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PHARMACOKINETICS AND PHARMACODYNAMICS |
ma
From the Atlantic Urological Associates, Daytona Beach, Florida (Dr Dineen); Valera Pharmaceuticals Inc, Cranbury, New Jersey, (Dr Tierney, Mr Ku
ma); GloboMax, a Division of ICON plc, Ellicott City, Maryland (Dr Pentikis).
Seventeen patients with advanced prostate cancer were studied to evaluate the pharmacokinetics and pharmacodynamics of a hydrogel implant designed to deliver histrelin at a constant rate (50 µg/d) for 1 year. Serum histrelin levels were collected during the 52-week implantation period and after a second implant. Testosterone suppression was the primary pharmacodynamic endpoint, with treatment success defined as serum testosterone less than 50 ng/dL. The histrelin subdermal implant delivered constant histrelin levels, with mean serum histrelin of approximately 0.265 ng/mL over 52 weeks. At the end of 52 weeks, mean histrelin concentrations were 0.128 ± 0.0652 ng/mL. Patients achieved chemical castration (testosterone less than 50 ng/mL) by week 4. In patients who had the first implant removed and received a new implant at the end of the first 52 weeks, testosterone suppression was not interrupted. The hydrogel implant provided consistent delivery of histrelin over 1 year and effectively suppressed testosterone in men with prostate cancer.
Key Words: Histrelin pharmacodynamics prostate cancer pharmacokinetics implant
Address for reprints: Petr Ku
ma, Valera Pharmaceuticals Inc, 8 Clark Dr, Cranbury, NJ 08512.
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