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Research

New quinolones in development

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Pages 93-114 | Published online: 03 Mar 2008

References

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  • A thorough review of adverse effects seen with ciprofloxacin, norfloxacin and ofloxacin.
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  • A paper that illustrates the rapid emergence of clinical resistance to ciprofloxacin in staphylococci.
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  • A detailed study of mutations in DNA gyrase at the genetic level.
  • SREEDHARAN S, PETERSON LR, FISHER LM: Ciprofloxacin resistance in coagulase-positive and -negative staphylo-cocci; role of mutations of serine 84 in the DNA gyrase A protein of Staphylococcus aureus andS. epidermidis. Antimicrob. Agents Chemother. (1991) 35:2151–2154.
  • HOOPER DC, WOLFSON JS: Bacterial resistance to the quinolone antimicrobial agents. Amer. J. Med. (1989) 87 (Suppl. 6C):17S–23S.
  • JONSSON M, WALDER M, FORSGREN A: First clinical isolate of b ighly fluoroquinolone-resistantEscherichia coil in Scandinavia. Eur. J. Clin. Microbial. Infect. Dis. (1990) 9:851–853.
  • MUDER RR, BRENNEN C, GOETZ AM, WAGENER MM, RIHS JD: Association with prior fluoroquinolone therapy of widespread ciprofloxacin resistance among Gram-negative isolates in a Veterans Affairs medical center. Antimicrob. Agents Chemother. (1991) 35:256–258.
  • PARRY MF, PANZER KB, YUKNA ME: Quinolone resis-tance: susceptibility data from a 300-bed community hospital. Am. J. Med. (1989) 87 (Suppl. 5A):12S–15S.
  • NAKAMURA S, et cit: In vitro and in vivo antibacterial activities of AT-4140, a new broad spectrum quinolone. Antimic rob. Agents Chemother. (1989) 33:1167–1173.
  • LEE BL, PADULA AM, KIMBROUGH RC, JONES SR, CHATS- SON RE, MILLS J, SANDE MA: Infectious complicationswith respiratory pathogens despite ciprofloxacin ther-apy. N. Engl. J. Med. (1991) 325:520–521.
  • PEREZ-TRALLERO E, GARCIA-ARENZANA JM, JIMENEZ JA, PERIS A: Therapeutic failure and selection of resistance to quinolones in a case of pneumococcal pneumonia treated with ciprofloxacin. Eur. J. Clin. Microbiol. Infect. Dis. (1990) 9:905–906.
  • RIGHTER J: Pneumococcal meningitis during intrave-nous ciprofloxacin therapy. Amer. J. Med. (1990) 88:548.
  • CANTON E, PEMAN J, JIMINEZ MT, RAMON, MS, GOBER-NADO, M: In vitro activity of sparfloxacin compared with those of five other quinolones. Antimicrob. Agents Chemother. (1992) 36:558–565.
  • BARRY A, FUCHS PC: In vitro activities of sparfloxacin, tosufloxacin, ciprofloxacin, and fieroxacin. Antimicrob. Agents Chemother. (1991) 35:955–960.
  • RICHARD P, GUTMANN L: Sparfloxacin and other new fiuoroquinolones. J. Antimicrob. Chemother. (1992)30:739–744.
  • A review of the antimicrobial and pharmacokinetic properties of sparfloxac in .
  • SPANGLER SK, JACOBS MR, APPELBAUM PC: Susceptibili- ties of penicillin-susceptible and -resistant strains of Streptococcus pneumoniae to RP59500, vancomycin, erythromycin, P13131628, sparfloxacin, tetnafloxachi, WIN57273, ofloxacin, and ciprofloxacin. Antimicrob. Agents Chemother. (1992) 36:856–859.
  • COHEN MA, HUBAND MD, MAILLOUX GB, YODER SL, ROLAND GE, HEIFETZ CL: In vitro activity of sparfloxacin (CI-978, AT-4140, and PD131501) a quhmlone with high activity against Gram-positive bacteria. Diagn. Microbiol. Infect. Dis. (1991) 14:403–415.
  • BARRY AL, FUCHS PC: Antistaphylococcal activity of the fluoroquinolones CI-960, PE/131628, sparfloxacin, ofloxacin and ciprofloxacin. Eur.J. Clin. Microbiol. Infect. Dis. (1991) 10:168–171.
  • FORSTALL GJ, KNAPP CC, WASIIINGTON JA: Activity of new quinolones against ciprofloxacin-resistant staphy-lococci. Antimicrob. Agents Chemother. (1991) 35:1679–1681.
