Table 3.
Coefficients of determination and magnitudes of the most correlated PK/PD index, as determined in the default setting, required for a bacteriostatic or bactericidal effecta
Simulation setting | Benzylpenicillin |
Cefuroxime |
Erythromycin |
Gentamicin |
Moxifloxacin |
Vancomycin |
||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
R2 |
fT>MIC |
R2 |
fT>MIC |
R2 |
fAUC/MIC |
R2 |
fAUC/MIC |
R2 |
fAUC/MIC |
R2 |
fAUC/MIC |
|||||||||||||||||||
fCmax/MIC | fAUC/MIC | fT>MIC | Bstat (%) | Bcid (%) | fCmax/MIC | fAUC/MIC | fT>MIC | Bstat (%) | Bcid (%) | fCmax/MIC | fAUC/MIC | fT>MIC | Bstat | Bcid | fCmax/MIC | fAUC/MIC | fT>MIC | Bstat | Bcid | fCmax/MIC | fAUC/MIC | fT>MIC | Bstat | Bcid | fCmax/MIC | fAUC/MIC | fT>MIC | Bstat | Bcid | |
Default | 0.54 | 0.84 | 0.93* | 29 | 38 | 0.72 | 0.90 | 0.96* | 30 | 41 | 0.78 | 0.93* | 0.90 | 11 | 34 | 0.70 | 0.92* | NA | 39 | 67 | 0.93 | 0.99* | 0.94 | 11 | 19 | 0.90 | 0.99* | NA | 54 | NA |
i (a) Reduced CL | 0.73 | 0.94* | 0.93 | 25 | 33 | 0.89 | 0.99* | 0.98 | 17 | 21 | 0.93 | 1.0* | 0.91 | 8.5 | 19 | 0.86 | 0.98* | NA | 28 | 42 | 0.97 | 0.99* | NA | 11 | 19 | 0.93 | 0.99* | NA | 51 | NA |
(b) PK neonate | 0.86 | 0.98* | 0.91 | 24 | 32 | 0.91 | 0.99* | NA | 26 | 37 | ||||||||||||||||||||
ii (a) 0.5× MIC | 0.54 | 0.84 | 0.98* | 40 | 52 | 0.72 | 0.90 | 0.98* | 45 | 56 | 0.78 | 0.93 | 0.96* | 22 | 67 | 0.71 | 0.92* | NA | 79 | 133 | 0.93 | 0.99* | 0.98 | 23 | 37 | 0.90 | 0.99* | NA | 109 | NA |
2× MIC | 0.54 | 0.84 | 0.88* | 20 | 26 | 0.72 | 0.90* | 0.87 | 15 | 31 | 0.78 | 0.93* | 0.80 | 5.5 | 17 | 0.71 | 0.92 | 0.94* | 20 | 33 | 0.93 | 0.99* | 0.85 | 5.7 | 9.4 | 0.90 | 0.99* | NA | 27 | NA |
(b) Calculated MIC | 0.54 | 0.84 | 0.99* | 45 | 58 | 0.72 | 0.90 | 0.98* | 46 | 57 | 0.78 | 0.93 | 0.94* | 51 | 155 | 0.71 | 0.92* | NA | 64 | 109 | 0.93 | 0.99* | 0.98 | 26 | 42 | 0.90 | 0.99* | NA | 37 | NA |
(c) EC50 | 0.54 | 0.84 | 0.99* | 42 | 55 | 0.72 | 0.90 | 0.98* | 46 | 57 | 0.78 | 0.93 | 0.97* | 41 | 125 | 0.71 | 0.92* | 0.88 | 8 | 14 | 0.93 | 0.99* | 0.97 | 19 | 31 | 0.90 | 0.99* | NA | 45 | NA |
iii (a) log10 CFU/ml (12 h) | 0.66 | 0.92 | 0.94* | 14 | 25 | 0.85 | 0.98* | 0.98* | 13 | 27 | 0.93 | 1.0* | 0.92 | 5.1 | 32 | 0.80 | 0.94* | NA | 8 | 21 | 0.96 | 0.99* | 0.94 | 6 | 13 | 0.91 | 0.99* | NA | 29 | NA |
log10 CFU/ml (48 h) | 0.53 | 0.82 | 0.93* | 28 | 33 | 0.71 | 0.89 | 0.96* | 28 | 35 | 0.76 | 0.92* | 0.88 | 8.8 | 19 | 0.73 | 0.94* | NA | 51 | 70 | 0.92 | 0.99* | 0.92 | 9.3 | 14 | 0.90 | 0.99* | NA | 42 | 66 |
log10 CFU/ml (240 h) | 0.52 | 0.80 | 0.90* | 27 | 29 | 0.67 | 0.86 | 0.92* | 26 | 30 | 0.73 | 0.90* | 0.80 | 6.9 | 9.3 | 0.75 | 0.96* | NA | 57 | 68 | 0.84* | NA | NA | NA | NA | 0.86 | 0.98* | NA | 39 | 41 |
(b) AUBC24 | 0.68 | 0.94* | 0.94* | 0.86 | 0.99* | 0.98 | 0.92 | 1.0* | 0.92 | 0.82 | 0.97* | NA | 0.97 | 0.99* | 0.94 | 0.93 | 0.99* | NA | ||||||||||||
AUBC48 | 0.62 | 0.90 | 0.94* | 0.80 | 0.96 | 0.98* | 0.86 | 0.98* | 0.91 | 0.78 | 0.95* | NA | 0.95 | 0.99* | 0.94 | 0.92 | 0.99* | NA | ||||||||||||
(c) T99% | 0.63 | 0.91 | 0.94* | 0.81 | 0.97 | 0.99* | 0.88 | 0.99* | 0.96 | 0.79 | 0.95* | 0.95* | 0.96 | 0.98* | 0.96 | 0.87 | 0.98* | NA | ||||||||||||
T99.9% | 0.61 | 0.90 | 0.96* | 0.80 | 0.97 | 0.98* | 0.85 | 0.98* | 0.95 | 0.75 | 0.94 | 0.96* | 0.96 | 0.97* | 0.93 | NA | NA | NA | ||||||||||||
T99.99% | 0.58 | 0.87 | 0.97* | 0.76 | 0.94 | 0.99* | 0.83 | 0.95* | NA | 0.71 | 0.92 | 0.97* | 0.92 | 0.93* | NA | NA | NA | NA | ||||||||||||
iv CP1 driving PD | 0.60 | 0.84 | 0.93* | 31 | 38 | 0.82 | 0.93 | 0.97* | 37 | 41 | 0.86 | 0.95* | 0.89 | 10 | 32 | 0.94 | 0.98* | NA | 26 | 39 | 0.96 | 0.97* | NA | 12 | 34 | 0.96 | 0.98* | NA | 50 | NA |
CP2 driving PD | 0.87 | 0.96* | 0.92 | 32 | 38 | 0.97 | 0.99* | NA | 23 | 33 |
Roman numerals and italic letters refer to sections in the text (see “Altered simulation settings” in Materials and Methods and in Results).
, the PK/PD index with the best correlation (highest R2) to the PD endpoint; NA, not estimable.