The purpose of these studies was to examine the pharmacokinetics, oral bioa
vailability, and systemic side effects of aminolevulinic acid (ALA) in beag
le dogs after oral and i.v. administration. Oral and i.v. doses of ALA (128
mg of ALA hydrochloride, equivalent to 100 mg of ALA) were administered to
four animals using a crossover design. Animals were allowed a 5-week washo
ut period between doses. Plasma ALA concentrations were determined using pr
ecolumn fluorescent derivatization and reversed-phase HPLC, Plasma concentr
ations after i.v. administration declined rapidly with a terminal half-life
of 19.5 +/- 2.5 min (mean +/- S.D.). Total body clearance and volume of di
stribution at steady state averaged 6.79 +/- 1.77 ml/min/kg and 259 +/- 128
ml/kg, respectively. Peak plasma concentrations of ALA after oral administ
ration ranged from 1.27 to 9.42 mu g/ml. Oral bioavailability in these anim
als averaged 41.2 +/- 14.8% (range, 23.5-58.5%). These studies demonstrate
that oral administration may provide a convenient and efficient route of de
livery of ALA for photodynamic therapy in patients.