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tazobactam

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Description

Tazobactam: A penicillanic acid and sulfone derivative and potent BETA-LACTAMASE inhibitor that enhances the activity of other anti-bacterial agents against beta-lactamase producing bacteria. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

tazobactam : A member of the class of penicillanic acids that is sulbactam in which one of the exocyclic methyl hydrogens is replaced by a 1,2,3-triazol-1-yl group; used (in the form of its sodium salt) in combination with ceftolozane sulfate for treatment of complicated intra-abdominal infections and complicated urinary tract infections. [Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Cross-References

ID SourceID
PubMed CID123630
CHEMBL ID404
CHEBI ID9421
SCHEMBL ID122302
MeSH IDM0127405

Synonyms (90)

Synonym
AC-7620
BIDD:GT0212
tazobactam acid
(2s,3s,5r)-3-methyl-4,4,7-trioxo-3-[1,2,3]triazol-1-ylmethyl-4lambda6-thia-1-aza-bicyclo[3.2.0]heptane-2-carboxylic acid
(2s,3s,5r)-3-methyl-4,4,7-trioxo-3-[1,2,3]triazol-1-ylmethyl-4lambda 6-thia-1-aza-bicyclo[3.2.0]heptane-2-carboxylic acid
(2s,3s,5r)-3-methyl-4,4,7-trioxo-3-[1,2,3]triazol-1-ylmethyl-4-thia-1-aza-bicyclo[3.2.0]heptane-2-carboxylic acid
3-methyl-4,4,7-trioxo-3-[1,2,3]triazol-1-ylmethyl-4lambda*6*-thia-1-aza-bicyclo[3.2.0]heptane-2-carboxylic acid
bdbm50053173
cl-298741
ytr-830h
(2s,3s,5r)-3-methyl-7-oxo-3-(1h-1,2,3-triazol-1-ylmethyl)-4-thia-1-azabicyclo[3.2.0]heptane-2-carboxylic acid 4,4-dioxide
89785-84-2
ytr830h
4-thia-1-azabicyclo[3.2.0]heptane-2-carboxylic acid, 3-methyl-7-oxo-3-(1h-1,2,3-triazol-1-ylmethyl)-, 4,4-dioxide, (2s,3s,5r)-
(2s,3s,5r)-3-methyl-4,4,7-trioxo-3-(triazol-1-ylmethyl)-4$l^{6}-thia-1-azabicyclo[3.2.0]heptane-2-carboxylic acid
cl298741
C07771
89786-04-9
tazobactam
DB01606
D00660
tazobactam (jp17/usp/inn)
cl 298741
ytr 830h
cl 298,741
ytr 830
ytr 830 h
brn 4787943
ccris 2203
(2s,3s,5r)-3-methyl-7-oxo-3-(1h-1,2,3-triazol-1-ylmethyl)-4-thia-1-azabicyclo(3.2.0)heptane-2-carboxylic acid, 4,4-dioxide
tazobactamum [inn-latin]
4-thia-1-azabicyclo(3.2.0)heptane-2-carboxylic acid, 3-methyl-7-oxo-3-(1h-1,2,3-triazol-1-ylmethyl)-, 4,4-dioxide, (2s-(2alpha,3beta,5alpha))-
CHEMBL404 ,
chebi:9421 ,
nsc-759887
A843310
(2s,3s,5r)-3-methyl-4,4,7-trioxo-3-(1-triazolylmethyl)-4$l^{6}-thia-1-azabicyclo[3.2.0]heptane-2-carboxylic acid
(2s,3s,5r)-3-methyl-4,4,7-tris(oxidanylidene)-3-(1,2,3-triazol-1-ylmethyl)-4$l^{6}-thia-1-azabicyclo[3.2.0]heptane-2-carboxylic acid
se10g96m8w ,
tazobactamum
nsc 759887
ec 618-303-7
tazobactam [usan:usp:inn:ban]
unii-se10g96m8w
(2s,3s,5r)-3-methyl-7-oxo-3-(1h-1,2,3-triazol-1-ylmethyl)-4-thia-1-azabicyclo(3.2.0)heptane-2-carboxylic acid 4,4-dioxide
AKOS015960801
tazobactam [who-dd]
tazobactam [usp monograph]
tazobactam [usp-rs]
tazobactam [usp impurity]
tazobactam [usan]
tazobactam [jan]
tazobactam [mi]
tazobactam [inn]
S3077 ,
BRD-K14312455-001-01-6
CCG-207890
SCHEMBL122302
T3732
LPQZKKCYTLCDGQ-WEDXCCLWSA-N
CS-4914
T-1445
tazobactam, antibiotic for culture media use only
(2s,3s,5s)-3-methyl-7-oxo-3-(1h-1,2,3-triazol-1-ylmethyl)-4-thia-1-azabicyclo[3.2.0]heptane-2-carboxylic acid 4,4-dioxide
(2s,3s,5r)-3-methyl-4,4,7-trioxo-3-[(1h-1,2,3-triazol-1-yl)methyl]-4lambda(6)-thia-1-azabicyclo[3.2.0]heptane-2-carboxylic acid
HY-B1418
DTXSID8023634
(2s,3s,5r)-3-methyl-4,4,7-trioxo-3-(1h-1,2,3-triazol-1-ylmethyl)-4$l^{6}-thia-1-azabicyclo[3.2.0]heptane-2-carboxylic acid
(2s,3s,5r)-3-methyl-4,4,7-trioxo-3-[1,2,3]triazol-1-ylmethyl-4-thia-1-azabicyclo[3.2.0]heptane-2-carboxylic acid
mfcd00867002
SR-01000872598-2
SR-01000872598-1
sr-01000872598
(2s,3s,5r)-3-((1h-1,2,3-triazol-1-yl)methyl)-3-methyl-7-oxo-4-thia-1-azabicyclo[3.2.0]heptane-2-carboxylic acid 4,4-dioxide
D78146
HMS3714G17
(2s,3s,5r)-3-methyl-4,4,7-trioxo-3-(triazol-1-ylmethyl)-4lambda6-thia-1-azabicyclo[3.2.0]heptane-2-carboxylic acid
cl-298741;ytr-830h
DS-8301
Q423376
89786-04-9 (free acid)
89786-04-9, 89785-84-2 (sodium salt)
EX-A1377
tazobactam,(s)
BCP09757
ytr830
(2s,3s,5r)-3-methyl-4,4,7-trioxo-3-(1h-1,2,3-triazol-1-ylmethyl)-4-thia-1-azabicyclo[3.2.0]heptane-2-carboxylic acid
gtpl10789
tazobactam, free acid
(2s,3s,5r)-3-((1h-1,2,3-triazol-1-yl)methyl)-3-methyl-7-oxo-4-thia-1-azabicyclo[3.2.0]heptane-2-carboxylicacid4,4-dioxide

Research Excerpts

Overview

Tazobactam is a sulfone β-lactamase inhibitor with in vitro inhibitory activity against common ESBLs in Enterobacterales, including CTX-M. It is an ESBL inhibitor and is combined with ceftolozane to broaden its activity.

ExcerptReferenceRelevance
"Tazobactam is a sulfone β-lactamase inhibitor with in vitro inhibitory activity against common ESBLs in Enterobacterales, including CTX-M."( The role of tazobactam-based combinations for the management of infections due to extended-spectrum β-lactamase-producing Enterobacterales: Insights from the Society of Infectious Diseases Pharmacists.
Aitken, SL; Heil, EL; Monogue, ML; Pogue, JM, 2021
)
1.72
"Tazobactam/ceftolozane is a combination of a β-lactamase inhibitor and a cephalosporin antibiotic, with recommended dosage for patients with normal renal function of tazobactam 0.5 g/ceftolozane 1 g administered as a 1-h intravenous infusion every 8 h. "( Population pharmacokinetics of tazobactam/ceftolozane in Japanese patients with complicated urinary tract infection and complicated intra-abdominal infection.
Feng, HP; Kakara, M; Larson, K; Rizk, ML; Shiomi, M; Yoshitsugu, H, 2019
)
2.24
"Tazobactam is an ESBL inhibitor and is combined with ceftolozane to broaden its activity."( Plasma and epithelial lining fluid pharmacokinetics of ceftolozane and tazobactam alone and in combination in mice.
Lagarde, C; Mavridou, E; Melchers, MJ; Mouton, JW; Seyedmousavi, S; van Mil, AC, 2015
)
1.37
"Tazobactam is a clinically used inhibitor of class A β-lactamases, which inhibits the GES-2 enzyme effectively, restoring susceptibility to β-lactam antibiotics."( Identification of products of inhibition of GES-2 beta-lactamase by tazobactam by x-ray crystallography and spectrometry.
Champion, MM; Frase, H; Mobashery, S; Smith, CA; Toth, M; Vakulenko, SB, 2011
)
1.33
"Tazobactam/Piperacillin is a combination of a broad-spectrum penicillin and a beta-lactamase inhibitor with increased toxicity against staph."( [Antibiotic prophylaxis in cesarean section -- piperacillin versus piperacillin/tazobactam in 300 cesarean sections].
Bier, U; Callies, R; Regidor, PA; Schindler, AE; Wagner, KJ, 2006
)
1.28
"Tazobactam is a new derivative of penicillinic acid sulfone, which functions as an irreversible inhibitor of many beta-lactamases. "( Pharmacokinetics of tazobactam M1 metabolite after administration of piperacillin/tazobactam in subjects with renal impairment.
Bansal, S; Doepner, M; Halstenson, CE; Johnson, CA; Keane, WF; Onorato, JJ; Sia, L; Tantillo, K; Wong, MO; Zimmerman, SW, 1994
)
2.05
"Tazobactam (TAZ) is a newly developed beta-lactamase inhibitor. "( [Single-dose toxicity studies of tazobactam/piperacillin and tazobactam].
Anai, M; Anai, S; Hayashi, T; Kawazu, K; Kaziwara, T; Umano, T; Yada, H; Yamasaki, K, 1994
)
2.01
"Tazobactam (TAZ) is a newly developed beta-lactamase inhibitor. "( [A six-month intraperitoneal repeated dose toxicity study of tazobactam/piperacillin and tazobactam in rats].
Auletta, CS; Cockrell, BY; Daly, IW; Hayashi, T; Knezevich, AL; Yada, H, 1994
)
1.97
"Tazobactam (TAZ) is a newly developed beta-lactamase inhibitor. "( [A six-month intravenous repeated dose toxicity study of tazobactam/piperacillin and tazobactam in dogs].
Blair, M; Blanchard, GL; Geil, RG; Hayashi, T; Laughlin, KA; Tucek, PC; Yada, H, 1994
)
1.98
"Tazobactam (TAZ) is a newly developed beta-lactamase inhibitor and piperacillin (PIPC) is an antibiotics which is used in clinical field widely. "( [Reproductive and developmental toxicity studies of tazobactam/piperacillin or tazobactam (2)--Teratological study in rats with intravenously administration].
Christian, MS; Hoberman, AM; Lochry, EA; Sato, T, 1994
)
1.98
"Tazobactam (TAZ) is a newly developed beta-lactamase inhibitor and piperacillin (PIPC) is an antibiotics which is used in clinical field widely. "( [Reproductive and developmental toxicity studies of tazobactam/piperacillin or tazobactam(1)--Fertility and general reproduction study in rats with intraperitoneal administration].
Christian, MS; Hoberman, AM; Lochry, EA; Sato, T, 1994
)
1.98
"Tazobactam (TAZ) is a newly developed beta-lactamase inhibitor and piperacillin (PIPC) is an antibiotics which is used in clinical field widely. "( [Reproductive and developmental toxicity studies of tazobactam/piperacillin or tazobactam (3)--Perinatal and postnatal study in rats with intraperitoneal administration].
Christian, MS; Hoberman, AM; Sato, T, 1994
)
1.98
"Tazobactam is a highly potent inhibitor of beta-lactamases. "( Interaction of tazobactam with Staphylococcus aureus PC1 beta-lactamase: a molecular modelling and enzyme kinetics study.
Denny, BJ; Lambert, PA; Toomer, CA, 1994
)
2.08
"Tazobactam was shown to be a potent inhibitor of group 1, 2a, 2b, and 2b' beta-lactamases. "( Kinetic interactions of tazobactam with beta-lactamases from all major structural classes.
Bush, K; Lee, VJ; Macalintal, C; Rasmussen, BA; Yang, Y, 1993
)
2.04
"Tazobactam is a new, irreversible inhibitor of bacterial beta-lactamases of staphylococci, plasmid-mediated beta-lactamases of the TEM and SHV types found in Escherichia coli and Klebsiella species and beta-lactamases of anerobes such as Bacteroides species. "( An evaluation of the in vitro activity of piperacillin/tazobactam.
Daley, D; Dimech, W; Mulgrave, L; Munro, R; Neville, S; Smith, H, 1996
)
1.98
"Tazobactam is an irreversible inhibitor of many beta-lactamases. "( Single-dose pharmacokinetics of piperacillin and tazobactam in patients with renal disease.
Dutta, A; Faulkner, R; Greene, DS; Halstenson, CE; Haynes, J; Johnson, CA; Kelloway, JS; Shapiro, BE; Tonelli, A; Zimmerman, SW, 1992
)
1.98

Effects

Tazobactam has an intrinsic activity against B. B. It has a good potential for enhancing the clinical efficacy of piperacillin.

Tazobactam has inhibitory activity, and therefore protects piperacillin against Richmond and Sykes types II, III, IV and V beta-lactamases.

ExcerptReferenceRelevance
"Tazobactam has an intrinsic activity against B."( Turbidimetric and microscopic analysis of Bacteroides fragilis exposed to tazobactam and piperacillin alone and in combination.
Crokaert, F; Lismont, MJ; Van der Linden, MP; Yourassowsky, E, 1990
)
1.23
"Tazobactam has a good potential for enhancing the clinical efficacy of piperacillin."( Comparative in vitro and in vivo activities of piperacillin combined with the beta-lactamase inhibitors tazobactam, clavulanic acid, and sulbactam.
Jacobus, NV; Kuck, NA; Petersen, PJ; Testa, RT; Weiss, WJ, 1989
)
1.21
"Tazobactam has inhibitory activity, and therefore protects piperacillin against Richmond and Sykes types II, III, IV and V beta-lactamases, staphylococcal penicillinase and extended-spectrum beta-lactamases."( Piperacillin/tazobactam. A review of its antibacterial activity, pharmacokinetic properties and therapeutic potential.
Brogden, RN; Bryson, HM, 1994
)
1.38
"Tazobactam has an intrinsic activity against B."( Turbidimetric and microscopic analysis of Bacteroides fragilis exposed to tazobactam and piperacillin alone and in combination.
Crokaert, F; Lismont, MJ; Van der Linden, MP; Yourassowsky, E, 1990
)
1.23
"Tazobactam has a good potential for enhancing the clinical efficacy of piperacillin."( Comparative in vitro and in vivo activities of piperacillin combined with the beta-lactamase inhibitors tazobactam, clavulanic acid, and sulbactam.
Jacobus, NV; Kuck, NA; Petersen, PJ; Testa, RT; Weiss, WJ, 1989
)
1.21

Actions

ExcerptReferenceRelevance
"Tazobactam was able to inactivate intracellular beta-lactamase in Prot."( Inhibition of beta-lactamases by tazobactam and in-vitro antibacterial activity of tazobactam combined with piperacillin.
Higashitani, F; Hyodo, A; Inoue, M; Ishida, N; Mitsuhashi, S, 1990
)
1.28

Toxicity

Cefotaxime plus metronidazole exhibited fewer discontinuations because of adverse events (AEs) when compared with eravacycline, meropenem and ceftolozane/tazobactam. No deaths, study drug-related serious adverse events, or clinically significant laboratory abnormalities were observed after administration of ceftlozane/. In all trials, piperacillin/ tazobacts was found to be safe and well tolerated.

