Pharmacokinetics of gemcitabine in non-small-cell lung cancer patients: impact of the 79A > C cytidine deaminase polymorphism

Jan Gerard Maring*, Floris M. Wachters, Monique Slijfer, Marina Maurer, H. Marike Boezen, Donald R. A. Uges, Elisabeth G. E. de Vries, Harry J. M. Groen

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

31 Citations (Scopus)

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 languageEnglish
Pages (from-to)611-617
Number of pages7
JournalEuropean Journal of Clinical Pharmacology
Volume66
Issue number6
DOIs
Publication statusPublished - Jun-2010

Keywords

  • Gemcitabine
  • Cytidine deaminase
  • Pharmacogenetics
  • Pharmacokinetics
  • Genetic polymorphism
  • ADVANCED BREAST-CANCER
  • PHASE-III
  • EPIRUBICIN
  • 2,2-DIFLUORODEOXYCYTIDINE
  • CISPLATIN
  • TOXICITY
  • PLASMA
  • TRIAL

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