schiller H, Gross G, Cresteil T (2008) Oxidative metabolism of epothilones A and B (Patupilone) by cytochromes P450: involvement of CYP3A and CYP2C. Open Drug Metab J 2:14–23CrossRef Brezniceanu LM, Deroussent A, Gu H, Mangold JB, Schiller H, Gross G, Cresteil T (2008) Oxidative metabolism of epothilones A and B (Patupilone) by cytochromes P450: involvement of CYP3A and CYP2C. Open Drug Metab J 2:14–23CrossRef
6.
Zurück zum Zitat Buey RM, Diaz JF, Andreu JM, O’Brate A, Giannakakou P, Nicolaou KC, Sasmal PK, Ritzen A, Namoto K (2004) Interaction of epothilone analogs with the paclitaxel binding site: Relationship between binding affinity, microtubule stabilization, and cytotoxicity. Chem Biol 11:225–236PubMed Buey RM, Diaz JF, Andreu JM, O’Brate A, Giannakakou P, Nicolaou KC, Sasmal PK, Ritzen A, Namoto K (2004) Interaction of epothilone analogs with the paclitaxel binding site: Relationship between binding affinity, microtubule stabilization, and cytotoxicity. Chem Biol 11:225–236PubMed
7.
Zurück zum Zitat Casado E, Tabernero J, Melichar B, Bridgewater J, Bennouna J, Delord J, Sopala M, Sklenar I, Cheung W, Johri A (2006) Patupilone in chemotherapy-pretreated patients with advanced colorectal cancer (CRC) receiving nutritional support and intensive diarrhea management: a phase I multicenter trial. J Clin Oncol. 2006 ASCO annual meeting proceedings part I, vol 24, no 18S (June 20 Supplement), 3593 [abstract] Casado E, Tabernero J, Melichar B, Bridgewater J, Bennouna J, Delord J, Sopala M, Sklenar I, Cheung W, Johri A (2006) Patupilone in chemotherapy-pretreated patients with advanced colorectal cancer (CRC) receiving nutritional support and intensive diarrhea management: a phase I multicenter trial. J Clin Oncol. 2006 ASCO annual meeting proceedings part I, vol 24, no 18S (June 20 Supplement), 3593 [abstract]
8.
Zurück zum Zitat Chi KN, Beardsley E, Eigl B, Venner P, Hotte SJ, Winquist E, Ko YJ, Saad F (2008) A phase 2 study of patupilone in patients with metastatic hormone refractory prostate cancer (Hrpc) who have progressed after docetaxel. J Clin Oncol. 2008 ASCO annual meetings, vol 26, (May 20 Supplement), 5166 [abstract] Chi KN, Beardsley E, Eigl B, Venner P, Hotte SJ, Winquist E, Ko YJ, Saad F (2008) A phase 2 study of patupilone in patients with metastatic hormone refractory prostate cancer (Hrpc) who have progressed after docetaxel. J Clin Oncol. 2008 ASCO annual meetings, vol 26, (May 20 Supplement), 5166 [abstract]
9.
10.
Zurück zum Zitat De Buck SS, Sinha VK, Fenu LA, Gilissen RA, Mackie CE, Nijsen MJ (2007) The prediction of drug metabolism, tissue distribution, and bioavailability of 50 structurally diverse compounds in rat using mechanism-based absorption, distribution, and metabolism prediction tools. Drug Metab Dispos 35:649–659PubMedCrossRef De Buck SS, Sinha VK, Fenu LA, Gilissen RA, Mackie CE, Nijsen MJ (2007) The prediction of drug metabolism, tissue distribution, and bioavailability of 50 structurally diverse compounds in rat using mechanism-based absorption, distribution, and metabolism prediction tools. Drug Metab Dispos 35:649–659PubMedCrossRef
11.
Zurück zum Zitat De Buck SS, Sinha VK, Fenu LA, Nijsen MJ, Mackie CE, Gilissen RAHJ (2007) Prediction of human pharmacokinetics using physiologically based modeling: a retrospective analysis of 26 clinically tested drugs. Drug Metab Dispos 35:1766–1780PubMedCrossRef De Buck SS, Sinha VK, Fenu LA, Nijsen MJ, Mackie CE, Gilissen RAHJ (2007) Prediction of human pharmacokinetics using physiologically based modeling: a retrospective analysis of 26 clinically tested drugs. Drug Metab Dispos 35:1766–1780PubMedCrossRef
12.
