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Phase I and Pharmacokinetic Study of ABI-007, a Cremophor-free, Protein-stabilized, Nanoparticle Formulation of Paclitaxel

Nuhad K. Ibrahim, Neil Desai, Sewa Legha, Patrick Soon-Shiong, Richard L. Theriault, Edgardo Rivera, Bita Esmaeli, Sigrid E. Ring, Agop Bedikian, Gabriel N. Hortobagyi and Julie A. Ellerhorst
Nuhad K. Ibrahim
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Neil Desai
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Sewa Legha
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Patrick Soon-Shiong
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Richard L. Theriault
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Edgardo Rivera
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Bita Esmaeli
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Sigrid E. Ring
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Agop Bedikian
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Gabriel N. Hortobagyi
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Julie A. Ellerhorst
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DOI:  Published May 2002
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  • Fig. 1.
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    Fig. 1.

    Pharmacokinetic profile of ABI-007 showing mean whole blood paclitaxel concentrations at increasing doses of ABI-007 versus time. All infusions were given over 30 min except for the first 3 patients who received 135 mg/m2 over 180 min.

  • Fig. 2.
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    Fig. 2.

    Correlation between the mean AUCinf and dose level. The data have been fit using a linear regression and an exponential regression function.

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    Fig. 3.

    Individual values of Cmax (a) and AUCinf (b) versus dose for patients receiving 30-min infusions of ABI-007.

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    Fig. 4.

    Individual values of Cmax (a) and AUCinf (b) for patients who experienced grade 3 nonhematological toxic effects (“yes”) and those who did not (“no”). In the “yes” category, the solid diamond symbols (♦) represent 2 patients with multiple grade 3 toxicities, whereas the open circle (○) represents the patient with only grade 3 neuropathy.

Tables

  • Figures
  • Table 1

    Dose levels

    LevelDose (mg/m2)No. patients enteredNo. cycles
    013546
    1200338
    2300635
    3375617
  • Table 2

    Patient characteristics

    No. (%)
    Enrolled20
    Eligible19
    Age (yr)
     Median50
     Range33–83
    Performance status (Zubrod)
     02 (10)
     114 (74)
     23 (16)
    Gender
     Female16 (84)
     Male3 (16)
    Malignancy
     Breast cancer13 (68)
     Melanoma6 (32)
    Prior treatment
     Chemotherapy19 (100)
     Immunotherapy6 (32)
     Radiotherapy15 (79)
  • Table 3

    Median absolute neutrophil and platelet nadirs by dose level

    Dose levelANC nadir × 103/mm3 (range)Platelet nadir × 103/mm3 (range)
    02.229 (1.850–5.040)204 (174–292)
    11.845 (0.586–3.729)197 (118–270)
    20.960 (0.264–3.680)200 (105–609)
    30.966 (0.018–1.804)173 (25–251)
  • Table 4

    Nonhematologic toxicity by dose levela

    ToxicityLevel 0 (n = 4)Level 1 (n = 3)Level 2 (n = 6)Level 3 (n = 6)
    Grade 1 or 2Grade 3Grade 1 or 2Grade 3Grade 1 or 2Grade 3Grade 1 or 2Grade 3
    Sensory neuropathy00004133
    Ocular10002022
    Stomatitis00104032
    Nausea10103041
    Vomiting10100021
    Diarrhea10203011
    Arthralgia/myalgia30304041
    Skin00005020
    Fever (non-neutropenic)00002030
    • a Expressed as the number of patients experiencing the toxic effect during the first two cycles of treatment.

  • Table 5

    Summary of noncompartmental pharmacokinetic parameters, mean (% coefficient of variation) values by dosea

    Dose mg/m2Infusion duration minnCmax ng/mlAUCinf ng/h/mlHalf-life hCL liter/h/m2Vz liter/m2
    13518031392 (30)5654 (42)12.9 (60)27.4 (45)418 (32)
    1353016100642714.621.1442
    2003037757 (35)9613 (20)13.4 (67)21.4 (21)384 (64)
    30030513520 (7)17610 (21)14.6 (14)17.7 (22)370 (23)
    37530419350 (15)35805 (40)13.2 (12)11.9 (42)236 (54)
    • a n, number of patients; Cmax, maximum or peak concentration; AUCinf, area under the whole blood/plasma concentration-time curve from time 0 to time infinity; CL, total body clearance; Vz, volume of distribution.

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May 2002
Volume 8, Issue 5
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Phase I and Pharmacokinetic Study of ABI-007, a Cremophor-free, Protein-stabilized, Nanoparticle Formulation of Paclitaxel
Nuhad K. Ibrahim, Neil Desai, Sewa Legha, Patrick Soon-Shiong, Richard L. Theriault, Edgardo Rivera, Bita Esmaeli, Sigrid E. Ring, Agop Bedikian, Gabriel N. Hortobagyi and Julie A. Ellerhorst
Clin Cancer Res May 1 2002 (8) (5) 1038-1044;

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Phase I and Pharmacokinetic Study of ABI-007, a Cremophor-free, Protein-stabilized, Nanoparticle Formulation of Paclitaxel
Nuhad K. Ibrahim, Neil Desai, Sewa Legha, Patrick Soon-Shiong, Richard L. Theriault, Edgardo Rivera, Bita Esmaeli, Sigrid E. Ring, Agop Bedikian, Gabriel N. Hortobagyi and Julie A. Ellerhorst
Clin Cancer Res May 1 2002 (8) (5) 1038-1044;
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