Pharmacokinetic and Pharmacodynamic Evaluation of AZD5847 in a Mouse Model of Tuberculosis

被引:14
作者
Balasubramanian, V. [1 ]
Solapure, Suresh [1 ]
Shandil, Radha [1 ]
Gaonkar, Sheshagiri [1 ]
Mahesh, K. N. [1 ]
Reddy, Jitender [1 ]
Deshpande, Abhijeet [1 ]
Bharath, Sowmya [1 ]
Kumar, Naveen [1 ]
Wright, Lindsay [2 ]
Melnick, David [3 ]
Butler, Scott L. [4 ]
机构
[1] AstraZeneca India Pvt Ltd, Bangalore, Karnataka, India
[2] AstraZeneca UK, Macclesfield, Cheshire, England
[3] AstraZeneca, Wilmington, DC USA
[4] AstraZeneca R&D Boston, Waltham, MA USA
关键词
DRUG-RESISTANT TUBERCULOSIS; IN-VIVO EFFICACY; MYCOBACTERIUM-TUBERCULOSIS; BACTERICIDAL ACTIVITY; MURINE MODEL; VITRO; OXAZOLIDINONE;
D O I
10.1128/AAC.00137-14
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
AZD5847, a novel oxazolidinone with an MIC of 1 mu g/ml, exhibits exposure-dependent killing kinetics against extracellular and intracellular Mycobacterium tuberculosis. Oral administration of AZD5847 to mice infected with M. tuberculosis H37Rv in a chronic-infection model resulted in a 1.0-log(10) reduction in the lung CFU count after 4 weeks of treatment at a daily area under the concentration-time curve (AUC) of 105 to 158 mu g.h/ml. The pharmacokinetic-pharmacodynamic parameter that best predicted success in an acute-infection model was an AUC for the free, unbound fraction of the drug/MIC ratio of >= 20. The percentage of time above the MIC in all of the efficacious regimens was 25% or greater.
引用
收藏
页码:4185 / 4190
页数:6
相关论文
共 21 条
[1]   PA-824 Exhibits Time-Dependent Activity in a Murine Model of Tuberculosis [J].
Ahmad, Zahoor ;
Peloquin, Charles A. ;
Singh, Rajendra P. ;
Derendorf, Hartmut ;
Tyagi, Sandeep ;
Ginsberg, Ann ;
Grosset, Jacques H. ;
Nuermberger, Eric L. .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2011, 55 (01) :239-245
[2]  
[Anonymous], 2010, ZYVOX
[3]  
[Anonymous], 52 INT C ANT AG CHEM
[4]   Bactericidal Activity and Mechanism of Action of AZD5847, a Novel Oxazolidinone for Treatment of Tuberculosis [J].
Balasubramanian, V. ;
Solapure, S. ;
Iyer, H. ;
Ghosh, A. ;
Sharma, S. ;
Kaur, P. ;
Deepthi, R. ;
Subbulakshmi, V. ;
Ramya, V. ;
Ramachandran, V. ;
Balganesh, M. ;
Wright, L. ;
Melnick, D. ;
Butler, S. L. ;
Sambandamurthy, V. K. .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2014, 58 (01) :495-502
[5]  
Condos Rany, 2008, Chest, V134, P187, DOI 10.1378/chest.07-1988
[6]   Linezolid-induced inhibition of mitochondrial protein synthesis [J].
De Vriese, AS ;
Van Coster, R ;
Smet, J ;
Seneca, S ;
Lovering, A ;
Van Haute, LL ;
Vanopdenbosch, LJ ;
Martin, JJ ;
Ceuterick-de Groote, C ;
Vandecasteele, S ;
Boelaert, JR .
CLINICAL INFECTIOUS DISEASES, 2006, 42 (08) :1111-1117
[7]   Early and Extended Early Bactericidal Activity of Linezolid in Pulmonary Tuberculosis [J].
Dietze, Reynaldo ;
Hadad, David Jamil ;
McGee, Bryan ;
Molino, Lucilia Pereira Dutra ;
Maciel, Ethel Leonor Noia ;
Peloquin, Charles A. ;
Johnson, Denise F. ;
Debanne, Sara M. ;
Eisenach, Kathleen ;
Boom, W. Henry ;
Palaci, Moises ;
Johnson, John L. .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2008, 178 (11) :1180-1185
[8]  
Fernley H.N., 1971, ENZYMES, P417
[9]  
Forrest A, 2007, ANTIMICROBIAL PHARMA, P449
[10]   Extensively drug-resistant tuberculosis as a cause of death in patients co-infected with tuberculosis and HIV in a rural area of South Africa [J].
Gandhi, Neel R. ;
Moll, Anthony ;
Sturm, A. Willem ;
Pawinski, Robert ;
Govender, Thiloshini ;
Lalloo, Umesh ;
Zeller, Kimberly ;
Andrews, Jason ;
Friedland, Gerald .
LANCET, 2006, 368 (9547) :1575-1580