Table 6

Patients' WR-1065 and mesna peak levels immediately after the first amifostine and the first mesna infusions, respectively

WR-1065Mesna
WR-SHTotal Reducible WR-1065M-SHTotal Reducible Mesna
μM
Patient 1
 Plasma8094277523
 RBC10010395140
Patient 2
 Plasma6759244317
 RBC801114531
Patient 5
 Plasma520792
 RBC8085
Patient 6
 Plasma993
 RBC6

Patients 1 and 2 received amifostine (825 mg/m2 i.v. over 15 min) followed by mesna (400 mg/m2 i.v. over 15 min). Patient 5 and 6 received only mesna (750 mg/m2 i.v. push and 360 mg/m2 i.v. over 30 min, respectively). The concentrations of the free thiols (i.e., WR-SH and M-SH) were set equal to the amounts of the bimane derivatives in plasma and blood cell acid supernatants in the absence of DTT, as described under Materials and Methods(sample analysis, reaction 2). Final concentrations were calculated using the measured volume of plasma and blood cells. The concentrations of the total reducible thiols (i.e., free thiols plus LMW-disulfides) were set equal to the amounts of the bimane derivatives in plasma and blood cell acid supernatants in the presence of DTT, as described underMaterials and Methods (sample analysis, reaction 1). Values for the LMW disulfides were calculated as thiol equivalents (e.g., one equivalent of dimesna equals two equivalents of M-SS-LMW).