Therapeutic drug monitoring of cyclosporin G. 1995

R W Yatscoff, and L Langman, and D F LeGatt
Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton, Canada.

Therapeutic drug monitoring has been an integral part of the clinical investigations of cyclosporin G (OG37-325 CsG), an analogue of cyclosporin A (CsA). In general, analytic approaches used for monitoring of CsA have been used for the measurement of CsG. However, the validity of this approach may be questioned, as there are significant differences between the two drugs in the areas of blood distribution, pharmacokinetics, steady-state concentration of metabolites, and biases with the various immunoassays adapted for measurement of the drug. Based on the above, it is not appropriate to assume that the therapeutic drug monitoring protocols previously established for CsA are applicable to CsG. The latter drug should be treated as a new compound, with the development of independent therapeutic monitoring guidelines. Similar approaches should be used for other immunosuppressive drugs.

UI MeSH Term Description Entries
D007166 Immunosuppressive Agents Agents that suppress immune function by one of several mechanisms of action. Classical cytotoxic immunosuppressants act by inhibiting DNA synthesis. Others may act through activation of T-CELLS or by inhibiting the activation of HELPER CELLS. While immunosuppression has been brought about in the past primarily to prevent rejection of transplanted organs, new applications involving mediation of the effects of INTERLEUKINS and other CYTOKINES are emerging. Immunosuppressant,Immunosuppressive Agent,Immunosuppressants,Agent, Immunosuppressive,Agents, Immunosuppressive
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D016572 Cyclosporine A cyclic undecapeptide from an extract of soil fungi. It is a powerful immunosupressant with a specific action on T-lymphocytes. It is used for the prophylaxis of graft rejection in organ and tissue transplantation. (From Martindale, The Extra Pharmacopoeia, 30th ed). Cyclosporin A,Ciclosporin,CsA-Neoral,CyA-NOF,Cyclosporin,Cyclosporine A,Neoral,OL 27-400,Sandimmun,Sandimmun Neoral,Sandimmune,CsA Neoral,CsANeoral,CyA NOF,OL 27 400,OL 27400
D016903 Drug Monitoring The process of observing, recording, or detecting the effects of a chemical substance administered to an individual therapeutically or diagnostically. Monitoring, Drug,Therapeutic Drug Monitoring,Drug Monitoring, Therapeutic,Monitoring, Therapeutic Drug

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