This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowReprints and Permissions
Right arrow Copyright Information
Right arrow Books from ASM Press
Right arrow MicrobeWorld
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Suarez-Kurtz, G.
Right arrow Articles by Struchiner, C. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Suarez-Kurtz, G.
Right arrow Articles by Struchiner, C. J.

 Previous Article  |  Next Article 

Antimicrobial Agents and Chemotherapy, November 2001, p. 3029-3036, Vol. 45, No. 11
0066-4804/01/$04.00+0   DOI: 10.1128/AAC.45.11.3029-3036.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.

Development and Validation of Limited-Sampling Strategies for Predicting Amoxicillin Pharmacokinetic and Pharmacodynamic Parameters

Guilherme Suarez-Kurtz,1,2,* Frederico Mota Ribeiro,1 Flávio L. Vicente,1 and Claudio J. Struchiner1

Instituto Nacional de Câncer, Coordenação de Pesquisa,1 and Unidade de Farmacologia Clínica, Santa Casa da Misericórdia,2 Rio de Janeiro, Brazil

Received 15 December 2000/Returned for modification 29 May 2001/Accepted 12 August 2001

Amoxicillin plasma concentrations (n = 1,152) obtained from 48 healthy subjects in two bioequivalence studies were used to develop limited-sampling strategy (LSS) models for estimating the area under the concentration-time curve (AUC), the maximum concentration of drug in plasma (Cmax), and the time interval of concentration above MIC susceptibility breakpoints in plasma (T>MIC). Each subject received 500-mg amoxicillin, as reference and test capsules or suspensions, and plasma concentrations were measured by a validated microbiological assay. Linear regression analysis and a "jack-knife" procedure revealed that three-point LSS models accurately estimated (R2, 0.92; precision, <5.8%) the AUC from 0 h to infinity (AUC0-infinity ) of amoxicillin for the four formulations tested. Validation tests indicated that a three-point LSS model (1, 2, and 5 h) developed for the reference capsule formulation predicts the following accurately (R2, 0.94 to 0.99): (i) the individual AUC0-infinity for the test capsule formulation in the same subjects, (ii) the individual AUC0-infinity for both reference and test suspensions in 24 other subjects, and (iii) the average AUC0-infinity following single oral doses (250 to 1,000 mg) of various amoxicillin formulations in 11 previously published studies. A linear regression equation was derived, using the same sampling time points of the LSS model for the AUC0-infinity , but using different coefficients and intercept, for estimating Cmax. Bioequivalence assessments based on LSS-derived AUC0-infinity 's and Cmax's provided results similar to those obtained using the original values for these parameters. Finally, two-point LSS models (R2 = 0.86 to 0.95) were developed for T>MICs of 0.25 or 2.0 µg/ml, which are representative of microorganisms susceptible and resistant to amoxicillin.


* Corresponding author. Mailing address: Instituto Nacional de Câncer, Coordenação de Pesquisa, Praça da Cruz Vermelha 23/5°, Rio de Janeiro, RJ 20130-230, Brazil. Phone: 5521 2506-6275. Fax: 5521 2506-6376. E-mail: kurtz{at}inca.org.br.


Antimicrobial Agents and Chemotherapy, November 2001, p. 3029-3036, Vol. 45, No. 11
0066-4804/01/$04.00+0   DOI: 10.1128/AAC.45.11.3029-3036.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.



This article has been cited by other articles:

  • Zhu, X.-H., Jiao, J.-J., Zhang, C.-L., Lou, J.-S., Liu, C.-X. (2009). Limited sampling strategy in rats to predict the inhibited activities of hepatic CYP3A. Lab Anim 43: 284-290 [Abstract] [Full Text]