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Population Pharmacokinetic/Pharmacodynamic Analysis of Intravenous Zanamivir in Healthy Adults and Hospitalized Adult and Pediatric Subjects with Infl

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Editor, Senior Moderator
Clin Transl Sci. 2019 Oct 30. doi: 10.1111/cts.12697. [Epub ahead of print] [h=1]Population Pharmacokinetic/Pharmacodynamic Analysis of Intravenous Zanamivir in Healthy Adults and Hospitalized Adult and Pediatric Subjects with Influenza.[/h]
Zuo P[SUP]1,[/SUP][SUP]2[/SUP], Collins J[SUP]1,[/SUP][SUP]3[/SUP], Okour M[SUP]4[/SUP], Barth A[SUP]4[/SUP], Shortino D[SUP]1,[/SUP][SUP]5[/SUP], Yates P[SUP]6[/SUP], Roberts G[SUP]4[/SUP], Watson HA[SUP]6[/SUP], Peppercorn A[SUP]4[/SUP], Hossain M[SUP]4[/SUP].
[h=3]Author information[/h] 1 PAREXEL International, USA. 2 Current affiliation Astellas Pharma, Inc, USA. 3 Current affiliation GlaxoSmithKline, USA. 4 GlaxoSmithKline, USA. 5 Current affiliation Urovant Sciences. 6 GlaxoSmithKline, UK.

[h=3]Abstract[/h] Zanamivir is a potent and highly selective inhibitor of influenza neuraminidase where the inhibition of this enzyme prevents the virus from infecting other cells and specifically prevents release of the new virion from the host cell membrane. It is available as an oral powder for inhalation and tintravenous formulations. The current population pharmacokinetic model based on data from eight studies of subjects treated with the intravenous formulation (125 healthy adults and 533 hospitalized adult and pediatric subjects with suspected or confirmed influenza) suggested a decreased zanamivir clearance in pediatric and renal impairment adult subjects. It also indicates that twice daily dosing is necessary to keep the exposure in influenza infected subjects above the IC[SUB]90[/SUB] values of recently circulating viruses over the dosing interval. In the exposure-response analysis (Phase II and III study), no apparent relationship was found between zanamivir exposure and clinically relevant pharmacodynamic endpoints.
? 2019 The Authors. Clinical and Translational Science published by Wiley Periodicals, Inc. on behalf of the American Society for Clinical Pharmacology and Therapeutics.


[h=4]KEYWORDS:[/h] Exposure-Response; Influenza Infection; Pediatrics; Population Pharmacokinetics

PMID: 31664778 DOI: 10.1111/cts.12697
 
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