PMID- 29928114 OWN - NLM STAT- MEDLINE DCOM- 20181105 LR - 20220330 IS - 1177-8881 (Electronic) IS - 1177-8881 (Linking) VI - 12 DP - 2018 TI - Effect of food on the pharmacokinetic characteristics of a single oral dose of LCB01-0371, a novel oxazolidinone antibiotic. PG - 1707-1714 LID - 10.2147/DDDT.S155657 [doi] AB - BACKGROUND: LCB01-0371 is a novel oxazolidinone antibiotic that blocks protein production by binding to bacterial 23S ribosomes. This antibiotic is active against Gram-positive bacteria. This study aimed to evaluate the effect of food on the pharmacokinetics (PKs) of LCB01-0371 and evaluate its safety profile. SUBJECTS AND METHODS: A randomized, open-label, two-way crossover study was performed in 18 healthy Korean male subjects. All subjects received a single oral 800 mg dose of LCB01-0371 in each period under fed or fasting condition with a 7-day washout in between. The fed condition was defined as consumption of a meal of 800-1,000 kcal containing50% of fat content. Serial blood samples were collected over 24 h after dosing, and the PK parameters were calculated by noncompartment analysis. All available data of the subjects who received LCB01-0371 at least once were included in the safety data summaries. RESULTS: In the fed condition, both the maximum plasma concentration (C(max)) and the total systemic exposure (area under the plasma concentration-time curve from time zero to the last observed time point [AUC(last)]) decreased by ~33% and 10%, respectively. The time to reach C(max) was delayed by ~1.25 h in the fed condition, whereas the mean elimination half-life remained similar in both conditions. In the fed/fasting condition, the geometric mean ratios and 90% CI of the C(max) and AUC(last) were 0.666 (0.470-0.945) and 0.897 (0.761-1.057), respectively. There were no drug-related adverse events (AEs) or serious AEs. CONCLUSION: Although the T(max) after a single oral 800 mg dose of LCB01-0371 was slightly delayed under the fed condition compared to the fasting condition, the total systemic exposure was similar under both conditions. Therefore, LCB01-0371 could be administered regardless of food intake. FAU - Sunwoo, Jung AU - Sunwoo J AD - Department of Clinical Pharmacology and Therapeutics, Seoul National University College of Medicine and Hospital, Seoul. FAU - Kim, Yu Kyong AU - Kim YK AD - Department of Clinical Pharmacology and Therapeutics, Seoul National University College of Medicine and Hospital, Seoul. FAU - Choi, Yewon AU - Choi Y AD - Department of Clinical Pharmacology and Therapeutics, Seoul National University College of Medicine and Hospital, Seoul. FAU - Yu, Kyung-Sang AU - Yu KS AD - Department of Clinical Pharmacology and Therapeutics, Seoul National University College of Medicine and Hospital, Seoul. FAU - Nam, Heesook AU - Nam H AD - LegoChem Biosciences, Inc., Daejeon. FAU - Cho, Young Lag AU - Cho YL AD - LegoChem Biosciences, Inc., Daejeon. FAU - Yoon, Seonghae AU - Yoon S AD - Department of Clinical Pharmacology and Therapeutics, Seoul National University College of Medicine and Bundang Hospital, Seongnam, Republic of Korea. FAU - Chung, Jae-Yong AU - Chung JY AD - Department of Clinical Pharmacology and Therapeutics, Seoul National University College of Medicine and Bundang Hospital, Seongnam, Republic of Korea. LA - eng PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial DEP - 20180611 PL - New Zealand TA - Drug Des Devel Ther JT - Drug design, development and therapy JID - 101475745 RN - 0 (Anti-Bacterial Agents) RN - 0 (Oxazolidinones) RN - 43EP6XV33E (delpazolid) SB - IM MH - Administration, Oral MH - Adult MH - Anti-Bacterial Agents/*administration & dosage/blood/*pharmacokinetics MH - Area Under Curve MH - Cross-Over Studies MH - Fasting/blood MH - *Food-Drug Interactions MH - Half-Life MH - Healthy Volunteers MH - Humans MH - Male MH - Metabolic Clearance Rate MH - Models, Biological MH - Oxazolidinones/*administration & dosage/blood/*pharmacokinetics MH - Postprandial Period MH - Republic of Korea MH - Young Adult PMC - PMC6001845 OTO - NOTNLM OT - antibiotic resistance OT - clinical trial OT - gram-positive bacteria COIS- Disclosure Heesook Nam and Young Lag Cho are LegoChem Biosciences, Inc. employees. The other authors report no conflicts of interest in this work. EDAT- 2018/06/22 06:00 MHDA- 2018/11/06 06:00 PMCR- 2018/06/11 CRDT- 2018/06/22 06:00 PHST- 2018/06/22 06:00 [entrez] PHST- 2018/06/22 06:00 [pubmed] PHST- 2018/11/06 06:00 [medline] PHST- 2018/06/11 00:00 [pmc-release] AID - dddt-12-1707 [pii] AID - 10.2147/DDDT.S155657 [doi] PST - epublish SO - Drug Des Devel Ther. 2018 Jun 11;12:1707-1714. doi: 10.2147/DDDT.S155657. eCollection 2018.