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Pharmacology

Population Pharmacokinetic Analyses for BC-3781 Using Phase 2 Data from Patients with Acute Bacterial Skin and Skin Structure Infections

C. M. Rubino, B. Xue, S. M. Bhavnani, W. T. Prince, Z. Ivezic-Schoenfeld, W. W. Wicha, P. G. Ambrose
C. M. Rubino
Institute for Clinical Pharmacodynamics Inc., Latham, New York, USA
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B. Xue
Institute for Clinical Pharmacodynamics Inc., Latham, New York, USA
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S. M. Bhavnani
Institute for Clinical Pharmacodynamics Inc., Latham, New York, USA
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W. T. Prince
Nabriva Therapeutics AG, Vienna, Austria
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Z. Ivezic-Schoenfeld
Nabriva Therapeutics AG, Vienna, Austria
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W. W. Wicha
Nabriva Therapeutics AG, Vienna, Austria
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P. G. Ambrose
Institute for Clinical Pharmacodynamics Inc., Latham, New York, USA
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DOI: 10.1128/AAC.02033-13
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  • FIG 1
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    FIG 1

    Semilog scatterplots of plasma drug concentrations versus time since the start of the last dose, stratified by study visit and separated by dose.

  • FIG 2
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    FIG 2

    Covariate screening plots. Abbreviations: AGEY, age in years; WTKG, weight in kilograms; HTCM, height in centimeters; ALB, serum albumin concentration in grams per deciliter; BSA, body surface area in square meters; BMI, body mass index in kilograms per square meter; CLCR, creatinine clearance in milliliters per minute per 1.73 m2; CLtu, total clearance of free drug; Vcu, volume of the central compartment for free drug; Vssu, steady-state volume of distribution of free drug.

  • FIG 3
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    FIG 3

    Goodness-of-fit plots for the final population PK model. Obs., observed. r2, overall coefficient of determination.

  • FIG 4
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    FIG 4

    Precision of the individual clearance estimates from the final population PK model. The vertical band represents the median value (9.15%).

Tables

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  • TABLE 1

    Subject demographic characteristics of the PK analysis population

    Variable100-mg group (n = 64)150-mg group (n = 65)All patients (n = 129)
    No. (%)Mean no. (CV [%])Median (min-max)No. (%)Mean no. (CV [%])Median (min-max)No. (%)Mean no. (CV [%])Median (min-max)
    Age (yr)41.3 (12.7)41.0 (18.0–73.0)42.0 (13.4)42.0 (20.0–73.0)41.6 (13.0)41.0 (18.0–73.0)
    Wt (kg)89.0 (20.6)85.1 (43.8–146)95.6 (23.4)89.1 (46.4–161)92.3 (22.2)87.5 (43.8–161)
    Ht (cm)173 (10.5)174 (152–191)173 (9.70)173 (150–196)173 (10.0)173 (150–196)
    BSA (m2)2.07 (0.258)2.04 (1.51–2.71)2.15 (0.286)2.10 (1.41–2.81)2.11 (0.274)2.05 (1.41–2.81)
    BMI (kg/m2)30.0 (7.53)29.2 (12.1–53.7)32.1 (7.82)31.4 (19.4–55.5)31.1 (7.73)30.3 (12.1–55.5)
    CLCR (ml/min/1.73 m2)122 (33.3)118 (49.6–207)114 (32.5)113 (35.6–181)118 (33.0)117 (35.6–207)
    Serum albumin level (g/liter)42.1 (4.62)42.0 (28.0–52.0)41.6 (4.47)42.0 (29.0–50.0)41.9 (4.54)42.0 (28.0–52.0)
    No. (%) of males43 (67.2)43 (66.2)86 (66.7)
    No. (%) of females21 (32.8)22 (33.9)43 (33.3)
    No. (%) of Caucasians52 (81.3)45 (69.2)97 (75.2)
    No. (%) of blacks7 (10.9)13 (20.0)20 (15.5)
    No. (%) of Asians01 (1.54)1 (0.775)
    No. (%) of Native American/Alaskan Natives2 (3.13)4 (6.15)6 (4.65)
    No. (%) of Native Hawaiians/Pacific Islanders2 (3.13)2 (3.08)4 (3.10)
    No. (%) of mixed race1 (1.56)01 (0.775)
  • TABLE 2

    Final population PK model parameter estimates and standard errors

    ParameteraFinal estimated mean value (% SEM)
    Population meanMagnitude of interindividual variability (CV %)
    Vcu (liters)66.1 (18.6)139 (29.4)
    Vp1u (liters)582 (7.51)48.0 (17.3)
    CLd1u (liters/h)60.8 (11.0)35.1 (30.4)
    Vp2u (liters)211 (10.2)64.5 (19.0)
    CLd2u (liters/h)199 (10.1)39.3 (25.8)
    CLtu (liters/h)120 (4.04)17.8 (14.4)
    Bmax12.7
    KD2.07
    SDin0.0005
    SDsl0.217 (2.62)
    • ↵a Volumes and clearances are scaled to free-drug concentrations. The minimum value of the objective function is −1,888. Vp1u, volume of distribution of the first peripheral compartment; Vp2u, volume of distribution of the second peripheral compartment; CLd2u, second distributional clearance; Bmax, parameter describing the maximum extent of protein binding; SDin, intercept (additive) term for residual variability model for plasma concentrations; SDsl, slope (proportional) term for residual variability model.

  • TABLE 3

    Summary statistics for BC-3781 PK exposure estimates and half-life

    Parameter and dose (mg)Mean (SD)Median (min, max)
    Day 1 Cmax (μg/ml)
        1001.57 (0.974)1.46 (0.515, 8.11)
        1501.90 (0.705)1.88 (0.633, 4.38)
    Day 1 AUC0–24 (μg · h/ml)
        10010.9 (5.97)9.87 (3.86, 48.3)
        15014.1 (5.76)12.8 (4.29, 35.1)
    Half-life (h)
        10011.0 (5.18)9.74 (0.838, 23.5)
        15013.2 (5.79)12.4 (3.38, 23.5)
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Population Pharmacokinetic Analyses for BC-3781 Using Phase 2 Data from Patients with Acute Bacterial Skin and Skin Structure Infections
C. M. Rubino, B. Xue, S. M. Bhavnani, W. T. Prince, Z. Ivezic-Schoenfeld, W. W. Wicha, P. G. Ambrose
Antimicrobial Agents and Chemotherapy Dec 2014, 59 (1) 282-288; DOI: 10.1128/AAC.02033-13

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Population Pharmacokinetic Analyses for BC-3781 Using Phase 2 Data from Patients with Acute Bacterial Skin and Skin Structure Infections
C. M. Rubino, B. Xue, S. M. Bhavnani, W. T. Prince, Z. Ivezic-Schoenfeld, W. W. Wicha, P. G. Ambrose
Antimicrobial Agents and Chemotherapy Dec 2014, 59 (1) 282-288; DOI: 10.1128/AAC.02033-13
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