Abstract
To study the impact of the 79A > C polymorphism in the cytidine deaminase (CDA) gene on the pharmacokinetics of gemcitabine and its metabolite 2',2'-difluorodeoxyuridine (dFdU) in non-small-cell lung cancer (NSCLC) patients.
Patients (n = 20) received gemcitabine 1,125 mg/m(2) as a 30 min i.v. infusion as part of treatment for NSCLC. Plasma samples were collected during 0-6 h after gemcitabine administration. Gemcitabine and dFdU were quantified by high performance liquid chromatography with ultraviolet detection. The CDA 79A > C genotype was determined with PCR and DNA sequencing.
Gemcitabine was rapidly cleared from plasma and undetectable after 3 h. The allele frequency of the 79A > C polymorphism was 0.40. Diplotypes were distributed as A/A n = 8, A/C n = 8 ,and C/C n = 4. No significant differences were found between the different CDA genotypes and gemcitabine or dFdU AUC, clearance, or half-life.
The 79A > C polymorphism in the CDA gene does not have a major consistent and signficant impact on gemcitabine pharmacokinetics.
Original language | English |
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Pages (from-to) | 611-617 |
Number of pages | 7 |
Journal | European Journal of Clinical Pharmacology |
Volume | 66 |
Issue number | 6 |
DOIs | |
Publication status | Published - Jun-2010 |
Keywords
- Gemcitabine
- Cytidine deaminase
- Pharmacogenetics
- Pharmacokinetics
- Genetic polymorphism
- ADVANCED BREAST-CANCER
- PHASE-III
- EPIRUBICIN
- 2,2-DIFLUORODEOXYCYTIDINE
- CISPLATIN
- TOXICITY
- PLASMA
- TRIAL