Table 2.
Administered Oral Dose | Simulated AUC | Simulated Cavg | Simulated fu Cavg | Simulated Cmax | Simulated fu Cmax | Simulated Fraction of Time Above EC50 | Simulated Fraction of Time Above EC90 | Reduction Over Controls for Peritoneal Infection for Type I RH Strain | Reduction Over Controls for Brain Infection for Type I RH Strain | Reduction Over Controls for Spleen Infection for Type I RH Strain | Reduction Over Controls for Brain Infection for Type II Prugniaud strain | ||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Central Scaffold | BKI | (starting on Day 2 postinfection) | (µM*h) | (µM) | (µM) | (µM) | (µM) | Total | fu | Total | fu | (%) | (%) | (%) | (%) |
PP | 1553a | 2 mg/kg QD × 5 days | 408 | 1.2 | 0.1 | 4.3 | 0.4 | 0.81 | 0.57 | 0.38 | 0 | 71 | 34 | 46 | ND |
10 mg/kg × 1 dose | 408 | 1.2 | 0.1 | 12.3 | 1.2 | 0.80 | 0.37 | 0.29 | 0 | 65 | 57 | 41 | ND | ||
20 mg/kg loading dose on day 2 + 5 mg/kg QD on days 3–6 | 1630 | 4.9 | 0.5 | 24.6 | 2.5 | 0.74 | 0.55 | 0.44 | 0.03 | 99.9 | 79 | 97 | ND | ||
20 mg/kg QD × 5 days | 4076 | 12.1 | 1.2 | 43.0 | 4.3 | 0.85 | 0.66 | 0.55 | 0.30 | 100c | 95 | 99 | ND | ||
PP | 1561a | 2 mg/kg QD × 5 days | 319 | 1.5 | 0.2 | 3.8 | 0.5 | 0.68 | 0.51 | 0.40 | 0 | 80 | 95 | 97 | ND |
10 mg/kg QD × 1 dose | 319 | 1.5 | 0.2 | 15.2 | 1.8 | 0.78 | 0.45 | 0.40 | 0 | 97 | 99 | 99 | ND | ||
20 mg/kg loading dose on day 2 + 5 mg/kg QD on days 3–6 | 1276 | 5.8 | 0.7 | 30.4 | 4.9 | 0.84 | 0.70 | 0.65 | 0.16 | 100c | 99 | 98 | ND | ||
PrP | 1660 | 2 mg/kg QD × 5 days | 726 | 3.0 | 0.03 | 7.6 | 0.1 | 0.72 | 0 | 0.34 | 0 | 48 | 69 | ND | ND |
10 mg/kg × 3 doses QOD on days 2, 4, and 6 | 2179 | 8.9 | 0.1 | 28.0 | 0.3 | 0.63 | 0.02 | 0.43 | 0 | 97 | 76 | ND | ND | ||
10 mg/kg QD × 5 days | 3630 | 14.9 | 0.2 | 37.6 | 0.4 | 0.87 | 0.23 | 0.62 | 0 | 96 | 85 | ND | 88 | ||
30 mg/kg QD × 1 day | 2179 | 13.0 | 0.1 | 74.7 | 0.8 | 0.78 | 0.18 | 0.41 | 0 | 66 | 41 | ND | ND | ||
PrP | 1649 | 2 mg/kg QD × 5 days | 514 | 2.3 | 0.1 | 5.8 | 0.3 | 0.82 | 0.58 | 0.60 | 0 | 99.8 | 85 | ND | ND |
6 mg/kg QD × 5 days | 1541 | 7.0 | 0.4 | 17.5 | 1.0 | 0.97 | 0.70 | 0.72 | 0 | 100c | 97 | ND | ND | ||
10 mg/kg QD × 5 days | 2771 | 12.6 | 0.8 | 30.1 | 1.8 | 0.95 | 0.73 | 0.74 | 0.33 | ND | ND | ND | 99 | ||
PrP | 1812 | 20 mg/kg QD × 5 days | 452 | 3.6 | 0.5 | 22.2 | 3.3 | 0.61 | 0.41 | 0.47 | 0.28 | ND | ND | ND | 97 |
AC | 1673 | 2 mg/kg QD × 5 days | 166 | 1.0 | 0.05 | 2.7 | 0.2 | 0.80 | 0.11 | 0.29 | 0 | 81 | 72 | ND | ND |
5 mg/kg QD × 5 days | 414 | 2.4 | 0.1 | 7.2 | 0.4 | 0.77 | 0.46 | 0.60 | 0 | 97 | 86 | ND | ND | ||
10 mg/kg QD × 5 days | 829 | 4.8 | 0.2 | 14.3 | 0.8 | 0.80 | 0.61 | 0.65 | 0 | 99.7 | 92 | ND | ND | ||
20 mg/kg QD × 5 days | 1658 | 9.6 | 0.5 | 28.7 | 1.5 | 0.84 | 0.67 | 0.69 | 0.01 | 100c | 97 | ND | 97 | ||
AC | 1643b | 20 mg/kg QD × 5 days | 219 | 1.1 | 0.1 | 3.7 | 0.5 | 0.79 | 0.64 | 0.63 | 0.0 | 100c | 89 | 100c | ND |
50 mg/kg QD × 5 days | 546 | 2.7 | 0.3 | 9.3 | 1.1 | 0.86 | 0.71 | 0.62 | 0.07 | 100c | 88 | 100c | ND | ||
AC | 1597 | 4 mg/kg QD × 5 days | 51 | 0.4 | 0.1 | 1.9 | 0.4 | 0.49 | 0.15 | 0.15 | 0.00 | 87 | 91 | ND | ND |
20 mg/kg QD × 5 days | 282 | 2.2 | 0.3 | 10.5 | 2.1 | 0.84 | 0.49 | 0.48 | 0.15 | 99.9 | 98 | ND | 99 | ||
60 mg/kg QD × 5 days | 764 | 6.0 | 0.7 | 28.5 | 4.6 | 0.89 | 0.76 | 0.75 | 0.29 | 100c | 97 | ND | ND | ||
AC | 1748 | 4 mg/kg QD × 5 days | 540 | 3.9 | 0.8 | 17.0 | 3.5 | 0.90 | 0.86 | 0.84 | 0.51 | 95 | 79 | 98 | ND |
20 mg/kg QD × 5 days | 2700 | 19.6 | 3.9 | 86.7 | 17.4 | 0.92 | 0.87 | 0.87 | 0.80 | 100c | 86 | 100c | 99 | ||
AC | 1757 | 4 mg/kg QD × 5 days | 382 | 2.3 | 0.3 | 6.8 | 0.7 | 0.76 | 0.73 | 0.67 | 0 | 72 | 34 | 65 | ND |
20 mg/kg QD × 5 days | 1908 | 11.4 | 1.4 | 33.6 | 3.7 | 0.86 | 0.77 | 0.76 | 0.55 | 98 | 79 | 99 | 99 |
Abbreviations: AC, 5-aminopyrazole-4-carboxamides; AUC, area under the curve; BKI, bumped kinase inhibitor; Cavg, average concentration over dosing time; Cmax, maximum concentration; EC50, 50% effective concentration; EC90, 90% effective concentration; fu, fraction unbound; ND, not determined; PP, pyrazolopyrimidines; PrP, pyrrolopyrimidines; QD, once daily; QOD, once every other day.
aBKIs and some associated data previously reported [11] as compounds 32, and 33.
bBKI and some associated data previously reported [13] as compound 35.
cValues below the assay’s lowest limit of detection are reported as 100% reduction.