Treating infections with ceftolozane/tazobactam in subjects having impaired renal function
AssigneeMerck Sharp & Dohme Corp.
InventorsGopal KRISHNA, Gurudatt A. CHANDORKAR, Elham HERSHBERGER, Benjamin MILLER, Alan XIAO
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Abstract
Disclosed are methods of administering cephalosporin/tazobactam to human patients with end stage renal disease undergoing hemodialysis and suffering from a complicated intra-abdominal infection or a complicated urinary tract infection.
Claims20
A method of treating an infection in a patient having an estimated creatinine clearance of up to about 50 mL/min, comprising administering to the patient in need thereof a dose of ceftolozane and tazobactam in a 2:1 weight ratio between ceftolozane active and tazobactam active, on two or more successive days of treatment, in amounts and at a dosing interval effective to provide at least an unbound concentration of ceftolozane of at least 8 micrograms/mL for at least 30% of the time between successive treatment days and unbound tazobactam of about 1 microgram/mL for at least 20% of the time and about 0.5 microgram/mL for about or higher than 50% of the time.
A method of treating an overdose in a patient by reducing the concentration of ceftolozane in the blood of a subject comprising subjecting the blood of the patient to hemodialysis for a period of 3-4 hours to reduce the exposure of ceftolozane in the blood of the subject by 66%.
A method of treating an infection in a patient having an estimated creatinine clearance of about 15-29 mL/min, comprising intravenously administering to the patient in need thereof a dose of 375 mg of ceftolozane and tazobactam in a 2:1 weight ratio between ceftolozane active and tazobactam active, every 8 hours.
Dependencies are inferred from the claim text.