Table 4.

Clearance of chemotherapeutic agents according to BMI category




Population average systemic clearance, mL/min/m2

Drug and study
No. patients/no. courses
Underweight
Normal
At risk for overweight
Overweight
P*
High-dose methotrexate       
    All studies   450/3266   111.1   114.1   115.3   114.9   .47  
    Total XII   171/790   100.0   99.7   102.3   96.0   .77  
    Total XIIIB   230/2174   125.2   129.1   129.5   129.3   .55  
    Total XIV   49/302   92.5   98.8   99.8   95.5   .75  
Etoposide       .41  
    Total XIIIB        
        D 29  108/108   43.6   48.7   48.4   50.2   
        Wk 19  27/27   38.6   43.2   42.9   44.5   
        Wk 54  49/49   26.0   29.0   28.9   29.9   
Cytarabine       
    Total XII   169/777   852.2   773.8   645.1   782.9   .56  
Teniposide       
    Total XII
 
170/793
 
14.2
 
14.0
 
12.1
 
14.2
 
.35
 



Population average systemic clearance, mL/min/m2

Drug and study
No. patients/no. courses
Underweight
Normal
At risk for overweight
Overweight
P*
High-dose methotrexate       
    All studies   450/3266   111.1   114.1   115.3   114.9   .47  
    Total XII   171/790   100.0   99.7   102.3   96.0   .77  
    Total XIIIB   230/2174   125.2   129.1   129.5   129.3   .55  
    Total XIV   49/302   92.5   98.8   99.8   95.5   .75  
Etoposide       .41  
    Total XIIIB        
        D 29  108/108   43.6   48.7   48.4   50.2   
        Wk 19  27/27   38.6   43.2   42.9   44.5   
        Wk 54  49/49   26.0   29.0   28.9   29.9   
Cytarabine       
    Total XII   169/777   852.2   773.8   645.1   782.9   .56  
Teniposide       
    Total XII
 
170/793
 
14.2
 
14.0
 
12.1
 
14.2
 
.35
 
*

P value reflects comparison to model with other significant covariates (eg, course, study, and age) included.

Day 29 of induction therapy, weeks 19 and 54 of continuation therapy.19 

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