Ja. Benvenuto et al., THE CORRELATION OF RESPONSE WITH PLASMA PHARMACOKINETICS AND POLYAMINE CONCENTRATIONS IN PATIENTS WITH ACUTE MYELOGENOUS LEUKEMIA RECEIVINGAMONAFIDE, Cancer letters, 70(3), 1993, pp. 175-179
We have investigated the correlation of clinical responses (decreases
of white blood cells and peripheral blasts) with pharmacokinetic and p
harmacodynamic parameters in patients with acute myelogenous leukemia
who are receiving amonafide. The increase of plasma polyamine concentr
ations was used as a measure of tumor sensitivity (pharmacodynamic eff
ect). The correlations between pharmacokinetic parameters (biological
half life, area under the concentration time curve (AUC), total plasma
clearance), decreases of total white blood cells and peripheral leuke
mic blasts were weak (maximum r = 0.47). Correlations of response with
polyamines were better than those with pharmacokinetic parameters, bu
t not exceptional; of these, the best correlations were with the incre
ase of putrescine. On the other hand, correlations of combinations of
AUC and increases of plasma polyamine concentrations with decreases of
total white blood cell counts approached unity. Unexpectedly, decreas
es of peripheral leukemic blasts were correlated just as well with put
rescine increase alone (r = 0.91, P = 0.003) or with a combination of
polyamine, increases and AUC (r = 0.92, P = 0.036).