Table 7.
Plasma and epithelial lining fluid concentrations of tetracyclines
| Antibacterial agent | Dosage regimen | Subjects [n] | Sampling time [h]a | ELF to plasma ratio based on AUC | Plasma concentration [µg/mL]b | ELF concentration [µg/mL]b | References |
|---|---|---|---|---|---|---|---|
| Tigecycline | 100 mg IV 0.5 h infusion × 1 dose, then 50 mg IV 0.5 h infusion q12h × 6 doses | 4 | 2 | 1.71c | 0.217 ± 0.051 | 0.553 ± 0.497 | [94] |
| 5 | 4 | 0.159 ± 0.026 | 0.233 ± 0.070 | ||||
| 4 | 6 | 0.157 ± 0.036 | 0.268 ± 0.097 | ||||
| 4 | 12 | 0.121 ± 0.036d | 0.149 ± 0.028e | ||||
| Omadacycline | 100 mg IV 0.5 h infusion q12h × 2 doses, then 100 mg IV 0.5 h infusion q24h × 3 doses | 6 | 0.5 | 1.47f | 1.80 ± 0.13 | 1.73 ± 1.01 | [94] |
| 6 | 1 | 0.89 ± 0.19 | 2.25 ± 0.72 | ||||
| 5 | 2 | 0.93 ± 0.33 | 1.51 ± 0.94 | ||||
| 6 | 4 | 0.54 ± 0.12 | 0.95 ± 0.33 | ||||
| 6 | 8 | 0.56 ± 0.12 | 0.58 ± 0.19 | ||||
| 6 | 12 | 0.42 ± 0.07 | 0.61 ± 0.29 | ||||
| 6 | 24 | 0.27 ± 0.05 | 0.41 ± 0.13 | ||||
| Eravacycline | 1 mg/kg (maximum 100 mg) IV 1 h infusion q12h × 7 doses | 5 | 2 | 6.44g | 0.083 ± 0.012h | 0.70 ± 0.30 | [100] |
| 5 | 4 | 0.065 ± 0.011h | 0.57 ± 0.20 | ||||
| 5 | 6 | 0.054 ± 0.009h | 0.34 ± 0.16i | ||||
| 5 | 12 | 0.037 ± 0.009h | 0.25 ± 0.13j |
ELF epithelial lining fluid, AUC area under the concentration-time curve, IV intravenously, BLQ below the lower limit of quantification, qxh every x hours, SD standard deviation
aSampling time after the last dose
bTotal plasma and ELF concentrations expressed as mean ± SD
cBased on the ratio of AUC12 in ELF to AUC12 in total plasma
dThree concentrations were available at this sampling time
eTwo of the four subjects had ELF concentrations BLQ (< 1 ng/mL)
fBased on the ratio of AUC24 in ELF to AUC24 in total plasma
gBased on the ratio of AUC12 in ELF to AUC12 in unbound plasma, assuming protein binding between 79.3 and 87.1% in plasma
hTwenty concentrations were available at each sampling time
iTwo of the five subjects had ELF concentrations BLQ (< 0.5 µg/mL)
jThree of the five subjects had ELF concentrations BLQ (< 0.5 µg/mL)