Relationship between Plasma and Intracellular Concentrations of Bedaquiline and Its M2 Metabolite in South African Patients with Rifampin-Resistant Tuberculosis

Author:

Ngwalero Precious1,Brust James C. M.2,van Beek Stijn W.3,Wasserman Sean45ORCID,Maartens Gary145ORCID,Meintjes Graeme45,Joubert Anton1,Norman Jennifer1,Castel Sandra1,Gandhi Neel R.6,Denti Paolo1ORCID,McIlleron Helen145ORCID,Svensson Elin M.37,Wiesner Lubbe1ORCID

Affiliation:

1. Division of Clinical Pharmacology, Department of Medicine, University of Cape Town, Cape Town, South Africa

2. Albert Einstein College of Medicine & Montefiore Medical Center, Bronx, New York, USA

3. Department of Pharmacy, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands

4. Wellcome Centre for Infectious Diseases Research in Africa, Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Cape Town, South Africa

5. Department of Medicine, University of Cape Town, Cape Town, South Africa

6. Rollins School of Public Health and Emory School of Medicine, Emory University, Atlanta, Georgia, USA

7. Department of Pharmacy, Uppsala University, Uppsala, Sweden

Abstract

Bedaquiline is recommended for the treatment of all patients with rifampin-resistant tuberculosis (RR-TB). Bedaquiline accumulates within cells, but its intracellular pharmacokinetics have not been characterized, which may have implications for dose optimization.

Funder

AIDS Clinical Trials Group

Division of Intramural Research, National Institute of Allergy and Infectious Diseases

HHS | NIH | National Institute of Allergy and Infectious Diseases

HHS | National Institutes of Health

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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