Gemcitabine adsorbed onto carbon particles increases drug concentrations at the injection site and in the regional lymph nodes in an animal experiment and a clinical study

J Int Med Res. 2011;39(6):2217-27. doi: 10.1177/147323001103900618.

Abstract

This study investigated whether gemcitabine, adsorbed onto activated carbon particles (GEM-AC), increased the concentration of gemcitabine at the injection site and in the regional lymph nodes in an experimental animal model and a clinical study. The adsorption isotherm for GEM-AC was defined, and the concentration and distribution of gemcitabine in rats (n = 50) and in patients with pancreatic cancer (n = 8) was investigated. Drug concentrations in plasma, tumour samples, lymph nodes and at the injection site were measured after GEM-AC or gemcitabine solution (GEM-Sol) were subcutaneously injected into the left hind foot pad in rats, or into pancreatic tumours in patients. These experiments showed that GEM-AC was selectively delivered to the regional lymph nodes and the injection site, from which it slowly released greater amounts of gemcitabine to maintain the free concentration of gemcitabine at a relatively high level for a long period of time. The administration of GEM-AC might enhance the anticancer effects of gemcitabine.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adsorption / drug effects
  • Animals
  • Antimetabolites, Antineoplastic / administration & dosage
  • Antimetabolites, Antineoplastic / blood
  • Antimetabolites, Antineoplastic / pharmacology
  • Antimetabolites, Antineoplastic / therapeutic use
  • Carbon / chemistry*
  • Deoxycytidine / administration & dosage
  • Deoxycytidine / analogs & derivatives*
  • Deoxycytidine / blood
  • Deoxycytidine / pharmacology
  • Deoxycytidine / therapeutic use
  • Dose-Response Relationship, Drug
  • Female
  • Gemcitabine
  • Injections
  • Lymph Nodes / drug effects*
  • Lymph Nodes / metabolism*
  • Lymph Nodes / pathology
  • Pancreatic Neoplasms / blood
  • Pancreatic Neoplasms / drug therapy
  • Rats
  • Rats, Sprague-Dawley
  • Temperature
  • Time Factors
  • Tissue Distribution / drug effects

Substances

  • Antimetabolites, Antineoplastic
  • Deoxycytidine
  • Carbon
  • Gemcitabine