Cisplatin renal clearance

Author: yuom

August undefined, 2024

WebMar 2, 2024 · After several decades, cisplatin continues to be an essential drug for the treatment of several tumors, however, its potential nephrotoxicity is still a clinically relevant issue. Identification of predisposing factors for renal toxicity could be of value to warrant prophylactic measures. We analyzed data from 198 patients with various tumor types, … WebJun 8, 2024 · The renal clearance of free platinum is nonlinear and variable and is dependent on dose, urine flow rate, and individual variability in the extent of active …

Defining cisplatin eligibility in patients with muscle ... - Nature

WebThe clearance (or total clearance) of a drug is the sum of the clearances of the eliminating organs, mainly the kidneys and the liver: CL = CL renal+CL hepatic. The hepatic clearance tends to be lower in elderly than in younger patients but that is … WebSerum creatinine, blood urea nitrogen, electrolyte, and glomerular filtration rate (GFR) were measured at baseline and days 2 and 7. Moreover, GFR was calculated based on the 24-hour urine creatinine clearance rate to assess renal function at baseline and 48 hours after receiving cisplatin. how many russian troops in moldova

Cisplatin-induced renal toxicity in elderly people

WebDec 2, 2024 · Cisplatin is a commonly used chemotherapeutic drug for cancer treatment, but its nephrotoxicity may lead to the deterioration of renal function. Previous work has been focused on cisplatin-induced acute kidney disease, whereas the mechanism of chronic kidney disease after cisplatin chemotherapy is largely unknown. In the present study, … WebSep 21, 2016 · Purpose Efficacy of formulas calculating creatinine clearance (CrCl) to determine renal function eligibility (CrCl > 60 mL/min) for cisplatin-based chemotherapy has not been examined adequately in the bladder cancer population. We hypothesize these formulas may underestimate measured CrCl, and therefore the eligibility for cisplatin … WebCisplatin(cis-dichlorodiammineplatinum)–platinum coordination complex is an effective chemotherapy ... Because MTX is excreted in the urine, renal im-pairment affects the clearance of the drug. Prolonged expo-sure to toxic levels of MTX (.10 mmol/L at 24 hours; .1 mmol/L at 48 hours, and.0.1mmol/L at 72 hours) may lead how did america get so fat

Cisplatin dosing, indications, interactions, adverse effects …

Evidence for Nephrotoxicity Prevention With Cisplatin Therapy Is …

WebClearance of cisplatin, etoposide, and ifosfamide depends on kidney function and dosages should be adjusted in patients with renal impairment. However, there is still limited data … WebMay 8, 2024 · Deliver hydration to patients receiving cisplatin therapy to maintain renal function. Include magnesium supplementation, which has nephroprotective effects in adults, in hydration regimens before, during, and after cisplatin. Add mannitol to hydration to prevent nephrotoxicity in adults. Evidence for Interventions to Prevent Nephrotoxicity how many russian troops in kherson how did america get involved in ww2

"WebCisplatin renal clearance, total clearance, and the percentage of the dose excreted unchanged in urine were significantly lower with the longer infusion. Total clearance was 345 +/- 97.0 mL/min/m2 after the two-hour infusion and 268 +/- 70.7 mL/min/m2 after the 24-hour infusion (P less than .0001). " - Cisplatin renal clearance

Cisplatin renal clearance

Chapter 12: Pharmacokinetics of Chemotherapeutic …

WebSep 1, 2014 · Overexpression of Sirt1, a NAD-dependent protein deacetylase, in the proximal tubule cell maintains peroxisome number and reduces renal reactive oxygen species levels which rescued cell apoptosis induced by cisplatin . Downregulation of Klotho gene, an anti-aging gene expressed in the distal convoluted tubules, was observed in … WebRenal injury induced by cisplatin primarily occurs in proximal tubules, 1 where the tubular injury causes a decrease in the glomerular filtration rate. 2 Because of this ... in the nephrotoxicity caused by cisplatin. 3,18,20 These previous reports also elucidated the association between the clearance of cationic drugs and the toxicity of ...

Did you know?

WebFeb 16, 2016 · Purpose: Loco-regional control and organ preservation are significantly improved with concomitant cisplatin/radiotherapy and are compromised with less than … WebJan 11, 2024 · According to current clinical trial eligibility criteria, patients with muscle-invasive bladder cancer (MIBC) and baseline renal clearance of 40–60 ml/min can …

WebRenal clearance is most commonly a feature of polar, low LogD 7.4 (<~1) ... Renal clearance accounts for more than 90% of the clearance of platinum agents.[47] … WebHowever, on day 5 of treatment patients showed increased alpha-half life and AUC of plasma Pt, as well as decreased Pt total body clearance and Pt renal clearance, associated to a significant (although still within normal range) increase in serum creatinine and a decrease in urinary volume.

WebApr 12, 2024 · OCT2 exerts its action through cisplatin transport into renal tubular epithelial cells . Consequently, OCT2 is responsible for the cellular uptake of cisplatin and, thus, for its intracellular accumulation. ... Indeed, from 5% to 15% of the patients with both estimated creatinine clearance (eCrCl), expressed in milliliters/minute, ... WebMay 18, 2024 · When the initial dosage of cisplatin is more than 50 mg/m 2, the decrease of a cisplatin clearance rate, the increase of the cisplatin maximum plasma concentration, 83 the increase of the ultrafilterable cisplatin concentration caused by anemia, and the decrease of plasma albumin, 82 may be all pharmacokinetic bases for the increase of …

WebThe mean renal clearance of cisplatin exceeds creatinine clearance and is 62 and 50 mL/min/m 2 following administration of 100 mg/m 2 as 2 hour or 6 hour to 7 hour infusions, respectively. The renal clearance of free …

WebNational Center for Biotechnology Information how did america get alaska from russiaWebcisplatin increases levels of paclitaxel by decreasing renal clearance. Minor/Significance Unknown. conivaptan. conivaptan will increase the level or effect of paclitaxel by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Minor/Significance Unknown. cortisone. how many ruth galloway mysteries are thereWebAug 1, 2005 · The renal clearance of a chemotherapeutic agent is important in CRRT-dependent patients. However, clearance of a particular drug by dialysis is not necessarily predicted by its renal clearance in patients with normal renal function. ESRD and dialysis can affect drug clearance in more ways than simple first-order kinetics. how did america get so richWebApr 19, 2024 · The mean renal clearance of cisplatin exceeds creatinine clearance and was 62 mL/min per m² and 50 mL/min per m² following administration of 100 mg/m² as 2-hour or 6-to 7-hour infusions, respectively. Plasma concentrations of the parent compound, cisplatin, decrease monoexponentially with a half-life of about 20 to 30 minutes … how did america get involved in world war iWebRenal function of cancer patients "fit" for Cisplatin chemotherapy: physician perspective Authors J Montoya 1 , H G Luna 2 , J R Amparo 2 , C Casasola 3 , G Cristal-Luna 2 Affiliations 1 Joey Montoya, MD, National Kidney and Transplant Institute, Philippines. how many russian vehicles destroyedWeb• Nephrotoxicity: cisplatin for injection can cause severe renal toxicity, including acute renal failure. Ensure adequate hydration. Consider dose reductions or alternative treatments in … how did america mobilize for warWebApr 9, 2024 · Cisplatin has been the chemotherapy cornerstone for renal transitional cell carcinoma, but it's not for everyone. Learn about better options for patients with impaired … how many russian troops died