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Preliminary pharmacokinetics and safety of 882C87 in patients with herpes zoster

✍ Scribed by Dr. M. J. Wood; M. W. McKendrick; B. Bannister; B. K. Mandal; R. W. Peck; R. J. Crooks


Publisher
John Wiley and Sons
Year
1993
Tongue
English
Weight
372 KB
Volume
41
Category
Article
ISSN
0146-6615

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✦ Synopsis


882C87 [I-(p-D-arabinofuranosyl)-5-propynyluracil] is a nucleoside analogue with potent and specific antiviral activity against varicella-zoster virus (VZV). The I C, , of 882C87 against VZV ranges from 0.6 to 3.8 pM. Potentially therapeutic plasma concentrations are readily achieved in humans; the pharmacokinetics have been previously evaluated in healthy young and elderly (>65 years) volunteers following single oral doses of 50-400 mg. Thirty immunocompetent patients with localised herpes zoster were treated with 882C87. Groups of patients received 50 mg, 100 mg, or 200 m g tablets of 882C87 ev-ery12 hoursfor7or7.5days(14or 15doses).Six patients in each group were over 60 years of age. Blood samples for determination of 882087 concentrations were taken at entry, steady state, and during the elimination phase following the last dose. After the final doses of the 50 m g 100 mg, and 200 m g dosage regimens, the Cmax of 882C87 in patients over 60 years old was 7.7 5 3.1 pM, 12.6k 3.5 pM, and 24.8 5 14.0 pM, respectively, and the AUCs 0-12 were 78.4 k 31.8 pM.hr, 137.5 2 22.8 pM.hr, and 272.5 5 170.5 pM.hr, respectively. Preliminary estimates of the elimination half-life ranged from 15.1 to 20.0 hr. These preliminary pharmacokinetic data confirmed good dose proportionality for AUC and Cmax with values between those predicted from single dose data in the young and those in elderly volunteers. The plasma concentration profiles at these doses were in excess of I C, , values and support the use of once-or twicedaily regimens in future studies of 882087 in herpes zoster.


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