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IntroductionGinseng has long been known to be multifunctional as both a tonic and a sedative agent. Ginsenosides, the main bioactive components of Ginseng, have become a major focus in cancer research.Based on the properties of different sapogenins, ginsenosides are divided into 3 groups, 20(S)-protopanaxadiol, 20(S)-protopanaxatriol and oleanolic acid glycoside. Many ginsenosides have been found to have anti-cancer activity [1] and are involved in several anti-cancer mechanisms, such as inhibition of cell proliferation [2] , invasion [3] , induction of cell apoptosis [4] and anti-angiogenesis [5] . However, the antitumor mechanism of ginsenoside is not fully clear. Nakata H et al reported that ginsenoside Rh2 inhibited the growth of human ovarian cancer cells cultured in nude mice [6] . Quasipanaxatriol may reverse daunomycin resistance in P388/ADM cells by effectively blocking daunomycin efflux, leading to the accumulation of the drug in the cells [7] . Ginsenoside has been implicated in several signaling pathways, such as MAPK [8] , caspase [9] , NF-kappaB, and JNK pathways [10] . Furthermore, ginsenoside Rg3 ("Shenyi" Capsule) has shown effects on improving body immunity, decreasing toxic effects induced by chemotherapy Aim: To evaluate single-dose and multiple-dose pharmacokinetics of panaxatrol disuccinate sodium in healthy volunteers and patients with advanced solid tumors. Methods: In the single-dose pharmacokinetic study, 27 healthy volunteers received panaxatrol disuccinate sodium in three doses (70, 100, and 140 mg·m -2 ). In the multiple-dose pharmacokinetic study, Panaxatrol disuccinate sodium was administered to 8 patients at 100 mg·m -2 daily in a 30-day continuous intravenous injection. Determination of the panaxatrol disuccinate sodium plasma concentration was performed by an LC-MS method. The pharmacokinetic analysis system -Drug and Statistics (DAS) -was applied to assess plasma panaxatrol disuccinate sodium concentration-time data. Results: After a single intravenous dose of 70, 100, or 140 mg·m -2 was administered to subjects, panaxatrol disuccinate sodium distributed broadly, and the plasma concentration of panaxatrol disuccinate sodium declined rapidly. No significant differences were observed in the main pharmacokinetic parameters among the three dosing groups, including AUC 0-t , MRT 0-t , VRT 0-t , t 1/2Z , CL z/F , V z/F , and C 0 (P>0.05). In the multiple-dose pharmacokinetic study, the mean steady-state peak concentration (C max ), trough concentration (C min ), average concentration (C av ), mean steady state AUC (AUC ss ) and the degree of fluctuation were 13.96±15.48 mg·L -1 , 0.18±0.29 mg·L -1 , 0.15±0.29 mg·L -1 , 3.58±6.94 mg·L -1 ·h, and 148.00±117.18, respectively. At any given dose of panaxatrol disuccinate sodium, interindividual variability in the pharmacokinetic parameters was obvious. Conclusion: The effect of the dose level on single-dose pharmacokinetics of panaxatrol disuccinate sodium was not significant. No accumulation was observed with exposure to 100 mg·m -2 ...