Fixed Dosing of Liposomal Amphotericin B in Morbidly Obese Individuals

Author:

Wasmann Roeland E12ORCID,Smit Cornelis34,van Dongen Eric P H5,Wiezer René M J6,Adler-Moore Jill7,de Beer Yvo M8,Burger David M1,Knibbe Catherijne A J34,Brüggemann Roger J M12

Affiliation:

1. Department of Pharmacy, Radboud Institute for Health Sciences, Radboud University Medical Center, Nieuwegein, The Netherlands

2. Center of Expertise in Mycology Radboudumc/Canisius-Wilhelmina Ziekenhuis, Nijmegen, The Netherlands

3. Department of Clinical Pharmacy, St. Antonius Hospital, Nieuwegein, The Netherlands

4. Division of Systems Biomedicine and Pharmacology, Leiden Academic Centre for Drug Research, Leiden University, Leiden, The Netherlands

5. Department of Anesthesiology, Intensive Care and Pain Management, St. Antonius Hospital, Nieuwegein, The Netherlands

6. Department of Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands

7. Department of Biological Sciences, California State Polytechnic University, Pomona, California

8. Department of Clinical Pharmacy and Toxicology, Maastricht University Medical Center, Maastricht, The Netherlands

Abstract

Abstract In this prospective study, we examined the pharmacokinetics of 1 and 2 mg/kg liposomal amphotericin B in 16 morbidly obese individuals (104–177 kg). Body size had no effect on clearance. We recommend a fixed dose in patients ≥100 kg (ie, 300 or 500 mg rather than the current dose of 3 and 5 mg/kg, respectively). Clinical Trials Registration NCT02320604.

Funder

Gilead Sciences

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

Reference17 articles.

1. Liposomal amphotericin B (AmBisome®): a review of the pharmacokinetics, pharmacodynamics, clinical experience and future directions;Stone;Drugs,2016

2. Clinical pharmacokinetics, pharmacodynamics, safety and efficacy of liposomal amphotericin B;Groll;Clin Infect Dis,2019

3. Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128.9 million children, adolescents, and adults;N. C. D. Risk Factor Collaboration;Lancet,2017

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