Zurück zum Zitat Gore M, Forster M, Kaye S, Oza A, Sklenar I, Johri A, Cheung W, Zaknoen S (2007) A phase lb and pharmacokinetic trial of patupilone combined with carboplatin in patients with advanced cancer. Clin Cancer Res 13:4178–4184PubMedCrossRef Gore M, Forster M, Kaye S, Oza A, Sklenar I, Johri A, Cheung W, Zaknoen S (2007) A phase lb and pharmacokinetic trial of patupilone combined with carboplatin in patients with advanced cancer. Clin Cancer Res 13:4178–4184PubMedCrossRef
13.
Zurück zum Zitat Heimbach T, Lakshminarayana SB, Hu W, He H (2009) Practical anticipation of human efficacious doses and pharmacokinetics using in vitro and preclinical in vivo data. AAPS J 11:602–614PubMedCrossRef Heimbach T, Lakshminarayana SB, Hu W, He H (2009) Practical anticipation of human efficacious doses and pharmacokinetics using in vitro and preclinical in vivo data. AAPS J 11:602–614PubMedCrossRef
14.
Zurück zum Zitat Jones HM, Gardner IB, Watson KJ (2009) Modelling and PBPK simulation in drug discovery. AAPS J 11:155–166PubMedCrossRef Jones HM, Gardner IB, Watson KJ (2009) Modelling and PBPK simulation in drug discovery. AAPS J 11:155–166PubMedCrossRef
15.
Zurück zum Zitat Jones HM, Parrott N, Jorga K, Lave T (2006) A novel strategy for physiologically based predictions of human pharmacokinetics. Clin Pharmacokinet 45:511–542PubMedCrossRef Jones HM, Parrott N, Jorga K, Lave T (2006) A novel strategy for physiologically based predictions of human pharmacokinetics. Clin Pharmacokinet 45:511–542PubMedCrossRef
16.
Zurück zum Zitat Jones RD, Jones HM, Rowland M, Gibson CR, Yates JW, Chien JY, Ring BJ, Adkison KK, Ku MS, He H, Vuppugalla R, Marathe P, Fischer V, Dutta S, Sinha VK, Bjornsson T, Lave T, Poulin P (2011) PhRMA CPCDC initiative on predictive models of human pharmacokinetics, part 2: comparative assessment of prediction methods of human volume of distribution. J Pharm Sci 100:4074–4084CrossRef Jones RD, Jones HM, Rowland M, Gibson CR, Yates JW, Chien JY, Ring BJ, Adkison KK, Ku MS, He H, Vuppugalla R, Marathe P, Fischer V, Dutta S, Sinha VK, Bjornsson T, Lave T, Poulin P (2011) PhRMA CPCDC initiative on predictive models of human pharmacokinetics, part 2: comparative assessment of prediction methods of human volume of distribution. J Pharm Sci 100:4074–4084CrossRef
17.
Zurück zum Zitat Kilford PJ, Gertz M, Houston JB, Galetin A (2008) Hepatocellular binding of drugs: correction for unbound fraction in hepatocyte incubations using microsomal binding or drug lipophilicity data. Drug Metab Dispos 36:1194–1197PubMedCrossRef Kilford PJ, Gertz M, Houston JB, Galetin A (2008) Hepatocellular binding of drugs: correction for unbound fraction in hepatocyte incubations using microsomal binding or drug lipophilicity data. Drug Metab Dispos 36:1194–1197PubMedCrossRef
18.
Zurück zum Zitat McSheehy R, O’Reilly MT, Wartmann M, Maira M, Allegrini P, Brueggen J (2007) Patupilone, the novel microtubule stabilizer (MTS), retains activity against human colon tumour cells over-expressing P-gp in vitro and in vivo; comparison with other MTS. EJC Suppl 14th European Cancer Conference (ECCO 14), vol 5, p 63, 323 [abstract] McSheehy R, O’Reilly MT, Wartmann M, Maira M, Allegrini P, Brueggen J (2007) Patupilone, the novel microtubule stabilizer (MTS), retains activity against human colon tumour cells over-expressing P-gp in vitro and in vivo; comparison with other MTS. EJC Suppl 14th European Cancer Conference (ECCO 14), vol 5, p 63, 323 [abstract]
19.
Zurück zum Zitat Melichar B, Tabernero J, Casado E, Bridgewater J, Hamm J, Sklenar I, Holland J, Cheung W, Zaknoen S, Johri A (2005) Phase I dose optimization trial of patupilone in previously treated patients (pts) with advanced colon cancer (ACC). J Clin Oncol 23:292s Melichar B, Tabernero J, Casado E, Bridgewater J, Hamm J, Sklenar I, Holland J, Cheung W, Zaknoen S, Johri A (2005) Phase I dose optimization trial of patupilone in previously treated patients (pts) with advanced colon cancer (ACC). J Clin Oncol 23:292s
20.
