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Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
Temafloxacin: a safe antibiotic for the elderly, patients with comorbidities, and other special populations
1Anti-Infective Research and Development, Abbott Laboratories, Abbott Park, Illinois 60064.
Abstract:
During the Phase I, II, and III clinical development program, temafloxacin has demonstrated an excellent safety profile, with reported overall rates of adverse events comparable to quinolone and nonquinolone reference agents. This favorable safety record was consistently observed when special populations, suspected to be at higher risk for drug-related adverse events, were evaluated. For instance, the rates of all adverse events as well as most adverse events by organ system were similar between elderly (greater than or equal to 66 years) and younger temafloxacin recipients. Temafloxacin does not significantly alter the pharmacokinetic/pharmacodynamic effects of numerous drugs often used in the elderly (for example, warfarin, theophylline, caffeine, and cimetidine). Based on an evaluation of adverse events among elderly patients with varying degrees of renal impairment, dosage adjustment of temafloxacin is necessary only for elderly patients with severe renal impairment. Temafloxacin appears to be comparably safe to other quinolones and nonquinolones for the treatment of infections among diabetics and patients with chronic lung disease. Because of its lack of interaction with theophylline clearance, temafloxacin may be preferred to selected other quinolones for the latter population.
Insights
Temafloxacin exhibits an excellent safety profile, comparable to other antibiotics, across all patient populations. Dosage adjustments are only needed for elderly patients with severe renal impairment.
Area of Science:
- Pharmacology
- Clinical Development
- Drug Safety
Background:
- Temafloxacin is an antibiotic evaluated in Phase I, II, and III clinical trials.
- Assessing drug safety in diverse patient groups is crucial for therapeutic use.
Purpose of the Study:
- To evaluate the safety profile of temafloxacin in general and special populations.
- To compare temafloxacin's adverse event rates with quinolone and nonquinolone agents.
Main Methods:
- Clinical trials (Phase I-III) were conducted to gather safety data.
- Adverse event rates were analyzed across different age groups, including the elderly.
- Pharmacokinetic/pharmacodynamic interactions with commonly used drugs were assessed.
- Safety in patients with renal impairment, diabetes, and chronic lung disease was evaluated.
Main Results:
- Temafloxacin demonstrated an overall safety profile comparable to reference agents.
- Adverse event rates were similar between elderly and younger temafloxacin recipients.
- No significant alterations in drug interactions were observed for commonly used elderly medications.
- Dosage adjustment is only required for severe renal impairment in the elderly.
- Temafloxacin showed comparable safety to other agents in diabetics and patients with chronic lung disease.
Conclusions:
- Temafloxacin possesses an excellent safety profile across diverse patient populations.
- Its safety in the elderly, including those with renal impairment, is favorable.
- Temafloxacin is a safe option for treating infections in diabetics and patients with chronic lung disease.
- Its lack of interaction with theophylline clearance may offer an advantage in patients with chronic lung disease.
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