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Case Reports

PHARMACOKINETICS OF DOXORUBICIN AND ETOPOSIDE IN A MORBIDLY OBESE PEDIATRIC PATIENT

, , , &
Pages 437-445 | Received 30 Mar 2006, Accepted 26 Apr 2007, Published online: 09 Jul 2009
 

Abstract

This case report presents the pharmacokinetics of doxorubicin and etoposide in a 14-year-old morbidly obese (body mass index: 46.3 kg/m2) male patient with Hodgkin disease. Dosing based on an adjusted body surface area resulted in a dose reduction by approximately 25% as compared to dosing based on actual body surface area. Plasma clearance of doxorubicin as well as plasma clearance and elimination rate of etoposide for this patient was comparable to pharmacokinetic data from nonobese pediatric patients. The therapy was well tolerated without any specific toxicity and a complete response was obtained after 2 scheduled courses, with the patient in complete remission 25 months after end of treatment.

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