Zurück zum Zitat Naritomi Y, Terashita S, Kimura S, Suzuki A, Kagayama A, Sugiyama Y (2001) Prediction of human hepatic clearance from in vivo animal experiments and in vitro metabolic studies with liver microsomes from animals and humans. Drug Metab Dispos 29:1316–1324PubMed Naritomi Y, Terashita S, Kimura S, Suzuki A, Kagayama A, Sugiyama Y (2001) Prediction of human hepatic clearance from in vivo animal experiments and in vitro metabolic studies with liver microsomes from animals and humans. Drug Metab Dispos 29:1316–1324PubMed
21.
Zurück zum Zitat O’Reilly T, McSheehy PMJ, Wenger F, Hattenberger M, Muller M, Vaxelaire J, Altmann KH, Wartmann M (2005) Patupilone (epothilone B, EPO906) inhibits growth and metastasis of experimental prostate tumors in vivo. Prostate 65:231–240PubMedCrossRef O’Reilly T, McSheehy PMJ, Wenger F, Hattenberger M, Muller M, Vaxelaire J, Altmann KH, Wartmann M (2005) Patupilone (epothilone B, EPO906) inhibits growth and metastasis of experimental prostate tumors in vivo. Prostate 65:231–240PubMedCrossRef
22.
Zurück zum Zitat O’Reilly T, Wartmann M, Brueggen J, Allegrini PR, Floersheimer A, Maira M, McSheehy PMJ (2008) Pharmacokinetic profile of the microtubule stabilizer patupilone in tumor-bearing rodents and comparison of anti-cancer activity with other MTS in vitro and in vivo. Cancer Chemother Pharmacol 62:1045–1054PubMedCrossRef O’Reilly T, Wartmann M, Brueggen J, Allegrini PR, Floersheimer A, Maira M, McSheehy PMJ (2008) Pharmacokinetic profile of the microtubule stabilizer patupilone in tumor-bearing rodents and comparison of anti-cancer activity with other MTS in vitro and in vivo. Cancer Chemother Pharmacol 62:1045–1054PubMedCrossRef
23.
Zurück zum Zitat O’Reilly T, Wartmann M, Maira SM, Hattenberger M, Vaxelaire J, Muller M, Ferretti S, Buchdunger E, Altmann KH, McSheehy PMJ (2005) Patupilone (epothilone B, EPO906) and imatinib (STI571, Glivec) in combination display enhanced antitumour activity in vivo against experimental rat C6 glioma. Cancer Chemother Pharmacol 55:307–317PubMedCrossRef O’Reilly T, Wartmann M, Maira SM, Hattenberger M, Vaxelaire J, Muller M, Ferretti S, Buchdunger E, Altmann KH, McSheehy PMJ (2005) Patupilone (epothilone B, EPO906) and imatinib (STI571, Glivec) in combination display enhanced antitumour activity in vivo against experimental rat C6 glioma. Cancer Chemother Pharmacol 55:307–317PubMedCrossRef
24.
Zurück zum Zitat Obach RS (1999) Prediction of human clearance of twenty-nine drugs from hepatic microsomal intrinsic clearance data: an examination of in vitro half-life approach and nonspecific binding to microsomes. Drug Metabo Dispos 27:1350–1359 Obach RS (1999) Prediction of human clearance of twenty-nine drugs from hepatic microsomal intrinsic clearance data: an examination of in vitro half-life approach and nonspecific binding to microsomes. Drug Metabo Dispos 27:1350–1359
25.
Zurück zum Zitat Ogiu N, Nakamura Y, Ijiri I, Hiraiwa K, Ogiu T (1997) A statistical analysis of the internal organ weights of normal Japanese people. Health Phys 72:368–383PubMedCrossRef Ogiu N, Nakamura Y, Ijiri I, Hiraiwa K, Ogiu T (1997) A statistical analysis of the internal organ weights of normal Japanese people. Health Phys 72:368–383PubMedCrossRef
26.
Zurück zum Zitat Parrott N, Paquereau N, Coassolo P, Lave T (2005) An evaluation of the utility of physiologically based models of pharmacokinetics in early drug discovery. J Pharma Sci 94:2327–2343CrossRef Parrott N, Paquereau N, Coassolo P, Lave T (2005) An evaluation of the utility of physiologically based models of pharmacokinetics in early drug discovery. J Pharma Sci 94:2327–2343CrossRef
27.
