PHARMACOKINETICS OF CINOXACIN IN PATIENTS WITH IMPAIRED RENAL FUNCTION

The pharmacokinetics of cinoxacin, a new synthetic antibacterial agent, were examined in 6 healthy volunteers and 12 patients with different endogeneous creatinine clearances (Ccr) on the basis of a one-compartment open model. Each subject received a single 400mg oral dose of cinoxacin, and serum an...

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Published inCHEMOTHERAPY Vol. 28; no. Supplement4; pp. 133 - 138
Main Authors OHKAWA, MITSUO, SUGATA, TOSHIAKI, KURODA, KYOICHI, OKASHO, AKIRA, SAWAKI, MASARU, KAWAGUCHI, KOHEI, TAKANO, MANABU
Format Journal Article
LanguageJapanese
Published Japanese Society of Chemotherapy 01.01.1980
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ISSN0009-3165
1884-5894
DOI10.11250/chemotherapy1953.28.Supplement4_133

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Abstract The pharmacokinetics of cinoxacin, a new synthetic antibacterial agent, were examined in 6 healthy volunteers and 12 patients with different endogeneous creatinine clearances (Ccr) on the basis of a one-compartment open model. Each subject received a single 400mg oral dose of cinoxacin, and serum and urinary concentrations of free cinoxacin and cinoxacin conjugate were measured by a fluorometric method. The mean peak concentration of free cinoxacin in serum was achieved 3 hours after administration in normal subjects. The mean serum half-life of free cinoxacin was calculated for 66 minutes in normal subjects, and increased in patients along with increasing impairment of renal function. A significant correlation between the elimination rate constant and Ccr was demonstrated (p<0.001). In normal subjects, 62% of the drug was excreted in the urine as free cinoxacin within the first 12 hours, 95% as total cinoxacin including cinoxacin conjugate. The urinary excretion rate declined gradually in patients as a degree of renal impairment advanced.
AbstractList The pharmacokinetics of cinoxacin, a new synthetic antibacterial agent, were examined in 6 healthy volunteers and 12 patients with different endogeneous creatinine clearances (Ccr) on the basis of a one-compartment open model. Each subject received a single 400mg oral dose of cinoxacin, and serum and urinary concentrations of free cinoxacin and cinoxacin conjugate were measured by a fluorometric method. The mean peak concentration of free cinoxacin in serum was achieved 3 hours after administration in normal subjects. The mean serum half-life of free cinoxacin was calculated for 66 minutes in normal subjects, and increased in patients along with increasing impairment of renal function. A significant correlation between the elimination rate constant and Ccr was demonstrated (p<0.001). In normal subjects, 62% of the drug was excreted in the urine as free cinoxacin within the first 12 hours, 95% as total cinoxacin including cinoxacin conjugate. The urinary excretion rate declined gradually in patients as a degree of renal impairment advanced.
Author KAWAGUCHI, KOHEI
KURODA, KYOICHI
OKASHO, AKIRA
OHKAWA, MITSUO
SUGATA, TOSHIAKI
TAKANO, MANABU
SAWAKI, MASARU
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  organization: Department of Urology, School of Medicine, Kanazawa University
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  fullname: SUGATA, TOSHIAKI
  organization: Department of Urology, School of Medicine, Kanazawa University
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  fullname: KURODA, KYOICHI
  organization: Department of Urology, School of Medicine, Kanazawa University
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  fullname: OKASHO, AKIRA
  organization: Department of Urology, School of Medicine, Kanazawa University
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  fullname: SAWAKI, MASARU
