Association of ABCB1 polymorphisms with erlotinib pharmacokinetics and toxicity in Japanese patients with non-small-cell lung cancer

Author:

Hamada Akinobu12,Sasaki Ji-ichiro3,Saeki Sho2,Iwamoto Norihiro4,Inaba Megumi5,Ushijima Sunao5,Urata Maki6,Kishi Hiroto6,Fujii Shinji7,Semba Hiroshi7,Kashiwabara Kosuke8,Tsubata Yukari9,Kai Yuki2,Isobe Takeshi9,Kohrogi Hirotsugu2,Saito Hideyuki32

Affiliation:

1. Kumamoto University Hospital, Kumamoto, Japan.

2. Kumamoto University, Kumamoto, Japan

3. Kumamoto University Hospital, Kumamoto, Japan

4. Saiseikai Kumamoto Hospital, Kumamoto, Japan

5. Kumamoto Central Hospital, Kumamoto, Japan

6. Kumamoto City Hospital, Kumamoto, Japan

7. Kumamoto Regional Medical Center, Kumamoto, Japan

8. Kumamoto Medical Center, Kumamoto, Japan

9. Shimane University Hospital, Shimane, Japan

Abstract

Aims: We analyzed the association of ABCB1 polymorphisms with erlotinib-induced toxicity and the pharmacokinetics in patients with non-small-cell lung cancer. Materials & methods: After erlotinib 150 mg was administered to 50 patients, ABCB1 polymorphisms were analyzed via either TaqMan® assays or direct nucleotide sequencing. Plasma concentrations were measured by HPLC. Results: The trough concentration at steady state in patients with the ABCB1 1236TT–2677TT–3435TT genotype was higher compared with others groups (p = 0.021) and patients carrying this genotype had a higher risk of developing higher grade 2 toxicity (p = 0.012). Conclusion: The present study suggested that the ABCB1 1236TT–2677TT–3435TT genotype was associated with higher plasma concentration and the risk of developing higher toxicity in patients treated with erlotinib. Original submitted 5 August 2011; Revision submitted 30 November 2011

Publisher

Future Medicine Ltd

Subject

Pharmacology,Genetics,Molecular Medicine

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