  • FUCHS PC, BARRY AL, PFAUER MA, ALLEN SD, GERLACHEH: Multicenter evaluation of the in vitro and in vivo activities of three new quinolones, sparfloxacin, CI-960 and P13131628, compared with the activity of ciproflox-acin against 5,252 clinical bacterial isolates. Antimicrob. Agents Chemother. (1991) 35:764–766.
  • MIRANDA AG, WANGER AR, SINGH KU, MURRAY BE: Comparative in vitro activity of P13127391, a new fluoro-quinolone agent, against susceptible and resistant clini-cal isolates of Gram-positive cocci Antimicrob. Agents Chemother. (1992) 36:1325–1328.
  • GOLDSTEIN EJC, CITRON DM: Comparative activity of ciprofloxacin, ofloxacin, sparfloxacin, temafloxacin, CI-960, CI-990, and WIN 57273 against anaerobic bacte- ria. Antimicrob. Agents Chemother. (1992) 36:1158–1162.
  • A thorough data summary describing the in vitro activity of several quinolones against clinically important anaerobes.
  • GOLDSTEIN EJ: Patterns of susceptibility to fluoroqui- nolones among anaerobic bacterial isolates in the United States. Clin. Infect. Dis. (1993) 16 (Suppl. 4):S377–S381.
  • NORD CE, HAGELI3ACK A: Susceptibility of anaerobicbacteria to P13131628. Eur. J. Clin. Microbiol. Infect. Dis. (1992) 11:68–71.
  • WAITES KB, DUFFY LB, SCHMID T, CFtABB D, PATE MS,CASSELL GH: In vitro susceptibilities of Mycoplasma pneumoniae,M. bominis, and Ureaplasma ureakticum to sparfloxacin and P1)127391. Antimicrob. Agents Chemother. (1991) 35:1181–1185.
  • RENAUDIN H, BEBEAR C: Activité in vitro de la sparflox-acine sur les mycyplasmes. Pat ho. Biologie. (1992) 40:450–454.
  • LEFEURE JC, BAURIAUD R, GAUBERT E, ESCAFFRE MC,LARENG MB: In vitro activity of sparfloxacin and other antimicrobial agents against genital pathogens. Chemother. (1992) 38:303–307.
  • NAKATA, K, MAEDA, H, FUJI, A, ARAICAWA, S, UMEZU, K,KAMIDONO, S: In vitro and in vivo activities of sparfiox-acin, other quinolones, and tetracyclines against Cblansydia tracbomatis. Antimicrob. Agents Chemother. (1992) 36:188–190.
  • COOPER MA, ANDREWS FM, ASHBY p, MATTHEWS RS,WISE R: In vitro activity of sparfloxacin, a new qui-nolone antimicrobial agent. J. Antimicrob. Cbemother, (1990) 26:667–676.
  • RASTOGI N, LABROUSSE U, GOH KS, DESOUSA JPC: An-timycobacterial spectrum of sparfloxacin and its activi-ties alone and in association with other drugs against Mycobacterium avium complex growing extracellu-larly and intracellularly in murine and human macro-phages. Antimicrob. Agents Chemother. (1991) 35:2473–2480.
  • RASTOGI N, GOH KS:In vitro activity of the new difluor-Mated quinolone sparfioxacin (AT-4140) against Myco-bacterium tuberculosis compared with activities of ofloxacin and ciprofloxacin. Antimicrob. Agents Chemother. (1991) 35:1933–1936.
  • Arro H, TOMIOKA H, SATO K: Comparative antimyco-bacterial activities of newly synthesized quinolones, AM-1155 and sparfloxacin. 32nd International Conference on Antimicrobial Agents and Chemotherapy, Anaheim (1992) Abstr. 998.
  • RAOULT D, BRES P, DRANCOURT M, VESTRIS G: In vitrosusceptibilities of Coxiella burnetii, Rickettsia rick-ettsi i, and Rickettsia conori to the fluoroquinolone sparfioxacin. Antimicrob. Agents Chemother. (1991) 35:88–91.
  • LEWIN CS, MORRISSEY I, SMITH JT: The bactericidal activity of sparfloxacin. J. Antimicrob. Chemother. (1992) 30:625–632.
  • PIDDOCK LJV, ZHU M: Mechanism of action of sparflox-acin against and mechanism of resistance in Gram-negative and Gram-positive bacteria. Antimicrob. Agents Chemother. (1991) 35:2423–2427.