Zurück zum Zitat Potchoiba MJ, West M, Nocerini MR (1998) Quantitative comparison of autoradioluminographic and radiometric tissue distribution studies using carbon-14 labeled xenobiotics. Drug Metab Dispos 26:272–277PubMed Potchoiba MJ, West M, Nocerini MR (1998) Quantitative comparison of autoradioluminographic and radiometric tissue distribution studies using carbon-14 labeled xenobiotics. Drug Metab Dispos 26:272–277PubMed
28.
Zurück zum Zitat Poulin P, Jones RD, Jones HM, Gibson CR, Rowland M, Chien JY, Ring BJ, Adkison KK, Ku MS, He H, Vuppugalla R, Marathe P, Fischer V, Dutta S, Sinha VK, Bjornsson T, Lave T, Yates JW (2011) PHRMA CPCDC initiative on predictive models of human pharmacokinetics, part 5: Prediction of plasma concentration-time profiles in human by using the physiologically-based pharmacokinetic modeling approach. J Pharma Sci 100:4147–4157 Poulin P, Jones RD, Jones HM, Gibson CR, Rowland M, Chien JY, Ring BJ, Adkison KK, Ku MS, He H, Vuppugalla R, Marathe P, Fischer V, Dutta S, Sinha VK, Bjornsson T, Lave T, Yates JW (2011) PHRMA CPCDC initiative on predictive models of human pharmacokinetics, part 5: Prediction of plasma concentration-time profiles in human by using the physiologically-based pharmacokinetic modeling approach. J Pharma Sci 100:4147–4157
29.
Zurück zum Zitat Poulin P, Theil FP (2002) Prediction of pharmacokinetics prior to in vivo studies. 1. Mechanism-based prediction of volume of distribution. J Pharma Sci 91:129–156CrossRef Poulin P, Theil FP (2002) Prediction of pharmacokinetics prior to in vivo studies. 1. Mechanism-based prediction of volume of distribution. J Pharma Sci 91:129–156CrossRef
30.
Zurück zum Zitat Reese M, Sanchez-Pedregal VM, Kubicek K, Meiler J, Blommers MJJ, Griesinger C, Carlomagno T (2007) Structural basis of the activity of the microtubule-stabilizing agent epothilone A studied by NMR spectroscopy in solution. Angew Chem Int Ed Engl 46:1864–1868PubMedCrossRef Reese M, Sanchez-Pedregal VM, Kubicek K, Meiler J, Blommers MJJ, Griesinger C, Carlomagno T (2007) Structural basis of the activity of the microtubule-stabilizing agent epothilone A studied by NMR spectroscopy in solution. Angew Chem Int Ed Engl 46:1864–1868PubMedCrossRef
31.
Zurück zum Zitat Ring BJ, Chien JY, Adkison KK, Jones HM, Rowland M, Jones RD, Yates JW, Ku MS, Gibson CR, He H, Vuppugalla R, Marathe P, Fischer V, Dutta S, Sinha VK, Bjornsson T, Lave T, Poulin P (2011) PhRMA CPCDC initiative on predictive models of human pharmacokinetics, part 3: comparative assessment of prediction methods of human clearance. J Pharma Sci 94:1259–1276 Ring BJ, Chien JY, Adkison KK, Jones HM, Rowland M, Jones RD, Yates JW, Ku MS, Gibson CR, He H, Vuppugalla R, Marathe P, Fischer V, Dutta S, Sinha VK, Bjornsson T, Lave T, Poulin P (2011) PhRMA CPCDC initiative on predictive models of human pharmacokinetics, part 3: comparative assessment of prediction methods of human clearance. J Pharma Sci 94:1259–1276
32.
Zurück zum Zitat Rodgers T, Leahy D, Rowland M (2005) Physiologically based pharmacokinetic modeling 1: predicting the tissue distribution of moderate-to-strong bases. J Pharma Sci 94:1259–1276CrossRef Rodgers T, Leahy D, Rowland M (2005) Physiologically based pharmacokinetic modeling 1: predicting the tissue distribution of moderate-to-strong bases. J Pharma Sci 94:1259–1276CrossRef
33.
Zurück zum Zitat Rodgers T, Rowland M (2006) Physiologically based pharmacokinetic modelling 2: predicting the tissue distribution of acids, very weak bases, neutrals and zwitterions. J Pharm Sci 95:1238–1257PubMedCrossRef Rodgers T, Rowland M (2006) Physiologically based pharmacokinetic modelling 2: predicting the tissue distribution of acids, very weak bases, neutrals and zwitterions. J Pharm Sci 95:1238–1257PubMedCrossRef
34.
