Table 2. Comparison of pharmacokinetic parameters of dalbavancin, oritavancin, telavancin, and vancomycin1,4,5,6,43.
Dalbavancin 1,000 mg (IV; single dose) | Oritavancin | Vancomycin 1,000 mg (IV; single dose) | Telavancin 10 mg/kg (IV; single dose) | |
Cmax | 287 mcg/mL | 138 mcg/mL | 63 mcg/mL | 93.6 mcg/mL |
Tmax | NA | Immediately following a 3-h infusion | Immediately following a 60-min infusion | Immediately following a 60-min infusion |
Half-life | 346 h | 393 h | 4 to 6 h | 8 h |
AUC0-inf nity | 23,443 mg•h/L | 2,800 mcg•h/mL | — | 747 mcg•h/mL |
Clearance | 0.0513 L/h | 0.456 L/h | 0.058 L/h/kg | 13.9 mL/h/kg |
Volume of distribution | NA | 5.88 L (central compartment); 14.8 L (V2); 90 L (V3) | 0.864 L/kg | 145 mL/kg |
Protein binding | 93% | 85% to 90% | 55% | 90% |
Metabolism | No apparent metabolism | No apparent metabolism | No apparent metabolism | No apparent metabolism |
Elimination | Urine: 33% unchanged for dalbavancin, 12% for hydroxy-dalbavancin 42 days postdose Feces: 20%, 70 days postdose |
Unchanged in urine and feces | Urine: 75% excreted over 24 h | Urine: 76% Feces: < 1% |
Note: AUC = area under the curve; NA = not available in product labeling.