Cargando…

Pharmacokinetics and Target Attainment of Ceftobiprole in Asian and Non‐Asian Subjects

Ceftobiprole is a broad‐spectrum cephalosporin. The objective of this study was to test the hypothesis that the pharmacokinetics (PK) and exposure of ceftobiprole in Asian subjects are similar to those in non‐Asian subjects. Three approaches were followed. The first compared the individual PK estima...

Descripción completa

Detalles Bibliográficos
Autores principales: Muller, A. E., Punt, N., Engelhardt, M., Schmitt‐Hoffmann, A. H., Mouton, J. W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6618770/
https://www.ncbi.nlm.nih.gov/pubmed/29768717
http://dx.doi.org/10.1002/cpdd.465
_version_ 1783433900703350784
author Muller, A. E.
Punt, N.
Engelhardt, M.
Schmitt‐Hoffmann, A. H.
Mouton, J. W.
author_facet Muller, A. E.
Punt, N.
Engelhardt, M.
Schmitt‐Hoffmann, A. H.
Mouton, J. W.
author_sort Muller, A. E.
collection PubMed
description Ceftobiprole is a broad‐spectrum cephalosporin. The objective of this study was to test the hypothesis that the pharmacokinetics (PK) and exposure of ceftobiprole in Asian subjects are similar to those in non‐Asian subjects. Three approaches were followed. The first compared the individual PK estimates between the 2 subgroups derived from a population PK model previously built. Next, it was determined whether “Asian subject” was a significant covariate. Finally, a pharmacodynamic analysis was performed by comparing measures of exposure and target attainment. No significant differences were found between PK parameter estimates for Asian and non‐Asian subjects, with median values (range) for clearance of 4.82 L/h (2.12–10.47) and 4.97 L/h (0.493–20.6), respectively (P = .736). “Asian subject” was not a significant covariate in the population PK model. There were no significant differences between the measures of exposure. The geometric mean ratio for the fAUC was 1.022 (90%CI, 0.91–1.15), indicating bioequivalence. Taking a target of 60% coverage of the dose interval, more than 90% of the population in both subgroups was adequately exposed. This analysis demonstrated that there are no PK or pharmacodynamic differences between Asian and non‐Asian subjects for a ceftobiprole dose of 500 mg every 8 hours as a 2‐hour infusion.
format Online
Article
Text
id pubmed-6618770
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-66187702019-07-22 Pharmacokinetics and Target Attainment of Ceftobiprole in Asian and Non‐Asian Subjects Muller, A. E. Punt, N. Engelhardt, M. Schmitt‐Hoffmann, A. H. Mouton, J. W. Clin Pharmacol Drug Dev Articles Ceftobiprole is a broad‐spectrum cephalosporin. The objective of this study was to test the hypothesis that the pharmacokinetics (PK) and exposure of ceftobiprole in Asian subjects are similar to those in non‐Asian subjects. Three approaches were followed. The first compared the individual PK estimates between the 2 subgroups derived from a population PK model previously built. Next, it was determined whether “Asian subject” was a significant covariate. Finally, a pharmacodynamic analysis was performed by comparing measures of exposure and target attainment. No significant differences were found between PK parameter estimates for Asian and non‐Asian subjects, with median values (range) for clearance of 4.82 L/h (2.12–10.47) and 4.97 L/h (0.493–20.6), respectively (P = .736). “Asian subject” was not a significant covariate in the population PK model. There were no significant differences between the measures of exposure. The geometric mean ratio for the fAUC was 1.022 (90%CI, 0.91–1.15), indicating bioequivalence. Taking a target of 60% coverage of the dose interval, more than 90% of the population in both subgroups was adequately exposed. This analysis demonstrated that there are no PK or pharmacodynamic differences between Asian and non‐Asian subjects for a ceftobiprole dose of 500 mg every 8 hours as a 2‐hour infusion. John Wiley and Sons Inc. 2018-05-16 2018 /pmc/articles/PMC6618770/ /pubmed/29768717 http://dx.doi.org/10.1002/cpdd.465 Text en © 2018 The Authors. Clinical Pharmacology in Drug Development Published by Wiley Periodicals, Inc. on behalf of The American College of Clinical Pharmacology This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Articles
Muller, A. E.
Punt, N.
Engelhardt, M.
Schmitt‐Hoffmann, A. H.
Mouton, J. W.
Pharmacokinetics and Target Attainment of Ceftobiprole in Asian and Non‐Asian Subjects
title Pharmacokinetics and Target Attainment of Ceftobiprole in Asian and Non‐Asian Subjects
title_full Pharmacokinetics and Target Attainment of Ceftobiprole in Asian and Non‐Asian Subjects
title_fullStr Pharmacokinetics and Target Attainment of Ceftobiprole in Asian and Non‐Asian Subjects
title_full_unstemmed Pharmacokinetics and Target Attainment of Ceftobiprole in Asian and Non‐Asian Subjects
title_short Pharmacokinetics and Target Attainment of Ceftobiprole in Asian and Non‐Asian Subjects
title_sort pharmacokinetics and target attainment of ceftobiprole in asian and non‐asian subjects
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6618770/
https://www.ncbi.nlm.nih.gov/pubmed/29768717
http://dx.doi.org/10.1002/cpdd.465
work_keys_str_mv AT mullerae pharmacokineticsandtargetattainmentofceftobiproleinasianandnonasiansubjects
AT puntn pharmacokineticsandtargetattainmentofceftobiproleinasianandnonasiansubjects
AT engelhardtm pharmacokineticsandtargetattainmentofceftobiproleinasianandnonasiansubjects
AT schmitthoffmannah pharmacokineticsandtargetattainmentofceftobiproleinasianandnonasiansubjects
AT moutonjw pharmacokineticsandtargetattainmentofceftobiproleinasianandnonasiansubjects