ExcerptReferenceRelevance
" The incidence of adverse reactions was similar in both groups."( Efficacy and safety of piperacillin/tazobactam in skin and soft tissue infections.
File, TM; Tan, JS, 1994
)
0.56
" TAZ/PIPC or TAZ caused adverse change in reproductive performance of the F0 generation only at doses that caused maternal toxicity."( [Reproductive and developmental toxicity studies of tazobactam/piperacillin or tazobactam(1)--Fertility and general reproduction study in rats with intraperitoneal administration].
Christian, MS; Hoberman, AM; Lochry, EA; Sato, T, 1994
)
0.54
" In all trials, piperacillin/tazobactam was found to be safe and well tolerated."( Safety profile of piperacillin/tazobactam in phase I and III clinical studies.
DeVries, VG; Kuye, O; Morrow, CA; Tally, FP; Teal, J, 1993
)
0.86
" Nine patients (4%) had severe adverse events related to piperacillin/tazobactam and requiring discontinuation of therapy."( Efficacy, safety and tolerance of parenteral piperacillin/tazobactam in the treatment of patients with lower respiratory tract infections.
Ajana, F; Beuscart, C; Chidiac, C; Lecocq, P; Leroy, O; Mouton, Y; Senneville, E, 1993
)
0.76
" Side-effects were mild; the commonest adverse events noted were mild elevations of liver enzymes."( The efficacy and safety of piperacillin/tazobactam in the therapy of bacteraemia.
Wise, R, 1993
)
0.55
" No serious adverse drug reaction was found during the treatment with piperacillin/tazobactam."( [Multicentre clinical trial on efficacy and safety of domestic piperacillin/tazobactam for treatment of acute bacterial infections].
Liu, Y; Wang, R; Yu, B, 2001
)
0.77
"Domestic piperacillin/tazobactam is effective and safe for the treatment of acute bacterial infections."( [Multicentre clinical trial on efficacy and safety of domestic piperacillin/tazobactam for treatment of acute bacterial infections].
Liu, Y; Wang, R; Yu, B, 2001
)
0.85
" No clinical adverse events considered related to the study drug were noted, in particular, no cases of phlebitis, rash or stool changes."( Safety evaluation of piperacillin/tazobactam in very low birth weight infants.
Apfalter, P; Berger, A; Kretzer, V; Pollak, A; Rohrmeister, K; Zaknun, D, 2004
)
0.6
"6% of patients receiving doripenem and piperacillin/tazobactam, respectively, had a drug-related adverse event."( Efficacy and safety of doripenem versus piperacillin/tazobactam in nosocomial pneumonia: a randomized, open-label, multicenter study.
Friedland, I; Kaniga, K; Ketter, N; Lee, M; Lobo, SM; Niederman, M; Prokocimer, P; Réa-Neto, A; Schroeder, E, 2008
)
0.85
"Piperacillin/tazobactam therapy is effective and safe empirical antibacterial therapy in febrile neutropenic patients with hematological malignancies."( [Clinical effects and safety of piperacillin/tazobactam in treating neutropenic febrile patients with malignant hematopathy].
Hu, LD; Huang, XJ; Jia, JS; Li, J; Lu, KY; Wang, C; Wu, DP, 2009
)
0.98
" Ceftolozane-tazobactam was well tolerated and systemic adverse events were uncommon."( Pharmacokinetics and safety of intravenous ceftolozane-tazobactam in healthy adult subjects following single and multiple ascending doses.
Benziger, D; Friedland, I; Hershberger, E; Miller, B; Trinh, M, 2012
)
1
" A causality assessment of the adverse reaction identified the antibiotic as the most probable cause of the observation."( A case of severe toxicity during coadministration of vincristine and piperacillin: are drug transporters involved in vincristine hypersensitivity and drug-drug interactions?
Andres, CR; Benz-de Bretagne, I; Gendrot, C; Jonville-Bera, AP; Jourdain, A; Le Guellec, C; Tarfaoui, N, 2012
)
0.38
" A similar proportion of patients (ITT population) experienced any adverse events in both treatment groups (MXF: 30."( Efficacy and safety of IV/PO moxifloxacin and IV piperacillin/tazobactam followed by PO amoxicillin/clavulanic acid in the treatment of diabetic foot infections: results of the RELIEF study.
Alder, J; Arvis, P; Dryden, M; Gyssens, IC; Kujath, P; Nathwani, D; Reimnitz, P; Schaper, NC, 2013
)
0.63
" No significant difference of adverse effect was found between two groups."( Effectiveness and safety of generic formulation of piperacillin/tazobactam (Astaz-P) for treatment of infected patients at Siriraj Hospital.
Charoenpong, L; Thamlikitkul, V; Tongsai, S, 2013
)
0.63
" The adverse event rates were similar in the groups (50."( Multicenter, double-blind, randomized, phase II trial to assess the safety and efficacy of ceftolozane-tazobactam plus metronidazole compared with meropenem in adult patients with complicated intra-abdominal infections.
Friedland, I; Hershberger, E; Lucasti, C; Miller, B; Solomkin, J; Steenbergen, J; Yankelev, S, 2014
)
0.62
" No deaths, study drug-related serious adverse events, or clinically significant laboratory abnormalities were observed after administration of ceftolozane/tazobactam."( Pharmacokinetics and Safety of Single Intravenous Doses of Ceftolozane/Tazobactam in Children With Proven or Suspected Gram-Negative Infection.
Ang, JY; Arrieta, AC; Bradley, JS; Caro, L; Johnson, MG; Larson, KB; Rhee, EG; Rizk, ML; Yang, S; Yu, B, 2018
)
0.91
" No serious adverse events (AEs), treatment-related AEs, severe AEs, or clinically significant laboratory abnormalities were reported."( Ceftolozane/Tazobactam in Neonates and Young Infants: The Challenges of Collecting Pharmacokinetics and Safety Data in This Vulnerable Patient Population.
Ang, JY; Arrieta, A; Bradley, JS; Johnson, MG; Rhee, EG; Rizk, ML; Yu, B; Zhang, Z, 2021
)
1
" The most common adverse event was hypokalaemia (4."( Ceftolozane/tazobactam for difficult-to-treat Pseudomonas aeruginosa infections: A systematic review of its efficacy and safety for off-label indications.
Buonomo, AR; Gentile, I; Maraolo, AE; Mazzitelli, M; Torti, C; Trecarichi, EM, 2020
)
0.94
" All patients were successfully treated without worsening of renal function and without any other adverse events."( Efficacy and safety of ceftolozane/tazobactam as therapeutic option for complicated skin and soft tissue infections by MDR/XDR Pseudomonas aeruginosa in patients with impaired renal function: a case series from a single-center experience.
Buonomo, AR; Congera, P; Foggia, M; Gentile, I; Maraolo, AE; Parente, S; Scotto, R; Zappulo, E, 2020
)
0.84
" There were no deaths or adverse event-related study discontinuations."( Lung penetration, bronchopulmonary pharmacokinetic/pharmacodynamic profile and safety of 3 g of ceftolozane/tazobactam administered to ventilated, critically ill patients with pneumonia.
Adedoyin, A; Caro, L; De Waele, JJ; Gadzicki, E; Kuti, JL; Larson, KB; Nicolau, DP; Rhee, EG; Yu, B; Zeng, Z, 2020
)
0.77
" Serious adverse events (AEs) occurred in 26."( A Randomized, Double-blind, Multicenter Trial Comparing Efficacy and Safety of Imipenem/Cilastatin/Relebactam Versus Piperacillin/Tazobactam in Adults With Hospital-acquired or Ventilator-associated Bacterial Pneumonia (RESTORE-IMI 2 Study).
Boucher, HW; Brown, ML; Butterton, JR; Chen, LF; David-Wang, A; Du, J; Kartsonis, NA; Kaye, KS; Losada, MC; Paschke, A; Patel, M; Rizk, ML; Rodríguez Gonzalez, D; Roquilly, A; Tipping, R; Titov, I; Wunderink, RG; Young, K, 2021
)
0.83
"The purpose of this study is to characterize adverse events (AEs) of clinical interest reported with ceftolozane-tazobactam and ceftazidime-avibactam, as an aid in monitoring patients affected by severe multidrug-resistant Gram-negative infections."( Serious adverse events with novel beta-lactam/beta-lactamase inhibitor combinations: a large-scale pharmacovigilance analysis.
De Ponti, F; Gatti, M; Raschi, E, 2021
)
0.83
" Secondary endpoints included clinical and microbiologic responses at the TOC and end-of-treatment (≤24 hours after last dose) visits and adverse event rates."( A phase III, multicenter, double-blind, randomized clinical trial to evaluate the efficacy and safety of ceftolozane/tazobactam plus metronidazole versus meropenem in Chinese participants with complicated intra-abdominal infections.
Bensaci, M; Bruno, CJ; Chen, G; Chen, X; Du, X; Fan, J; Huntington, JA; Johnson, MG; Sun, F; Sun, Y; Wang, H; Wang, Y, 2022
)
0.93
" Rates of adverse events were similar between treatment groups (any: ceftolozane/tazobactam, 59."( Safety and Efficacy of Ceftolozane/Tazobactam Versus Meropenem in Neonates and Children With Complicated Urinary Tract Infection, Including Pyelonephritis: A Phase 2, Randomized Clinical Trial.
Ashouri, N; Bensaci, M; Bradley, JS; Bruno, CJ; De Anda, C; Huntington, JA; Johnson, MG; Lonchar, J; Popejoy, MW; Rhee, EG; Roilides, E; Su, FH, 2023
)
1.41
" Ceftolozane/tazobactam is a safe and effective new treatment option for children with cUTI, especially due to antibacterial-resistant Gram-negative pathogens."( Safety and Efficacy of Ceftolozane/Tazobactam Versus Meropenem in Neonates and Children With Complicated Urinary Tract Infection, Including Pyelonephritis: A Phase 2, Randomized Clinical Trial.
Ashouri, N; Bensaci, M; Bradley, JS; Bruno, CJ; De Anda, C; Huntington, JA; Johnson, MG; Lonchar, J; Popejoy, MW; Rhee, EG; Roilides, E; Su, FH, 2023
)
1.56
" Adverse events (AEs) occurred in 80."( Safety and Efficacy of Ceftolozane/Tazobactam Plus Metronidazole Versus Meropenem From a Phase 2, Randomized Clinical Trial in Pediatric Participants With Complicated Intra-abdominal Infection.
Bensaci, M; Bruno, CJ; De Anda, C; Dementieva, N; Huntington, JA; Jackson, CA; Johnson, MG; Lonchar, J; Newland, J; Popejoy, MW; Rhee, EG; Su, FH, 2023
)
1.19
" Statistically significant trends were observed favoring cefotaxime plus metronidazole, which exhibited fewer discontinuations because of adverse events (AEs) when compared with eravacycline, meropenem and ceftolozane/tazobactam plus metronidazole (OR = 0."( Efficacy, safety, and tolerability of antimicrobial agents for complicated intra-abdominal infection: a systematic review and network meta-analysis.
Deng, T; Kong, W; Li, S; Shu, Y; Wu, Y, 2023
)
1.1
"This observational study demonstrated that TAZ/CTLZ in combination with metronidazole has a favorable effect without major drug-related adverse events for intraabdominal infection in the hepato-biliary-pancreatic field in clinical practice although the efficacy of TAZ/CTLZ may decrease in compromised patients."( Efficacy and safety of tazobactam/ceftolozane in combination with metronidazole for intraabdominal infection in a hepato-biliary-pancreatic field in clinical practice.
Ishizawa, T; Kimura, K; Kinoshita, M; Kubo, S; Nishio, K; Ohira, G; Okada, T; Shinkawa, H; Shirai, D; Tanaka, S; Tani, N; Tauchi, J, 2023
)
1.22
"In vivo microdialysis was well tolerated in piglets and children, with no significant adverse events reported."( Microdialysis as a safe and feasible method to study target-site piperacillin-tazobactam disposition in septic piglets and children.
Colman, R; De Cock, PA; De Paepe, P; Devreese, M; Dhont, E; Hermans, E; Vande Walle, J; Verougstraete, N; Zeitlinger, M, 2023
)
1.14
"Microdialysis is a safe and applicable method for the measurement of tissue drug concentrations in piglets and children."( Microdialysis as a safe and feasible method to study target-site piperacillin-tazobactam disposition in septic piglets and children.
Colman, R; De Cock, PA; De Paepe, P; Devreese, M; Dhont, E; Hermans, E; Vande Walle, J; Verougstraete, N; Zeitlinger, M, 2023
)
1.14

Pharmacokinetics

The pharmacokinetic behavior of tazobactam was very similar to that observed for piperacillin. This supports the use of these two agents in a fixed-dose combination.

