Table 3: Main pharmacokinetic parameters of BCR/ABL inhibitors.
(1): Cmax once a day 66.8 ng/ml, twice a day 37.6 ng/ml. Cmin: 2.69 vs 5.3 ng/ml.
(2): 400 mg twice a day + 35% compared with once a day.
(3): Alpha glycoprotein.
(4): The increase in bioavailability requires twice daily administration without food 2 hours before and 1 hour following administration.
(5): Administration with food is recommended to improve tolerability.
F: bioavailabiity; Tmax: maximum plasma concentration time; Cmax: maximum concentration in plasma; AUC: area under the curve of plasma concentrations over time; F. prot.: percentage of protein fixation; V: distribution volume; Cl: clearance; Ae: percentage of active drug eliminated in urine; t1/2: mean elimination half-life; Food: influence of food on absorbtion.
Bosutinib Dasatinib Imatinib Nilotinib Ponatinib
F (%) 33.8 14-34 98 30-50 -
Tmax (h) 3-6 0.5-3 1.5-6 3 4.6
Dose (mg) 500 100 400 400 45
Cmax (ng/ml) 112±29 29 1600 508 (2) 77
AUC (ng x h/ml) 2740±790 (1) 24.8 mg h/l 145656 1296
F. prot. (%) 96 9 6 95 (3) 98 (3) 99
V (l) 9560 2505 - 579 1101
Cl (l/h) 197 - - 29.1 3535
Ae (%) 1 0.1 5 <1 <1
t1/2 (h) 32-41 5.6 18 17 22
Food + AUC x 1.5 (5) - - + AUC 112% (4) -