  • AZOULAY-DUPUIS E, et al.: In vivo efficacy of a new fluoroquinolone, sparfloxacin, against penicillin-sus-ceptible and -resistant and multiresistant strains of Streptococcus pneumoniae in a mouse model of pneu-monia. Antimicrob. Agents Chemother. (1992) 36:2698–2703.
  • COCHEREAU-MASSIN I, et al.: Efficacy and ocular pene- tration of sparfloxacin in experimental streptococcal endophthahnitis. Antimicrob. Agents Chemother. (1993) 37:633–636.
  • LALANDE V, et al.: Powerful bactericidal activity of spar-floxacin against Mycobacterium tuberculosis in mice. Antimicrob. Agents Chemother. (1993) 37:407–413.
  • FRANZBLAU SG, PARRILLA MLR, CHAN GP: Sparfloxacin is more bactericidal than ofloxacin against Mycobac-terium leprae in mice. Intl. J. Lepro. (1993) 61:66–69.
  • NISHINO T, OTSUKI M, NAKAMURA M: mn vitro and in vivoantibacterial activities of sparfloxadn, a new dilluori-nated quinolone. 30th Interscience Conference on Antimi-crobial Agents and Chemotherapy, Atlanta, (1990), Abstr. 1244.
  • NAKAMURA S, KUROBE N, OHUE T, HASHIMOTO M, SHIMIZU M: Phartnacokinetics of a novel quinolone, AT-4140, in animals. Antimicrob. Agents Chemother. (1990) 34:89–93.
  • SEKINE Y, MATSUNAGA Y, MIYAZAIU H, et al.: Absorp-tion, distribution, metabolism and excretion of AT-4140 in animals. 28th Interscience Conference on Antimicrobial Agents and Chemotherapy, Los Angeles, (1988), Abstr. 1489.
  • MONTAY G, et al.: Dose-dependent pharmacokinetic study of sparfloxacin in healthy young volunteers. 30th Interscience Conference on Antimicrobial Agents and Che-motherapy, Atlanta, (1990), Abstr. 1248.
  • JOHNSON JH, COOPER MA, ANDREWS JM, WISE R: Phar-roacoldnetics and inflammatory fluid penetration of sparfloxacin. Antimicrob. Agents Chemother. (1992) 36:2444–2446.
  • SORGEL F, KINZIG M: Pharmacokinetics of gyrase inhibi- tors, part 2: renal and hepatic elimination pathways anddrug interactions. Amer.J. Med. (1993) 94 (Suppl. 3A):565-69S.
  • An excellent review covering the metabolism of fluoroquinolones in humans.
  • TAKAGI, K YAMAKI K, NADAI M, KUZUYA T, HASEGAWA T: Effect of a new quinolone, sparfloxacin, on the pharmacokinetics of theophylline in asthmatic pa-tients. Antimicrob. Agents Chemother. (1991) 35:1137–1141.
  • NAORA K, KATAGIRI Y, IWAMOTO K, TANAKA K, YAMA-GUCHI T, SEKINE Y: Effect of fenbufen on the pharma-cokinetics of sparfloxacin in rats. J. Antimicrob. Chemother. (1992) 30:673–683.
  • GARCIA I, PASCUAL A, GUZMAN MC, PEREA EJ: Uptake and Intracellular activity of sparfloxacin in human polymorphonuclear leukocytes and tissue culture cells. Antimicrob. Agents Chemother. (1992) 36:1053–1056.
  • KORTEN U, MURRAY BE, Impact of the fluoroquinolones on gastrointestinal flora. Drugs (1993) 45 (Suppl. 3):125–133.
  • BARRETT MS, JONES RN, ERWIN ME, JOHNSON DM, BRIGGS BM: Antimicrobial activity evaluations of two new quinolones, P0127391 (CI-960 and AM-1091) and P0131628. Diagn. Microbiol. Infect. Dis. (1991) 14:389–401.
  • ALDRIDGE KE, GELFAND MS, SCHIRO DD, BARG NL: The rapid emergence of fluoroquinolone-methicillin-resis-tant Staphylococcus aureus infections in a community hospital. Diagn. Microbiol. Infect. Dis. (1992) 15:601–608.
  • THOMSON KS, SANDERS CC, HAYDEN ME:In vitro studies with five quinolones: evidence for changes in relativepotency as quinolone resistance rises. Antimicrob. Agents Chemother. (1991) 35:2329–2334.
  • A careful analysis describing the activity of clinafloxacin against c iprofloxac in-resistant staphylococci. Includes frequencies of in vitro resistance emergence.
