Intraperitoneal cis-diamminedichloroplatinum with systemic thiosulfate protection.

Abstract:

:The toxicity and pharmacokinetics of cis-diamminedichloroplatinum (cisplatin) (90 mg/sq m) administered as a single 4-hr peritoneal dialysis, with or without concurrent i.v. infusion of sodium thiosulfate, 0.43 or 2.13 g/sq m/hr for 12 hr, were studied on 20 courses of treatment. When given without thiosulfate, the toxicity of cisplatin was systemic rather than local, and the peritoneal cavity/plasma ratio of the area under the curve was 12. Addition of i.v. thiosulfate significantly reduced the nephrotoxicity. The concentration of cisplatin in the peritoneal cavity was sufficiently greater than that in the plasma to prevent thiosulfate, which equilibrated into the cavity, from interfering with the antitumor activity of cisplatin in the peritoneum. This study demonstrates a pharmacokinetic advantage of i.p. chemotherapy with cisplatin.

journal_name

Cancer Res

journal_title

Cancer research

authors

Howell SB,Pfeifle CE,Wung WE,Olshen RA

subject

Has Abstract

pub_date

1983-03-01 00:00:00

pages

1426-31

issue

3

eissn

0008-5472

issn

1538-7445

journal_volume

43

pub_type

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