Brilacidin poster. We're getting ready for peer re
Post# of 72440
http://cellceutix.com/wp-content/uploads/2014...r-Walk.pdf
RESULTS Data Description • A total of 2,960 plasma brilacidin concentrations collected from 391 individuals were used to construct the population PK model. • The PK analysis population was 73.2% male and had a median (min, max) weight of 78.0 (42.0, 145) kg, age of 40.0 (18, 79) years, BSA of 1.91 (1.34, 2.56) m2, and CLcr of 97.3 (21.0, 190) mL/ min/1.73 m2. Population PK Analysis • A three-compartment model with zero-order input and first-order elimination best described brilacidin PK in both healthy subjects and patients with ABSSSI. • The final population PK model parameter estimates and associated standard errors are provided in Table 1 and selected GOF plots stratified by study are shown in Figure 2. o The observed brilacidin concentrations were in good agreement with both the population predicted concentrations (r2=0.75) and individual post-hoc predicted concentrations (r2=0.94) and did not exhibit any noticeable biases. Plots of the conditional weighted residuals also did not show any biases with respect to time since last dose, study, or brilacidin dose. o Residual variability was described using a constant coefficient of variation (CCV) error model and was estimated to be significantly larger in Study PMX63-203 (25.0% CV) and Study CTIX-BRI-204 (18.2% CV) relative to the well-controlled Phase 1 studies (9.58% CV)
CONCLUSIONS
METHODS ABSTRACT
• Brilacidin is a synthetic molecule that represents a novel class of antimicrobials agents that mimic the structure and function of host defense proteins. • Brilacidin acts directly on the cell membrane, disrupting its integrity and causing bacterial death and has demonstrated potent antimicrobial activity against Gram-positive and Gramnegative organisms, including methicillin-resistant Staphylococcus aureus. • Cellceutix Corporation is currently developing brilacidin for the treatment of patients with acute bacterial skin and skin structure infection (ABSSSI) caused by S. aureus. • Plasma brilacidin concentrations exhibit a poly-exponential decline, with biliary clearance (CL), the predominant route of elimination and negligible (<1%) renal elimination or hepatic metabolism. The extent of fecal excretion of radiolabeled brilacidin was shown to be 40.2% in male rats and 25.5% in female rats suggesting sex-related differences in biliary CL [1]. • The pharmacokinetics (PK) of brilacidin have previously been studied in healthy subjects in three Phase 1 studies (Studies PMX63-101, PMX63-102, and PMX63-103) and patients with ABSSSI from a Phase 2 study (StudyPMX63-203) [2]. o A linear three-compartment model with zero-order intravenous (IV) input and first-order elimination (Figure 1) was previously developed by ICPD to describe brilacidin PK.
• A three-compartment model with zero-order input and first-order elimination best described the plasma brilacidin concentration-time profile in both healthy subjects and patients with ABSSSI. • The most statistically significant parameter-covariate relationship identified was the impact of sex on brilacidin CL, for which the 21.5% faster CL in males was of marginal clinical significance, while as expected, body size was predictive of the overall Vc. • Lack of a substantial relationship between brilacidin CL and body weight in this analysis suggests that capping weight-based dosing for patients ≥90 kg, or using fixed dosing, is expected to help ensure brilacidin AUC are maintained within a safe and effective window.
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Now that is sexy.