{"title":"Epetraborole pharmacokinetics/pharmacodynamics in the hollow fiber system model of <i>Mycobacterium tuberculosis</i>.","authors":"Sanjay Singh, Megan Devine, Tawanda Gumbo, Shashikant Srivastava","doi":"10.1128/aac.00481-25","DOIUrl":null,"url":null,"abstract":"<p><p>In the hollow fiber system model of tuberculosis (TB), the ratio of area under the concentration-time curve to MIC (AUC<sub>0-24</sub>/MIC) of 327.1 was identified as the epetraborole optimal exposure target for <i>Mycobacterium tuberculosis</i> kill. Monte Carlo simulation experiments showed that even the intravenous dose of 1,500 mg/twice daily would fail in the majority of patients, and the dose needed for good efficacy for TB may likely not be safe for patients.</p>","PeriodicalId":8152,"journal":{"name":"Antimicrobial Agents and Chemotherapy","volume":" ","pages":"e0048125"},"PeriodicalIF":4.5000,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Antimicrobial Agents and Chemotherapy","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1128/aac.00481-25","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MICROBIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
In the hollow fiber system model of tuberculosis (TB), the ratio of area under the concentration-time curve to MIC (AUC0-24/MIC) of 327.1 was identified as the epetraborole optimal exposure target for Mycobacterium tuberculosis kill. Monte Carlo simulation experiments showed that even the intravenous dose of 1,500 mg/twice daily would fail in the majority of patients, and the dose needed for good efficacy for TB may likely not be safe for patients.
期刊介绍:
Antimicrobial Agents and Chemotherapy (AAC) features interdisciplinary studies that build our understanding of the underlying mechanisms and therapeutic applications of antimicrobial and antiparasitic agents and chemotherapy.