Ethionamide Population Pharmacokinetic Model and Target Attainment in Multidrug-Resistant Tuberculosis

Author:

Al-Shaer Mohammad H.1ORCID,Märtson Anne-Grete2,Alghamdi Wael A.3ORCID,Alsultan Abdullah4,An Guohua5,Ahmed Shahriar6,Alkabab Yosra7,Banu Sayera6,Houpt Eric R.7,Ashkin David8,Griffith David E.9,Cegielski J. Peter9,Heysell Scott K.7,Peloquin Charles A.1ORCID

Affiliation:

1. Infectious Disease Pharmacokinetics Laboratory, College of Pharmacy and Emerging Pathogens Institute, University of Florida, Gainesville, Florida, USA

2. Department of Clinical Pharmacy and Pharmacology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands

3. Department of Clinical Pharmacy, College of Pharmacy, King Khalid University, Abha, Saudi Arabia

4. Division of Pharmaceutics and Translational Therapeutics, College of Pharmacy, University of Iowa, Iowa City, Iowa, USA

5. Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia

6. Infectious Diseases Division, International Centre for Diarrhoeal Diseases Research, Bangladesh (icddr,b), Dhaka, Bangladesh

7. Division of Infectious Diseases and International Health, Department of Medicine, University of Virginia, Charlottesville, Virginia, USA

8. TB Control Section, Division of Disease Control and Health Protection, Florida Department of Health, Tallahassee, Florida, USA

9. University of Texas Health Science Center at Tyler, Tyler, Texas, USA

Abstract

Ethionamide (ETA), an isonicotinic acid derivative, is part of the multidrug-resistant tuberculosis (MDR-TB) regimen. The current guidelines have deprioritized ETA because it is potentially less effective than other agents. Our aim was to develop a population pharmacokinetic (PK) model and simulate ETA dosing regimens in order to assess target attainment. This study included subjects from four different sites, including healthy volunteers and patients with MDR-TB. The TB centers included were two in the United States and one in Bangladesh.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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