毒理性
血清ALT、AST和GGT水平升高至正常上限的3倍以上的情况在服用lefamulin的患者中(n=641)发生了1.2%至3.5%,但血清酶水平升高的率和严重程度与比较组(莫西沙星:n=641)相似。这些酶水平的升高通常是轻至中度的严重程度,持续时间有限,并且不伴有症状或黄疸。目前尚未有报告称lefamulin导致了临床上明显的肝损伤,但这个抗生素在一般使用中的范围有限。
Serum ALT, AST and GGT elevations above 3 times the upper limit of normal occurred in 1.2% to 3.5% of patients treated with lefamulin (n=641), but rates and severity of serum enzyme elevations were similar to those in comparator arms (moxifloxacin: n=641). These enzymes elevations were usually mild-to-moderate in severity, self-limited in duration and not accompanied by symptoms or jaundice. Instances of clinically apparent liver injury attributable to lefamulin have not been reported but this antibiotic has had limited general use.
来源:LiverTox