@article{oai:nagasaki-u.repo.nii.ac.jp:00005073, author = {河野, 茂 and 小林, 宏行 and 正岡, 徹 and 浦部, 晶夫 and 金丸, 昭久 and 二木, 芳人 and 森, 健 and 原, 耕平 and 池本, 秀雄 and 馬庭, 貴司 and 中條, 英司 and 鈴木, 孝太 and 山口, 英世}, issue = {4}, journal = {日本化学療法学会雑誌, Japanese Journal of Chemotherapy}, month = {Jul}, note = {深在性真菌症罹患患者32名(23~73歳)を対象にLiposomal amphotericin B(L-AMB)を1.0 mg/kg/日,2.5 mg/kg/日または5.0 mg/kg/日の用量で原則7日間連日点滴静注し,薬物動態と安全性を検討した。L-AMB投与1日目の薬物動態ではCmax(平均値±標準偏差)は1.0 mg/kg/日,2.5 mg/kg/日,5.0 mg/kg/日の各用量でそれぞれ5.96±3.02 μg/mL,16.19±7.41 μg/mL,45.71±20.14 μg/mL,また,AUC0-24(平均値±標準偏差)では55.5±39.0 μg・hr/mL,138.5±56.5 μg・hr/mL,390.3±223.2 μg・hr/mLと用量が増すにつれ増加したが,投与量に対し非線形的な相関を示した。副作用は,用量が増すにつれ種類,頻度が増加する傾向にあった。1.0 mg/kg/日投与群で14例中10例(71.4%),2.5 mg/kg/日投与群で9例中8例(88.9%),5.0 mg/kg/日投与群で9例中9例(100%)であった。しかし,本剤の投与を制限する重篤な副作用は認められず,1.0 mg/kg/日~5.0 mg/kg/日を連日投与した場合の安全性と忍容性が確認された。, The pharmacokinetics and safety of liposomal amphotericin B (L-AMB) were evaluated in 32 patients with deep-seated fungal infections (age, 23-73 years) after intravenous infusion at a dose of 1.0, 2.5, or 5.0 mg/kg/day for seven consecutive days. On Day 1 of treatment with L-AMB at doses of 1.0, 2.5, and 5.0 mg/kg/day, the Cmax (mean ± standard deviation [SD]) was 5.96 ± 3.02, 16.19 ± 7.41, and 45.71 ± 20.14 μg/mL, respectively, and the AUC0-24 (mean ± SD) was 55.5 ± 39.0, 138.5 ± 56.5, and 390.3 ± 223.2 μg・hr/mL, respectively. The Cmax and AUC0-24 increased with increasing doses, but not in a linear manner. The type and incidence of adverse drug reactions tended to increase with increasing doses. Adverse drug reactions were reported in 10 (71.4%) of the 14 subjects in the 1.0-mg/kg/day group, 8 (88.9%) of the 9 subjects in the 2.5-mg/kg/day group, and all (100%) of the 9 subjects in the 5.0-mg/kg/day group. However, no serious, dose-limiting adverse drug reactions occurred, demonstrating the safety and tolerability of daily treatment with L-AMB at doses of 1.0 to 5.0 mg/kg/day., 日本化学療法学会雑誌, 61(4), pp.369-379, 2013}, pages = {369--379}, title = {深在性真菌症患者におけるLiposomal Amphotericin B(L-AMB)の薬物動態および安全性の検討}, volume = {61}, year = {2013} }