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Published on: October 29, 2020
Tigecycline pharmacokinetic/pharmacodynamic update
1Department of Medical Microbiology, Bristol Centre for Antimicrobial Research and Evaluation, University of Bristol and North Bristol NHS Trust, Southmead Hospital, Westbury-on-Trym, Bristol BS10 5NB, UK. alasdair.macgowan@nbt.nhs.uk
Recent data reveal important pharmacokinetic and pharmacodynamic information for tigecycline in humans. These findings help clarify the clinical utility of tigecycline for specific infections.
Area of Science:
- Pharmacology
- Infectious Diseases
- Clinical Pharmacy
Background:
- Tigecycline is a broad-spectrum antibiotic used for serious infections.
- Understanding its pharmacokinetics and pharmacodynamics is crucial for optimizing treatment.
- Recent studies have provided new insights into tigecycline's behavior in the human body.
Purpose of the Study:
- To review and summarize recent data on the pharmacokinetics and pharmacodynamics of tigecycline in humans.
- To establish drug exposure-response relationships for key indications.
- To define the clinical role of tigecycline based on current evidence.
Main Methods:
- Review of recently published pharmacokinetic and pharmacodynamic studies.
- Analysis of data from infected patients, including tissue distribution.
- Establishment of drug exposure-response relationships for specific infection types.
Main Results:
- Significant pharmacokinetic data are available from studies in infected patients.
- Information on tigecycline's tissue distribution is now established.
- Drug exposure-response relationships have been defined for complicated skin and skin structure infections and intra-abdominal infections.
Conclusions:
- Pharmacodynamic studies in humans present challenges due to mixed infections and surgical impact.
- The reviewed data provide a clearer understanding of tigecycline's clinical role.
- This summary aids clinicians in optimizing tigecycline therapy.
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