Table 3

Topotecan pharmacokinetic parameters after administration of topotecan hydroxy acid

Pharmacokinetic ParametersTopotecan Hydroxy AcidTopotecan Total
Topotecan aloneProbenecid (600 mg/kg)Topotecan aloneProbenecid (600 mg/kg)
V c (l/m2)1.40.91.40.8
K e (hr−1)6.13.35.93.2
t ½ β(hr)1.03.11.22.3
Vdss(l/m2)1.81.02.11.0
Clsys(l/hr/m2)8.82.88.12.7
C max(ng/ml)1384.03258.01462.03438.0
Clrenal(l/hr/m2)0.07 ± 0.04# 0.02 ± 0.01*

Pharmacokinetic parameters after administration of topotecan hydroxy acid alone and in combination with probenecid (600 or 1200 mg/kg) 30 min before and 3 hr after administration of topotecan are summarized. Renal clearances are presented as mean ± standard deviation. Topotecan total renal clearance (Clrenal) was significantly reduced (P < .05) after coadministration with 600 mg/kg probenecid (*) compared with topotecan alone (#).