ExcerptReferenceRelevance
" Noncompartmental methods were used for pharmacokinetic analysis."( Single-dose pharmacokinetics of piperacillin and tazobactam in patients with renal disease.
Dutta, A; Faulkner, R; Greene, DS; Halstenson, CE; Haynes, J; Johnson, CA; Kelloway, JS; Shapiro, BE; Tonelli, A; Zimmerman, SW, 1992
)
0.54
" On the basis of concentrations in plasma, the following pharmacokinetic parameter values were obtained (values are means +/- standard deviations): maximum concentration of drug in serum, tazobactam, 27."( Pharmacokinetics and tissue penetration of tazobactam and piperacillin in patients undergoing colorectal surgery.
Brismar, B; Kinzig, M; Nord, CE; Sörgel, F, 1992
)
0.74
"To determine the appropriate compartmental and noncompartmental pharmacokinetic parameters for intravenous piperacillin and tazobactam."( Piperacillin-tazobactam pharmacokinetics in patients with intraabdominal infections.
Burm, JP; Gill, MA; Jhee, SS; Kern, JW; Yellin, AE,
)
0.71
"The estimated noncompartmental pharmacokinetic parameters (mean +/- SD) for piperacillin and tazobactam, respectively, were as follows: maximum concentration in plasma 218."( Piperacillin-tazobactam pharmacokinetics in patients with intraabdominal infections.
Burm, JP; Gill, MA; Jhee, SS; Kern, JW; Yellin, AE,
)
0.72
" Pharmacokinetic variables of both components after they have been given together have been studied in healthy volunteers and in patients."( Pharmacokinetics and tissue penetration of piperacillin/tazobactam with particular reference to its potential in abdominal and soft tissue infections.
Kinzig, M; Sörgel, F, 1994
)
0.53
"Pharmacokinetic and pharmacodynamic considerations in in vitro susceptibility testing are described, and the integration of pharmacokinetic and pharmacodynamic concepts in dosage-regimen design is explored."( Combination beta-lactam and beta-lactamase-inhibitor therapy: pharmacokinetic and pharmacodynamic considerations.
Dudley, MN, 1995
)
0.29
" The pharmacokinetic behavior of tazobactam was very similar to that observed for piperacillin, supporting the use of these two agents in a fixed-dose combination."( Single-dose pharmacokinetics of piperacillin and tazobactam in infants and children.
Blumer, JL; Goldfarb, J; Lemon, E; Reed, MD; Yamashita, TS, 1994
)
0.82
" The pharmacokinetic parameters of piperacillin and tazobactam were evaluated and were similar to previous reports."( Pharmacokinetics of tazobactam M1 metabolite after administration of piperacillin/tazobactam in subjects with renal impairment.
Bansal, S; Doepner, M; Halstenson, CE; Johnson, CA; Keane, WF; Onorato, JJ; Sia, L; Tantillo, K; Wong, MO; Zimmerman, SW, 1994
)
0.86
"To evaluate the pharmacokinetic and clinical effects of the newly developed combination antibiotic tazobactam/piperacillin (TAZ/PIPC, YP-14) on various infections in pediatric field, a study group was organized, and a joint research by 17 institutions and their related hospitals was conducted."( [Comprehensive evaluation of pharmacokinetic and clinical studies on tazobactam/piperacillin in pediatric field].
Fujii, R; Fujita, K; Fukushima, N; Inyaku, F; Ishikawa, A; Okuno, A; Saijo, M; Takimoto, M; Wagatsuma, S; Yoshikawa, M, 1995
)
0.74
" In contrast, tazobactam administered with piperacillin achieved higher plasma concentrations and had a longer half-life than tazobactam administered alone."( Pharmacokinetic characteristics of piperacillin/tazobactam.
Kinzig, M; Sörgel, F, 1994
)
0.9
"The pharmacokinetic properties of piperacillin/tazobactam are summarized."( The chemistry, pharmacokinetics and tissue distribution of piperacillin/tazobactam.
Kinzig, M; Sörgel, F, 1993
)
0.78
"An in vitro pharmacokinetic model was used to study the pharmacodynamics of piperacillin-tazobactam and piperacillin-sulbactam against gram-negative bacilli producing plasmid-encoded beta-lactamases."( Importance of beta-lactamase inhibitor pharmacokinetics in the pharmacodynamics of inhibitor-drug combinations: studies with piperacillin-tazobactam and piperacillin-sulbactam.
Lister, PD; Prevan, AM; Sanders, CC, 1997
)
0.72
" The fixed drug preparation appeared to have ideal pharmacokinetic properties if renal function was normal or slightly impaired, but no data are available for critically ill patients in anuric renal failure."( Pharmacokinetics of piperacillin and tazobactam in critically ill patients with renal failure, treated with continuous veno-venous hemofiltration (CVVH).
Mulder, PO; Stegeman, CA; Uges, DR; van der Werf, TS; Zijlstra, JG, 1997
)
0.57
"A modified Emax model was used to describe the pharmacodynamic effect."( Pharmacokinetic-pharmacodynamic modelling of the in vitro antiinfective effect of piperacillin-tazobactam combinations.
Dalla Costa, T; Derendorf, H; Nolting, A; Rand, K, 1997
)
0.52
" Pharmacodynamic activity of the combinations can be prolonged by sufficiently high inhibitor concentrations."( Pharmacokinetic-pharmacodynamic modelling of the in vitro antiinfective effect of piperacillin-tazobactam combinations.
Dalla Costa, T; Derendorf, H; Nolting, A; Rand, K, 1997
)
0.52
" peak concentration (30 minutes after the end of an infusion) was 20."( Influence of piperacillin-tazobactam on pharmacokinetics of gentamicin given once daily.
Hitt, CM; Nicolau, DP; Nightingale, CH; Patel, KB; Zhu, Z, 1997
)
0.6
"Mathematical modeling methods were used to study pharmacokinetic and pharmacodynamic interactions of the antimicrobial combinations piperacillin plus ciprofloxacin and piperacillin plus tazobactam."( Pharmacodynamic interactions of ciprofloxacin, piperacillin, and piperacillin/tazobactam in healthy volunteers.
Forrest, A; Nix, DE; Schentag, JJ; Strenkoski-Nix, LC, 1998
)
0.72
" The objective of this article is to evaluate the pharmacokinetic properties of three commercially available beta-lactamase inhibitors."( Pharmacokinetic properties of beta-lactamase inhibitors.
de la Pena, A; Derendorf, H, 1999
)
0.3
"Based on published articles in the literature, the pharmacokinetic properties of the beta-lactamase inhibitors clavulanic acid, sulbactam and tazobactam are reviewed and compared."( Pharmacokinetic properties of beta-lactamase inhibitors.
de la Pena, A; Derendorf, H, 1999
)
0.5
"When choosing combinations of a beta-lactam antibiotic with a beta-lactamase inhibitor, it is important to make sure that the pharmacokinetic properties of drug and inhibitor are similar and remain similar under changing pathophysiological conditions."( Pharmacokinetic properties of beta-lactamase inhibitors.
de la Pena, A; Derendorf, H, 1999
)
0.3
"A population pharmacokinetic (PK) analysis was conducted to determine if piperacillin and tazobactam exhibited linear or nonlinear PKs and if incremental changes in the daily dosage of piperacillin affected tazobactam PKs."( Piperacillin and tazobactam exhibit linear pharmacokinetics after multiple standard clinical doses.
Auclair, B; Ducharme, MP, 1999
)
0.86
" Based on pharmacodynamic data, cefepime is an appropriate empiric choice for treatment of nosocomial infections."( Comparison of five beta-lactam antibiotics against common nosocomial pathogens using the time above MIC at different creatinine clearances.
Kays, MB, 1999
)
0.3
" No systematic changes in pharmacokinetic parameters were observed."( Evaluating possible pharmacokinetic interactions between tobramycin, piperacillin, and a combination of piperacillin and tazobactam in patients with various degrees of renal impairment.
Amorusi, P; Dowell, JA; Korth-Bradley, J; Milisci, M; Tantillo, K; Tse, S, 2001
)
0.52
"To compare the pharmacokinetic and pharmacodynamic profiles of two dosing regimens for piperacillin-tazobactam against commonly encountered pathogens."( Pharmacokinetic and pharmacodynamic evaluation of two dosing regimens for piperacillin-tazobactam.
Capitano, B; Kim, MK; Mattoes, HM; Nicolau, DP; Nightingale, CH; Quintiliani, R; Xuan, D, 2002
)
0.75
"Although statistically significant differences in the pharmacodynamic profile were noted for the regimens, both provide adequate T>MIC against commonly encountered pathogens considered susceptible to piperacillin-tazobactam."( Pharmacokinetic and pharmacodynamic evaluation of two dosing regimens for piperacillin-tazobactam.
Capitano, B; Kim, MK; Mattoes, HM; Nicolau, DP; Nightingale, CH; Quintiliani, R; Xuan, D, 2002
)
0.72
" Maximizing the time above the minimum inhibitory concentration (MIC) for a pathogen is the best pharmacodynamic predictor of efficacy."( Pharmacokinetics and pharmacodynamics of piperacillin/tazobactam when administered by continuous infusion and intermittent dosing.
Burgess, DS; Waldrep, T, 2002
)
0.56
" Five clinical isolates each of P aeruginosa and K pneumoniae were used for pharmacodynamic analyses."( Pharmacokinetics and pharmacodynamics of piperacillin/tazobactam when administered by continuous infusion and intermittent dosing.
Burgess, DS; Waldrep, T, 2002
)
0.56
" Using a previously validated population pharmacokinetic equation, steady-state serum concentrations were estimated for 210 patients who received piperacillin/tazobactam via CI."( Pharmacodynamic profiling of continuously infused piperacillin/tazobactam against Pseudomonas aeruginosa using Monte Carlo analysis.
Kuti, JL; Nicolau, D; Nightingale, CH; Quintiliani, R, 2002
)
0.75
"The pharmacokinetic profile of antibiotics at the site of antiinfective action is one of the most important determinants of drug response, since it correlates the antimicrobial effect."( [Pharmacokinetics of antibiotics in inflamed and healthy lung tissue].
Maier, A; Smolle-Jüttner, FM; Tomaselli, F, 2003
)
0.32
"The primary objectives of this analysis were to determine which pharmacokinetic model most accurately describes the elimination pathways for piperacillin in the presence of tazobactam through population pharmacokinetic modeling and to characterize its pharmacodynamic profile."( Pharmacodynamic profiling of piperacillin in the presence of tazobactam in patients through the use of population pharmacokinetic models and Monte Carlo simulation.
Danziger, LH; Drusano, GL; Lodise, TP; Lomaestro, B; Rodvold, KA, 2004
)
0.76
" NONMEM was used to perform population pharmacokinetic analysis in a subset of patients (n = 56) who had serum samples obtained at steady-state for drug concentration analyses."( Population pharmacokinetics and pharmacodynamics of piperacillin/tazobactam in patients with complicated intra-abdominal infection.
Dana, A; Kuti, JL; Li, C; Mansfield, DL; Nicolau, DP; Nightingale, CH, 2005
)
0.57
" For patients (n = 30) receiving intermittent infusion in the pharmacokinetic study, mean Cmax and half-life were 122."( Population pharmacokinetics and pharmacodynamics of piperacillin/tazobactam in patients with complicated intra-abdominal infection.
Dana, A; Kuti, JL; Li, C; Mansfield, DL; Nicolau, DP; Nightingale, CH, 2005
)
0.57
"An improved HPLC method was developed for the determination of piperacillin and tazobactam in human plasma and pharmacokinetic study in Chinese healthy volunteers."( An improved high-performance liquid chromatographic method with a solid-phase extraction for the determination of piperacillin and tazobactam: application to pharmacokinetic study of different dosage in Chinese healthy volunteers.
Wang, GJ; Xia, CH; Xiong, YQ, 2007
)
0.77
"To report pharmacokinetic alterations and optimal dosing of piperacillin/tazobactam in an obese patient."( Serum piperacillin/tazobactam pharmacokinetics in a morbidly obese individual.
Adeyemi, OA; Montevecchi, M; Newman, D; Nicolau, DP; Noskin, GA; Postelnick, MJ; Scheetz, MH, 2007
)
0.9
" Pharmacokinetic parameters such as maximal serum concentration, minimal serum concentration, average steady-state concentration, half-life, elimination rate constant, volume of distribution (V(d)), clearance, area under the curve at steadystate, and percent of time greater than the minimum inhibitory concentration (%t>MIC) were calculated and qualitatively compared between the sample and the population."( Serum piperacillin/tazobactam pharmacokinetics in a morbidly obese individual.
Adeyemi, OA; Montevecchi, M; Newman, D; Nicolau, DP; Noskin, GA; Postelnick, MJ; Scheetz, MH, 2007
)
0.67
"Computer modeling was used to integrate national in vitro microbiologic data from 2002 with pharmacokinetic data from published studies in healthy volunteers."( Pharmacokinetic/pharmacodynamic modeling to predict in vivo effectiveness of various dosing regimens of piperacillin/tazobactam and piperacillin monotherapy against gram-negative pulmonary isolates from patients managed in intensive care units in 2002.
Burgess, DS; Frei, CR, 2008
)
0.56
"With increasing antibiotic resistance in gram-negative pathogens, dosing strategies that optimize pharmacodynamic parameters of currently available antibiotics play an important role in treatment."( Comparative pharmacodynamics of intermittent and prolonged infusions of piperacillin/tazobactam using Monte Carlo simulation and steady-state pharmacokinetic data from hospitalized patients.
Rotschafer, JC; Ullman, M, 2009
)
0.58
"To compare the pharmacodynamics of several dosing regimens of piperacillin/tazobactam administered by intermittent and prolonged infusion using pharmacokinetic data from hospitalized patients."( Comparative pharmacodynamics of intermittent and prolonged infusions of piperacillin/tazobactam using Monte Carlo simulations and steady-state pharmacokinetic data from hospitalized patients.
Cheatham, SC; Kays, MB; Shea, KM; Smith, DW; Sowinski, KM; Wack, MF, 2009
)
0.81
" After a single dose of ceftolozane alone, the ranges of mean values for half-life (2."( Pharmacokinetics and safety of intravenous ceftolozane-tazobactam in healthy adult subjects following single and multiple ascending doses.
Benziger, D; Friedland, I; Hershberger, E; Miller, B; Trinh, M, 2012
)
0.63
"Prospective, observational, multicenter, pharmacokinetic study."( Variability of antibiotic concentrations in critically ill patients receiving continuous renal replacement therapy: a multicentre pharmacokinetic study.
Bellomo, R; Cole, L; Lipman, J; Liu, X; Nair, P; Roberts, DM; Roberts, JA; Roberts, MS, 2012
)
0.38
"This prospective pharmacokinetic study aimed to describe plasma and interstitial fluid (ISF) pharmacokinetics of piperacillin and tazobactam in critically ill patients on continuous venovenous haemodiafiltration (CVVHDF)."( Pharmacokinetics of piperacillin and tazobactam in plasma and subcutaneous interstitial fluid in critically ill patients receiving continuous venovenous haemodiafiltration.
Boots, RJ; Jarrett, P; Kirkpatrick, CM; Lipman, J; Roberts, JA; Varghese, JM, 2014
)
0.88
" We used pharmacokinetic data to evaluate the diagnostic accuracy of a recently proposed ARC score."( Modified Augmented Renal Clearance score predicts rapid piperacillin and tazobactam clearance in critically ill surgery and trauma patients.
Akers, KS; Cannon, JW; Chung, KK; Cota, JM; Murray, CK; Niece, KL, 2014
)
0.63
" We combined intermediate scores (4-6 points) into a single low score (≤6) group and compared pharmacokinetic parameters against the high (≥7) ARC score group."( Modified Augmented Renal Clearance score predicts rapid piperacillin and tazobactam clearance in critically ill surgery and trauma patients.
Akers, KS; Cannon, JW; Chung, KK; Cota, JM; Murray, CK; Niece, KL, 2014
)
0.63
" Monte Carlo pharmacokinetic simulations demonstrated increased time at therapeutic drug levels with extended infusion dosing at a drug cost savings of up to 66."( Modified Augmented Renal Clearance score predicts rapid piperacillin and tazobactam clearance in critically ill surgery and trauma patients.
Akers, KS; Cannon, JW; Chung, KK; Cota, JM; Murray, CK; Niece, KL, 2014
)
0.63
" Serum concentration data from 376 adults who received ceftolozane/tazobactam in doses ranging from 500 to 3000 mg were analyzed to identify factors contributing to the pharmacokinetic variability."( Population pharmacokinetics of ceftolozane/tazobactam in healthy volunteers, subjects with varying degrees of renal function and patients with bacterial infections.
Chandorkar, G; Hershberger, E; Krishna, G; Mouksassi, MS; Xiao, A, 2015
)
0.92
" Population pharmacokinetic parameters were estimated using NONMEM, and Monte Carlo simulations were performed for three 4-hour dosing regimens to calculate probability of target attainment (PTA) at ≥50% fT>MIC."( Population pharmacokinetics and pharmacodynamics of piperacillin and tazobactam administered by prolonged infusion in obese and nonobese patients.
Cheatham, SC; Chung, EK; Fleming, MR; Healy, DP; Kays, MB; Shea, KM, 2015
)
0.65
" Surprisingly, although tazobactam has been available for over 20 years, few if any reliable data exist on the tazobactam pharmacokinetic (PK) properties in mice."( Plasma and epithelial lining fluid pharmacokinetics of ceftolozane and tazobactam alone and in combination in mice.
Lagarde, C; Mavridou, E; Melchers, MJ; Mouton, JW; Seyedmousavi, S; van Mil, AC, 2015
)
0.96
"The study was to establish a population pharmacokinetic (PPK) model of piperacillin (PIP) and tazobactam (TAZ) that explain pharmacokinetic variability and to propose optimized dosage regimens in patients with nosocomial infections."( Population Pharmacokinetics and Pharmacodynamics of Piperacillin/Tazobactam in Patients with Nosocomial Infections.
Chen, R; Qian, CY; Qian, Q; Sun, MR; Wang, LY; Wang, ML; Zou, SL, 2016
)
0.89
" A population pharmacokinetic (PK) model with the plasma-to-epithelial lining fluid (ELF) kinetics of ceftolozane/tazobactam was used to justify dosing regimens for patients with nosocomial pneumonia in phase 3 studies."( Ceftolozane/tazobactam pharmacokinetic/pharmacodynamic-derived dose justification for phase 3 studies in patients with nosocomial pneumonia.
Huntington, JA; Miller, BW; Nicolau, DP; Xiao, AJ, 2016
)
1.02
"Antibiotic dosing in septic shock patients poses a challenge for clinicians due to the pharmacokinetic (PK) variability seen in this patient population."( Population pharmacokinetics of piperacillin in the early phase of septic shock: does standard dosing result in therapeutic plasma concentrations?
Brock, B; Gjedsted, J; Hardlei, TF; Juul, RV; Kreilgaard, M; Öbrink-Hansen, K; Storgaard, M; Thomsen, MK, 2015
)
0.42
" In this study, we studied the pharmacodynamics of ceftolozane plus tazobactam against Escherichia coli and Pseudomonas aeruginosa using an in vitro pharmacokinetic model of infection."( Pharmacodynamics of Ceftolozane plus Tazobactam Studied in an In Vitro Pharmacokinetic Model of Infection.
Bowker, KE; MacGowan, AP; Nicholls, D; Noel, AR; Tomaselli, SG, 2016
)
0.94
"63 μg/ml, time to Cmax (Tmax) of 4 h, area under the concentration-time curve from 0 to 8 h (AUC0-8) of 284."( Ceftolozane-Tazobactam Pharmacokinetics in a Critically Ill Patient on Continuous Venovenous Hemofiltration.
Gonzales, JP; Heil, EL; Mehrotra, S; Nicolau, DP; Oliver, WD; Robinett, K; Saleeb, P, 2015
)
0.8
" Monte Carlo simulations (MCS) using pharmacokinetic parameters from published studies and CLTM from this study were used to generate ceftolozane/tazobactam dosing for patients receiving CRRT."( Ex vivo Ceftolozane/Tazobactam Clearance during Continuous Renal Replacement Therapy.
Chaijamorn, W; Lewis, SJ; Mueller, BA; Shaw, AR, 2017
)
0.98
" MCS-derived ceftolozane/tazobactam doses of 750 (500/250)-1,500 (1,000/500) mg every 8 h met pharmacodynamic targets for virtual patients receiving CRRT at contemporary effluent rates."( Ex vivo Ceftolozane/Tazobactam Clearance during Continuous Renal Replacement Therapy.
Chaijamorn, W; Lewis, SJ; Mueller, BA; Shaw, AR, 2017
)
1.08
" Clearance, half-life and area under the concentration-time curve during SLED-f obtained from this study were comparable with those reported in the post-dilution mode of continuous veno-venous haemodiafiltration studies."( Pharmacokinetics of piperacillin in critically ill patients with acute kidney injury receiving sustained low-efficiency diafiltration.
Lipman, J; Peake, SL; Roberts, JA; Roberts, MS; Sinnollareddy, MG, 2018
)
0.48
"Critically ill children frequently display observed alterations of pharmacokinetic (PK) parameters, leading to a reduction in β-lactam concentrations."( Piperacillin Population Pharmacokinetics and Dosing Regimen Optimization in Critically Ill Children with Normal and Augmented Renal Clearance.
Benaboud, S; Béranger, A; Bille, E; Gana, I; Genuini, M; Hirt, D; Lesage, F; Moulin, F; Oualha, M; Renolleau, S; Tréluyer, JM; Urien, S; Zheng, Y, 2019
)
0.51
"An in vitro pharmacokinetic model was used to assess changes in bacterial load and profiles after exposure to mean human serum concentrations over 168 h."( Antibacterial effect of ceftolozane/tazobactam in combination with amikacin against aerobic Gram-negative bacilli studied in an in vitro pharmacokinetic model of infection.
Attwood, M; Bowker, KE; MacGowan, AP; Noel, AR, 2018
)
0.76
"Thirty-seven patients received study drug; 34 were included in the pharmacokinetic population."( Pharmacokinetics and Safety of Single Intravenous Doses of Ceftolozane/Tazobactam in Children With Proven or Suspected Gram-Negative Infection.
Ang, JY; Arrieta, AC; Bradley, JS; Caro, L; Johnson, MG; Larson, KB; Rhee, EG; Rizk, ML; Yang, S; Yu, B, 2018
)
0.71
" Although well-defined reasons for these findings across trials are diverse or unknown, several potential pharmacokinetic and pharmacodynamic explanations for these discordant response rates exist."( Suboptimal Clinical Response Rates with Newer Antibiotics Among Patients with Moderate Renal Impairment: Review of the Literature and Potential Pharmacokinetic and Pharmacodynamic Considerations for Observed Findings.
Bidell, MR; Lodise, TP, 2018
)
0.48
" However, pharmacokinetic variability among patient populations and across ages leads to uncertainty when selecting a dosing regimen to achieve an appropriate pharmacodynamic target."( Population pharmacokinetics of piperacillin in febrile children receiving cancer chemotherapy: the impact of body weight and target on an optimal dosing regimen.
Brock, B; Friberg, LE; Kristoffersson, AN; Maarbjerg, SF; Nielsen, EI; Schrøder, H; Thorsted, A; Wang, M, 2019
)
0.51
"To guide dosing by establishing a population pharmacokinetic model for unbound piperacillin in febrile children receiving cancer chemotherapy, and to assess pharmacokinetic/pharmacodynamic target attainment (100% fT > 1×MIC and 50% fT > 4×MIC) and resultant exposure, across body weights."( Population pharmacokinetics of piperacillin in febrile children receiving cancer chemotherapy: the impact of body weight and target on an optimal dosing regimen.
Brock, B; Friberg, LE; Kristoffersson, AN; Maarbjerg, SF; Nielsen, EI; Schrøder, H; Thorsted, A; Wang, M, 2019
)
0.51
"Forty-three children admitted for 89 febrile episodes contributed 482 samples to the pharmacokinetic analysis."( Population pharmacokinetics of piperacillin in febrile children receiving cancer chemotherapy: the impact of body weight and target on an optimal dosing regimen.
Brock, B; Friberg, LE; Kristoffersson, AN; Maarbjerg, SF; Nielsen, EI; Schrøder, H; Thorsted, A; Wang, M, 2019
)
0.51
" Given the population pharmacokinetic profile, feasible dosing regimens with reasonable exposure are continuous infusion (100% fT > 1×MIC) or prolonged infusions (50% fT > 4×MIC)."( Population pharmacokinetics of piperacillin in febrile children receiving cancer chemotherapy: the impact of body weight and target on an optimal dosing regimen.
Brock, B; Friberg, LE; Kristoffersson, AN; Maarbjerg, SF; Nielsen, EI; Schrøder, H; Thorsted, A; Wang, M, 2019
)
0.51
" Pharmacokinetic parameters were estimated by non-compartmental analysis and pharmacodynamic analyses were conducted to graphically evaluate achievement of target exposures (plasma and ELF ceftolozane concentrations >4 mg/L and tazobactam concentrations >1 mg/L; target in plasma: ≥30% and ≥20% of the dosing interval, respectively)."( Lung penetration, bronchopulmonary pharmacokinetic/pharmacodynamic profile and safety of 3 g of ceftolozane/tazobactam administered to ventilated, critically ill patients with pneumonia.
Adedoyin, A; Caro, L; De Waele, JJ; Gadzicki, E; Kuti, JL; Larson, KB; Nicolau, DP; Rhee, EG; Yu, B; Zeng, Z, 2020
)
0.95
" Ceftolozane and tazobactam Tmax (6 and 2 h, respectively) were delayed in ELF compared with plasma (1 h)."( Lung penetration, bronchopulmonary pharmacokinetic/pharmacodynamic profile and safety of 3 g of ceftolozane/tazobactam administered to ventilated, critically ill patients with pneumonia.
Adedoyin, A; Caro, L; De Waele, JJ; Gadzicki, E; Kuti, JL; Larson, KB; Nicolau, DP; Rhee, EG; Yu, B; Zeng, Z, 2020
)
1.11
" Pharmacokinetic analysis of in vivo data (non-compartmental analysis and non-linear mixed effects modelling) was performed to determine the influence of ECMO."( Influence of extracorporeal membrane oxygenation on the pharmacokinetics of ceftolozane/tazobactam: an ex vivo and in vivo study.
Concordet, D; Delmas, C; Gandia, P; Georges, B; Jourdan, G; Mané, C; Marcheix, B; Porterie, J; Ruiz, S; Verwaerde, P, 2020
)
0.78
" In vivo pharmacokinetic exploration showed that ECMO induces a significant decrease of 37% for tazobactam clearance without significant modification in the pharmacokinetics of ceftolozane, probably due to a small cohort size."( Influence of extracorporeal membrane oxygenation on the pharmacokinetics of ceftolozane/tazobactam: an ex vivo and in vivo study.
Concordet, D; Delmas, C; Gandia, P; Georges, B; Jourdan, G; Mané, C; Marcheix, B; Porterie, J; Ruiz, S; Verwaerde, P, 2020
)
1
"This methodology was successfully applied to one pilot pharmacokinetic study in infected critically ill patients, including patients receiving renal replacement therapy, and one case study of a patient with ventriculitis, where all patients received ceftolozane-tazobactam."( A validated LC-MS/MS method for the simultaneous quantification of the novel combination antibiotic, ceftolozane-tazobactam, in plasma (total and unbound), CSF, urine and renal replacement therapy effluent: application to pilot pharmacokinetic studies.
Lipman, J; Pandey, S; Parker, SL; Roberts, JA; Sime, FB; Stuart, J; Wallis, SC, 2021
)
1.01
" This review summarizes the population pharmacokinetic models developed for piperacillin-tazobactam and provides comprehensive data on current dosing strategies while identifying significant covariates in critically ill patients."( Piperacillin-Tazobactam in Intensive Care Units: A Review of Population Pharmacokinetic Analyses.
Caissy, JA; El-Haffaf, I; Marsot, A, 2021
)
1.21
" Steady state free ceftolozane plasma Cmax and Cmin concentrations were calculated to be 122."( Ceftolozane/tazobactam for refractory P. aeruginosa endocarditis: A case report and pharmacokinetic analysis.
Bremmer, DN; Kline, EG; Nicolau, DP; Shah, S; Shields, RK, 2022
)
1.1
" Population pharmacokinetic models informed Monte Carlo simulations to assess probability of target attainment in plasma and pulmonary epithelial lining fluid."( Ceftolozane/tazobactam probability of target attainment and outcomes in participants with augmented renal clearance from the randomized phase 3 ASPECT-NP trial.
Basu, S; Bruno, CJ; De Anda, C; Feng, HP; Gao, W; Huntington, JA; Jensen, E; Kollef, MH; Rhee, EG; Shorr, AF; Yu, B; Zhang, Z, 2021
)
1
" As critically ill patients often experience pharmacokinetic aberrations, and rates of antimicrobial resistance vary between hospital settings, reliance on tertiary sources or package labeling to guide empiric dosing often results in suboptimal β-lactam exposure."( Time Above All Else: Pharmacodynamic Analysis of β-Lactams in Critically Ill Patients.
Burgess, DS; Clark, JA; Landmesser, KB, 2022
)
0.72
" We sought to aggregate previously published piperacillin and tazobactam (pip-tazo) pharmacokinetic data in critically ill patients undergoing CKRT to better understand pharmacokinetics of pip-tazo in this population and better inform dosing."( Pharmacokinetics of piperacillin and tazobactam in critically Ill patients treated with continuous kidney replacement therapy: A mini-review and population pharmacokinetic analysis.
Akers, KS; Chung, KK; DeLuca, JP; Livezey, JR; Nadeau, RJ; Por, ED; Pruskowski, KA; Selig, DJ, 2022
)
1.23
" Of the 26 articles, 10 for piperacillin and 8 for tazobactam had complete information suitable for population pharmacokinetic modelling."( Pharmacokinetics of piperacillin and tazobactam in critically Ill patients treated with continuous kidney replacement therapy: A mini-review and population pharmacokinetic analysis.
Akers, KS; Chung, KK; DeLuca, JP; Livezey, JR; Nadeau, RJ; Por, ED; Pruskowski, KA; Selig, DJ, 2022
)
1.25
" The proportion of patients meeting pre-defined pharmacodynamic (PD) targets (median 88."( Pharmacokinetics of piperacillin and tazobactam in critically Ill patients treated with continuous kidney replacement therapy: A mini-review and population pharmacokinetic analysis.
Akers, KS; Chung, KK; DeLuca, JP; Livezey, JR; Nadeau, RJ; Por, ED; Pruskowski, KA; Selig, DJ, 2022
)
0.99
"Similar ratios of generic/originator (90% CI) Cmax were observed for Cefepime-MIP/Maxipime [93."( Comparison of pharmacokinetics and stability of generics of cefepime, linezolid and piperacillin/tazobactam with their respective originator drugs: an intravenous bioequivalence study in healthy volunteers.
Al Jalali, V; Ballarini, N; Bauer, M; Bergmann, F; Jorda, A; König, F; Lackner, E; Nussbaumer-Pröll, A; Oesterreicher, Z; Reiter, B; Stimpfl, T; Wölfl-Duchek, M; Wulkersdorfer, B; Zeitlinger, M, 2022
)
0.94
"Very limited studies, so far, have been conducted to identify the pharmacodynamic targets of cefepime, a well-established fourth-generation cephalosporin."( Cefepime pharmacodynamic targets against Enterobacterales employing neutropenic murine lung infection and in vitro pharmacokinetic models.
Attwood, M; Chavan, R; MacGowan, A; Muller, AE; Noel, A; Periasamy, H; Van den Berg, S, 2022
)
0.72
"We employed both a neutropenic murine lung infection model and an in vitro pharmacokinetic model (IVPM) to determine cefepime's pharmacodynamic target [percentage of the dosing interval during which unbound drug concentrations remain higher than the MIC (%fT>MIC)] for bacteriostatic and 1 log10 kill effects."( Cefepime pharmacodynamic targets against Enterobacterales employing neutropenic murine lung infection and in vitro pharmacokinetic models.
Attwood, M; Chavan, R; MacGowan, A; Muller, AE; Noel, A; Periasamy, H; Van den Berg, S, 2022
)
0.72
" Through 24 h dose fractionation, both in lung infection and IVPM (in the latter case, tazobactam 8 mg/L continuous infusion was used to protect cefepime), varying cefepime exposures and corresponding pharmacodynamic effect scenarios were generated to identify the pharmacodynamic targets."( Cefepime pharmacodynamic targets against Enterobacterales employing neutropenic murine lung infection and in vitro pharmacokinetic models.
Attwood, M; Chavan, R; MacGowan, A; Muller, AE; Noel, A; Periasamy, H; Van den Berg, S, 2022
)
0.94
"Both in vivo and in vitro studies showed that cefepime's pharmacodynamic requirements are lower than generally reported for cephalosporins (50%-70% fT>MIC)."( Cefepime pharmacodynamic targets against Enterobacterales employing neutropenic murine lung infection and in vitro pharmacokinetic models.
Attwood, M; Chavan, R; MacGowan, A; Muller, AE; Noel, A; Periasamy, H; Van den Berg, S, 2022
)
0.72
" The population pharmacokinetic models that best characterized the observed plasma concentrations of piperacillin and tazobactam were one-compartment structural models with zero-order input and linear elimination."( Population Pharmacokinetics of Piperacillin/Tazobactam Across the Adult Lifespan.
An, G; Balevic, SJ; Chan, AW; Cohen-Wolkowiez, M; Conrad, T; Gu, K; Hemmersbach-Miller, M; Kirkpatrick, CMJ; Landersdorfer, CB; Schmader, KE; Swamy, GK; Walter, EB; Winokur, PL, 2023
)
1.38
"To use a pre-clinical pharmacokinetic infection model to assess the antibacterial effect of ceftolozane/tazobactam alone or in combination with fosfomycin or tobramycin against Pseudomonas aeruginosa strains with MICs at or higher than the clinical breakpoint (MIC ≥ 4 mg/L)."( Antibacterial effect of seven days exposure to ceftolozane-tazobactam as monotherapy and in combination with fosfomycin or tobramycin against Pseudomonas aeruginosa with ceftolozane-tazobactam MICs at or above 4 mg/l in an in vitro pharmacokinetic model.
Albur, M; Attwood, M; Griffin, P; Macgowan, AP; Noel, AR, 2023
)
1.37

