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Vol. 29, Issue 5, 681-685, May 2001
Fujisawa Healthcare, Inc., Deerfield, Illinois (R.W.T., I.B.); and
Battelle, Columbus, Ohio (A.Z.)
A biodistribution study of
4-[14C]cholesterol-AmBisome; a unilamellar liposomal
preparation of amphotericin B was conducted to support a radiolabeled
human study. The radioactive plasma concentration profile (as measured
in µg-Eq/ml of cholesterol) was best fit to a sum of three
exponentials that yielded
-,
-, and
-half-life
estimates of 3.0 ± 0.3, 11.8 ± 3.7, and 113.4 ± 32.4 h, respectively. Clearance and the steady state volume of distribution were 4.9 ± 0.2 ml/h/kg and 341 ml/kg. Recovery data collected up through 96 h demonstrated mass balance and
indicated that although the elimination profile in both urine and feces were incomplete, the dominant route of elimination (<2% in urine versus 33% in feces) was feces, presumably via biliary excretion of
intact liposome and/or cholesterol. The liver, spleen, and lungs,
organs of the reticuloendothelial system known for their rapid uptake
of liposomes, presented with the highest levels of radioactivity.
Levels in the kidney were 15% of that found in the liver and lungs.
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