title: Preclinical monitoring of drug association in experimental chemotherapy of Chagas' disease by a new HPLC-UV method.
abstract: A combination of drugs in experimental chemotherapy of Chagas' disease may increase the effectiveness of treatment. To evaluate the possible mechanisms that influence the improvement of therapy, we investigated the pharmacokinetic interaction between benznidazole and itraconazole in a murine model treated orally with single doses of 5 mg of each compound separately or together. Blood samples from treated mice were collected at different intervals for 48 h, and a high-performance liquid chromatography (HPLC)-UV method was used to quantify both drugs in the plasma. A decrease of 1.5-fold in the maximum drug concentration in the plasma (C(max)) and an increase of 2.66-fold in the volume of distribution (V) and 7.5-fold in the elimination half-life (t(1/2β)) of benznidazole when coadministered with itraconazole were observed. The parameters area under the curve (AUC(0-t)), area under the curve extrapolated to infinity (AUC(0-∞)), time to maximum concentration of drug in serum (T(max)), and clearance (CL) for benznidazole were not significantly different in this therapeutic regime. None of the evaluated parameters for ITC demonstrated a significant difference between isolated and associated administration. These results suggest that the main effect of this interaction leads to accumulation of benznidazole in the biological system. This effect may contribute to the improved therapeutic efficacy of this combination of drugs, in addition to synergism of the different mechanisms of action of benznidazole and itraconazole against Trypanosoma cruzi in vivo.
authors.affiliation: Departamento de Farmácia, Programa de Pós-Graduação em Ciências Farmacêuticas, CiPHARMA, Escola de Farmácia, Universidade Federal de Ouro Preto, Ouro Preto, Brazil.
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Moreira da Silva
authors.forename: Líliam Teixeira
authors.initials: LT
authors.lastname: Oliveira
authors.forename: Neila Márcia
authors.initials: NM
authors.lastname: Silva Barcellos
authors.forename: Jacqueline
authors.initials: J
authors.lastname: de Souza
authors.forename: Marta
authors.initials: M
authors.lastname: de Lana
mesh_terms: D000818:Animals; D014355:Chagas Disease / Q000097:blood / Q000188:drug therapy*; D002851:Chromatography, High Pressure Liquid; D005260:Female; D017964:Itraconazole / Q000493:pharmacokinetics / Q000627:therapeutic use*; D051379:Mice; D009593:Nitroimidazoles / Q000493:pharmacokinetics / Q000627:therapeutic use*; D014344:Trypanocidal Agents / Q000493:pharmacokinetics / Q000627:therapeutic use*
chemical_list: D009593:Nitroimidazoles; D014344:Trypanocidal Agents; D017964:Itraconazole; C009999:benzonidazole