Compound-Compound Interactions

We investigated the pharmacokinetics-pharmacodynamics (PK-PD) of tazobactam in combination with ceftolozane against an isogenic CTX-M-15-producing Escherichia coli triplet set. The minimal inhibitory concentrations of piperacillin (PIP) or cefotaxime (CTX) were determ.

ExcerptReferenceRelevance
"The minimal inhibitory concentrations of piperacillin (PIP) or cefotaxime (CTX) alone or in combination with tazobactam (TAZ) were determined against 168 anaerobes."( [Strict anaerobic bacteria: comparative study of various beta-lactam antibiotics in combination with tazobactam or sulbactam].
Dubreuil, L; Sedallian, A, 1991
)
0.71
" The absence of the outer membrane proteins, OmpF and OmpC, did not significantly affect susceptibility to the combinations per se but when combined with the presence of beta-lactamase high MICs were observed."( Factors determining resistance to beta-lactam combined with beta-lactamase inhibitors in Escherichia coli.
Baquero, F; Martínez, JL; Pérez-Díaz, JC; Reguera, JA, 1991
)
0.28
"Tazobactam (YTR 830), a new beta-lactamase inhibitor, was evaluated for its effect in combination with piperacillin, a broad spectrum, but beta-lactamase sensitive, penicillin, against 14 common bacteria."( Antimicrobial activities of piperacillin alone and in combination with tazobactam against beta-lactamase-producing bacteria.
Chang, SC; Hsieh, WC; Hsu, LY; Luh, KT, 1991
)
1.96
"The in-vitro synergistic activity of tazobactam, a new beta-lactamase inhibitor, combined with piperacillin was tested against various beta-lactamase-producing strains."( Inhibition of beta-lactamases by tazobactam and in-vitro antibacterial activity of tazobactam combined with piperacillin.
Higashitani, F; Hyodo, A; Inoue, M; Ishida, N; Mitsuhashi, S, 1990
)
0.83
"Cefpirome, a so-called fourth-generation cephalosporin, was tested alone and in combination with the sulfone beta-lactamase inhibitor, tazobactam, against 63 members of the Bacteroides fragilis group."( Antimicrobial spectrum of cefpirome combined with tazobactam against the Bacteroides fragilis group.
Barrett, MS; Croco, JL; Erwin, ME; Jones, RN; Novick, WJ,
)
0.59
"We studied the efficacy of tazobactam (YTR 830), a new beta-lactamase inhibitor in combination with piperacillin (P) against 198 Enterobacteriaceae strains."( [Efficiency of tazobactam as inhibitor of beta-lactamases, combined with piperacillin, against resistant strains to this penicillin].
Ràfols, M; Reig, R; Roy, C; Teruel, D; Tirado, M, 1989
)
0.93
"YTR 830, a new beta-lactamase inhibitor, combined with amoxicillin or carbenicillin, showed a synergistic effect similar to that observed with clavulanic acid, and generally better than that with sulbactam, against strains harboring chromosome-encoded penicillinases and broad-spectrum beta-lactamases or plasmid-determined beta-lactamases."( Comparative evaluation of a new beta-lactamase inhibitor, YTR 830, combined with different beta-lactam antibiotics against bacteria harboring known beta-lactamases.
Acar, JF; Gutmann, L; Kitzis, MD; Yamabe, S, 1986
)
0.27
"The in vitro synergistic activities of the beta-lactamase inhibitors YTR 830, clavulanate, and sulbactam, combined with ampicillin, ticarcillin, mezlocillin, azlocillin, piperacillin, and apalcillin, were determined against 34 strains of members of the Enterobacteriaceae family, Pseudomonas aeruginosa, Aeromonas hydrophila, and Haemophilus influenzae with characterized plasmid or chromosomal beta-lactamases or both."( Comparative activities of the beta-lactamase inhibitors YTR 830, clavulanate, and sulbactam combined with ampicillin and broad-spectrum penicillins against defined beta-lactamase-producing aerobic gram-negative bacilli.
Aronoff, SC; Jacobs, MR; Johenning, S; Shlaes, DM; Yamabe, S, 1986
)
0.27
"The in vitro activities of the beta-lactamase inhibitors YTR 830, clavulanate, and sulbactam combined with six beta-lactams against 88 beta-lactamase-producing anaerobes were determined."( Comparative activity of beta-lactamase inhibitors YTR 830, clavulanate, and sulbactam combined with beta-lactams against beta-lactamase-producing anaerobes.
Appelbaum, PC; Jacobs, MR; Spangler, SK; Yamabe, S, 1986
)
0.27
" Combined with amoxicillin, YTR 830 is a potentially useful agent for therapy of many bacterial infections."( Comparative activities of the beta-lactamase inhibitors YTR 830, sodium clavulanate, and sulbactam combined with amoxicillin or ampicillin.
Aronoff, SC; Jacobs, MR; Johenning, S; Yamabe, S, 1984
)
0.27
"The antibacterial in vitro activity of piperacillin and tazobactam (in a concentration ratio of 8/1) was studied in combination with netilmicin or amikacin by a microtiter checkerboard assay against 162 strains of Enterobacteriaceae."( [In vitro antibacterial activity of piperacillin-tazobactam in combination with netilmicin or amikacin against Enterobacteriaceae resistant to amoxicillin].
Chamard-Neuwirth, C; Cordin, X; Duez, JM; Kazmierczak, A; Pechinot, A; Siebor, E, 1995
)
0.79
"The pharmacodynamics of dosage regimens of piperacillin alone or in combination with tazobactam against piperacillin-resistant or -susceptible bacteria were studied in an in vitro model of infection."( Pharmacodynamics of piperacillin alone and in combination with tazobactam against piperacillin-resistant and -susceptible organisms in an in vitro model of infection.
Dudley, MN; Gilbert, DH; Medeiros, AA; Pivarnik, P; Strayer, AH; Zinner, SH, 1994
)
0.75
" pneumophila activity was observed for ceftriaxone (32 micrograms/ml), piperacillin (32 micrograms/ml), tazobactam alone (16 micrograms/ml), clavulanate alone (2 micrograms/ml), or tazobactam in combination with ceftriaxone (ceftriaxone/tazobactam at 32/4 and 16/16 micrograms/ml) or piperacillin (32/4 micrograms/ml)."( In vitro extracellular and intracellular activities of clavulanic acid and those of piperacillin and ceftriaxone alone and in combination with tazobactam against clinical isolates of Legionella species.
Edelstein, MA; Edelstein, PH, 1994
)
0.7
" However, strains expressing class A beta-lactamase were susceptible to cefodizime in combination with clavulanic acid."( In vitro activity of cefodizime (HR-221) in combination with beta-lactamase inhibitors.
Amicosante, G; Franceschini, N; Oratore, A; Perilli, M; Segatore, B; Setacci, D, 1993
)
0.29
"The activity of piperacillin/tazobactam, ampicillin/sulbactam, imipenem and nafcillin alone and in combination with vancomycin was compared with vancomycin monotherapy against MRSA in test-tube time-kill studies and in infected fibrin clots."( An evaluation of the bactericidal activity of ampicillin/sulbactam, piperacillin/tazobactam, imipenem or nafcillin alone and in combination with vancomycin against methicillin-resistant Staphylococcus aureus (MRSA) in time-kill curves with infected fibrin
Palmer, SM; Rybak, MJ, 1997
)
0.81
"In a randomized trial conducted in 35 centers, we compared the clinical efficacy and safety of piperacillin plus tazobactam (TAZ) alone (monotherapy [MT]) versus those of TAZ combined with amikacin (AMK) (combined therapy [CT]) for the treatment of severe generalized peritonitis (SGP)."( Monotherapy with a broad-spectrum beta-lactam is as effective as its combination with an aminoglycoside in treatment of severe generalized peritonitis: a multicenter randomized controlled trial. The Severe Generalized Peritonitis Study Group.
Carbon, C; Carlet, J; Dupont, H, 2000
)
0.52
"The bactericidal activity of moxifloxacin alone and in combination with cefepime or piperacillin-tazobactam against clinical isolates of Klebsiella pneumoniae, Enterobacter cloacae, and Acinetobacter baumannii was evaluated by using time-kill methods and antimicrobial concentrations of one-half and one times the MIC."( Synergistic activities of moxifloxacin combined with piperacillin-tazobactam or cefepime against Klebsiella pneumoniae, Enterobacter cloacae, and Acinetobacter baumannii clinical isolates.
Choi, MK; Fish, DN; Husain, M; Jung, R, 2004
)
0.78
"This randomized, double-blind, multicenter study compared the efficacy and safety of piperacillin/tazobactam (P/T) and imipenem/cilastatin (IMP), both in combination with an aminoglycoside, in hospitalized patients with acute nosocomial pneumonia (NP)."( Comparison of piperacillin/tazobactam and imipenem/cilastatin, both in combination with tobramycin, administered every 6 h for treatment of nosocomial pneumonia.
Cooper, A; Joshi, M; Kassira, W; McCarthy, M; Metzler, M; Olvey, S, 2006
)
0.85
"To investigate the efficacy of piperacillin/tazobactam combined with indolicidin in the prevention of lethality in two rat models of polymicrobial peritonitis."( Efficacy of the bovine antimicrobial peptide indolicidin combined with piperacillin/tazobactam in experimental rat models of polymicrobial peritonitis.
Abbruzzetti, A; Cirioni, O; Di Matteo, F; Ghiselli, R; Giacometti, A; Mocchegiani, F; Orlando, F; Saba, V; Scalise, G; Silvestri, C, 2008
)
0.83
" For each model, all animals were randomized to receive isotonic sodium chloride solution intraperitoneally, 1 mg/kg indolicidin, 120 mg/kg piperacillin/tazobactam, and 1 mg/kg indolicidin combined with 120 mg/kg piperacillin/tazobactam."( Efficacy of the bovine antimicrobial peptide indolicidin combined with piperacillin/tazobactam in experimental rat models of polymicrobial peritonitis.
Abbruzzetti, A; Cirioni, O; Di Matteo, F; Ghiselli, R; Giacometti, A; Mocchegiani, F; Orlando, F; Saba, V; Scalise, G; Silvestri, C, 2008
)
0.77
"We investigated in vitro activities of piperacillin or cefoperazone alone and in combination with beta-lactamase inhibitors against Gram-negative bacilli."( In vitro activities of piperacillin or cefoperazone alone and in combination with beta-lactamase inhibitors against gram-negative bacilli.
Kuo, HY; Lin, ML; Liu, CY; Wang, FD; Yen, YF, 2009
)
0.35
"CXA-101, a novel oxyimino-aminothiazolyl cephalosporin, CXA-201 (CXA-101 combined with tazobactam), and various comparators were susceptibility tested by broth microdilution methods against 1,301 well-characterized clinical strains collected worldwide, including ceftazidime-resistant members of the family Enterobacteriaceae and Klebsiella pneumoniae carbapenemase (KPC)- and extended-spectrum β-lactamase (ESBL)-producing strains of Pseudomonas aeruginosa and Bacteroides fragilis."( Antimicrobial activity of CXA-101, a novel cephalosporin tested in combination with tazobactam against Enterobacteriaceae, Pseudomonas aeruginosa, and Bacteroides fragilis strains having various resistance phenotypes.
Farrell, DJ; Jones, RN; Rhomberg, PR; Sader, HS, 2011
)
0.82
" Herein, we describe dose fractionation studies designed to determine the exposure measure most predictive of tazobactam efficacy in combination with ceftolozane and the magnitude of this measure necessary for efficacy in a PK-PD in vitro infection model."( Pharmacokinetics-pharmacodynamics of tazobactam in combination with ceftolozane in an in vitro infection model.
Ambrose, PG; Bhavnani, SM; Bulik, CC; Castanheira, M; Forrest, A; Friedrich, LV; Jones, RN; Mendes, RE; Nicasio, AM; Okusanya, OO; Steenbergen, JN; VanScoy, B, 2013
)
0.87
"We recently investigated the pharmacokinetics-pharmacodynamics (PK-PD) of tazobactam in combination with ceftolozane against an isogenic CTX-M-15-producing Escherichia coli triplet set, genetically engineered to transcribe different levels of blaCTX-M-15."( Pharmacological basis of β-lactamase inhibitor therapeutics: tazobactam in combination with Ceftolozane.
Ambrose, PG; Bhavnani, SM; Bulik, CC; Forrest, A; Friedrich, LV; Jones, RN; McCauley, J; Mendes, RE; Okusanya, OO; Steenbergen, JN; Vanscoy, B, 2013
)
0.86
"The post-β-lactamase-inhibitor effect (PBLIE) of tazobactam combined with ceftolozane was evaluated by time-kill assays on two clinical Escherichia coli strains producing CTX-M-15 with or without TEM-1."( Post-β-lactamase-inhibitor effect of tazobactam in combination with ceftolozane on extended-spectrum-β-lactamase-producing strains.
Jones, RN; Rhomberg, PR; Sader, HS, 2014
)
0.93
" When combined with a fixed amount of 4 mg/liter tazobactam (current CLSI concentration used for susceptibility testing), 90% of the isolates would have an MIC of ≤4 mg/liter."( In Vitro Activity of Ceftolozane Alone and in Combination with Tazobactam against Extended-Spectrum-β-Lactamase-Harboring Enterobacteriaceae.
Melchers, MJ; Mouton, JW; van Mil, AC, 2015
)
0.91
" Ceftazidime, cefepime, and piperacillin-tazobactam in combination with amikacin showed greater activity than found in combination with ciprofloxacin."( In vitro activities of 21 antimicrobial agents alone and in combination with aminoglycosides or fluoroquinolones against extended-spectrum-β-lactamase-producing Escherichia coli isolates causing bacteremia.
Cha, MK; Cho, SY; Chung, DR; Ha, YE; Kang, CI; Kim, SH; Peck, KR; Song, JH; Wi, YM, 2015
)
0.68
"The present study evaluates the synergistic effect of sulbactam/tazobactam in combination with meropenem or colistin against multidrug resistant (MDR) Acinetobacter baumannii isolated from hospitalized patients from a tertiary care hospital in Saudi Arabia."( A prospective evaluation of synergistic effect of sulbactam and tazobactam combination with meropenem or colistin against multidrug resistant Acinetobacter baumannii.
Alyousef, AA; Alzahrani, AJ; Krishnappa, LG; Marie, MA; Mubaraki, MA, 2015
)
0.89
"We have previously demonstrated the pharmacokinetic-pharmacodynamic (PK-PD) index best associated with the efficacy of tazobactam when used in combination with ceftolozane to be the percentage of the dosing interval during which tazobactam concentrations remained above a threshold value (%time>threshold)."( Pharmacokinetics-Pharmacodynamics of Tazobactam in Combination with Piperacillin in an In Vitro Infection Model.
Ambrose, PG; Bhavnani, SM; Bulik, CC; Castanheira, M; Forrest, A; Friedrich, LV; Jones, RN; Mendes, RE; Nicasio, AM; Okusanya, OO; Steenbergen, JN; VanScoy, BD, 2016
)
0.92
" To assist the clinical decision-making process regarding the selection of combination antibiotics and dosages for this pathogen, we performed time-kill studies assessing clinical free peak and trough C/T concentrations alone and in combination with eight anti-pseudomonal agents against four clinical MDR PSA isolates."( Antibacterial activity of ceftolozane/tazobactam alone and in combination with other antimicrobial agents against MDR Pseudomonas aeruginosa.
Monogue, ML; Nicolau, DP, 2018
)
0.75
"5 mg/L in combination with free peak and trough concentrations of clinical doses for cefepime, ciprofloxacin, colistin, aztreonam, meropenem, piperacillin/tazobactam, fosfomycin and amikacin was tested for all isolates."( Antibacterial activity of ceftolozane/tazobactam alone and in combination with other antimicrobial agents against MDR Pseudomonas aeruginosa.
Monogue, ML; Nicolau, DP, 2018
)
0.95
"gov Identifier: NCT02739997) to investigate the efficacy and safety of tazobactam/ceftolozane used in combination with metronidazole in Japanese patients with cIAI was conducted."( The efficacy and safety of tazobactam/ceftolozane in combination with metronidazole in Japanese patients with complicated intra-abdominal infections.
Fujimoto, G; Fukuhara, T; Horiuchi, T; Mikamo, H; Miyasaka, Y; Monden, K; Rhee, EG; Shizuya, T; Yoshinari, T, 2019
)
1.04
" aeruginosa strains, alone and in combination with colistin."( Efficacy of ceftolozane/tazobactam, alone and in combination with colistin, against multidrug-resistant Pseudomonas aeruginosa in an in vitro biofilm pharmacodynamic model.
Ariza, J; Benavent, E; El Haj, C; Gómez-Junyent, J; Murillo, O; Rigo-Bonnin, R; Sierra, Y; Soldevila, L; Torrejón, B; Tubau, F, 2019
)
0.82
" This study evaluated in vitro antimicrobial synergy of ceftolozane/tazobactam in combination with aztreonam and fosfomycin against MDR PSA."( In vitro synergy of ceftolozane/tazobactam in combination with fosfomycin or aztreonam against MDR Pseudomonas aeruginosa.
Cayô, R; Cuba, GT; Gales, AC; Kiffer, CRV; Nicolau, DP; Nodari, CS; Pignatari, ACC; Rocha-Santos, G; Streling, AP, 2020
)
1.08
"5 g q8h dose, respectively, in combination with 69 mg/L amikacin, corresponding to the free peak plasma concentration."( In vitro activity of ceftolozane/tazobactam alone and in combination with amikacin against MDR/XDR Pseudomonas aeruginosa isolates from Greece.
Adamou, P; Antoniadou, A; Damala, M; Deliolanis, I; Fountoulis, K; Galani, I; Galani, L; Giamarellou, H; Karaiskos, I; Karantani, I; Kirikou, H; Kodonaki, A; Maraki, S; Markopoulou, M; Papadogeorgaki, E; Papoutsaki, V; Petinaki, E; Prifti, E; Souli, M; Tsiplakou, S; Vagiakou, E, 2020
)
0.84
" In combination with amikacin, a synergistic interaction at 24 h was observed against 85."( In vitro activity of ceftolozane/tazobactam alone and in combination with amikacin against MDR/XDR Pseudomonas aeruginosa isolates from Greece.
Adamou, P; Antoniadou, A; Damala, M; Deliolanis, I; Fountoulis, K; Galani, I; Galani, L; Giamarellou, H; Karaiskos, I; Karantani, I; Kirikou, H; Kodonaki, A; Maraki, S; Markopoulou, M; Papadogeorgaki, E; Papoutsaki, V; Petinaki, E; Prifti, E; Souli, M; Tsiplakou, S; Vagiakou, E, 2020
)
0.84
"Vancomycin (VAN)-associated acute kidney injury (AKI) is increased when VAN is combined with certain beta-lactams (BLs) such as piperacillin-tazobactam (TZP) but has not been evaluated with ceftolozane-tazobactam (C/T)."( Nephrotoxicity of Vancomycin in Combination With Beta-Lactam Agents: Ceftolozane-Tazobactam vs Piperacillin-Tazobactam.
Alosaimy, S; Amaya, L; Biagi, M; Chandler, E; Cubillos, A; Davis, SL; Finch, N; Hobbs, ALV; Holger, D; Jorgensen, SCJ; Kufel, WD; Kunz Coyne, AJ; Lagnf, AM; Li, D; Molina, KC; Moore, WJ; Morrisette, T; Mubarez, M; Patch, M; Polisetty, RS; Rebold, N; Rico, M; Rybak, MJ; Sakoulas, G; Simon, SP; Smith, IMK; Tran, NN; Truong, J; Venugopalan, V; Veve, MP; Witucki, P; Wrin, J; Yost, C, 2023
)
1.34
"This single-center study evaluated the efficacy and safety of tazobactam/ceftolozane (TAZ/CTLZ) in combination with metronidazole for intraabdominal infection in a hepato-biliary-pancreatic field in clinical practice."( Efficacy and safety of tazobactam/ceftolozane in combination with metronidazole for intraabdominal infection in a hepato-biliary-pancreatic field in clinical practice.
Ishizawa, T; Kimura, K; Kinoshita, M; Kubo, S; Nishio, K; Ohira, G; Okada, T; Shinkawa, H; Shirai, D; Tanaka, S; Tani, N; Tauchi, J, 2023
)
1.46
"This observational study demonstrated that TAZ/CTLZ in combination with metronidazole has a favorable effect without major drug-related adverse events for intraabdominal infection in the hepato-biliary-pancreatic field in clinical practice although the efficacy of TAZ/CTLZ may decrease in compromised patients."( Efficacy and safety of tazobactam/ceftolozane in combination with metronidazole for intraabdominal infection in a hepato-biliary-pancreatic field in clinical practice.
Ishizawa, T; Kimura, K; Kinoshita, M; Kubo, S; Nishio, K; Ohira, G; Okada, T; Shinkawa, H; Shirai, D; Tanaka, S; Tani, N; Tauchi, J, 2023
)
1.22
"To use a pre-clinical pharmacokinetic infection model to assess the antibacterial effect of ceftolozane/tazobactam alone or in combination with fosfomycin or tobramycin against Pseudomonas aeruginosa strains with MICs at or higher than the clinical breakpoint (MIC ≥ 4 mg/L)."( Antibacterial effect of seven days exposure to ceftolozane-tazobactam as monotherapy and in combination with fosfomycin or tobramycin against Pseudomonas aeruginosa with ceftolozane-tazobactam MICs at or above 4 mg/l in an in vitro pharmacokinetic model.
Albur, M; Attwood, M; Griffin, P; Macgowan, AP; Noel, AR, 2023
)
1.37