  • KING A, BOOTHMAN C, PHILLIPS I: The in vitro activity of P0127391, a new quinolone. J. Antimicrob. Chemother. (1988) 22:135–141.
  • BAUERNFEIND A:. Comparative in vitro activities of thenew quinolone, Bay y 3118, and ciprofloxacin, spar- floxadn, tosufloxacin, CI-960 and CI-990. J. Antimicrob. Chemotber. (1993) 31:505–522.
  • FORD AS, BALTCH AL, SMITH RP, RITZ W: In vitro suscep-tibilities of Pseudomonas aeruginosa and Pseudo-monas spp. to the new fluoroquinolones clinafloxacin and P0131628 and nine other antimicrobial agents. J. Antimicrob. Chemother, (1993) 31:523–532.
  • LEWIN C, DOHERTY C, GOVAN J: In vitro activities ofmeropenem, P0127391, P0131628, ceftazidime, chloramphenicol, co-tritnaxazole, and ciprofloxadn against Pseudomonas cepacia. Antimicrob. Agents Chemother. (1993) 31:123–125.
  • BRIGGS GOODING B, ERWIN ME, BARRETT MSJOHNSONDM, JONES RM: Antimicrobial activitks of two investiga-tional fluoroquinolones (CI-960 and E4695) against over 100 Legionella sp. isolates. Antimicrob. Agents Chemother. (1992) 36:2049–2050.
  • BARRETT MSJONES RN, ERWIN ME, KOONTZ FP: CI-960, sparfloxacin, WIN57273, and is epamicin activity against clinical isolates of Mycobacterium avium-in-tracellularae complex, M. cbelonae, and M. fortuitum. Diagn. Microbiol. Infect. Dis. (1992) 15:169–171.
  • JABARIT-ALDIGHIERI N, TORRES H, RAOULT O: Suscepti-bility of Rickettsia conor 1, R. rickettsii, and Coxiella burnetii to P0127,391, PD131,628, pefloxacin, oflox-acin, and ciprofloxacin. Antimicrob. Agents Chemother. (1992) 36:2529–2532.
  • BARRY AL, FUCHS PC, CITRON DM, ALLEN SD, WEXLERHM: Methods for testing the susceptibility of anaerobic bacteria to two fluoroquinolone compounds, P0131628 and clinafloxacin. J. Antimicrob. Chemother. (1993) 31:893–900.
  • KAATZ GW, SEO SM, LAMP KC, BAILEY EM, RYBAK MJ: CI-960, a new fluoroquinolone, for therapy of experi-mental ciprofloxacin-susceptible and -resistant Staphy-lococcus aureus endocarditis. Antimicrob. Agents Chemother. (1992) 36:1192–1197.
  • A detailed study describing the activity of clinafloxacin in an endocarditis model.
  • PATTON DL, COSGROVE YT, KUO C-C, CAMPBELL LA: Effects of quinolone analog CI-960 in a monkey model of Cbtamydia tracbomatis salpingitis. Antimicrob. Agents Chemother. (1993) 37:8–13.
  • DOOR MB, WEBB CL, BRON N, JASSOS AB: Single-dosetolerance and pharmacokinetics of CI-960 (P0127391) In healthy volunteers. 31st Interscience Conference of Antimicrobial Agents and Chemotherapy, Chicago, (1991), Abstr. 1154.
  • LEWIN CS: Antibacterial activity of a 1,8-naphthyridinequinolone, PD131628. J. Med. Microbiol.(1992) 36:353–357.
  • COHEN MA, HUBAND MD, MAILLOUX GB, YODER SL, ROLAND GE, DAMAGA_LA JM, HEIFETZ CL: In vitro an-tibacterial activities of M131628, anew 1,8-naphthyrid-ine anti-infective agent. Antimicrob. Agents Chemother. (1991) 35:141–146.
  • HUBAND MD, COHEN MA, MESERVEY MA, ROLAND GE, YODER SL, DAZER ME, DOMAGALA JM: ma vitro antibac-terial activities of P0138312 and P0140248, new fluoro-naphthyridines with outstanding Gram-positive potency. Antimicrob. Agents Chemother. (1993) 37:2563–2570.
  • COOPER MA, ANDREWS JM, WISE R: In vitro activity ofP13131628, a new quinolone antimicrobial agent. J. Antimicrob. Chemother. (1992) 29:519–527.
