Rituximab pharmacokinetics in children and adolescents with de novo intermediate and advanced mature B-cell lymphoma/leukaemia: a Children's Oncology Group report.

TitleRituximab pharmacokinetics in children and adolescents with de novo intermediate and advanced mature B-cell lymphoma/leukaemia: a Children's Oncology Group report.
Publication TypeJournal Article
Year of Publication2013
AuthorsBarth MJ, Goldman S, Smith L, Perkins S, Shiramizu B, Gross TG, Harrison L, Sanger W, Geyer MB, Giulino-Roth L, Cairo MS
JournalBr J Haematol
Volume162
Issue5
Pagination678-83
Date Published2013 Sep
ISSN1365-2141
KeywordsAdolescent, Adult, Age Factors, Antibodies, Monoclonal, Murine-Derived, Antineoplastic Agents, Antineoplastic Combined Chemotherapy Protocols, Cyclophosphamide, Doxorubicin, Drug Administration Schedule, Half-Life, Humans, L-Lactate Dehydrogenase, Lymphoma, B-Cell, Methotrexate, Neoplasm Staging, Pilot Projects, Prednisone, Rituximab, Vincristine, Young Adult
Abstract

The ANHL01P1 trial was undertaken to determine pharmacokinetics and safety following the addition of rituximab to French-American-British/Lymphome Malins de Burkitt (FAB/LMB96) chemotherapy in 41 children and adolescents with Stage III/IV mature B-cell lymphoma/leukaemia. Patients received rituximab (375 mg/m(2) ) days -2 and 0 of two induction cycles and day 0 of two consolidation cycles. Highest peak levels were achieved following the second dose of each induction cycle [299 ± 19 and 384 ± 25 μg/ml (Group-B); 245 ± 31 and 321 ± 32 μg/ml (Group-C)] with sustained troughs and t½ of 26-29 d. Rituximab can be safely added to FAB chemotherapy with high early rituximab peak/trough levels and a long t½.

DOI10.1111/bjh.12434
Alternate JournalBr J Haematol
PubMed ID23802659
PubMed Central IDPMC3745786
Grant ListR13 CA171748 / CA / NCI NIH HHS / United States
U10 CA098413 / CA / NCI NIH HHS / United States
U54 MD007584 / MD / NIMHD NIH HHS / United States
CA98413-09 / CA / NCI NIH HHS / United States
U10 CA098543 / CA / NCI NIH HHS / United States
CA98543-09 / CA / NCI NIH HHS / United States