Thursday, November 27, 2014 1:33:31 AM
Dose translation revisited
I made a mistake in my last post and inadvertently plugged in 350 mg where I should have used 200 mg. Here is my corrected calculation:
Redoing the math for Cohort 9 using the forumulas from the above reference:
Cohort 9 dose is 350 mg/m2 (intravenous)
Mouse dose dramatically slowing tumor growth was 200 mg/kg (intraperitoneal)
Human Equivalent Dose in mg/kg= Animal dose (mg/kg) * Animal Km/ Human Km
HED Kevetrin= 200mg/kg * 3/37
= 16.21 mg/kg
Conversion of Cohort 9 dose from mg/m2 to mg/kg:
Cohort 9 Kevetrin= 350 mg/m2/37 = 9.46 mg/kg
So Cohort 9 Intravenous dose is 9.46 mg/kg. This dose is roughly equivalent to 0.58 the INTRAPERITONEAL dose of 16.21 mg/kg used in the mouse study. Intraperitoneal dosing will result in lower peak serum levels than intravenous dosing with the same dose. I do not know the correlation coefficient for Kevetrin IP/IV but even if it is close to 1.0, twice a week dosing at Cohort 9 levels are likely to yield serum levels comparable to the highly effective 200 mg/kg intraperitoneal mouse dosing.
Also, these calculations are reasonably consistent with BK's HED efficacy range of 310-620mg/m2.
Though I can plug in numbers to formulas for the conversion, I very much believe Dr. Menon has a greater depth of understanding of the complexities of conversions than me. I do find it reassuring that BK and I can take somewhat different approaches and arrive at similar conclusions.
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