Disposition of high-dose methotrexate in an obese cancer patient.

Abstract:

:The disposition of many drugs in obesity is altered, although little is known of the effect of obesity on the pharmacokinetics of anti-cancer drugs. In this report the authors describe the pharmacokinetics of high-dose methotrexate in an obese woman (184% ideal body weight) with osteosarcoma. For this patient, both the volume of distribution at steady-state (0.398 l/kg) and systemic clearance (0.0956 l/h/kg) of methotrexate were increased compared with values observed in adult patients with osteosarcoma. The terminal elimination half-life (9.29 hours) of methotrexate was similar to other reported values in adult patients, thus indicating that increases in methotrexate volume of distribution and clearance may offset each other in obesity. Based on the experience gained from this patient, the authors suggest that renal function and methotrexate serum concentrations should be monitored in obese patients receiving high-dose methotrexate with leucovorin rescue.

journal_name

Cancer

journal_title

Cancer

authors

Fleming RA,Eldridge RM,Johnson CE,Stewart CF

doi

10.1002/1097-0142(19910915)68:6<1247::aid-cncr2820

subject

Has Abstract

pub_date

1991-09-15 00:00:00

pages

1247-50

issue

6

eissn

0008-543X

issn

1097-0142

journal_volume

68

pub_type

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