Pharmacokinetics of cefpirome (HR 810), a new cephalosporin derivative administered intramuscularly and intravenously to healthy volunteers. 1987

L Maass, and V Malerczyk, and M Verho

The pharmacokinetics of cefpirome (HR 810)3-(2,3-cyclopenteno-1-pyridinium)-methyl-7-2-synmethoximino -2-(2- aminothiazol-4-yl)-acetamido-ceph-3-em-4-carboxylate, a new cephalosporin with an extremely broad antimicrobial spectrum, were tested in an open cross-over trial in ten healthy male volunteers using i.v. and i.m. injections of 1 g. Serum concentrations were monitored over 24 h after application, using both chromatographic and microbiological assays. Urine was collected in 2-h fractions for up to 8 h after application, then for 4 h, and thereafter in 12-h fractions for up to 48 h after application. Urine concentrations of the drug were measured by both HPLC and bioassay. The measurements were compared by linear distribution independent regression, and were found to be equivalent, indicating no major antimicrobially active metabolites of HR 810. A two-compartment open model was used for the calculation of pharmacokinetic parameters for both i.v. and i.m. dosing. The median maximum concentration in plasma after i.m. administration was 30.6 mg/l at 1.6 h (HPLC). The elimination half-life times of 1.9 h to 2.1 h did not differ significantly between the two routes investigated. With regard to bioavailability there was no difference between the i.m. and i.v. routes, as demonstrated by the AUC and urinary recovery of unchanged substance. Clinically relevant urine concentrations of cefpirome were detected for at least 12 h after dosing. The general tolerability was good.

UI MeSH Term Description Entries
D007273 Injections, Intramuscular Forceful administration into a muscle of liquid medication, nutrient, or other fluid through a hollow needle piercing the muscle and any tissue covering it. Intramuscular Injections,Injection, Intramuscular,Intramuscular Injection
D007275 Injections, Intravenous Injections made into a vein for therapeutic or experimental purposes. Intravenous Injections,Injection, Intravenous,Intravenous Injection
D007700 Kinetics The rate dynamics in chemical or physical systems.
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011897 Random Allocation A process involving chance used in therapeutic trials or other research endeavor for allocating experimental subjects, human or animal, between treatment and control groups, or among treatment groups. It may also apply to experiments on inanimate objects. Randomization,Allocation, Random
D002511 Cephalosporins A group of broad-spectrum antibiotics first isolated from the Mediterranean fungus ACREMONIUM. They contain the beta-lactam moiety thia-azabicyclo-octenecarboxylic acid also called 7-aminocephalosporanic acid. Antibiotics, Cephalosporin,Cephalosporanic Acid,Cephalosporin,Cephalosporin Antibiotic,Cephalosporanic Acids,Acid, Cephalosporanic,Acids, Cephalosporanic,Antibiotic, Cephalosporin,Cephalosporin Antibiotics
D002851 Chromatography, High Pressure Liquid Liquid chromatographic techniques which feature high inlet pressures, high sensitivity, and high speed. Chromatography, High Performance Liquid,Chromatography, High Speed Liquid,Chromatography, Liquid, High Pressure,HPLC,High Performance Liquid Chromatography,High-Performance Liquid Chromatography,UPLC,Ultra Performance Liquid Chromatography,Chromatography, High-Performance Liquid,High-Performance Liquid Chromatographies,Liquid Chromatography, High-Performance
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000097572 Cefpirome A fourth-generation cephalosporin antibacterial agent. Appears to be more active in vitro against Staphylococci, some Enterococci, some ENTEROBACTERIACEAE, and PSEUDOMONAS AERUGINOSA.Cefpirome has a pyridinium group attached to C-3 position of its cephalosporin core. Cefpirome Sulfate,3-((2,3-cyclopenteno-1-pyridinium)methyl)-7-(2-syn-methoximino-2-(2-aminothiazole-4-yl)acetamido)ceph-3-em-4-carboxylate,Cefrom,HR 810,HR-810,810, HR,Sulfate, Cefpirome

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