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Pharmacotherapy The Journal of Human Pharmacology and Drug Therapy
Article . 2014 . Peer-reviewed
License: CC BY NC ND
Data sources: Crossref
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PubMed Central
Article . 2014
License: CC BY NC ND
Data sources: PubMed Central
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Single‐ and Multiple‐Dose Pharmacokinetics and Absolute Bioavailability of Tedizolid

Authors: Flanagan, Shawn; Fang, Edward; Muñoz, Kelly A; Minassian, Sonia L; Prokocimer, Philippe G;

Single‐ and Multiple‐Dose Pharmacokinetics and Absolute Bioavailability of Tedizolid

Abstract

Objectives Tedizolid phosphate is a novel antibacterial under investigation for the treatment of gram‐positive infections. This study was conducted to assess the pharmacokinetics, safety, and tolerability of intravenous tedizolid phosphate as well as the oral bioavailability of tedizolid phosphate. Design Double‐blind, single‐ascending dose, multiple‐dose pharmacokinetics study, as well as tolerability and open‐label crossover studies. Setting Single center in the United States (Covance Clinical Research Unit, M adison, WI ) between S eptember 2009 and J anuary 2010. Participants Ninety healthy volunteers. Intervention Single intravenous ( IV ) doses of tedizolid phosphate 50 mg (lead‐in) and 100–400 mg. Single oral and IV dose of tedizolid phosphate 200 mg in crossover fashion. Multiple IV doses of tedizolid phosphate 200 and 300 mg for up to 7 days. Measurements and Main Results A dose‐dependent increase was observed in the maximum plasma concentration (1.2–5.1 μg/ml) and the area under the concentration‐time curve (17.4–58.7 μg × hr/ml) of tedizolid (the microbiologically active moiety of tedizolid phosphate) after single IV doses of tedizolid phosphate 100–400 mg. Administration of IV tedizolid phosphate 200 mg once/day for 7 days resulted in minimal (28%) tedizolid accumulation. The absolute oral bioavailability of tedizolid after a single 200‐mg dose of tedizolid phosphate was 91%; pharmacokinetic parameters of tedizolid were similar with oral and IV administration. Treatment‐related adverse events occurred in 41% of subjects. Most adverse events were related to infusion site and became more frequent with multiple dosing. In an additional 3‐day tolerability study, IV tedizolid phosphate 200 mg and placebo were similarly tolerated, based on visual infusion phlebitis scores. Conclusion These results from a population of healthy volunteers support once/day dosing of tedizolid phosphate 200 mg with both the oral and IV formulations, without the need for dose adjustment when switching administration routes.

Keywords

Adult, Male, Cross-Over Studies, Dose-Response Relationship, Drug, Administration, Oral, Biological Availability, Pilot Projects, Drug Administration Schedule, Organophosphates, Anti-Bacterial Agents, Young Adult, Double-Blind Method, Original Research Articles, Injections, Intravenous, Humans, Female, Oxazoles

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    selected citations
    These citations are derived from selected sources.
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    85
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 1%
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
85
Top 10%
Top 10%
Top 1%
Green
hybrid