Bioavailability

ExcerptReferenceRelevance
" Generic substitutions within hospital formularies should consider parameters of in vitro activity, in addition to applied chemical analyses and measures of bioavailability to avoid potential adverse clinical consequences."( Expanded studies of piperacillin/tazobactam formulations: variations among branded product lots and assessment of 46 generic lots.
Jones, RN; Moet, GJ; Sader, HS; Watters, AA, 2009
)
0.63

Dosage Studied

The pharmacodynamics of dosage regimens of piperacillin alone or in combination with tazobactam were studied in an in vitro model of infection. In a second stage, a pilot experimental study was performed with the random comparison of patients for evaluation and adaptation of the software.

ExcerptRelevanceReference
" Dosage alterations for creatinine clearance values less than 40 ml/min are recommended."( Single-dose pharmacokinetics of piperacillin and tazobactam in patients with renal disease.
Dutta, A; Faulkner, R; Greene, DS; Halstenson, CE; Haynes, J; Johnson, CA; Kelloway, JS; Shapiro, BE; Tonelli, A; Zimmerman, SW, 1992
)
0.54
" The dosage regimen was 4 g piperacillin/500 mg tazobactam Q8H."( Piperacillin/tazobactam in the treatment of serious acute soft tissue infection.
Ansari, A; Douglas, JG; Gould, IM; Harvey, G; Reid, TM; Smith, CC, 1991
)
0.91
" Different doses of piperacillin and tazobactam, as single agents and combined (8:1 ratio; dosage range, 40/5 to 200/25 mg/kg per h), and of ceftriaxone were given to experimentally infected rabbits by intravenous bolus injection followed by a 5-h constant infusion."( Evaluation of piperacillin-tazobactam in experimental meningitis caused by a beta-lactamase-producing strain of K1-positive Escherichia coli.
Gunderson, D; Kennedy, SL; Kern, W; Sachdeva, M; Sande, ER; Täuber, MG, 1990
)
0.85
" With some antibiotic-inhibitor combinations, it may be possible to extend the dosage interval if an adequate amount of inhibitor is provided over the course of therapy."( Combination beta-lactam and beta-lactamase-inhibitor therapy: pharmacokinetic and pharmacodynamic considerations.
Dudley, MN, 1995
)
0.29
" Blood samples and cumulative bile secretion were collected every 30 min, and liver fragments were isolated at the end of each experiment for dosage purposes."( Biliary elimination and hepatic disposition of an association of piperacillin and tazobactam: experimental evaluation.
Blickle, JF; Brogard, JM; Caro-Sampara, F; Jehl, F; Westphal, JF, 1994
)
0.51
" In the TAZ/PIPC, maternal toxicity (decreased food consumption) was observed at 200 mg/kg and above dosage groups."( [Reproductive and developmental toxicity studies of tazobactam/piperacillin or tazobactam(1)--Fertility and general reproduction study in rats with intraperitoneal administration].
Christian, MS; Hoberman, AM; Lochry, EA; Sato, T, 1994
)
0.54
" In the TAZ, maternal toxicity (decreased food consumption) was observed at all dosage groups during perinatal period."( [Reproductive and developmental toxicity studies of tazobactam/piperacillin or tazobactam (3)--Perinatal and postnatal study in rats with intraperitoneal administration].
Christian, MS; Hoberman, AM; Sato, T, 1994
)
0.54
"The pharmacodynamics of dosage regimens of piperacillin alone or in combination with tazobactam against piperacillin-resistant or -susceptible bacteria were studied in an in vitro model of infection."( Pharmacodynamics of piperacillin alone and in combination with tazobactam against piperacillin-resistant and -susceptible organisms in an in vitro model of infection.
Dudley, MN; Gilbert, DH; Medeiros, AA; Pivarnik, P; Strayer, AH; Zinner, SH, 1994
)
0.75
"Piperacillin/tazobactam, at a dosage of 4 g/500 mg every 8 h, was administered intravenously to 217 patients with complicated urinary tract infections."( Piperacillin/tazobactam in complicated urinary tract infections.
Nowé, P, 1994
)
1.03
" An increase in the tazobactam dosage within the combination (80:25 mg/kg/h) was required in order to obtain a significantly faster elimination of viable organisms from the CSF (-0."( Different ratios of the piperacillin-tazobactam combination for treatment of experimental meningitis due to Klebsiella pneumoniae producing the TEM-3 extended-spectrum beta-lactamase.
Decazes, JM; Gutmann, L; Kitzis, MD; Leleu, G; Vallois, JM, 1994
)
0.89
" At the dosage used piperacillin/tazobactam was as safe as, and statistically more effective than, imipenem/cilastatin in the treatment of intra-abdominal infections caused by sensitive organisms."( A randomized multicenter trial of piperacillin/tazobactam versus imipenem/cilastatin in the treatment of severe intra-abdominal infections. Swedish Study Group.
Eklund, AE; Nord, CE, 1993
)
0.82
" Piperacillin and tazobactam concentrations can be adjusted by applying prolonged dosing intervals in renal patients."( Pharmacokinetics of piperacillin, tazobactam and its metabolite in renal impairment.
Dalla Costa, T; Derendorf, H, 1996
)
0.91
" The drug was given to an underweight 18-year-old woman, at the usual dosage of 4/0."( Reversible bone marrow depression by high-dose piperacillin/tazobactam.
Aguirre, C; Barreiro, G; Ruiz-Irastorza, G, 1996
)
0.54
" Serum bactericidal titers were determined and used to calculate the duration of measurable bactericidal activity over the dosing interval of each of the regimens against two clinical isolates of Bacillus fragilis, Escherichia coli, Enterococcus faecalis, and Pseudomonas aeruginosa."( Comparison of the bactericidal activities of piperacillin-tazobactam, ticarcillin-clavulanate, and ampicillin-sulbactam against clinical isolates of Bacteroides fragilis, Enterococcus faecalis, Escherichia coli, and Pseudomonas aeruginosa.
Klepser, ME; Marangos, MN; Nicolau, DP; Nightingale, CH; Quintiliani, R; Zhu, Z, 1997
)
0.54
" pneumoniae may be highly dependent on dosing regimens, even for a specific organism and site of infection."( Efficacies of piperacillin-tazobactam and cefepime in rats with experimental intra-abdominal abscesses due to an extended-spectrum beta-lactamase-producing strain of Klebsiella pneumoniae.
Eliopoulos, GM; Moellering, RC; Thauvin-Eliopoulos, C; Tripodi, MF, 1997
)
0.59
"In CVVH dependent patients, pip/taz fixed drug preparations can be used initially, but the pip dosage should be increased relative to that of taz (or interval-adjusted) to prevent cumulation of taz, as compared to the active antimicrobial agent pip."( Pharmacokinetics of piperacillin and tazobactam in critically ill patients with renal failure, treated with continuous veno-venous hemofiltration (CVVH).
Mulder, PO; Stegeman, CA; Uges, DR; van der Werf, TS; Zijlstra, JG, 1997
)
0.57
" bolus multiple dose, using different dose ratio combinations (1:4, 1:8, 1:16) and dosing regimens, ranging from once-a-day to 4 times a day."( Pharmacokinetic-pharmacodynamic modelling of the in vitro antiinfective effect of piperacillin-tazobactam combinations.
Dalla Costa, T; Derendorf, H; Nolting, A; Rand, K, 1997
)
0.52
"The PK-PD model allowed a detailed evaluation of the dosing regimens investigated."( Pharmacokinetic-pharmacodynamic modelling of the in vitro antiinfective effect of piperacillin-tazobactam combinations.
Dalla Costa, T; Derendorf, H; Nolting, A; Rand, K, 1997
)
0.52
" The percentage of time that plasma concentrations remained above the MIC (T > MIC) for each organism and dosage regimen was calculated."( Pharmacokinetics and pharmacodynamics of two multiple-dose piperacillin-tazobactam regimens.
Danziger, LH; Occhipinti, DJ; Pendland, SL; Rodvold, KA; Rypins, EB; Schoonover, LL, 1997
)
0.53
" Optimal dosage regimens of beta-lactamase inhibitors will provide mean concentrations of beta-lactamase inhibitor at or above those used in in-vitro testing."( Beta-lactam/beta-lactamase inhibitor combinations: pharmacodynamic considerations and possible role in the management of bacterial infections in the neutropenic host.
Dudley, MN; Okereke, C, 1998
)
0.3
" Under base-case conditions, our pharmacoeconomic analysis showed that I/C was a cost-effective alternative to P/T at the dosage regimens studied."( Cost-minimization analysis of piperacillin/tazobactam versus imipenem/cilastatin for the treatment of serious infections: a Canadian hospital perspective.
Bryce, EA; Frighetto, LO; Jewesson, PJ; Marra, CA; Marra, FO; Reynolds, RP; Sleigh, KM; Stiver, HG, 1999
)
0.57
"A population pharmacokinetic (PK) analysis was conducted to determine if piperacillin and tazobactam exhibited linear or nonlinear PKs and if incremental changes in the daily dosage of piperacillin affected tazobactam PKs."( Piperacillin and tazobactam exhibit linear pharmacokinetics after multiple standard clinical doses.
Auclair, B; Ducharme, MP, 1999
)
0.86
" In patients with intra-abdominal infections, clinical and bacteriological response rates were significantly higher with piperacillin/tazobactam than with imipenem/cilastatin (administered at a dosage lower than is recommended in countries outside Scandinavia)."( Piperacillin/tazobactam: an updated review of its use in the treatment of bacterial infections.
Markham, A; Perry, CM, 1999
)
0.88
" The T>MIC was calculated as percentage of the dosing interval in which free concentrations exceeded the weighted geometric mean MIC90."( Comparison of five beta-lactam antibiotics against common nosocomial pathogens using the time above MIC at different creatinine clearances.
Kays, MB, 1999
)
0.3
"To compare the pharmacokinetic and pharmacodynamic profiles of two dosing regimens for piperacillin-tazobactam against commonly encountered pathogens."( Pharmacokinetic and pharmacodynamic evaluation of two dosing regimens for piperacillin-tazobactam.
Capitano, B; Kim, MK; Mattoes, HM; Nicolau, DP; Nightingale, CH; Quintiliani, R; Xuan, D, 2002
)
0.75
"The two dosing regimens for piperacillin-tazobactam were administered intravenously in crossover design."( Pharmacokinetic and pharmacodynamic evaluation of two dosing regimens for piperacillin-tazobactam.
Capitano, B; Kim, MK; Mattoes, HM; Nicolau, DP; Nightingale, CH; Quintiliani, R; Xuan, D, 2002
)
0.8
"Although intermittent bolus dosing is currently the standard of practice for many antimicrobial agents, beta-lactams exhibit time-dependent bacterial killing."( Pharmacokinetics and pharmacodynamics of piperacillin/tazobactam when administered by continuous infusion and intermittent dosing.
Burgess, DS; Waldrep, T, 2002
)
0.56
" aeruginosa infections due to the higher established breakpoint, these data suggest a high probability of achieving adequate drug exposure against susceptible isolates with this dosing regimen."( Pharmacodynamic profiling of continuously infused piperacillin/tazobactam against Pseudomonas aeruginosa using Monte Carlo analysis.
Kuti, JL; Nicolau, D; Nightingale, CH; Quintiliani, R, 2002
)
0.55
" None of the patients dosed with piperacillin/tazobactam was adequately protected for the duration of their surgery and adequate prophylaxis was only evident in four of the nine patients administered cefalotin."( Inadequate antimicrobial prophylaxis during surgery: a study of beta-lactam levels during burn debridement.
Cross, SE; Dalley, AJ; Lipman, J; Roberts, MS; Rudd, M; Venkatesh, B, 2007
)
0.6
"These results suggest a need to review antibiotic prophylaxis dosage regimens for burns surgery and the adoption of regimens that will minimize the risk of infection in this high-risk patient group."( Inadequate antimicrobial prophylaxis during surgery: a study of beta-lactam levels during burn debridement.
Cross, SE; Dalley, AJ; Lipman, J; Roberts, MS; Rudd, M; Venkatesh, B, 2007
)
0.34
"To report pharmacokinetic alterations and optimal dosing of piperacillin/tazobactam in an obese patient."( Serum piperacillin/tazobactam pharmacokinetics in a morbidly obese individual.
Adeyemi, OA; Montevecchi, M; Newman, D; Nicolau, DP; Noskin, GA; Postelnick, MJ; Scheetz, MH, 2007
)
0.9
"Pathogens with elevated MICs may require altered dosing schemes with piperacillin/tazobactam."( Serum piperacillin/tazobactam pharmacokinetics in a morbidly obese individual.
Adeyemi, OA; Montevecchi, M; Newman, D; Nicolau, DP; Noskin, GA; Postelnick, MJ; Scheetz, MH, 2007
)
0.89
"With increasing antibiotic resistance in gram-negative pathogens, dosing strategies that optimize pharmacodynamic parameters of currently available antibiotics play an important role in treatment."( Comparative pharmacodynamics of intermittent and prolonged infusions of piperacillin/tazobactam using Monte Carlo simulation and steady-state pharmacokinetic data from hospitalized patients.
Rotschafer, JC; Ullman, M, 2009
)
0.58
"To compare the pharmacodynamics of several dosing regimens of piperacillin/tazobactam administered by intermittent and prolonged infusion using pharmacokinetic data from hospitalized patients."( Comparative pharmacodynamics of intermittent and prolonged infusions of piperacillin/tazobactam using Monte Carlo simulations and steady-state pharmacokinetic data from hospitalized patients.
Cheatham, SC; Kays, MB; Shea, KM; Smith, DW; Sowinski, KM; Wack, MF, 2009
)
0.81
"This study examined the effect of various levels of renal impairment on the probability of achieving free drug concentrations that exceed the MIC for 50% of the dosing interval (50% fT > MIC) for traditional and extended-infusion piperacillin-tazobactam (TZP) dosing strategies."( Identification of optimal renal dosage adjustments for traditional and extended-infusion piperacillin-tazobactam dosing regimens in hospitalized patients.
Drusano, GL; Lodise, TP; Patel, N; Scheetz, MH, 2010
)
0.76
" With both longer PLIE and PASME, longer dosing interval should be recommended."( [Post antibiotic, post beta-lactamase inhibitor and post antibiotic sub-MIC effect of ceftriaxone/tazobactam on beta-lactamase-producing Escherichia coli in vitro].
Chen, SW; Liu, XK; Wu, HY; Zhang, LL; Zhang, SC, 2009
)
0.57
" The dosage was adjusted when the serum piperacillin concentration either fell below 4x the drug's minimum inhibitory concentration (MIC) for the causative agent or exceeded the toxic threshold of 150 mg/L."( Daily serum piperacillin monitoring is advisable in critically ill patients.
Blondiaux, N; Courcol, RJ; Durocher, A; Favory, R; Nseir, S; Onimus, T; Roussel-Delvallez, M; Wallet, F, 2010
)
0.36
" Serum concentrations remained above 4 times the minimal inhibitory concentration (T > 4 × MIC), corresponding to the clinical breakpoint for Pseudomonas aeruginosa defined by the European Committee on Antimicrobial Susceptibility Testing (EUCAST), for 57% of the dosage interval for meropenem (target MIC = 8 μg/mL), 45% for ceftazidime (MIC = 32 μg/mL), 34% for cefepime (MIC = 32 μg/mL), and 33% for piperacillin-tazobactam (MIC = 64 μg/mL)."( Insufficient β-lactam concentrations in the early phase of severe sepsis and septic shock.
De Backer, D; Delattre, I; Dugernier, T; Jacobs, F; Laterre, PF; Layeux, B; Spapen, H; Taccone, FS; Vincent, JL; Wallemacq, P; Wittebole, X, 2010
)
0.53
" Standard dosage regimens for piperacillin-tazobactam, ceftazidime and cefepime may, therefore, be insufficient to empirically cover less susceptible pathogens in the early phase of severe sepsis and septic shock."( Insufficient β-lactam concentrations in the early phase of severe sepsis and septic shock.
De Backer, D; Delattre, I; Dugernier, T; Jacobs, F; Laterre, PF; Layeux, B; Spapen, H; Taccone, FS; Vincent, JL; Wallemacq, P; Wittebole, X, 2010
)
0.62
" Dialysis equipment and prescriptions have gradually changed over time, raising concern that current drug dosing recommendations in the literature may result in underdosing of antibiotics."( Therapeutic drug monitoring of piperacillin-tazobactam using spent dialysate effluent in patients receiving continuous venovenous hemodialysis.
Bauer, SR; Butler, R; Connor, MJ; Fissell, WH; Groszek, J; Hofmann, CL; Rehm, SJ; Salem, C, 2011
)
0.63
" The pharmacokinetics of the dosing regimens evaluated were dose proportional and linear."( Pharmacokinetics and safety of intravenous ceftolozane-tazobactam in healthy adult subjects following single and multiple ascending doses.
Benziger, D; Friedland, I; Hershberger, E; Miller, B; Trinh, M, 2012
)
0.63
"We obtained data from 40 dosing intervals and observed wide variability in trough concentrations (6."( Variability of antibiotic concentrations in critically ill patients receiving continuous renal replacement therapy: a multicentre pharmacokinetic study.
Bellomo, R; Cole, L; Lipman, J; Liu, X; Nair, P; Roberts, DM; Roberts, JA; Roberts, MS, 2012
)
0.38
" Here, empirical dosing of antibiotics failed to achieve the target trough antibiotic concentration during 25% of the dosing intervals."( Variability of antibiotic concentrations in critically ill patients receiving continuous renal replacement therapy: a multicentre pharmacokinetic study.
Bellomo, R; Cole, L; Lipman, J; Liu, X; Nair, P; Roberts, DM; Roberts, JA; Roberts, MS, 2012
)
0.38
" Mean maximum concentration and AUC from time 0 to the end of the dosing interval (AUC(0-τ)) for ceftolozane in ELF were 21."( Intrapulmonary penetration of ceftolozane/tazobactam and piperacillin/tazobactam in healthy adult subjects.
Chandorkar, G; Gotfried, MH; Huntington, JA; Rodvold, KA; Umeh, O, 2012
)
0.64
" Therefore, the saturable elimination and its impact on the choice of optimal dosage regimens were quantified."( Population pharmacokinetics of piperacillin at two dose levels: influence of nonlinear pharmacokinetics on the pharmacodynamic profile.
Bulitta, JB; Drusano, GL; Holzgrabe, U; Kinzig, M; Kirkpatrick, CM; Landersdorfer, CB; Sörgel, F; Stephan, U, 2012
)
0.38
" Formalized pharmacokinetic studies of piperacillin/tazobactam removal in patients on MARS therapy are necessary to make clear dosing recommendations."( Molecular Adsorbent Recirculating System (MARS(®)) removal of piperacillin/tazobactam in a patient with acetaminophen-induced acute liver failure.
Argento, AC; Heavner, MS; Ruggero, MA; Topal, JE, 2013
)
0.87
