title: Dextran sulfate is poorly absorbed after oral administration.
abstract: OBJECTIVE
  To determine whether dextran sulfate (molecular weight, 7000 to 8000 daltons; 17% to 20% sulfur), a synthetic heparin analogue with anti-human immunodeficiency virus (HIV) activity in vitro, is absorbed after oral administration.
  
  
  METHODS
  Open-label, single-center study in two parts. The first part was a bioavailability study in which six subjects received a single 1800-mg oral dose and a single 225- or 300-mg intravenous dose. The second part was a study of the dose-response relation between dextran sulfate and total plasma lipolytic activity in which twelve subjects were given a single infusion of either 0.05, 0.5, 5, or 50 mg of dextran sulfate.
  
  
  METHODS
  Eighteen healthy volunteers.
  
  
  RESULTS
  In the bioavailability study, plasma and urine dextran-sulfate concentrations were measured by a competitive binding assay after each dose. In addition, two bioassays were used to assess plasma concentrations: plasma lipolytic activity and activated partial thromboplastin time (APTT). After the oral dose, plasma concentrations were not measurable with the competitive binding assay (lower limit of sensitivity, 1 microgram/mL); less than 0.5% of the dose was recovered in the urine, the APTT did not increase, and the median increase in the plasma lipolytic activity was only twofold (maximum increase, 11-fold). In contrast, after the intravenous dose of 225 mg, peak plasma concentrations by competitive binding assay were 26 to 35 micrograms/mL (median, 28 micrograms/mL); 25% to 29% (median, 25%) of the dose was recovered in the urine; the APTT increased to 3.5 to 9.2 times the baseline value (median increase, 6.9 times), and the plasma lipolytic activity increased by 185 to 548 times the baseline value (median increase, 438 times). In the dose-response study, intravenous doses as low as 0.5 mg produced significant increases in the plasma lipolytic activity. There was a steep dose-response curve between 0.5 and 50 mg.
  
  
  CONCLUSIONS
  Dextran sulfate is very poorly absorbed after oral administration.
authors: Johns Hopkins University School of Medicine, Baltimore, Maryland.
authors: K J
authors: KJ
authors: Lorentsen
authors: C W
authors: CW
authors: Hendrix
authors: J M
authors: JM
authors: Collins
authors: D M
authors: DM
authors: Kornhauser
authors: B G
authors: BG
authors: Petty
authors: R W
authors: RW
authors: Klecker
authors: C
authors: C
authors: Flexner
authors: R H
authors: RH
authors: Eckel
authors: P S
authors: PS
authors: Lietman
mesh_terms: D000284:Administration, Oral; D000328:Adult; D000998:Antiviral Agents / Q000008:administration & dosage / Q000493:pharmacokinetics / Q000494:pharmacology; D001667:Binding, Competitive; D001682:Biological Availability; D016264:Dextran Sulfate; D003911:Dextrans / Q000008:administration & dosage / Q000493:pharmacokinetics* / Q000494:pharmacology; D006801:Humans; D007262:Infusions, Intravenous; D007408:Intestinal Absorption; D008066:Lipolysis / Q000187:drug effects; D008297:Male; D010314:Partial Thromboplastin Time
chemical_list: D000998:Antiviral Agents; D003911:Dextrans; D016264:Dextran Sulfate