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Experimental Therapeutics

Comparative Pharmacodynamics of the New Oxazolidinone Tedizolid Phosphate and Linezolid in a Neutropenic Murine Staphylococcus aureus Pneumonia Model

Alexander J. Lepak, Karen Marchillo, Solen Pichereau, William A. Craig, David R. Andes
Alexander J. Lepak
University of Wisconsin, Madison, Wisconsin, USA
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Karen Marchillo
University of Wisconsin, Madison, Wisconsin, USA
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Solen Pichereau
University of Wisconsin, Madison, Wisconsin, USA
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William A. Craig
University of Wisconsin, Madison, Wisconsin, USA
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David R. Andes
University of Wisconsin, Madison, Wisconsin, USA
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DOI: 10.1128/AAC.01303-12
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    Fig 1

    Concentrations for linezolid (A) and TR-700 (B) in plasma after administration of single oral doses of 0.625, 2.5, 10, and 40 mg/kg in neutropenic infected mice. Each symbol represents the geometric mean ± standard deviation (error bar) of the levels measured in three mice. Cmax, peak level in plasma; AUC, plasma AUC0–∞; T1/2, plasma elimination half-life (in hours). PK parameters were not determined for the lowest dose of linezolid, as there were too few data points to estimate these parameters.

  • Fig 2
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    Fig 2

    Dose-response relationships for linezolid (A) and TR-701 (B). Mice received one of a series of 2-fold increasing doses of linezolid or TR-701 every 12 h over a 24-hour treatment period. Each symbol represents the mean organism burden in the lungs of three mice. The error bars represent the standard deviations. The dashed horizontal line represents the organism burden at the start of therapy. Symbols below the line represent organism reduction compared to the start of therapy. Symbols above the line represent organism growth.

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    Fig 3

    Relationship between linezolid (A) and TR-700 (B) plasma 24-h fAUC/MIC ratios and in vivo efficacy against multiple strains of S. aureus (5 and 11 strains, respectively). Mice were treated with 2-fold increasing concentrations of either linezolid or TR-701 given every 12 h over a 24-h treatment period. Each symbol represents the geometric mean in the change of organism burden from the start of therapy in the lungs of three mice. The dashed horizontal line represents the burden in the lungs at the start of therapy. Symbols below the line represent organism reduction compared to the start of therapy. Symbols above the line represent organism growth. The sigmoid lines represent the best-fit curves. R2 is the coefficient of determination.

Tables

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  • Table 1

    In vitro activity of linezolid and TR-700 against select S. aureus isolates

    OrganismMIC (mg/liter)aLineage
    LinezolidTR-700Methicillin
    MSSA
        ATCC 2592320.060.25
        ATCC 2921320.250.125
        ATCC 6538P0.1250.5
        ATCC Smith0.50.125
    MRSA
        04-04520.125>16
        04-15420.25>16
        MW220.5>16USA400
        3071090.25>16
        ATCC 335910.25>16USA200
        R25270.125>16USA300
        05-0510.25>16
    • ↵a The MICs are reported as the median values of three MIC tests.

  • Table 2

    In vivo activity of linezolid against select S. aureus isolatesa

    S. aureus isolate or parameterMIC (mg/liter)SD (mg/kg/24 h)24-h SD tAUC/MIC24-h SD fAUC/MIC1-log-unit kill dose (mg/kg/24 h)24-h 1-log-unit kill tAUC/MIC24-h 1-log-unit kill fAUC/MIC
    S. aureus isolates
        ATCC 25923218.821.615.150.170.349.2
        ATCC 29213235.148.233.761.686.560.5
        MW2230.340.428.352.673.851.7
        04-154213.6139.139.855.839
        04-045213.412.78.931.842.728.9
    Mean222.227.21947.265.846.1
    Median218.821.615.150.170.349.2
    SD09.916.311.411.616.911.9
    • ↵a SD, static dose; tAUC/MIC, total drug AUC/MIC; fAUC/MIC, free drug (non-protein-bound) AUC/MIC. The means, medians, and static doses are shown in boldface type.

  • Table 3

    In vivo activity of TR-701 or TR-700 against select S. aureus isolatesa

    S. aureus isolate or parameterMIC (mg/liter)TR-701 SD (mg/kg/24 h)TR-700 24-h SD tAUC/MICTR-700 24-h SD fAUC/MICTR-701 1-log-unit kill dose (mg/kg/24 h)TR-700 24-h 1-log-unit kill tAUC/MICTR-700 24-h 1-log-unit kill fAUC/MIC
    S. aureus isolates
        ATCC Smith0.59.186.81314148.322.2
        UW 3071090.256.4124.618.79.518127.3
        MW20.511108.116.215.9173.226
        ATCC 292130.2514.3303.745.520.346169.2
        ATCC 335910.257.5144.221.615.3331.149.7
        ATCC 6538P0.1253.7145.921.96.3242.936.4
        R25270.1257.2277.341.613.9588.288.2
        05-0510.253.467.710.15.199.314.9
        ATCC 259230.061.4116.217.41.8147.322.1
        04-1540.1250.827.64.11.870.410.6
        04-0450.253.161.99.294.791.213.7
    Mean0.246.2133.1209.9230.434.6
    Median0.256.4116.217.49.5173.226
    SD0.144.285.912.96.3165.224.8
    • ↵a SD, static dose; tAUC/MIC, total drug AUC/MIC; fAUC/MIC, free drug (non-protein-bound) AUC/MIC. The means, medians, and static doses are shown in boldface type.

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Comparative Pharmacodynamics of the New Oxazolidinone Tedizolid Phosphate and Linezolid in a Neutropenic Murine Staphylococcus aureus Pneumonia Model
Alexander J. Lepak, Karen Marchillo, Solen Pichereau, William A. Craig, David R. Andes
Antimicrobial Agents and Chemotherapy Oct 2012, 56 (11) 5916-5922; DOI: 10.1128/AAC.01303-12

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Comparative Pharmacodynamics of the New Oxazolidinone Tedizolid Phosphate and Linezolid in a Neutropenic Murine Staphylococcus aureus Pneumonia Model
Alexander J. Lepak, Karen Marchillo, Solen Pichereau, William A. Craig, David R. Andes
Antimicrobial Agents and Chemotherapy Oct 2012, 56 (11) 5916-5922; DOI: 10.1128/AAC.01303-12
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