Phase I and Pharmacokinetic Study of Imatinib Mesylate in Patients With Advanced Malignancies and Varying Degrees of Renal Dysfunction: A Study by the National Cancer Institute Organ Dysfunction Working Group
Gibbons J, Egorin M, Ramanathan R, Fu P, Mulkerin D, Shibata S, Takimoto C, Mani S, LoRusso P, Grem J, Pavlick A, Lenz H, Flick S, Reynolds S, Lagattuta T, Parise R, Wang Y, Murgo A, Ivy S, Remick S. Phase I and Pharmacokinetic Study of Imatinib Mesylate in Patients With Advanced Malignancies and Varying Degrees of Renal Dysfunction: A Study by the National Cancer Institute Organ Dysfunction Working Group. Journal Of Clinical Oncology 2008, 26: 570-576. PMID: 18235116, DOI: 10.1200/jco.2007.13.3819.Peer-Reviewed Original ResearchConceptsMaximum-tolerated doseSerious adverse eventsDose-limiting toxicityImatinib dosesGroup patientsRenal dysfunctionImatinib exposureNormal groupNational Cancer Institute Organ Dysfunction Working GroupAlpha-1-acid glycoprotein concentrationSerum alpha-1-acid glycoprotein concentrationsMild group patientsRenal dysfunction groupModerate renal dysfunctionAdvanced solid tumorsPharmacokinetics of imatinibAcid glycoprotein concentrationPlasma AGP concentrationImatinib clearanceImatinib dosePlasma imatinibStable diseaseDysfunction groupRenal impairmentAdult patients