" In these studies, the experimental duration (10 days), ceftolozane-tazobactam dose ratio (2:1), and dosing interval (every 8 h) were selected to approximate those expected to be used clinically."( Relationship between ceftolozane-tazobactam exposure and drug resistance amplification in a hollow-fiber infection model.
Ambrose, PG; Bhavnani, SM; Castanheira, M; Forrest, A; Friedrich, LV; Jones, RN; McCauley, J; Mendes, RE; Okusanya, OO; Steenbergen, J; Vanscoy, B, 2013
)
0.91
" The percentage of the dosing interval that tazobactam concentrations remained above a threshold (%Time>threshold) was identified as the PK-PD exposure measure that was most closely associated with efficacy."( Pharmacological basis of β-lactamase inhibitor therapeutics: tazobactam in combination with Ceftolozane.
Ambrose, PG; Bhavnani, SM; Bulik, CC; Forrest, A; Friedrich, LV; Jones, RN; McCauley, J; Mendes, RE; Okusanya, OO; Steenbergen, JN; Vanscoy, B, 2013
)
0.89
"5g piperacillin/tazobactam administered evry 8h resulted in piperacillin concentrations in plasma and ISF >32mg/L throughout most of the dosing interval."( Pharmacokinetics of piperacillin and tazobactam in plasma and subcutaneous interstitial fluid in critically ill patients receiving continuous venovenous haemodiafiltration.
Boots, RJ; Jarrett, P; Kirkpatrick, CM; Lipman, J; Roberts, JA; Varghese, JM, 2014
)
1.02
"Recent evidence suggests that current antimicrobial dosing may be inadequate for some critically ill patients."( Modified Augmented Renal Clearance score predicts rapid piperacillin and tazobactam clearance in critically ill surgery and trauma patients.
Akers, KS; Cannon, JW; Chung, KK; Cota, JM; Murray, CK; Niece, KL, 2014
)
0.63
" Alternative dosing strategies were explored in silico."( Modified Augmented Renal Clearance score predicts rapid piperacillin and tazobactam clearance in critically ill surgery and trauma patients.
Akers, KS; Cannon, JW; Chung, KK; Cota, JM; Murray, CK; Niece, KL, 2014
)
0.63
" Monte Carlo pharmacokinetic simulations demonstrated increased time at therapeutic drug levels with extended infusion dosing at a drug cost savings of up to 66."( Modified Augmented Renal Clearance score predicts rapid piperacillin and tazobactam clearance in critically ill surgery and trauma patients.
Akers, KS; Cannon, JW; Chung, KK; Cota, JM; Murray, CK; Niece, KL, 2014
)
0.63
" The experiment duration was 10 days, and the ceftolozane-tazobactam dose ratio (2:1) and dosing interval (every 8 h) were selected to approximate those expected to be used clinically."( Relationship between ceftolozane-tazobactam exposure and selection for Pseudomonas aeruginosa resistance in a hollow-fiber infection model.
Ambrose, PG; Bhavnani, SM; Castanheira, M; Friedrich, LV; Jones, RN; McCauley, J; Mendes, RE; Steenbergen, JN; VanScoy, BD, 2014
)
0.93
"A better dosing strategy can improve clinical outcomes for patients."( Clinical outcomes with alternative dosing strategies for piperacillin/tazobactam: a systematic review and meta-analysis.
Chen, L; Wang, Y; Yang, H; Zhang, C; Zhou, Q, 2015
)
0.65
"22) between the two dosing regimens."( Clinical outcomes with alternative dosing strategies for piperacillin/tazobactam: a systematic review and meta-analysis.
Chen, L; Wang, Y; Yang, H; Zhang, C; Zhou, Q, 2015
)
0.65
" Therefore, this dosing strategy could be considered in clinical practice."( Clinical outcomes with alternative dosing strategies for piperacillin/tazobactam: a systematic review and meta-analysis.
Chen, L; Wang, Y; Yang, H; Zhang, C; Zhou, Q, 2015
)
0.65
" Population pharmacokinetic parameters were estimated using NONMEM, and Monte Carlo simulations were performed for three 4-hour dosing regimens to calculate probability of target attainment (PTA) at ≥50% fT>MIC."( Population pharmacokinetics and pharmacodynamics of piperacillin and tazobactam administered by prolonged infusion in obese and nonobese patients.
Cheatham, SC; Chung, EK; Fleming, MR; Healy, DP; Kays, MB; Shea, KM, 2015
)
0.65
"The study was to establish a population pharmacokinetic (PPK) model of piperacillin (PIP) and tazobactam (TAZ) that explain pharmacokinetic variability and to propose optimized dosage regimens in patients with nosocomial infections."( Population Pharmacokinetics and Pharmacodynamics of Piperacillin/Tazobactam in Patients with Nosocomial Infections.
Chen, R; Qian, CY; Qian, Q; Sun, MR; Wang, LY; Wang, ML; Zou, SL, 2016
)
0.89
"In total, 310 PIP and 280 TAZ concentration-time points were collected at steady state over multiple dosing intervals from 50 patients who received PIP/TAZ infused within 30 min or over 3 h."( Population Pharmacokinetics and Pharmacodynamics of Piperacillin/Tazobactam in Patients with Nosocomial Infections.
Chen, R; Qian, CY; Qian, Q; Sun, MR; Wang, LY; Wang, ML; Zou, SL, 2016
)
0.67
" A population pharmacokinetic (PK) model with the plasma-to-epithelial lining fluid (ELF) kinetics of ceftolozane/tazobactam was used to justify dosing regimens for patients with nosocomial pneumonia in phase 3 studies."( Ceftolozane/tazobactam pharmacokinetic/pharmacodynamic-derived dose justification for phase 3 studies in patients with nosocomial pneumonia.
Huntington, JA; Miller, BW; Nicolau, DP; Xiao, AJ, 2016
)
1.02
" Similar to other cephalosporins, the best pharmacodynamic property to predict efficacy for ceftolozane/tazobactam is a concentration that remains above the minimum inhibitory concentration (MIC) for 40-50% of the dosing interval."( Ceftolozane/Tazobactam: A Novel Cephalosporin/β-Lactamase Inhibitor Combination.
Cho, JC; Estrada, SJ; Fiorenza, MA, 2015
)
1.01
"Antibiotic dosing in septic shock patients poses a challenge for clinicians due to the pharmacokinetic (PK) variability seen in this patient population."( Population pharmacokinetics of piperacillin in the early phase of septic shock: does standard dosing result in therapeutic plasma concentrations?
Brock, B; Gjedsted, J; Hardlei, TF; Juul, RV; Kreilgaard, M; Öbrink-Hansen, K; Storgaard, M; Thomsen, MK, 2015
)
0.42
" Its dosing and chemistry provide expansive antimicrobial coverage of gram-negative organisms, including Pseudomonas aeruginosa, and stable activity against many β-lactamases, as well as coverage of most extended-spectrum β-lactamase-producing organisms and some anaerobes."( Ceftolozane-tazobactam: A new-generation cephalosporin.
Cluck, D; Lewis, P; Moorman, J; Spivey, J; Stayer, B, 2015
)
0.8
"57 μg/ml, concentration at the end of the dosing interval (Cmin) of 31."( Ceftolozane-Tazobactam Pharmacokinetics in a Critically Ill Patient on Continuous Venovenous Hemofiltration.
Gonzales, JP; Heil, EL; Mehrotra, S; Nicolau, DP; Oliver, WD; Robinett, K; Saleeb, P, 2015
)
0.8
"We have previously demonstrated the pharmacokinetic-pharmacodynamic (PK-PD) index best associated with the efficacy of tazobactam when used in combination with ceftolozane to be the percentage of the dosing interval during which tazobactam concentrations remained above a threshold value (%time>threshold)."( Pharmacokinetics-Pharmacodynamics of Tazobactam in Combination with Piperacillin in an In Vitro Infection Model.
Ambrose, PG; Bhavnani, SM; Bulik, CC; Castanheira, M; Forrest, A; Friedrich, LV; Jones, RN; Mendes, RE; Nicasio, AM; Okusanya, OO; Steenbergen, JN; VanScoy, BD, 2016
)
0.92
" After only 24 hours of treatment in the neutropenic murine thigh infection model, the generic amplified the resistant subpopulation up to 20-times compared with the innovator, following an inverted-U dose-response relationship."( Impact on Bacterial Resistance of Therapeutically Nonequivalent Generics: The Case of Piperacillin-Tazobactam.
Agudelo, M; Aguilar, YA; Rodriguez, CA; Vesga, O; Zuluaga, AF, 2016
)
0.65
"A better dosing strategy can improve clinical outcomes for patients."( Evaluation Outcomes Associated with Alternative Dosing Strategies for Piperacillin/Tazobactam: A Systematic Review and Meta-Analysis.
Cui, X; Liu, L; Ma, Z; Yang, H,
)
0.36
"To determine ceftolozane/tazobactam transmembrane clearances (CLTM) in continuous hemofiltration (CHF) and continuous hemodialysis (CHD) and to determine optimal ceftolozane/tazobactam dosing regimens for patients receiving continuous renal replacement therapy (CRRT)."( Ex vivo Ceftolozane/Tazobactam Clearance during Continuous Renal Replacement Therapy.
Chaijamorn, W; Lewis, SJ; Mueller, BA; Shaw, AR, 2017
)
1.08
" Monte Carlo simulations (MCS) using pharmacokinetic parameters from published studies and CLTM from this study were used to generate ceftolozane/tazobactam dosing for patients receiving CRRT."( Ex vivo Ceftolozane/Tazobactam Clearance during Continuous Renal Replacement Therapy.
Chaijamorn, W; Lewis, SJ; Mueller, BA; Shaw, AR, 2017
)
0.98
"To characterize the population pharmacokinetics of piperacillin and tazobactam in critically ill infants and children, in order to develop an evidence-based dosing regimen."( Dose optimization of piperacillin/tazobactam in critically ill children.
Carlier, M; De Cock, PAJG; de Jaeger, A; De Paepe, P; Delanghe, JR; Della Pasqua, OE; Robays, H; van Dijkman, SC; Vande Walle, J; Verstraete, AG; Willems, J, 2017
)
0.97
"Standard intermittent dosing regimens do not ensure optimal piperacillin/tazobactam exposure in critically ill patients, thereby risking treatment failure."( Dose optimization of piperacillin/tazobactam in critically ill children.
Carlier, M; De Cock, PAJG; de Jaeger, A; De Paepe, P; Delanghe, JR; Della Pasqua, OE; Robays, H; van Dijkman, SC; Vande Walle, J; Verstraete, AG; Willems, J, 2017
)
0.97
"Appropriate antibiotic dosing is critical to improve outcomes in critically ill patients with sepsis."( Antibiotic Dosing in Continuous Renal Replacement Therapy.
Mueller, BA; Shaw, AR, 2017
)
0.46
" Dosing of piperacillin-tazobactam requires an understanding of this patient group to maximise the effectiveness of this antibiotic and limit a further emergence of resistant pathogens."( A UHPLC-MS/MS method for the simultaneous determination of piperacillin and tazobactam in plasma (total and unbound), urine and renal replacement therapy effluent.
Guerra Valero, YC; Lipman, J; Naicker, S; Ordenez Meija, JL; Parker, SL; Roberts, JA; Wallis, SC, 2018
)
1.02
"We sought to identify ceftolozane/tazobactam dosing schemes that optimized the probability of target attainment (PTA) against infections due to MDR-PA with ceftolozane/tazobactam MICs between 4 and 32 mg/L across different categories of renal function."( Determination of alternative ceftolozane/tazobactam dosing regimens for patients with infections due to Pseudomonas aeruginosa with MIC values between 4 and 32 mg/L.
Lodise, TP; Natesan, S; Pai, MP, 2017
)
1
"Extended infusion ceftolozane/tazobactam regimens should be investigated as a potential dosing solution to improve the PTA against infections due to MDR-PA with higher ceftolozane/tazobactam MICs."( Determination of alternative ceftolozane/tazobactam dosing regimens for patients with infections due to Pseudomonas aeruginosa with MIC values between 4 and 32 mg/L.
Lodise, TP; Natesan, S; Pai, MP, 2017
)
1.01
" However, knowledge regarding the effect of sustained low-efficiency diafiltration (SLED-f), a technique increasingly being used in ICUs, on piperacillin pharmacokinetics (PK) and dosing in critically ill patients is lacking."( Pharmacokinetics of piperacillin in critically ill patients with acute kidney injury receiving sustained low-efficiency diafiltration.
Lipman, J; Peake, SL; Roberts, JA; Roberts, MS; Sinnollareddy, MG, 2018
)
0.48
"As it can be challenging to accurately predict when SLED-f will be initiated in the critically ill, a maintenance dose of at least 4 g every 12 h with at least a 2 g replacement dose post-SLED-f would be a practical approach to piperacillin dosing in ICU patients with anuria receiving SLED-f with a duration similar to the current study."( Pharmacokinetics of piperacillin in critically ill patients with acute kidney injury receiving sustained low-efficiency diafiltration.
Lipman, J; Peake, SL; Roberts, JA; Roberts, MS; Sinnollareddy, MG, 2018
)
0.48
"The aim of this study was to evaluate the effectiveness of ceftolozane/tazobactam (C/T) for treating extensively drug-resistant Pseudomonas aeruginosa (XDR-PA) infections, and to analyze whether high C/T dosing (2 g ceftolozane and 1 g tazobactam every 8 h) and infection source control have an impact on outcome."( Ceftolozane/tazobactam for the treatment of XDR Pseudomonas aeruginosa infections.
Almirante, B; Arévalo, Á; Campany, D; Escolà-Vergé, L; Ferrer, R; Larrosa, N; Len, O; Los-Arcos, I; Nuvials, X; Pigrau, C; Viñado, B, 2018
)
1.09
"Sustained low-efficiency dialysis (SLED), is increasingly being used in intensive care units (ICUs) but studies informing drug dosing for such patients is lacking."( Piperacillin Population Pharmacokinetics in Critically Ill Adults During Sustained Low-Efficiency Dialysis.
Alobaid, A; Hiremath, S; Kanji, S; Patel, R; Porteous, R; Roberts, JA; Watpool, I; Xie, J; Zelenitsky, S; Zhang, G, 2018
)
0.48
"To describe the population pharmacokinetics (PKs) of piperacillin/tazobactam in critically ill adults receiving SLED and to provide dosing recommendations."( Piperacillin Population Pharmacokinetics in Critically Ill Adults During Sustained Low-Efficiency Dialysis.
Alobaid, A; Hiremath, S; Kanji, S; Patel, R; Porteous, R; Roberts, JA; Watpool, I; Xie, J; Zelenitsky, S; Zhang, G, 2018
)
0.72
" This study aimed to develop a PK population model for piperacillin in order to optimize individual dosing regimens."( Piperacillin Population Pharmacokinetics and Dosing Regimen Optimization in Critically Ill Children with Normal and Augmented Renal Clearance.
Benaboud, S; Béranger, A; Bille, E; Gana, I; Genuini, M; Hirt, D; Lesage, F; Moulin, F; Oualha, M; Renolleau, S; Tréluyer, JM; Urien, S; Zheng, Y, 2019
)
0.51
"Unlike standard intermittent piperacillin dosing regimens, extended and continuous infusion allows the PK targets to be reached, for children with normal or augmented renal clearance."( Piperacillin Population Pharmacokinetics and Dosing Regimen Optimization in Critically Ill Children with Normal and Augmented Renal Clearance.
Benaboud, S; Béranger, A; Bille, E; Gana, I; Genuini, M; Hirt, D; Lesage, F; Moulin, F; Oualha, M; Renolleau, S; Tréluyer, JM; Urien, S; Zheng, Y, 2019
)
0.51
"To use a pre-clinical infection model to assess the antibacterial effect of human simulations of dosing with ceftolozane/tazobactam (with or without amikacin) or meropenem against Enterobacteriaceae and Pseudomonas aeruginosa."( Antibacterial effect of ceftolozane/tazobactam in combination with amikacin against aerobic Gram-negative bacilli studied in an in vitro pharmacokinetic model of infection.
Attwood, M; Bowker, KE; MacGowan, AP; Noel, AR, 2018
)
0.96
" In this review, we summarize the phase III studies that observed lower response rates with ceftazidime-avibactam, ceftolozane-tazobactam, daptomycin, and telavancin relative to their comparators among patients with moderate renal impairment, discuss potential explanations for the observed findings, provide considerations for future antibiotic development, and offer strategies for optimizing antibiotic dosage selection among patients with moderate renal impairment in clinical settings."( Suboptimal Clinical Response Rates with Newer Antibiotics Among Patients with Moderate Renal Impairment: Review of the Literature and Potential Pharmacokinetic and Pharmacodynamic Considerations for Observed Findings.
Bidell, MR; Lodise, TP, 2018
)
0.69
"Prolonged intermittent renal replacement therapy (PIRRT) eliminates many drugs, and without dosing data, for new antibiotics like ceftolozane/tazobactam, suboptimal concentrations and treatment failure are likely."( Pharmacokinetics of Ceftolozane-Tazobactam during Prolonged Intermittent Renal Replacement Therapy.
Cheng, V; Dyer, J; Ingram, P; McWhinney, BC; Raby, E; Rawlins, M; Regli, A; Roberts, JA; Ungerer, JPJ, 2018
)
0.97
"A ceftolozane/tazobactam dose of 500 mg/250 mg appears to be sufficient to attain pharmacokinetic/pharmacodynamic targets during PIRRT while the manufacturer's recommended dosing of 100 mg/50 mg every 8 h was sufficient during non-PIRRT periods."( Pharmacokinetics of Ceftolozane-Tazobactam during Prolonged Intermittent Renal Replacement Therapy.
Cheng, V; Dyer, J; Ingram, P; McWhinney, BC; Raby, E; Rawlins, M; Regli, A; Roberts, JA; Ungerer, JPJ, 2018
)
1.13
" However, pharmacokinetic variability among patient populations and across ages leads to uncertainty when selecting a dosing regimen to achieve an appropriate pharmacodynamic target."( Population pharmacokinetics of piperacillin in febrile children receiving cancer chemotherapy: the impact of body weight and target on an optimal dosing regimen.
Brock, B; Friberg, LE; Kristoffersson, AN; Maarbjerg, SF; Nielsen, EI; Schrøder, H; Thorsted, A; Wang, M, 2019
)
0.51
"To guide dosing by establishing a population pharmacokinetic model for unbound piperacillin in febrile children receiving cancer chemotherapy, and to assess pharmacokinetic/pharmacodynamic target attainment (100% fT > 1×MIC and 50% fT > 4×MIC) and resultant exposure, across body weights."( Population pharmacokinetics of piperacillin in febrile children receiving cancer chemotherapy: the impact of body weight and target on an optimal dosing regimen.
Brock, B; Friberg, LE; Kristoffersson, AN; Maarbjerg, SF; Nielsen, EI; Schrøder, H; Thorsted, A; Wang, M, 2019
)
0.51
" The typical doses required for target attainment were compared for various dosing regimens, in particular prolonged infusions, across MICs and body weights."( Population pharmacokinetics of piperacillin in febrile children receiving cancer chemotherapy: the impact of body weight and target on an optimal dosing regimen.
Brock, B; Friberg, LE; Kristoffersson, AN; Maarbjerg, SF; Nielsen, EI; Schrøder, H; Thorsted, A; Wang, M, 2019
)
0.51
" Given the population pharmacokinetic profile, feasible dosing regimens with reasonable exposure are continuous infusion (100% fT > 1×MIC) or prolonged infusions (50% fT > 4×MIC)."( Population pharmacokinetics of piperacillin in febrile children receiving cancer chemotherapy: the impact of body weight and target on an optimal dosing regimen.
