Literature DB >> 30012767

Increased Doses Lead to Higher Drug Exposures of Levofloxacin for Treatment of Tuberculosis.

Charles A Peloquin1, Patrick P J Phillips2,3, Carole D Mitnick4, Kathleen Eisenach5, Ramonde F Patientia6, Leonid Lecca7, Eduardo Gotuzzo8, Neel R Gandhi9,10,11, Donna Butler12, Andreas H Diacon6, Bruno Martel7, Juan Santillan8, Kathleen Robergeau Hunt12, Dante Vargas7, Florian von Groote-Bidlingmaier6, Carlos Seas8, Nancy Dianis12, Antonio Moreno-Martinez13,14, Pawandeep Kaur15, C Robert Horsburgh16,17.   

Abstract

Patients with multidrug-resistant tuberculosis in Peru and South Africa were randomized to a weight-banded nominal dose of 11, 14, 17, or 20 mg/kg/day levofloxacin (minimum, 750 mg) in combination with other second-line agents. A total of 101 patients were included in noncompartmental pharmacokinetic analyses. Respective median areas under the concentration-time curve from 0 to 24 h (AUC0-24) were 109.49, 97.86, 145.33, and 207.04 μg · h/ml. Median maximum plasma concentration (Cmax) were 11.90, 12.02, 14.86, and 19.17 μg/ml, respectively. Higher levofloxacin doses, up to 1,500 mg daily, resulted in higher exposures. (This study has been registered at ClinicalTrials.gov under identifier NCT01918397.).
Copyright © 2018 American Society for Microbiology.

Entities:  

Keywords:  antitubercular agents; levofloxacin; pharmacokinetics; tuberculosis

Mesh:

Substances:

Year:  2018        PMID: 30012767      PMCID: PMC6153781          DOI: 10.1128/AAC.00770-18

Source DB:  PubMed          Journal:  Antimicrob Agents Chemother        ISSN: 0066-4804            Impact factor:   5.191


  11 in total

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10.  An optimized background regimen design to evaluate the contribution of levofloxacin to multidrug-resistant tuberculosis treatment regimens: study protocol for a randomized controlled trial.

Authors:  Tara C Bouton; Patrick P J Phillips; Carole D Mitnick; Charles A Peloquin; Kathleen Eisenach; Ramonde F Patientia; Leonid Lecca; Eduardo Gotuzzo; Neel R Gandhi; Donna Butler; Andreas H Diacon; Bruno Martel; Juan Santillan; Kathleen Robergeau Hunt; Dante Vargas; Florian von Groote-Bidlingmaier; Carlos Seas; Nancy Dianis; Antonio Moreno-Martinez; C Robert Horsburgh
Journal:  Trials       Date:  2017-11-25       Impact factor: 2.279

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