  • SESNIE J, DESATY T, DEVER J, JOANNIDES E, SHAPIRO M,VANDERROEST S: In vivo efficacy of a novel fluoroqui-nolone PD 140248. 33rd Interscience Conference on Antimi-crobial Agents and Chemotherapy, New Orleans, (1993), Abstr. 1020.
  • SHAPIRO MA, DEVER JAJOANNIDES ET, SESNIE JC: In vivoactivity of P13138312, a new F-naphthyridine with ex-cellent Gram-positive potency. 33rd Interscience Confer-ence on Antimicrobial Agents and Chemotherapy, New Orleans, (1993), Abstr. 1021.
  • ITO T, OTSUKI M, NISHINO T: In vitro antibacterial activity of Q-35, a new fluoroquinolone. Antimicrob. Agents Chemother. (1992) 36:1708–1714.
  • GOHARA Y, et al.: In vitro and in vivo activities of Q-35, a new fluoroquinolone, against Mycoplasma pneunto-niae. Antimicrob. Agents Chemother. (1993) 37:1826–1830.
  • TAKASHMA I, NGOMA M, HASHIMOTO N: Antimicrobial effects of a new carboxyquinolone drug, Q-35, on five serogroups of Leptospira interrogans. Antimicrob. Agents Chemother. (1993) 37:901–902.
  • MATSUMOTO M, KOJIMA K, NAGANO H, MATSUBARA S, YOKOTA T: Photostability and biological activity of fluoroquinolones substituted at the 8-position after uv Irradiation. Antimicrob. Agents Chemother. (1992) 36:1715–1719.
  • An interesting study which attempts to draw correlations between the photo degradation of fluoroquinolone analogs with in vitro cytotoxicity.
  • SHIBA K, YOSHIDA M, UZU M, MATSUBARA S, SAKAI O:Effect of antacids on oral absorption of a new 8-methoxy fluoroquinolone, Q-35. 33rd Interscience Con-ference on Antimicrobial Agents and Chemotherapy, New Orleans, (1993) Abstr. 1505.
  • HOSAKA M, YASUE T, FUKUDA H, TOMIZAWA H, AOYAMA H, HIRAI H: In vitro and in vivo antibacterial activities of AM-1155, a new 6-fluoro-8-methoxy qui-nolone. Antimicrob. Agents Chemother. (1992) 36:2108–2117.
  • CHIN NX, HUANG HB, WI] JE, NEU HC: In vitro activityof AM-1155, a new fluoroquinolone, compared to other quinolones. 33rd Interscience Conference on Antimicrobial Agents and Chemotherapy, New Orleans, (1993), Abstr. 1007.
  • GOTO S, AOKI K, MIYAZAKI S, TSUJI A: In vitro and invivo antibacterial activities of AM-1155, a new qui-nolone. 32nd Interscience Conference on Antimicrobial Agents and Chemotherapy, Anaheim, (1992), Abstr. 1002.
  • NISHINO T, OTSUKI M, HOSAKA M: In vitro and in vivoantibacterial activities of AM-1155, a new 8-methoxy quinolone. Interscience Conference on Antimicrobial Agents Chemotherapy, Anaheim, (1992), Abstr. 1001.
  • WAKABAYASHI E, MITSUHASHI S: Antibacterial activities of AM-1155 and AM-1174, novel 6-fluoro-8-methoxy quinokznes. 31st Interscience Conference on Antimicrobial Agents and Chemotherapy, Chicago, (1991), Abstr. 1493.
  • TOMIOKA H, SAITO H, SATO K: Comparative antinayco-bacterial activities of the newly synthesized quinolone AM-1155, sparfloxacin, and ofloxacin. Antimicrob. Agents Chemother. (1993) 37:1259–1263.
  • KOSUGE K, WADA K, et al.: Phase I study of AM-1155. 32nd Interscience Conference on Antimicrobial Agents and Chemotherapy, Anaheim, (1992), Abstr. 1003.
  • UENO K, ICATO H, WATANABE K, BANDOH K, TANAKA Y, KATO N: Effect of AM-1155 oral administration on fecal microflora of humans. 31st Interscience Conference on Antimicrobial Agents and Chemotherapy, Chicago, (1991), Abstr. 1004.
  • OZAKI M, et al.: In vitro antibacterial activity of a new quinolone, NM394. Antimicrob. Agents Chemother. (1991) 35:2490–2495.
  • YOSHIDA T, MITSUHASHI S: Antibacterial activity of NM394, the active form of prodrug NM441, a new quinolone. Antimicrob. Agents Chemother. (1993) 37:793–800.
