The pharmacokinetics of cetibuten, a new cephalosporin antibiotic, and
its conversion product, ceftibuten-trans, were studied in healthy mal
e volunteers following daily oral administration of a 400-mg capsule f
or 7 days. Mean concentrations of ceftibuten in plasma obtained on day
5 were similar to those obtained on day 7. Analysis of variance indic
ated that the concentrations in plasma on days 5 and 7 were at steady
state. The mean accumulation factor was 1.14 for day 5 and 1.13 for da
y 7. The half life (2.4 h) was independent of the duration of drug adm
inistration, and the mean maximum concentration of drug in plasma was
18 to 19 mu g/ml. Urinary excretion was the major elimination route fo
r ceftibuten, by which 57 to 59% of the drug was excreted unchanged ov
er a 24-h The amounts of ceftibuten-trans in plasma and urine were low
.