Zurück zum Zitat Rowland M, Peck C, Tucker G (2011) Physiologically-based pharmacokinetics in drug development and regulatory science. Annu Rev Pharmacol Toxicol 51:45–73PubMedCrossRef Rowland M, Peck C, Tucker G (2011) Physiologically-based pharmacokinetics in drug development and regulatory science. Annu Rev Pharmacol Toxicol 51:45–73PubMedCrossRef
35.
Zurück zum Zitat Rubin EH, Rothermel J, Tesfaye F, Chen T, Hubert M, Ho YY, Hsu CH, Oza AM (2005) Phase I dose-finding study of weekly single-agent patupilone in patients with advanced solid tumors. J Clin Oncol 23:9120–9129PubMedCrossRef Rubin EH, Rothermel J, Tesfaye F, Chen T, Hubert M, Ho YY, Hsu CH, Oza AM (2005) Phase I dose-finding study of weekly single-agent patupilone in patients with advanced solid tumors. J Clin Oncol 23:9120–9129PubMedCrossRef
36.
Zurück zum Zitat Tanabe KM, Millward M, Allen JD (2005) Interactions of patupilone (Epothilone B) with multidrug transporter proteins. Proc Amer Assoc Cancer Res 46 [Abstract] 3430 AACR meeting Tanabe KM, Millward M, Allen JD (2005) Interactions of patupilone (Epothilone B) with multidrug transporter proteins. Proc Amer Assoc Cancer Res 46 [Abstract] 3430 AACR meeting
37.
Zurück zum Zitat Ten Bokkel Huinink WW, Sufliarsky J, Smit WM, Spanik S, Wagnerova M, Hirte HW, Kaye S, Johri AR, Oza AM (2009) Safety and efficacy of patupilone in patients with advanced ovarian, primary fallopian, or primary peritoneal cancer: a phase I, open-label, dose-escalation study. J Clin Oncol 27:3097–3103PubMedCrossRef Ten Bokkel Huinink WW, Sufliarsky J, Smit WM, Spanik S, Wagnerova M, Hirte HW, Kaye S, Johri AR, Oza AM (2009) Safety and efficacy of patupilone in patients with advanced ovarian, primary fallopian, or primary peritoneal cancer: a phase I, open-label, dose-escalation study. J Clin Oncol 27:3097–3103PubMedCrossRef
38.
Zurück zum Zitat Tsimberidou AM, Lewis N, Reid T, Burris H, Urban P, Tan EY, Anand S, Uehara C, Kurzrock R (2011) Pharmacokinetics and antitumor activity of patupilone combined with midazolam or omeprazole in patients with advanced cancer. Cancer Chemother Pharmacol 68:1507–1516PubMedCrossRef Tsimberidou AM, Lewis N, Reid T, Burris H, Urban P, Tan EY, Anand S, Uehara C, Kurzrock R (2011) Pharmacokinetics and antitumor activity of patupilone combined with midazolam or omeprazole in patients with advanced cancer. Cancer Chemother Pharmacol 68:1507–1516PubMedCrossRef
39.
Zurück zum Zitat Zatloukal P, Mellemgaard A, Sanchez JM, Perry MC, Hamm JT, Van Meerbeeck J, Deleo JJ, Gao B, Johri AR, Felip E (2008) Activity of patupilone in advanced or metastatic non-small cell lung cancer (Nsclc): a phase II study. J Clin Oncol. 2007 ASCO annual meeting proceedings part I, vol 25, no 18S (June 20 Supplement), 18058 [abstract] Zatloukal P, Mellemgaard A, Sanchez JM, Perry MC, Hamm JT, Van Meerbeeck J, Deleo JJ, Gao B, Johri AR, Felip E (2008) Activity of patupilone in advanced or metastatic non-small cell lung cancer (Nsclc): a phase II study. J Clin Oncol. 2007 ASCO annual meeting proceedings part I, vol 25, no 18S (June 20 Supplement), 18058 [abstract]
Metadaten
Titel
Novel physiologically based pharmacokinetic modeling of patupilone for human pharmacokinetic predictions
verfasst von
Binfeng Xia
Tycho Heimbach
Tsu-han Lin
Handan He
Yanfeng Wang
Eugene Tan
Publikationsdatum
01.06.2012
Verlag
Springer-Verlag
Erschienen in
Cancer Chemotherapy and Pharmacology / Ausgabe 6/2012
Print ISSN: 0344-5704
Elektronische ISSN: 1432-0843
DOI
https://doi.org/10.1007/s00280-012-1863-5

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