DISPOSITION OF 5-FLUOROURACIL AFTER INTRAVENOUS BOLUS DOSES OF A COMMERCIAL FORMULATION TO CANCER-PATIENTS

  • 1 January 1977
    • journal article
    • research article
    • Vol. 37 (11), 3981-3984
Abstract
A high-pressure lipid chromatographic method that is used to determine the pharmacokinetic disposition of 5-fluorouracil from the plasma compartment is presented. The method requires only 0.5 ml of plasma for each determination and is sensitive to 0.1 mg of drug/l. Novel methodology with the use of an ion-specific electrode technique for the determination of urinary excretion kinetics of 5-fluorouracil and its metabolites is also presented. This study demonstrated a greater variability for the disposition of 5-fluorouracil by cancer patients than that reported previously. The apparent volume of distribution for this drug varied more than 37-fold. Its plasma half-life varied more than 19-fold, and its urinary excretion half-life varied almost 400-fold. These data are compatible with the hypothesis that this variation could account for the variable therapeutic and toxic response to 5-fluorouracil. The methodology presented in this study is sufficiently simple and sensitive to allow assessment of this hypothesis by investigating cancer patients who receive therapeutic doses of 5-fluorouracil.