7-Hydroxy-methotrexate and clinical toxicity following high-dose methotrexate therapy.
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7-Hydroxy-methotrexate and clinical toxicity following high-dose methotrexate therapy. / Erttmann, Rudolf; Bielack, S; Landbeck, G.
in: J CANCER RES CLIN, Jahrgang 109, Nr. 1, 1, 1985, S. 86-88.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - 7-Hydroxy-methotrexate and clinical toxicity following high-dose methotrexate therapy.
AU - Erttmann, Rudolf
AU - Bielack, S
AU - Landbeck, G
PY - 1985
Y1 - 1985
N2 - 7-Hydroxy-MTX production after consecutive high-dose MTX therapy (12 g/m2) was measured in 7 patients with osteosarcoma by HPLC. 7-Hydroxy-MTX serum values in the last cycle were found to be significantly lower compared with the first high-dose MTX treatment of the adjuvant chemotherapy protocol (COSS 80). Moreover, in another patient highly reduced 7-hydroxy-MTX production was correlated with severe clinical toxicity. As 7-hydroxy-MTX is a 200 fold less potent dihydrofolic acid reductase inhibitor compared with MTX decreased production of the metabolite may lead to enhanced clinical toxicity which may not be predictable monitoring MTX serum levels alone.
AB - 7-Hydroxy-MTX production after consecutive high-dose MTX therapy (12 g/m2) was measured in 7 patients with osteosarcoma by HPLC. 7-Hydroxy-MTX serum values in the last cycle were found to be significantly lower compared with the first high-dose MTX treatment of the adjuvant chemotherapy protocol (COSS 80). Moreover, in another patient highly reduced 7-hydroxy-MTX production was correlated with severe clinical toxicity. As 7-hydroxy-MTX is a 200 fold less potent dihydrofolic acid reductase inhibitor compared with MTX decreased production of the metabolite may lead to enhanced clinical toxicity which may not be predictable monitoring MTX serum levels alone.
M3 - SCORING: Zeitschriftenaufsatz
VL - 109
SP - 86
EP - 88
JO - J CANCER RES CLIN
JF - J CANCER RES CLIN
SN - 0171-5216
IS - 1
M1 - 1
ER -