Brock, B; Friberg, LE; Kristoffersson, AN; Maarbjerg, SF; Nielsen, EI; Schrøder, H; Thorsted, A; Wang, M, 2019
)
0.51
"Therapeutic drug monitoring (TDM) is increasingly used to optimize the dosing of beta-lactam antibiotics in critically ill patients."( Preanalytical Stability of Piperacillin, Tazobactam, Meropenem, and Ceftazidime in Plasma and Whole Blood Using Liquid Chromatography-Tandem Mass Spectrometry.
Doogue, M; Jensen, BP; Mortensen, JS; Zhang, M, 2019
)
0.78
" Further evaluations with multiple dose in vitro and in vivo investigations are needed before specific drug dosing recommendations can be made for clinical application with extracorporeal membrane oxygenation."( Oxygenator Impact on Ceftolozane and Tazobactam in Extracorporeal Membrane Oxygenation Circuits.
Chopra, A; Cies, JJ; Enache, A; Giliam, N; Low, T; Moore, WS, 2020
)
0.83
" High-dose vitamin C was defined as a dosage in excess of 10 g or 24 g within 2 days of admission."( Effect of high-dose vitamin C therapy on severe burn patients: a nationwide cohort study.
Aso, S; Fushimi, K; Goto, H; Kaita, Y; Kojiro, M; Matsui, H; Nakajima, M; Yamaguchi, Y; Yasunaga, H, 2019
)
0.51
" In a second stage, a pilot experimental study was performed with the random comparison of patients for evaluation and adaptation of the software in the real environment of an intensive care unit, where it was compared between patients who used the standardized dose of piperacillin/tazobactam, and those who used an individualized dose adjusted through the software Individually Designed and Optimized Dosing Strategies."( Linguistic and cultural adaptation to the Portuguese language of antimicrobial dose adjustment software.
Alves, GCDS; Chequer, FMD; Daróczi, G; Farkas, A; Roberts, JA; Sanches, C; Silva, SDD, 2020
)
0.74
" Pharmacokinetic parameters were estimated by non-compartmental analysis and pharmacodynamic analyses were conducted to graphically evaluate achievement of target exposures (plasma and ELF ceftolozane concentrations >4 mg/L and tazobactam concentrations >1 mg/L; target in plasma: ≥30% and ≥20% of the dosing interval, respectively)."( Lung penetration, bronchopulmonary pharmacokinetic/pharmacodynamic profile and safety of 3 g of ceftolozane/tazobactam administered to ventilated, critically ill patients with pneumonia.
Adedoyin, A; Caro, L; De Waele, JJ; Gadzicki, E; Kuti, JL; Larson, KB; Nicolau, DP; Rhee, EG; Yu, B; Zeng, Z, 2020
)
0.95
" Mean ceftolozane and tazobactam ELF concentrations remained >4 mg/L and >1 mg/L, respectively, for 100% of the dosing interval."( Lung penetration, bronchopulmonary pharmacokinetic/pharmacodynamic profile and safety of 3 g of ceftolozane/tazobactam administered to ventilated, critically ill patients with pneumonia.
Adedoyin, A; Caro, L; De Waele, JJ; Gadzicki, E; Kuti, JL; Larson, KB; Nicolau, DP; Rhee, EG; Yu, B; Zeng, Z, 2020
)
1.09
" Individual attainment of PK/pharmacodynamic (PD) targets of ceftolozane and tazobactam (free ceftolozane concentration >4 µg/mL for >30% and free tazobactam concentration >1 µg/mL for 20% of the dosing interval) in patients with and without CF were evaluated."( Plasma pharmacokinetics of ceftolozane/tazobactam in pediatric patients with cystic fibrosis.
Ang, JY; Arrieta, AC; Feng, EH; Johnson, MG; Larson, KB; Rhee, EG; Rizk, ML; Yu, B; Zhang, Z, 2020
)
1.06
"Considering that the influence of ECMO on the pharmacokinetics of ceftolozane/tazobactam is not clinically significant, normal ceftolozane and tazobactam dosing in critically ill patients should be effective for patients undergoing ECMO."( Influence of extracorporeal membrane oxygenation on the pharmacokinetics of ceftolozane/tazobactam: an ex vivo and in vivo study.
Concordet, D; Delmas, C; Gandia, P; Georges, B; Jourdan, G; Mané, C; Marcheix, B; Porterie, J; Ruiz, S; Verwaerde, P, 2020
)
1.01
" Higher dosing regimens coupled with continuous/extended infusion may be required in the case of higher CRRT intensity, deep-seated infections or poorly susceptible isolates."( Ceftolozane/tazobactam exposure in critically ill patients undergoing continuous renal replacement therapy: a PK/PD approach to tailor dosing.
De Ponti, F; Gatti, M; Giannella, M; Raschi, E; Viale, P, 2021
)
1
" Forty-six episodes were treated with high-dose C/T (3 g every 8 hours) and 38 episodes were treated with standard dosage (1."( Multicenter study of ceftolozane/tazobactam for treatment of Pseudomonas aeruginosa infections in critically ill patients.
Asensio-Martín, MJ; Balandin, B; Ballesteros, D; Chicot, M; Fernández-Simón, I; Iranzo, R; López-Vergara, L; Martínez-Sagasti, F; Pérez-Pedrero, MJ; Pintado, V; Rodríguez-Serrano, D; Royuela, A; Ruiz de Luna, R; Sancho-González, M; Silva, A; Soriano-Cuesta, C, 2021
)
0.9
" Cefepime and tazobactam dosing regimens produced plasma profiles of fAUC, fT>MIC and fCmax similar to human exposure after WCK 4282 2/2 g every 8 h (1."( In vivo activity of WCK 4282 (high-dose cefepime/tazobactam) against serine β-lactamase-producing Enterobacterales and Pseudomonas aeruginosa in the neutropenic murine thigh infection model.
Abdelraouf, K; Gill, CM; Nicolau, DP, 2021
)
1.24
" The median dosage of TA and VAN were 10."( Comparison of risk of acute kidney injury between patients receiving the combination of teicoplanin and piperacillin/tazobactam versus vancomycin and piperacillin/tazobactam.
Lin, FJ; Shao, CH; Tai, CH; Wang, CC; Wang, JT; Wu, CC, 2022
)
0.93
"The studies identified in this review demonstrate that C/T is effective in clinical practice, despite the diverse group of seriously ill patients, different levels of resistance of the pathogens treated, and varying dosing regimens used."( Real-world use of ceftolozane/tazobactam: a systematic literature review.
Collings, H; Dillon, R; Enstone, A; Palmer, T; Puzniak, L, 2021
)
0.91
" This review summarizes the population pharmacokinetic models developed for piperacillin-tazobactam and provides comprehensive data on current dosing strategies while identifying significant covariates in critically ill patients."( Piperacillin-Tazobactam in Intensive Care Units: A Review of Population Pharmacokinetic Analyses.
Caissy, JA; El-Haffaf, I; Marsot, A, 2021
)
1.21
" The dosage regimen was customised in all patients based on creatinine clearance."( Real-life experience with ceftolozane/tazobactam in Canada: results from the CLEAR (Canadian LEadership on Antimicrobial Real-life usage) registry.
Ariano, R; Bassetti, M; Baxter, M; Borgia, S; Cervera, C; Dhami, R; Dow, G; Dube, M; Irfan, N; Karlowsky, JA; Kosar, J; Savoie, M; Tessier, JF; Walkty, A; Zhanel, GG; Zvonar, R, 2021
)
0.89
" With well-characterized stability, this assay can be used with residual specimens for pharmacokinetic modeling, which may lead to individualized dosing and improved patient care."( Stability and Validation of a High-Throughput LC-MS/MS Method for the Quantification of Cefepime, Meropenem, and Piperacillin and Tazobactam in Serum.
Barreto, EF; Bjergum, MW; Jannetto, PJ; Rule, AD; Scheetz, MH, 2021
)
0.83
" As critically ill patients often experience pharmacokinetic aberrations, and rates of antimicrobial resistance vary between hospital settings, reliance on tertiary sources or package labeling to guide empiric dosing often results in suboptimal β-lactam exposure."( Time Above All Else: Pharmacodynamic Analysis of β-Lactams in Critically Ill Patients.
Burgess, DS; Clark, JA; Landmesser, KB, 2022
)
0.72
" The higher dosing regimen (80 mg/L) showed a slight advantage in effectiveness."( Impact of ceftolozane/tazobactam concentrations in continuous infusion against extensively drug-resistant Pseudomonas aeruginosa isolates in a hollow-fiber infection model.
Angulo-Brunet, A; Campillo, N; Domene-Ochoa, S; Ferrer-Alapont, L; Grau, S; Horcajada, JP; López-Causapé, C; Luque, S; Montero, MM; Oliver, A; Padilla, E; Prim, N; Sorlí, L, 2021
)
0.94
" The increased use of RDD and the lack of standardization among available protocols in terms of formulation, starting dose, number of steps and dosing frequency make it essential to determine the safety and appropriate management of these protocols, especially regarding reconstitution, diluents, stability and drug administration in order to guarantee reproducibility."( Evaluation of desensitization protocols to betalactam antibiotics.
Albanell-Fernández, M; Aranda, L; Bartra, J; Gelis, S; González-García, R; López-Cabezas, C; Soy Muner, D, 2022
)
0.72
" Application of recommended dosages in patients with renal impairment requires the use of fractions of the full dose, as only one dosage is available for both antibiotics."( Pharmacokinetic/Pharmacodynamic Simulations of Cost-Effective Dosage Regimens of Ceftolozane-Tazobactam and Ceftazidime-Avibactam in Patients with Renal Impairment.
Bourguignon, L; Dheyriat, L; Ferry, T; Goutelle, S; Perpoint, T, 2022
)
0.94
"High-dose cefepime-tazobactam (WCK 4282) is currently under clinical development at a dosage of 2 grams/2 grams every 8 hours with prolonged infusion (90 minutes)."( Antimicrobial activity of high-dose cefepime-tazobactam (WCK 4282) against a large collection of gram-negative organisms collected worldwide in 2018 and 2019.
Carvalhaes, CG; Castanheira, M; Mendes, RE; Sader, HS, 2022
)
1.31
"To explore extracorporeal membrane oxygenation (ECMO)-related alterations of the pharmacokinetics (PK) of piperacillin/tazobactam and determine an optimal dosage regimen for critically ill adult patients."( Population pharmacokinetics of piperacillin/tazobactam in critically ill Korean patients and the effects of extracorporeal membrane oxygenation.
Kim, HI; Kim, HS; Kim, YK; Lee, DH; Lee, SH; Park, S, 2022
)
1.19
" The percentage of time within 24 h for which the free concentration exceeded the MIC at a steady-state (50%fT>MIC, 100%fT>MIC, and 100%fT>4×MIC) for various combinations of dosage regimens and renal function were explored using Monte-Carlo simulation."( Population pharmacokinetics of piperacillin/tazobactam in critically ill Korean patients and the effects of extracorporeal membrane oxygenation.
Kim, HI; Kim, HS; Kim, YK; Lee, DH; Lee, SH; Park, S, 2022
)
0.98
" Patients with Escherichia coli or Klebsiella pneumoniae infection, but not those with Pseudomonas aeruginosa infection, exhibited a PK/pharmacodynamic target attainment >90% when the target is 50%fT>MIC, as a result of applying the currently recommended dosage regimen."( Population pharmacokinetics of piperacillin/tazobactam in critically ill Korean patients and the effects of extracorporeal membrane oxygenation.
Kim, HI; Kim, HS; Kim, YK; Lee, DH; Lee, SH; Park, S, 2022
)
0.98
"Timely and appropriate dosing of antibiotics is essential for the treatment of bacterial sepsis."( Pharmacokinetics of piperacillin and tazobactam in critically Ill patients treated with continuous kidney replacement therapy: A mini-review and population pharmacokinetic analysis.
Akers, KS; Chung, KK; DeLuca, JP; Livezey, JR; Nadeau, RJ; Por, ED; Pruskowski, KA; Selig, DJ, 2022
)
0.99
" However, some critically ill CKRT populations may need higher or lower doses and dosing strategies should be tailored to individuals based on all available clinical data including the specific critical care setting."( Pharmacokinetics of piperacillin and tazobactam in critically Ill patients treated with continuous kidney replacement therapy: A mini-review and population pharmacokinetic analysis.
Akers, KS; Chung, KK; DeLuca, JP; Livezey, JR; Nadeau, RJ; Por, ED; Pruskowski, KA; Selig, DJ, 2022
)
0.99
" The molecule is time-dependent and stable when reconstituted at room temperature, facilitating safe and effective dosage optimization in frail and critically ill patients."( Ceftolozane-tazobactam in nosocomial pneumonia.
Candel, FJ; González Del Castillo, J; Julián Jiménez, A; Matesanz, M, 2022
)
1.1
" The pharmacokinetic/pharmacodynamic therapeutic target of C/T was defined as 100% of the duration of the dosing interval that free concentrations are above the minimum inhibitory concentration (MIC) (100 %ƒT ≥ MIC) of the causative pathogen."( Therapeutic Drug Monitoring and Prolonged Infusions of Ceftolozane/Tazobactam for MDR/XDR Pseudomonas aeruginosa Infections: An Observational Study.
Benítez-Cano, A; Grau, S; Luque, S; Navarrete-Rouco, ME; Roberts, JA; Sorlí, L, 2022
)
0.96
"The administration of C/T by prolonged infusion with TDM-guided dosing allowed the achievement of a pharmacokinetic/pharmacodynamic target even at lower doses."( Therapeutic Drug Monitoring and Prolonged Infusions of Ceftolozane/Tazobactam for MDR/XDR Pseudomonas aeruginosa Infections: An Observational Study.
Benítez-Cano, A; Grau, S; Luque, S; Navarrete-Rouco, ME; Roberts, JA; Sorlí, L, 2022
)
0.96
" Dosing regimens were independently selected by intensivists."( Clearance of Piperacillin-Tazobactam and Vancomycin During Continuous Renal Replacement With Regional Citrate Anticoagulation.
Ankravs, MJ; Bellomo, R; Deane, AM; Rechnitzer, T; Roberts, JA; Sharrock, L; Wallis, SC, 2023
)
1.21
" A modeling/simulation approach was undertaken to inform optimal dosing in this population, using previously developed ceftolozane and tazobactam population pharmacokinetic models informed by data from 16 clinical studies."( Probability of Target Attainment Analyses to Inform Ceftolozane/Tazobactam Dosing Regimens for Patients With Hospital-Acquired or Ventilator-Associated Bacterial Pneumonia and End-Stage Renal Disease Receiving Intermittent Hemodialysis.
Bruno, CJ; De Anda, C; Feng, HP; Fiedler-Kelly, J; Gao, W; Patel, YT; Rhee, EG; Zhang, Z, 2023
)
1.35
"Probability of target attainment (PTA) analyses were conducted to support the recommended ceftolozane/tazobactam dosing regimens, adjusted for renal function, in patients with hospital-acquired/ventilator-associated bacterial pneumonia (HABP/VABP)."( Ceftolozane/Tazobactam Probability of Target Attainment in Patients With Hospital-Acquired or Ventilator-Associated Bacterial Pneumonia.
Anda, C; Bruno, CJ; Feng, HP; Fiedler-Kelly, J; Gao, W; Johnson, MG; Patel, YT; Rhee, EG; Zhang, Z, 2023
)
1.5
"We employed both a neutropenic murine lung infection model and an in vitro pharmacokinetic model (IVPM) to determine cefepime's pharmacodynamic target [percentage of the dosing interval during which unbound drug concentrations remain higher than the MIC (%fT>MIC)] for bacteriostatic and 1 log10 kill effects."( Cefepime pharmacodynamic targets against Enterobacterales employing neutropenic murine lung infection and in vitro pharmacokinetic models.
Attwood, M; Chavan, R; MacGowan, A; Muller, AE; Noel, A; Periasamy, H; Van den Berg, S, 2022
)
0.72
" Optimization of pharmacokinetic/pharmacodynamic parameters, such as prolonged infusion (for time-dependent antibiotics), increased dosage (for concentration-dependent antibiotics), and therapeutic drug monitoring, also influences the outcome."( How to Manage Pseudomonas aeruginosa Infections.
Guery, B; Jacot, D; Papadimitriou-Olivgeris, M, 2022
)
0.72
" These data could serve as the foundation for implementation of model-informed precision dosing to reduce AKI incidence in patients given piperacillin/tazobactam."( Relationship between piperacillin concentrations, clinical factors and piperacillin/tazobactam-associated acute kidney injury.
Caldwell, JT; Dong, S; Fei, L; Goldstein, SL; Hasson, D; Kaplan, J; Slagle, C; Tang Girdwood, S; Tang, P; Vinks, AA, 2023
)
1.33
" A 5000-patient Monte Carlo simulation was performed using various piperacillin/tazobactam dosing regimens to determine the probability of target attainment (PTA) for 50% free time above the MIC."( Piperacillin/Tazobactam Dose Optimization in the Setting of Piperacillin/Tazobactam-susceptible, Carbapenem-resistant Pseudomonas aeruginosa: Time to Reconsider Susceptible Dose Dependent.
Gill, CM; Nicolau, DP, 2023
)
1.51
" Using an opportunistic study design, we evaluated the pharmacokinetics of piperacillin/tazobactam as a probe drug to evaluate changes in antibacterial drug exposure and dosing requirements, including in older adults."( Population Pharmacokinetics of Piperacillin/Tazobactam Across the Adult Lifespan.
An, G; Balevic, SJ; Chan, AW; Cohen-Wolkowiez, M; Conrad, T; Gu, K; Hemmersbach-Miller, M; Kirkpatrick, CMJ; Landersdorfer, CB; Schmader, KE; Swamy, GK; Walter, EB; Winokur, PL, 2023
)
1.39
" However, for a target of 50% fT + minimum inhibitory concentration, dosing based on renal function is generally preferable to dosing by age, and simulations suggested that patients with creatinine clearance ≥ 120 mL/min may benefit from infusions of 4 g every 8 hours for organisms with higher minimum inhibitory concentrations."( Population Pharmacokinetics of Piperacillin/Tazobactam Across the Adult Lifespan.
An, G; Balevic, SJ; Chan, AW; Cohen-Wolkowiez, M; Conrad, T; Gu, K; Hemmersbach-Miller, M; Kirkpatrick, CMJ; Landersdorfer, CB; Schmader, KE; Swamy, GK; Walter, EB; Winokur, PL, 2023
)
1.17
" The primary outcome was major delay, defined as an administration delay >25% of the recommended dosing interval, which was evaluated with multivariable logistic regression and interrupted time series analysis."( Association between emergency department sepsis order set design and delay to second dose piperacillin-tazobactam administration.
Bauer, SR; Campbell, MJ; Dettmer, MR; Erickson, RM; Fertel, BS; Sacha, GL; Wesolek, JL, 2023
)
1.13
"Ceftolozane-tazobactam (C/T) recommended dosing in patients undergoing renal replacement therapies (RRT) is lacking evidence."( Clinical outcomes of ceftolozane-tazobactam dosing in patients with sepsis undergoing renal replacement therapies.
Abidi, E; Al Ali, M; Attallah, N; El Lababidi, R; El Nekidy, WS; Ghazi, IM; Hijazi, F; Mallat, J, 2023
)
1.57
" Larger outcomes and pharmacokinetics studies are needed to establish effective dosing and therapy duration."( Clinical outcomes of ceftolozane-tazobactam dosing in patients with sepsis undergoing renal replacement therapies.
Abidi, E; Al Ali, M; Attallah, N; El Lababidi, R; El Nekidy, WS; Ghazi, IM; Hijazi, F; Mallat, J, 2023
)
1.19
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Roles (3)

