Infect Chemother.  2017 Jun;49(2):135-139. 10.3947/ic.2017.49.2.135.

Comparison of Plasma Concentrations of Posaconazole with the Oral Suspension and Tablet in Korean Patients with Hematologic Malignancies

Affiliations
  • 1Department of Internal Medicine, Seoul National University College of Medicine and Seoul National University Hospital, Seoul, Korea. wbpark1@snu.ac.kr
  • 2Department of Clinical Pharmacology and Therapeutics, Seoul National University College of Medicine and Seoul National University Hospital, Seoul, Korea.
  • 3Department of Internal Medicine, Seoul National University College of Medicine and Seoul National University Bundang Hospital, Seongnam, Korea.
  • 4Department of Laboratory Medicine, Seoul National University College of Medicine and Seoul National University Hospital, Seoul, Korea.

Abstract

The posaconazole tablet formulation was developed to have improved bioavailability compared to the oral suspension. Here, we compared posaconazole plasma concentration (PPC) with the posaconazole oral suspension versus the tablet in Korean patients undergoing remission induction chemotherapy for hematologic malignancies. PPC was measured at 3, 8, and 15 days of treatment with the oral suspension (174 patients) or the tablet (40 patients). At all time-points, mean PPC was significantly higher with the tablet compared to the oral suspension. Our findings suggest that posaconazole tablets generate an optimal PPC earlier and in more patients than the oral suspension among Korean patients.

Keyword

Posaconazole; Antifungal agents; Tablet; Dosage forms

MeSH Terms

Antifungal Agents
Biological Availability
Dosage Forms
Drug Therapy
Hematologic Neoplasms*
Humans
Plasma*
Remission Induction
Tablets
Antifungal Agents
Dosage Forms
Tablets

Figure

  • Figure 1 Comparison of posaconazole plasma concentration at Day 3 (A), Day 8 (B), and Day 15 (C) between the oral suspension group and tablet group. PPC, posaconazole plasma concentration.


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