Comparative drug disposition studies in mice, rats, dogs, and humans indicate that cephapirin, a new semisynthetic cephalosporin antibiotic that exhibits broad-spectrum antimicrobial activity, is metabolized to desacetylcephapirin in these species. Pharmacokinetic analyses of the concentrations of cephapirin and desacetylcephapirin in plasma and urine reveal that the rate and extent of deacetylation decreases from rodents to dogs to humans. The kinetic analyses also suggest that the kidney performs a role not only in the excretion but also in the metabolism of cephapirin to desacetylcephapirin.Cephapirin, sodium 7-(pyrid-4-yl-thioacetamido)cephalosporante ( Fig. 1), is a new semisynthetic 7-aminocephalosporanic acid derivative that exhibits a broad spectrum of antimicrobial activity (2,3,5) and in humans exhibits a similar pharmacokinetic profile to that of cephalothin (1). These results (1) were based on total bioactivity in serum, as determined by the cup-plate assay (6), and failed to take into account any possible differences in drug metabolism. In mice, rats, dogs, and humans, cephapirin has been shown to be metabolized to a bioactive desacetyl metabolite, and it has been suggested that the kidney performs a role not only in the excretion of the parent compound and desacetyl metabolite but also in the metabolism of cephapirin to desacetylcephapirin (B. E. Cabana and D. R. Van Harken, 5th Int. Congr., Pharmacol., San Francisco, Calif., Abstr. 209, p. 35, 1972 metabolism cages. In dogs, blood samples were taken from the saphenous vein by means of an intravenous (i.v.) catheter (Bardic, Intercath). The dogs were fasted overnight and hydrated (30 ml/kg) 15 to 30 min prior to drug administration. Continuous urine collection was achieved by means of Lucitecoated, stainless-steel cannulae surgically implanted within the bladder of the female dogs. The bladder cannulae were permanently implanted in dogs within 1 to 2 months of running the studies. The dogs had normal creatinine clearance (4 ml/min per kg) at the time of the study.Ten fasted, healthy male volunteers (mean weight, 66 kg) were employed for the human metabolic studies. The drug was administered by the i.v. route into the median cubital vein over a 5-min period. Blood specimens (20 ml) were drawn immediately before and at 5 min, 0.5, 1.0, 1.5, 2, 3, and 4 h after drug administration, and urine was collected at 1, 2, 4, and 6 h after drug administration. A water diuresis was maintained throughout the urine collection period by oral administration of 600 ml of tap water 20 min prior to drug administration and subsequent administration of 300 ml of water at 1 and 3 h after dosing.Blood specimens taken from the laboratory animals and men were placed in heparinized tubes (Vacutainers) and kept in an ice bath until centrifuged. Shortly thereafter, the blood specimens were spun down at approximately 1,000 x g in a refrigerated centrifuge (5°C), and the plasma samples were quickly frozen in a dry ice-acetone bath and kept frozen until bioassayed. The urine spe...