Pharmacokinetics of caspofungin acetate to guide optimal dosing in cats. 2017

Jana Leshinsky, and Andrew McLachlan, and David J R Foster, and Ross Norris, and Vanessa R Barrs
Sydney School of Veterinary Science, Faculty of Science, The University of Sydney, Camperdown, New South Wales, Australia.

Cats are the most common mammal to develop invasive fungal rhinosinusitis caused by cryptic species in Aspergillus section Fumigati that are resistant to azoles but susceptible to caspofungin. In this study nonlinear mixed-effects pharmacokinetic modeling and simulation was used to investigate caspofungin pharmacokinetics and explore dosing regimens in cats using caspofungin minimum effective concentrations (MECs). Plasma concentrations in healthy cats were determined using HPLC-MS/MS after administration of a single and seven consecutive daily intravenous doses of 1 mg/kg caspofungin. In the final pharmacokinetic model an optimum maximum concentration (Cmax): MEC ratio of 10-20 was used to guide caspofungin efficacy. Simulations were performed for dosing regimens (doses 0.25-2 mg/kg and 6-72 h dosing intervals) with and without inclusion of a loading dose. Using a 1 mg/kg dose Cmax first dose was 14.8 μg/mL, Cmax at steady state was 19.8 μg/mL, Cmin was 5 μg/mL and Cmax: MEC was >20 in 42.6% of cats after multiple doses. An optimal Cmax: MEC ratio was achieved in caspofungin simulations using 0.75 mg/kg q 24 h or 1 mg/kg q 72h. However, at 1 mg/kg q 72h, Cmin was < MEC (<1 μg/mL) in over 95% of the population. Using a loading dose of 1 mg/kg and a daily dose of 0.75 mg/kg thereafter, the Cmax: MEC was optimal and Cmin was > 2.5 μg/mL for 98% of the population. Based on the modeling data this dosing regimen is likely to achieve target therapeutic concentrations, meet the proposed Cmax: MEC window and provide consistent exposure between doses.

UI MeSH Term Description Entries
D008297 Male Males
D002371 Cat Diseases Diseases of the domestic cat (Felis catus or F. domesticus). This term does not include diseases of the so-called big cats such as CHEETAHS; LIONS; tigers, cougars, panthers, leopards, and other Felidae for which the heading CARNIVORA is used. Feline Diseases,Cat Disease,Disease, Cat,Disease, Feline,Diseases, Cat,Diseases, Feline,Feline Disease
D002415 Cats The domestic cat, Felis catus, of the carnivore family FELIDAE, comprising over 30 different breeds. The domestic cat is descended primarily from the wild cat of Africa and extreme southwestern Asia. Though probably present in towns in Palestine as long ago as 7000 years, actual domestication occurred in Egypt about 4000 years ago. (From Walker's Mammals of the World, 6th ed, p801) Felis catus,Felis domesticus,Domestic Cats,Felis domestica,Felis sylvestris catus,Cat,Cat, Domestic,Cats, Domestic,Domestic Cat
D004305 Dose-Response Relationship, Drug The relationship between the dose of an administered drug and the response of the organism to the drug. Dose Response Relationship, Drug,Dose-Response Relationships, Drug,Drug Dose-Response Relationship,Drug Dose-Response Relationships,Relationship, Drug Dose-Response,Relationships, Drug Dose-Response
D005260 Female Females
D000077336 Caspofungin A cyclic lipopeptide echinocandin and beta-(1,3)-D-glucan synthase inhibitor that is used to treat internal or systemic MYCOSES. Cancidas,Caspofungin Acetate,Caspofungin MSD,L 743,872,L 743872,L-743,872,L-743872,MK 0991,MK-0991,L743,872,L743872,MK0991
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D000935 Antifungal Agents Substances that destroy fungi by suppressing their ability to grow or reproduce. They differ from FUNGICIDES, INDUSTRIAL because they defend against fungi present in human or animal tissues. Anti-Fungal Agents,Antifungal Agent,Fungicides, Therapeutic,Antibiotics, Antifungal,Therapeutic Fungicides,Agent, Antifungal,Anti Fungal Agents,Antifungal Antibiotics
D001228 Aspergillosis Infections with fungi of the genus ASPERGILLUS. Aspergillus Infection,Aspergilloses,Aspergillus Infections,Infection, Aspergillus,Infections, Aspergillus
D001232 Aspergillus fumigatus A species of imperfect fungi from which the antibiotic fumigatin is obtained. Its spores may cause respiratory infection in birds and mammals. Aspergillus fumigates,Neosartorya fumigata,Sartorya fumigata

Related Publications

Jana Leshinsky, and Andrew McLachlan, and David J R Foster, and Ross Norris, and Vanessa R Barrs
September 2018, Pediatric neurology briefs,
Jana Leshinsky, and Andrew McLachlan, and David J R Foster, and Ross Norris, and Vanessa R Barrs
October 2001, American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists,
Jana Leshinsky, and Andrew McLachlan, and David J R Foster, and Ross Norris, and Vanessa R Barrs
July 2018, Clinical cancer research : an official journal of the American Association for Cancer Research,
Jana Leshinsky, and Andrew McLachlan, and David J R Foster, and Ross Norris, and Vanessa R Barrs
December 2020, Journal of pharmacokinetics and pharmacodynamics,
Jana Leshinsky, and Andrew McLachlan, and David J R Foster, and Ross Norris, and Vanessa R Barrs
January 2020, Frontiers in pharmacology,
Jana Leshinsky, and Andrew McLachlan, and David J R Foster, and Ross Norris, and Vanessa R Barrs
July 2019, Antimicrobial agents and chemotherapy,
Jana Leshinsky, and Andrew McLachlan, and David J R Foster, and Ross Norris, and Vanessa R Barrs
June 2010, Vascular health and risk management,
Jana Leshinsky, and Andrew McLachlan, and David J R Foster, and Ross Norris, and Vanessa R Barrs
October 2021, CPT: pharmacometrics & systems pharmacology,
Jana Leshinsky, and Andrew McLachlan, and David J R Foster, and Ross Norris, and Vanessa R Barrs
June 2008, Journal of veterinary pharmacology and therapeutics,
Jana Leshinsky, and Andrew McLachlan, and David J R Foster, and Ross Norris, and Vanessa R Barrs
July 2001, American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists,
Copied contents to your clipboard!