小児感染症患者におけるcefcapene pivoxil小児用細粒の有効性,安全性および薬物動態の検討

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  • Efficacy, safety, and pharmacokinetics of cefcapene pivoxil in children

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An oral cephalosporin antibiotic, cefcapene pivoxil (CFPN-PI), was administered to 128 pediatric patients in a multi-centered post-marketing clinical trial, and its pharmacokinetics efficacy, and safety were investigated. The results obtained are described below.<BR>1. Population Pharmacokinetics<BR>CL/F and Vd/F were in proportion to body weight, and there were no differences in pharmacokinetic data between patients under 10kg and patients over 10kg (110 evaluated patients).<BR>2. Efficacy<BR>The efficacy rate against respiratory infections and urology infections were very high (88.1% and 100%, respectively).<BR>3. Bacteriological Efficacy<BR>CFPN-PI displayed potent antibacterial activity against various bacteria, including Penicillin-resistant Streptococcus pneumoniae (PRSP).<BR>4. Safety<BR>Adverse drug reactions manifested as clinical symptoms were observed in 18 of the 128 cases (18 events). All events except 1 rash consisted of gastrointestinal symptoms. Adverse drug reactions in the form of abnormal laboratory test values were observed in 11 of 116 cases (15 events), including 4 cases each AST elevation and ALT elevation.<BR>The above results, confirmed that CFPN-PI is efficacious, safe and yields favorable pharmacokinetic data when administered to pediatric patients, including infants (except for newborns), at the approved dosage and administration method.

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