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Antimicrobial Agents and Chemotherapy, October 1998, p. 2700-2705, Vol. 42, No. 10
Immunocompromised Host Section,
Received 21 October 1997/Returned for modification 4 March
1998/Accepted 16 June 1998
The pharmacokinetics of the antifungal pradimicin derivative BMS
181184 in plasma of normal, catheterized rabbits were characterized after single and multiple daily intravenous administrations of dosages
of 10, 25, 50, or 150 mg/kg of body weight, and drug levels in tissues
were assessed after multiple dosing. Concentrations of BMS 181184 were
determined by a validated high-performance liquid chromatography
method, and plasma data were modeled into a two-compartment open model.
Across the investigated dosage range, BMS 181184 demonstrated
nonlinear, dose-dependent kinetics with enhanced clearance, reciprocal
shortening of elimination half-life, and an apparently expanding volume
of distribution with increasing dosage. After single-dose
administration, the mean peak plasma BMS 181184 concentration
(Cmax) ranged from 120 µg/ml at 10 mg/kg to
648 µg/ml at 150 mg/kg; the area under the concentration-time curve
from 0 to 24 h (AUC0-24) ranged from 726 to 2,130 µg · h/ml, the volume of distribution ranged from 0.397 to
0.799 liter/kg, and the terminal half-life ranged from 4.99 to
2.31 h, respectively (P < 0.005 to
P < 0.001). No drug accumulation in plasma occurred
after multiple daily dosing at 10, 25, or 50 mg/kg over 15 days,
although mean elimination half-lives were slightly longer. Multiple
daily dosing at 150 mg/kg was associated with enhanced total clearance
and a significant decrease in AUC0-24 below the values
obtained at 50 mg/kg (P < 0.01) and after single-dose administration of the same dosage (P < 0.05).
Assessment of tissue BMS 181184 concentrations after multiple dosing
over 16 days revealed substantial uptake in the lungs, liver, and
spleen and, most notably, dose-dependent accumulation of the drug
within the kidneys. These findings are indicative of dose- and
time-dependent elimination of BMS 181184 from plasma and renal
accumulation of the compound after multiple dosing.
0066-4804/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Compartmental Pharmacokinetics and Tissue Drug
Distribution of the Pradimicin Derivative BMS 181184 in
Rabbits
*
Corresponding author. Mailing address:
Immunocompromised Host Section, Pediatric Oncology Branch, National
Cancer Institute, National Institutes of Health, Building 10, Rm.
13N240, 10 Center Dr., Bethesda, MD 20892. Phone: (301) 402-0023. Fax:
(301) 402-0575. E-mail: twalsh{at}pbmac.nci.nih.gov.
Antimicrobial Agents and Chemotherapy, October 1998, p. 2700-2705, Vol. 42, No. 10
0066-4804/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
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