alexa Association of cyclophosphamide pharmacokinetics to polymorphic cytochrome P450 2C19.
Immunology

Immunology

Lupus: Open Access

Author(s): Timm R, Kaiser R, Ltsch J, Heider U, Sezer O

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Cyclophosphamide (CP), a widely used cytostatic, is metabolized by polymorphic drug metabolizing enzymes particularly cytochrome P450 (CYP) enzymes. Its side effects and clinical efficacy exhibit a broad interindividual variability, which might be due to differences in pharmacokinetics. CP-kinetics were determined in 60 patients using a global and a population pharmacokinetic model considering functionally relevant polymorphisms of CYP2B6, CYP2C9, CYP2C19, CYP3A5, and GSTA1. Moreover, metabolic ratios were calculated for selected CP metabolites, analyzed by (31)P-NMR-spectroscopy. Analysis of variance revealed that the CYP2C19*2 genotype influenced significantly pharmacokinetics of CP at doses

This article was published in Pharmacogenomics J and referenced in Lupus: Open Access

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