Pharmacokinetics of Amphotericin B in Patients Receiving Repeated Intravenous High Doses of Amphotericin B Entrapped into Sonicated Liposomes

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Abstract
Repeated high doses (2-4 mg/kg/day) of amphotericin B entrapped in sonicated liposomes made of egg yolk lecithin, cholesterol, and stearylamine in the molar ratio 4:3:1 were given intravenously to cancer patients with fungal complications. High levels of the drug were measured in the serum. Pharmacokinetic analysis showed that amphotericin B distribution followed a nonlinear bicompartmental model incorporating a liposome-free drug subsystem. This model allowed us to define the Michaelis-Menten dissociation constant of uptake of the drug entrapped in the liposomes by the storage compartment, the maximal liberation rate and fractional liberation rate of free amphotericin B, and the number of binding sites in the ampholiposome storage compartment. the levels of free amphotericin B in the serum and the kinetics of saturation of the uptake of ampholiposomes by the storage compartment were also calculated.

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