Cisplatin renal clearance

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August undefined, 2024

WebRenal injury induced by cisplatin primarily occurs in proximal tubules, 1 where the tubular injury causes a decrease in the glomerular filtration rate. 2 Because of this ... in the nephrotoxicity caused by cisplatin. 3,18,20 These previous reports also elucidated the association between the clearance of cationic drugs and the toxicity of ... WebThe mean renal clearance of cisplatin exceeds creatinine clearance and is 62 and 50 mL/min/m2 following administration of 100 mg/m2 as 2-hour or 6- to 7-hour infusions, …

Formulas Calculating Creatinine Clearance Are Inadequate for ...

WebSerum creatinine, blood urea nitrogen, electrolyte, and glomerular filtration rate (GFR) were measured at baseline and days 2 and 7. Moreover, GFR was calculated based on the 24-hour urine creatinine clearance rate to assess renal function at baseline and 48 hours after receiving cisplatin. Web• Nephrotoxicity: cisplatin for injection can cause severe renal toxicity, including acute renal failure. Ensure adequate hydration. Consider dose reductions or alternative treatments in … how is a curved surface being measured

Cisplatin nephrotoxicity - UpToDate

WebCisplatin(cis-dichlorodiammineplatinum)–platinum coordination complex is an effective chemotherapy ... Because MTX is excreted in the urine, renal im-pairment affects the clearance of the drug. Prolonged expo-sure to toxic levels of MTX (.10 mmol/L at 24 hours; .1 mmol/L at 48 hours, and.0.1mmol/L at 72 hours) may lead WebHowever, on day 5 of treatment patients showed increased alpha-half life and AUC of plasma Pt, as well as decreased Pt total body clearance and Pt renal clearance, associated to a significant (although still within normal range) increase in serum creatinine and a decrease in urinary volume. WebClearance of cisplatin, etoposide, and ifosfamide depends on kidney function and dosages should be adjusted in patients with renal impairment. However, there is still limited data … how is acupuncture administered

CISplatin Injection - Food and Drug Administration

Cisplatin (Cisplatin Injection): Uses, Dosage, Side Effects ... - RxList

WebJan 3, 2024 · Formulas calculating creatinine clearance are inadequate for determining eligibility for Cisplatin-based chemotherapy in bladder cancer. J Clin Oncol 2006; … WebJun 8, 2024 · The renal clearance of free platinum is nonlinear and variable and is dependent on dose, urine flow rate, and individual variability in the extent of active … how is a ct urogram performedWebMar 2, 2024 · After several decades, cisplatin continues to be an essential drug for the treatment of several tumors, however, its potential nephrotoxicity is still a clinically relevant issue. Identification of predisposing factors for renal toxicity could be of value to warrant prophylactic measures. We analyzed data from 198 patients with various tumor types, … highhowdoiplay

"WebSep 1, 2014 · Overexpression of Sirt1, a NAD-dependent protein deacetylase, in the proximal tubule cell maintains peroxisome number and reduces renal reactive oxygen species levels which rescued cell apoptosis induced by cisplatin . Downregulation of Klotho gene, an anti-aging gene expressed in the distal convoluted tubules, was observed in … " - Cisplatin renal clearance

Cisplatin renal clearance

Significance of downregulation of renal organic cation transporter ...

WebApr 12, 2024 · OCT2 exerts its action through cisplatin transport into renal tubular epithelial cells . Consequently, OCT2 is responsible for the cellular uptake of cisplatin and, thus, for its intracellular accumulation. ... Indeed, from 5% to 15% of the patients with both estimated creatinine clearance (eCrCl), expressed in milliliters/minute, ... WebJan 7, 2024 · Most patients had oropharyngeal cancer, 35 patients in the mannitol group and 26 patients in the non-mannitol group. All patients were Caucasian. After the third series of cisplatin, the mean value of 51 Cr-EDTA clearance had declined to 92.3 mL/min (23.1) in the non-mannitol group and to 96.4 mL/min (20.8) in the mannitol group. The ...

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WebRenal clearance is most commonly a feature of polar, low LogD 7.4 (<~1) ... Renal clearance accounts for more than 90% of the clearance of platinum agents.[47] … WebSep 15, 2024 · Cisplatin is a prescription medicine used to treat the symptoms of cancer in the testicles (Metastatic Testicular Tumors), bladder (Advanced Bladder Cancer) and ovaries (Metastatic Ovarian Carcinoma). Cisplatin may be …

WebThe parent compound, cisplatin, is excreted in the urine and accounts for 13% to 17% of the dose excreted within one hour after administration of 50 mg/m 2 The mean renal clearance of... WebThe clearance (or total clearance) of a drug is the sum of the clearances of the eliminating organs, mainly the kidneys and the liver: CL = CL renal+CL hepatic. The hepatic clearance tends to be lower in elderly than in younger patients but that is …

WebThe renal clearance of free (ultrafilterable) platinum also exceeds the glomerular filtration rate indicating that cisplatin or other platinum-containing molecules are … WebIn the kidney, cisplatin is absorbed by renal cells via passive diffusion. During excretion, cisplatin and its metabolites are secreted and reabsorbed in the renal tubules during …

WebSep 21, 2016 · Purpose Efficacy of formulas calculating creatinine clearance (CrCl) to determine renal function eligibility (CrCl > 60 mL/min) for cisplatin-based chemotherapy has not been examined adequately in the bladder cancer population. We hypothesize these formulas may underestimate measured CrCl, and therefore the eligibility for cisplatin …

WebMay 8, 2024 · Deliver hydration to patients receiving cisplatin therapy to maintain renal function. Include magnesium supplementation, which has nephroprotective effects in adults, in hydration regimens before, during, and after cisplatin. Add mannitol to hydration to prevent nephrotoxicity in adults. Evidence for Interventions to Prevent Nephrotoxicity how is acute kidney injury diagnosedWebPhase Ib/II Study of Neoadjuvant Pembrolizumab With Gemcitabine-Cisplatin (Cisplatin-Eligible) or Gemcitabine (Cisplatin-Ineligible) in Subjects With T2-4aN0M0 Urothelial Cancer: HCRN GU14-188 ... Renal: Measured or calculated creatinine clearance ≥30 mL/min; ... Glomerular filtration rate (GFR) or creatinine clearance (Ccr) ≥ 50 mL/min ... how is a curve calculated high how are you in russianWebThe mean renal clearance of cisplatin exceeds creatinine clearance and is 62 and 50 mL/min/m 2 following administration of 100 mg/m 2 as 2 hour or 6 hour to 7 hour infusions, respectively. The renal clearance of free … how is acute compartment syndrome diagnosedWebFeb 16, 2024 · This drug can cause severe renal toxicity, including acute renal failure. Severe renal toxicities are dose-related and cumulative. Ensure adequate hydration and … how is a custodial account taxedWebMay 18, 2024 · When the initial dosage of cisplatin is more than 50 mg/m 2, the decrease of a cisplatin clearance rate, the increase of the cisplatin maximum plasma concentration, 83 the increase of the ultrafilterable cisplatin concentration caused by anemia, and the decrease of plasma albumin, 82 may be all pharmacokinetic bases for the increase of … highhow cafeWebJan 11, 2024 · According to current clinical trial eligibility criteria, patients with muscle-invasive bladder cancer (MIBC) and baseline renal clearance of 40–60 ml/min can … how is a cystogram performed