Use of opportunistic clinical data and a population pharmacokinetic model to support dosing of clindamycin for premature infants to adolescents.
Journal Article (Clinical Trial;Journal Article)
Clindamycin is commonly prescribed to treat children with skin and skin-structure infections (including those caused by community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA)), yet little is known about its pharmacokinetics (PK) across pediatric age groups. A population PK analysis was performed in NONMEM using samples collected in an opportunistic study from children receiving i.v. clindamycin per standard of care. The final model was used to optimize pediatric dosing to match adult exposure proven effective against CA-MRSA. A total of 194 plasma PK samples collected from 125 children were included in the analysis. A one-compartment model described the data well. The final model included body weight and a sigmoidal maturation relationship between postmenstrual age (PMA) and clearance (CL): CL (l/h) = 13.7 × (weight/70)(0.75) × (PMA(3.1)/(43.6(3.1) + PMA(3.1))); V (l) = 61.8 × (weight/70). Maturation reached 50% of adult CL values at ~44 weeks PMA. Our findings support age-based dosing.
Full Text
Duke Authors
Cited Authors
- Gonzalez, D; Melloni, C; Yogev, R; Poindexter, BB; Mendley, SR; Delmore, P; Sullivan, JE; Autmizguine, J; Lewandowski, A; Harper, B; Watt, KM; Lewis, KC; Capparelli, EV; Benjamin, DK; Cohen-Wolkowiez, M; Best Pharmaceuticals for Children Act – Pediatric Trials Network Administrative Core Committee,
Published Date
- October 2014
Published In
Volume / Issue
- 96 / 4
Start / End Page
- 429 - 437
PubMed ID
- 24949994
Pubmed Central ID
- PMC4169790
Electronic International Standard Serial Number (EISSN)
- 1532-6535
Digital Object Identifier (DOI)
- 10.1038/clpt.2014.134
Language
- eng
Conference Location
- United States