Rifabutin central nervous system concentrations in a rabbit model of tuberculous meningitis.

Autor: Wasserman S; Institute for Infection and Immunity, St. George's, University of London, London, United Kingdom.; Center for Infectious Diseases Research in Africa, Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Cape Town, South Africa., Antilus-Sainte R; Center for Discovery and Innovation, Hackensack Meridian Health, Nutley, New Jersey, USA., Abdelgawad N; Division of Clinical Pharmacology, Department of Medicine, University of Cape Town, Cape Town, South Africa., Odjourian NM; Center for Discovery and Innovation, Hackensack Meridian Health, Nutley, New Jersey, USA., Cristaldo M; Center for Discovery and Innovation, Hackensack Meridian Health, Nutley, New Jersey, USA., Dougher M; Center for Discovery and Innovation, Hackensack Meridian Health, Nutley, New Jersey, USA., Kaya F; Center for Discovery and Innovation, Hackensack Meridian Health, Nutley, New Jersey, USA., Zimmerman M; Center for Discovery and Innovation, Hackensack Meridian Health, Nutley, New Jersey, USA., Denti P; Division of Clinical Pharmacology, Department of Medicine, University of Cape Town, Cape Town, South Africa., Gengenbacher M; Center for Discovery and Innovation, Hackensack Meridian Health, Nutley, New Jersey, USA.; Hackensack Meridian School of Medicine, Nutley, New Jersey, USA.
Jazyk: angličtina
Zdroj: Antimicrobial agents and chemotherapy [Antimicrob Agents Chemother] 2024 Aug 07; Vol. 68 (8), pp. e0078324. Date of Electronic Publication: 2024 Jul 19.
DOI: 10.1128/aac.00783-24
Abstrakt: Tuberculous meningitis (TBM) has a high mortality, possibly due to suboptimal therapy. Drug exposure data of antituberculosis agents in the central nervous system (CNS) are required to develop more effective regimens. Rifabutin is a rifamycin equivalently potent to rifampin in human pulmonary tuberculosis. Here, we show that human-equivalent doses of rifabutin achieved potentially therapeutic exposure in relevant CNS tissues in a rabbit model of TBM, supporting further evaluation in clinical trials.
Competing Interests: The authors declare no conflict of interest.
Databáze: MEDLINE