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. 2023 Jun 30;12(6):334–341. doi: 10.1093/jpids/piad031

Table 5.

Pharmacokinetic Parameters Following a Single Infusion of 10 mg/kg Bezlotoxumab in Two Age Cohorts of Pediatric Participants Versus Adult Participants in Prior Studies

Pediatric Participants Adult Participants Pediatric/ Adult Participants
Parameter N GM 95% CI N GM 95% CI GMR 90% CI rMSEa
Age cohort 1: 12 to <18 years
 AUC0-inf (h * μg/mL) 36 56 100 (49400, 63700) 1550 52 800 (51800, 53800) 1.06 (0.95, 1.18) 0.388
Cmax (μg/mL) 37 155 (145, 166) 1550 184 (183, 186) 0.84 (0.79, 0.89) 0.217
Tmax (h)b 37 3.00 (2.67, 3.47) 1550 1.00 (0.0667, 4.73)
t1/2 (day)c 36 21.7 22.1 1550 18.7 27.7
Vd (L)c 36 7.50 33.3 1550 7.34 16.3
 CL (mL/h)c 36 9.99 33.7 1550 13.2 40.4
 Weight-normalized Vd (L/kg)c 36 0.134 29.9
 Weight-normalized CL (mL/h/kg)c 36 0.178 31.0
 Age cohort 2: 1 to <12 years
 AUC0-inf (h * μg/mL) 54 43 200 (38900, 47900) 1550 52800 (51800, 53800) 0.82 (0.75, 0.89) 0.388
Cmax (ug/mL) 54 129 (122, 137) 1550 184 (182, 187) 0.70 (0.67, 0.74) 0.220
Tmax (h)b 54 3.00 (2.67, 285) 1550 1.00 (0.0667, 4.73)
t1/2 (day)c 54 18.1 33.8 1550 18.7 27.7
Vd (L)c 54 2.93 54.6 1550 7.34 16.3
 CL (mL/h)c 54 4.66 59.6 1550 13.2 40.4
 Weight-normalized Vd (L/kg)c 54 0.146 28.9
 Weight-normalized CL (mL/h/kg)c 54 0.233 34.5

Abbreviations: AUC0-inf, area under the curve from time zero to infinity; BLOQ, below assay limit of quantitation; CI, confidence interval; CL, clearance; Cmax, maximum serum concentration; GM, geometric least-squares mean; t½ = terminal half-life; Tmax = time of peak serum concentration; Vd = volume of distribution.

arMSE: square root of conditional mean squared error (residual error) from the linear fixed-effect model. rMSE * 100% approximates the between-subject percent CV on the raw scale.

bMedian (min, max) reported for Tmax.

cGeometric mean, percent CV reported for apparent terminal t½, Vd, and CL.