TABLE 2

Summary of clofazimine PK simulations

The elimination half-life of clofazimine is approximately 25 days, thus it is assumed that the exposure clofazimine reaches steady state in plasma by day 126 (approximately five half-lives).

Study (Model)Clofazimine Dosing RegimenSimulated PopulationObserved PopulationPK Measurement of Substrate
Model development
 Clofazimine PK (Internal data)50 mg once daily for 43 days (fasting)Age range: 35–64 years; proportion of females: 25% n = 120 (10 trials of 12 subjects)Age range: 35–64 years; proportion of females: 25% n = 12Day 1: Tmax, Cmax, and AUC0–24 h
 Clofazimine PK (Internal data)100 mg once daily for 43 days (fasting)Age range: 45–70 years; proportion of females: 50% n = 120 (10 trials of 12 subjects)Age range: 45–76 years; proportion of females: 50% n = 12Day 1: Tmax, Cmax, and AUC0–24 h
Model application
 Clofazimine PK100 mg once daily for 126 days (fasting)Age range: 18–70 years; proportion of females: 50% n = 100 (10 trials of 10 subjects)NADay 126: Cmax and AUC0–24 h
  • AUC0–24 h, area under plasma-drug concentration curve between 0 and 24 hours; NA, not applicable; Tmax, time to reach maximum concentration.