  • NAKASHIO S, HORI S, YANAGAWA A, SHIMADA J: Com-parative antimicrobial activity of NM394, a new qui-nolone compound against clinical isolates. 32nd Interscience Conference on Antimicrobial Agents and Che-motherapy, Chicago, (1992), Abstr. 638,
  • OZAKI M, et al.: In vivo evaluation of NM441, a new thiazeto-quinoline derivative. Antimicrob. Agents Chemother. (1991) 35:2496–2499.
  • MORINO A, OKUYAMA Y, MOMOTA K, OHYABU M, USHI-MARU K: Pharmacokinetics of NM441, a new quinolone, In laboratory animals. 32nd Interscience Conference on Antimicrobial Agents and Chemotherapy, Anaheim, (1992), Abstr. 659.
  • TOTSUICA K, SHIMIZU K: Pharmacokinetics of NM441, with probenecid in healthy volunteers. 33rd Interscience Conference on Antimicrobial Agents and Chemotherapy, New Orleans, (1993), Abstr. 1005.
  • SAITO A: Influence of milk on the absorption of NM441, a new prodrug type of quinolone. 33rd Interscience Conference on Antimicrobial Agents and Chemotherapy, New Orleans, (1993), Abstr. 1006.
  • FUKUOKA Y, IKEDA Y, YAMASHIRO Y, TAKAHATA M, TODO Y, NARITA H: In vitro and in vivo antibacterial activities of T-3761, a new quinolone derivative. Antimi-crob. Agents Chemother. (1993) 37:384–392.
  • MURATANI T, INOUE M, MITSUHASHI S: In vitro activity of T-3761, a new fluoroquinolone. Antimicrob. Agents Chemother. (1992) 36:2293–2303.
  • WU JF, CHIN NX, NEU HC: In vitro activity of a new fluoroquinolone, T-3761. 33rd lnterscience Conference on Antimicrobial Agents and Chemotherapy, New Orleans, (1993), Abstr. 1010.
  • YOKOTA T, TAT'EDA E, HIRAMATSU K: A novel quinolone useful orally and parenterally, T-3761: its in vitro an-tibacterial activity and cytotoxicity. 33rd Interscience Conference on Antimicrobial Agents and Chemotherapy, New Orleans, (1993), Abstr. 1011.
  • GOTO S, TAKAHISHI H, MIYAZAKI S, KANEKO Y, YAMA-GUCHI K: In vitro and in vivo antibacterial activities of T-3761, a new fluoroquinolone. 33rd Interscience Confer-ence on Antimicrobial Agents and Chemotherapy, New Or-leans, (1993), Abstr. 1012.
  • NAKASHIMA M, UEMATSU T, KOSUGE K, TAI M, NAKA-GAWA S, TSUDA H: Pharmacokinetics and safety of T-3761 in healthy volunteers. 32nd Interscience Confer-ence on Antimicrobial Agents and Chemotherapy, Anaheim, (1992), Abstr. 656.
  • WISER, ANDREWS JM, MATTHEWS R, WOLSTENHOLME M: The in vitro activity of two new quinolones: rufloxacin and MF961. j Antimicrob. Chemother. (1992) 29:649–660.
  • MATTINA R, COCUZZA CE, CESANA M, BONFIGLIO G: In vitro activity of a new quinolone, rufloxacin, against nosocomial isolates. Chemother. (1991) 37:260–269.
  • WISE R, JOHNSON J, O'SULLIVAN N, ANDREWS JM, IM- BIMBO BP: Pharmacokinetics and tissue penetration of rufloxacin, a long acting quinolone antimicrobial agent J. Antimicrob. Chemother. (1991) 28:905–909.
  • IMBIMBO BP, BROCCALI G, CESANA M, CREMA F, AT- TARDO-PARRINELLO G: Inter- and intrasubject variabili-ties in the pharmacokinetics of rufloxacan after single oral administration to healthy volunteers. Antimicrob. Agents Chemother. (1991) 35:390–393.
  • A useful study that highlights the extreme variability in pharmacok-inetic properties seen between subjects given rufloxacin.
  • SEGRE G, CERRETANI D, URSO R: Pharmacokinetics of rufloxacin in healthy volunteers. Eur.J. Clin. Pharmacol. (1992) 42:101–105.
  • KISICKI JC, et al.: Multiple-dose pharmanokinetics and safety of rufloxacin in normal volunteers. Antimicrob. Agents Chemother. (1992) 36:1296–1301.
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