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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2018
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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 |
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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 |
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