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. 2019 Feb 26;63(3):e01669-18. doi: 10.1128/AAC.01669-18

TABLE 1.

PK parameters of afabicin desphosphono in plasma and bone tissues and fluid after the third oral dose of afabicin in patients undergoing hip replacement surgeryd

Parameter Value(s) for:
Plasma (n = 14) Sparse sampling (from n = 2–4 at each time of resection)
Plasma Cortical bone Cancellous bone Bone marrow Soft tissue Synovial fluid
AUCτ (ng·h/ml for fluids or ng·h/g for tissues) 20,400 (30.6) 20,100 4,240 8,040 7,060 6,790 12,300
C12 (ng/ml for fluids or ng/mg for tissues) 1,120 (43.4) 1,500 373 648 640 526 1,210
Cmax (ng/ml for fluids or ng/mg for tissues) 2,360 (28.0) 2,150 441 841 695 759 1,280
Ctrougha (ng/ml for fluids or ng/mg for tissues) 1,200 (36.7)
t1/2b (h) 11.8 (70.1)
tmax (median [range]) (h) 2 (0.5–2) 6 6 6 6 6 6
Penetration ratio
    AUC for tissue/AUC for plasma 1 0.21 0.40 0.35 0.34 0.61
    Cmax for tissue/Cmax for plasma 1 0.21 0.39 0.32 0.35 0.60
    AUC for free tissue/AUC for free plasmac 1 2.88
a

Ctrough was not obtained for bone resection-associated sparse sampling, as surgery occurred after the 3rd afabicin dose.

b

t1/2 was not calculated for data obtained from sparse samples, as an elimination phase could not be characterized from the mean profile.

c

The free fraction of afabicin desphosphono was 2% in plasma and 9.4% in synovial fluid.

d

Afabicin was administered at 240 mg q12h. Results are geometric means (geometric CV [in percent]) unless otherwise indicated. AUCτ, area under the curve at steady state; C12, concentration 12 h after the last dose; Cmax, maximum observed plasma concentration; Ctrough, measured concentration at the end of the dosing interval at steady state, just prior to the last dose; t1/2, terminal elimination half-life; tmax, time of maximum observed plasma concentration; n, number of observations; —, no reportable data.