PMID- 27473285 OWN - NLM STAT- MEDLINE DCOM- 20170328 LR - 20221207 IS - 1472-8206 (Electronic) IS - 0767-3981 (Linking) VI - 30 IP - 6 DP - 2016 Dec TI - Pharmacokinetics, safety, and tolerability of ceftolozane/tazobactam in healthy Japanese, Chinese, and white subjects. PG - 625-633 LID - 10.1111/fcp.12227 [doi] AB - Ceftolozane/tazobactam, a novel antibacterial with potent activity against Gram-negative pathogens, was developed for treatment of complicated urinary tract infections, including pyelonephritis, and intra-abdominal infections. A phase 1 pharmacokinetic (PK) study of ceftolozane/tazobactam in healthy Japanese, Chinese, and white volunteers was conducted to assess the potential effect of ethnicity on PK. The PK of ceftolozane, tazobactam, and tazobactam metabolite M1 was compared after single 1.5- and 3-g intravenous doses of ceftolozane/tazobactam. Ten Japanese, nine Chinese, and ten white subjects were enrolled, and 27 completed all doses of study medication. Dose-normalized PK parameters for ceftolozane and tazobactam were similar among Japanese, Chinese, and white subjects (at 1.5-g and 3-g doses, ceftolozane area under the plasma concentration-time curve from zero to infinity [AUC(0-infinity) ] = 166.3, 165.9, and 185.5 h mug/mL, respectively, and 157.7, 158.5, and 181.2 h mug/mL, respectively; tazobactam AUC(0-infinity) = 48.5, 43.2, and 50.1 h mug/mL, respectively, and 47.3, 43.7, and 50.0 h mug/mL, respectively. The 90% CIs of their ratio estimates were within the range 0.80 to 1.25 with the exception of AUC(0-infinity) for ceftolozane after the 3-g dose (0.79). The cumulative amount of ceftolozane and tazobactam excreted in urine was similar among ethnic groups. For all groups, treatment-emergent adverse events (AEs) were mild; no deaths or serious AEs were reported. The PK of ceftolozane/tazobactam was approximately dose proportional (i.e. doubling the dose approximately doubles the exposure) and similar among the groups. No dosage adjustment is needed for ceftolozane/tazobactam in Japanese and Chinese patients. CI - (c) 2016 Societe Francaise de Pharmacologie et de Therapeutique. FAU - Aiudi, Anthony AU - Aiudi A AD - Merck & Co., Inc., 2000 Galloping Hill Road, Kenilworth, NJ, 07033, USA. FAU - Miller, Benjamin AU - Miller B AD - Merck & Co., Inc., 2000 Galloping Hill Road, Kenilworth, NJ, 07033, USA. FAU - Krishna, Gopal AU - Krishna G AD - Merck & Co., Inc., 2000 Galloping Hill Road, Kenilworth, NJ, 07033, USA. FAU - Adedoyin, Adedayo AU - Adedoyin A AD - Merck & Co., Inc., 2000 Galloping Hill Road, Kenilworth, NJ, 07033, USA. FAU - Xiao, Alan AU - Xiao A AD - Merck & Co., Inc., 2000 Galloping Hill Road, Kenilworth, NJ, 07033, USA. LA - eng PT - Clinical Trial, Phase I PT - Journal Article DEP - 20160825 PL - England TA - Fundam Clin Pharmacol JT - Fundamental & clinical pharmacology JID - 8710411 RN - 0 (Anti-Bacterial Agents) RN - 0 (Cephalosporins) RN - 37A4IES95Q (ceftolozane) RN - 87-53-6 (Penicillanic Acid) RN - SE10G96M8W (Tazobactam) SB - IM MH - Adult MH - Anti-Bacterial Agents/adverse effects/pharmacokinetics MH - Area Under Curve MH - Asian People MH - Cephalosporins/*adverse effects/*pharmacokinetics MH - Drug Tolerance/*physiology MH - Female MH - Humans MH - Male MH - Penicillanic Acid/adverse effects/*analogs & derivatives/pharmacokinetics MH - Prospective Studies MH - Tazobactam MH - White People OTO - NOTNLM OT - clinical pharmacology OT - infectious disease OT - pharmacokinetics OT - pharmacokinetics and drug metabolism EDAT- 2016/07/31 06:00 MHDA- 2017/03/30 06:00 CRDT- 2016/07/31 06:00 PHST- 2016/04/12 00:00 [received] PHST- 2016/07/25 00:00 [revised] PHST- 2016/07/27 00:00 [accepted] PHST- 2016/07/31 06:00 [pubmed] PHST- 2017/03/30 06:00 [medline] PHST- 2016/07/31 06:00 [entrez] AID - 10.1111/fcp.12227 [doi] PST - ppublish SO - Fundam Clin Pharmacol. 2016 Dec;30(6):625-633. doi: 10.1111/fcp.12227. Epub 2016 Aug 25.