  organization: Department of Urology, School of Medicine, Kanazawa University
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  fullname: KAWAGUCHI, KOHEI
  organization: Department of Urology, School of Medicine, Kanazawa University
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  fullname: TAKANO, MANABU
  organization: Department of Urology, School of Medicine, Kanazawa University
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References 6) SZWED, J. J.; D. E. BRANNON, R. S. SLOAN & F. C. LUFT: Pharmacokinetics of cinoxacin in patients with renal failure. J. Antimicrob. Chemother. 4: 451-454, 1978
4) ISRAEL, K. S.; H. R. BLACK, R. L. NELSON, M. K. BRUNSON, J. F. NASH, G. L. BRIER & J. D. WOLNEY: Cinoxacin: Pharmacokinetics and the effect of probenecid. J. Clin. Pharmacol. 18: 491-499, 1978
10) BRICKER, N. S.; P. A. F. MORRIN & S. W. KIME, Jr.: The pathologic physiology of chronic BRIGHT'S disease. Am. J. Med. 28: 77-98, 1960
5) RODRIGUEZ, N.; P. O. MADSEN & P. G. WELLING: Influence of probenecid on serum levels and urinary excretion of cinoxacin. Antimicr. Agents & Chemoth. 15: 465-469, 1979
1) 大越正秋: 第26回日本化学療法学会東日本支部総会, 新薬シンポジウム, Cinoxacin, 東京, 1979
3) BURT, R. A. P.; T. MORGAN, J. PAYNE & R. M. BENNER: Cinoxacin concentrations in plasma, urine and prostatic tissue after oral administration to man. Br. J. Urol. 49: 147-152, 1977
7) BLACK, H. R.; K. S. ISRAEL, R. L. WOLEN, G. L. BRIER, B. D. OBERMEYER, E. A. ZIEGE & J. D. WOLNY: Pharmacology of cinoxacin in humans. Antimicr. Agents & Chemoth. 15: 165-170, 1979
8) DETTLI, L.; P. SPRING & S. RYTER: Multiple dose kinetics and drug dosage in patients with kidney disease. Acta. Pharmacol. Toxicol. 29 (Suppl): 211-224, 1970
2) ANDERSSON, K. E.; S. COLLEN & P. A. M ARDH: Studies on cinoxacin. 2. Assay of cinoxacin in body fluids and tissues. J. Antimicrob. Chemother. 3: 417-422, 1977
9) DETTLI, L.: Elimination kinetics and drug dosage in renal insufficiency patients. Triangle 14: 117-123, 1975
References_xml – reference: 3) BURT, R. A. P.; T. MORGAN, J. PAYNE & R. M. BENNER: Cinoxacin concentrations in plasma, urine and prostatic tissue after oral administration to man. Br. J. Urol. 49: 147-152, 1977
– reference: 7) BLACK, H. R.; K. S. ISRAEL, R. L. WOLEN, G. L. BRIER, B. D. OBERMEYER, E. A. ZIEGE & J. D. WOLNY: Pharmacology of cinoxacin in humans. Antimicr. Agents & Chemoth. 15: 165-170, 1979
– reference: 8) DETTLI, L.; P. SPRING & S. RYTER: Multiple dose kinetics and drug dosage in patients with kidney disease. Acta. Pharmacol. Toxicol. 29 (Suppl): 211-224, 1970
– reference: 4) ISRAEL, K. S.; H. R. BLACK, R. L. NELSON, M. K. BRUNSON, J. F. NASH, G. L. BRIER & J. D. WOLNEY: Cinoxacin: Pharmacokinetics and the effect of probenecid. J. Clin. Pharmacol. 18: 491-499, 1978
– reference: 5) RODRIGUEZ, N.; P. O. MADSEN & P. G. WELLING: Influence of probenecid on serum levels and urinary excretion of cinoxacin. Antimicr. Agents & Chemoth. 15: 465-469, 1979
– reference: 2) ANDERSSON, K. E.; S. COLLEN & P. A. M ARDH: Studies on cinoxacin. 2. Assay of cinoxacin in body fluids and tissues. J. Antimicrob. Chemother. 3: 417-422, 1977
– reference: 1) 大越正秋: 第26回日本化学療法学会東日本支部総会, 新薬シンポジウム, Cinoxacin, 東京, 1979
– reference: 6) SZWED, J. J.; D. E. BRANNON, R. S. SLOAN & F. C. LUFT: Pharmacokinetics of cinoxacin in patients with renal failure. J. Antimicrob. Chemother. 4: 451-454, 1978
– reference: 9) DETTLI, L.: Elimination kinetics and drug dosage in renal insufficiency patients. Triangle 14: 117-123, 1975
– reference: 10) BRICKER, N. S.; P. A. F. MORRIN & S. W. KIME, Jr.: The pathologic physiology of chronic BRIGHT'S disease. Am. J. Med. 28: 77-98, 1960
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Title PHARMACOKINETICS OF CINOXACIN IN PATIENTS WITH IMPAIRED RENAL FUNCTION
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