Table 3.
Dose group | Drug PK | Combination drug | Dose (mg/kg) | Regimenb | Cmaxc (μg/ml) | Tmaxd (h) | AUC (h · μg/ml) | Half-life (h) | %TMIC in 24 he |
---|---|---|---|---|---|---|---|---|---|
1 | Amoxicillin | Clavulanate | 200 | BID, Q12 | 43.07 | 1.00 | 82.12 | 0.58 | 33 |
1 | Clavulanate | Amoxicillin | 50 | BID, Q12 | 26.39 | 0.08 | 15.67 | 0.21 | 13 |
2 | Meropenem | Clavulanate | 300 | TID, Q8 | 218.04 | 0.08 | 89.65 | 0.39 | 25 |
2 | Clavulanate | Meropenem | 75 | TID, Q8 | 24.88 | 0.08 | 13.34 | 0.46 | 19 |
The parameters were estimated after the 10th dose.
BID, twice a day; TID, three times a day; Q12, every 12 h; Q8, every 8 h.
Cmax, maximum concentration of drug in plasma.
Tmax, time to maximum concentration of drug in plasma.
Based on in vitro synergy between amoxicillin and clavulanate, a 1-μg/ml concentration was used for %TMIC calculation for clavulanate. Amoxicillin, clavulanate, and meropenem are reported to be 80%, 75%, and 98% free in plasma, respectively (9, 18). Therefore, the %TMIC values were almost the same for free plasma concentrations.