Phase I Evaluation of Zalcitabine Administered to Human Immunodeficiency Virus-Infected Children
- 1 December 1995
- journal article
- clinical trial
- Published by Oxford University Press (OUP) in The Journal of Infectious Diseases
- Vol. 172 (6) , 1475-1479
- https://doi.org/10.1093/infdis/172.6.1475
Abstract
The safety, tolerability, and pharmacokinetics of zalcitabine (ddC) in a single oral dose (0.02 mg! kg) was evaluated in 23 mildly symptomatic human immunodeficiency virus-infected children (mean age, 4.2 years). After administration of ddC, blood samples were obtained at 0.5, 1, 1.5, 2, 4, 6, and 8 h for analysis. The drug was well tolerated and no side effects were noted. Plasma ddC levels were determined by ion spray liquid chromatography/tandem mass spectrometry. ddC was rapidly absorbed, with a mean maximum plasma concentration of 9.3 ng/mL (range, 3.2–14.1) attained within a mean of 1 h (range, 0.5–2.0). Mean elimination half-life was 1.4 h (range, 1.03.5), mean area under the plasma concentration-time curve was 25 ng ·h/mL (range, 11–37), and mean total body clearance was 14.6 mL/min/kg (range, 8.9–30.6). Plasma concentrations were lower and the half-life shorter in these children than in adults given comparable doses, suggesting that ddC may be cleared more rapidly in children than adults.Keywords
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