RoleDescription
antimicrobial agentA substance that kills or slows the growth of microorganisms, including bacteria, viruses, fungi and protozoans.
antiinfective agentA substance used in the prophylaxis or therapy of infectious diseases.
EC 3.5.2.6 (beta-lactamase) inhibitorAn EC 3.5.2.* (non-peptide cyclic amide C-N hydrolase) inhibitor that interferes with the action of beta-lactamase (EC 3.5.2.6).
[role information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Drug Classes (2)

ClassDescription
penicillanic acids
triazolesAn azole in which the five-membered heterocyclic aromatic skeleton contains three N atoms and two C atoms.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Protein Targets (38)

Inhibition Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Beta-lactamase Klebsiella pneumoniaeIC50 (µMol)0.08000.08000.90001.7200AID519751
Beta-lactamase Escherichia coliIC50 (µMol)0.01000.01002.09336.2000AID326273
Beta-lactamase Citrobacter freundiiIC50 (µMol)0.09600.09600.09600.0960AID405083
Beta-lactamase Citrobacter gilleniiIC50 (µMol)0.04000.00900.02450.0400AID285444
Beta-lactamase Escherichia coliIC50 (µMol)171.00000.02600.02900.0320AID394491
Beta-lactamase Shouchella clausiiIC50 (µMol)0.00400.00400.05470.0850AID373218
Beta-lactamase Burkholderia cenocepaciaIC50 (µMol)0.50000.50000.50000.5000AID541026
Beta-lactamase Pseudomonas aeruginosaIC50 (µMol)0.06000.06000.17000.3700AID511293
Beta-lactamase Pseudomonas aeruginosaIC50 (µMol)2.00000.10001.70003.0000AID495659
B2 bradykinin receptorCavia porcellus (domestic guinea pig)IC50 (µMol)4.80000.00112.58648.0000AID43112
Beta-lactamaseStaphylococcus aureusIC50 (µMol)0.50000.08001.95096.5000AID43908
Beta-lactamaseBacillus licheniformisIC50 (µMol)0.51000.51000.51000.5100AID43110
Beta-lactamaseEscherichia coli K-12IC50 (µMol)49.65000.01502.46578.0000AID209008; AID38400; AID43114; AID43428; AID44067
Beta-lactamaseCitrobacter freundiiIC50 (µMol)0.93000.93001.81502.7000AID43118
Beta-lactamaseEnterobacter cloacaeIC50 (µMol)20.94360.10001.87457.7000AID266529; AID297200; AID43275; AID43276; AID43281; AID44072; AID44073; AID44074; AID44075; AID44076; AID44077; AID44078; AID44079; AID44080; AID50708; AID584977
Beta-lactamaseEnterobacter cloacaeKi170.00007.30007.50007.7000AID584988
Beta-lactamase SHV-1Escherichia coliIC50 (µMol)0.22200.02800.12500.2220AID297199
Beta-lactamase SHV-1Klebsiella pneumoniaeIC50 (µMol)0.11000.11000.15000.1700AID519750
Beta-lactamase SHV-1Klebsiella pneumoniaeKi0.22000.22001.24002.0000AID1801066
Beta-lactamase OXA-1Escherichia coliIC50 (µMol)4.80003.20004.00004.8000AID43112
5-hydroxytryptamine receptor 1ARattus norvegicus (Norway rat)IC50 (µMol)0.83000.00031.38338.4000AID44078
Cytochrome P450 2B6Homo sapiens (human)IC50 (µMol)0.11000.00113.418610.0000AID519750
Beta-lactamasePseudomonas aeruginosa PAO1IC50 (µMol)10.88250.12801.69164.6000AID43879; AID43880; AID43881; AID584978
Angiotensin-converting enzymeRattus norvegicus (Norway rat)IC50 (µMol)48.00000.00090.33223.0300AID38400
Metallo-beta-lactamase L1 type 3Stenotrophomonas maltophiliaIC50 (µMol)4,000.00007.80007.80007.8000AID44051
Beta-lactamase TEMEscherichia coliIC50 (µMol)0.08280.00191.761810.0000AID209020; AID266526; AID297198; AID326275; AID372630; AID44065
Beta-lactamase TEMEscherichia coliKi0.19000.02701.82347.3000AID1576703
Beta-lactamaseMorganella morganiiIC50 (µMol)0.19000.19000.19000.1900AID43744
Beta-lactamase Salmonella enterica subsp. enterica serovar WesthamptonIC50 (µMol)0.00220.00220.00610.0100AID556339
Beta-lactamase Pseudomonas aeruginosaIC50 (µMol)2.00000.10001.70003.0000AID495660
Beta-lactamase Enterobacter cloacaeIC50 (µMol)0.03000.03000.03000.0300AID374028; AID44064
Class D beta-lactamaseBrachyspira pilosicoliIC50 (µMol)0.16000.16001.08002.0000AID519637
Beta-lactamase Pseudomonas luteolaIC50 (µMol)0.04000.03600.03800.0400AID495653
Beta-lactamase Escherichia coliIC50 (µMol)0.24000.24004.42008.6000AID372627
Beta-lactamase Serratia fonticolaIC50 (µMol)6.90006.90006.90006.9000AID374027
Beta-lactamase Enterobacter cloacaeIC50 (µMol)0.06000.06000.19000.3200AID44222
Beta-lactamase Escherichia coliIC50 (µMol)0.00200.00200.00550.0090AID368519
Carbapenem-hydrolyzing beta-lactamase KPCKlebsiella pneumoniaeIC50 (µMol)0.37200.37000.37200.3740AID374029; AID495801
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Other Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Beta-lactamaseEnterobacter cloacaeKm300.00002.90006.43649.8000AID584992
Beta-lactamase class B VIM-2 Pseudomonas aeruginosaKm875.00002.00006.65009.4000AID531315
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (7)

Processvia Protein(s)Taxonomy
antibiotic catabolic processBeta-lactamaseEscherichia coli K-12
response to antibioticBeta-lactamaseEscherichia coli K-12
xenobiotic metabolic processCytochrome P450 2B6Homo sapiens (human)
steroid metabolic processCytochrome P450 2B6Homo sapiens (human)
xenobiotic catabolic processCytochrome P450 2B6Homo sapiens (human)
cellular ketone metabolic processCytochrome P450 2B6Homo sapiens (human)
epoxygenase P450 pathwayCytochrome P450 2B6Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (13)

Processvia Protein(s)Taxonomy
beta-lactamase activityBeta-lactamaseEscherichia coli K-12
hydrolase activityBeta-lactamaseEscherichia coli K-12
monooxygenase activityCytochrome P450 2B6Homo sapiens (human)
iron ion bindingCytochrome P450 2B6Homo sapiens (human)
testosterone 16-alpha-hydroxylase activityCytochrome P450 2B6Homo sapiens (human)
heme bindingCytochrome P450 2B6Homo sapiens (human)
testosterone 16-beta-hydroxylase activityCytochrome P450 2B6Homo sapiens (human)
anandamide 8,9 epoxidase activityCytochrome P450 2B6Homo sapiens (human)
anandamide 11,12 epoxidase activityCytochrome P450 2B6Homo sapiens (human)
anandamide 14,15 epoxidase activityCytochrome P450 2B6Homo sapiens (human)
estrogen 2-hydroxylase activityCytochrome P450 2B6Homo sapiens (human)
oxidoreductase activity, acting on paired donors, with incorporation or reduction of molecular oxygen, reduced flavin or flavoprotein as one donor, and incorporation of one atom of oxygenCytochrome P450 2B6Homo sapiens (human)
arachidonic acid epoxygenase activityCytochrome P450 2B6Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (5)

Processvia Protein(s)Taxonomy
outer membrane-bounded periplasmic spaceBeta-lactamaseEscherichia coli K-12
periplasmic spaceBeta-lactamaseEscherichia coli K-12
endoplasmic reticulum membraneCytochrome P450 2B6Homo sapiens (human)
intracellular membrane-bounded organelleCytochrome P450 2B6Homo sapiens (human)
cytoplasmCytochrome P450 2B6Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (335)

Assay IDTitleYearJournalArticle
AID1559347Inhibition of TEM/CTX-M/SHV/Cephalosporinase in Escherichia coli CH1 assessed as cefepime antibacterial activity at 4 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb > 128 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID324363Inhibition of Acinetobacter johnsonii SCO12007Antimicrobial agents and chemotherapy, Jun, Volume: 51, Issue:6
Identification of the novel narrow-spectrum beta-lactamase SCO-1 in Acinetobacter spp. from Argentina.
AID525579Inhibition of Beta-lactamase OXA-10 expressed in Escherichia coli BL21 (DE3) by nitrocefin hydrolysis assay2010Antimicrobial agents and chemotherapy, Apr, Volume: 54, Issue:4
Penicillin sulfone inhibitors of class D beta-lactamases.
AID209008Inhibitory activity against class A TEM-1 beta-lactamase2002Bioorganic & medicinal chemistry letters, Jun-17, Volume: 12, Issue:12
Cephalosporin-derived inhibitors of beta-lactamase. Part 4: The C3 substituent.
AID727641Binding affinity to wild type Beta-lactamase SHV-1 in Escherichia coli DH10B assessed as change in secondary structure at 50 uM by circular dichroism analysis2013Journal of medicinal chemistry, Feb-14, Volume: 56, Issue:3
Design and exploration of novel boronic acid inhibitors reveals important interactions with a clavulanic acid-resistant sulfhydryl-variable (SHV) β-lactamase.
AID531315Activity of Pseudomonas aeruginosa beta-lactamase VIM-2 by spectrophotometry2008Antimicrobial agents and chemotherapy, Aug, Volume: 52, Issue:8
Kinetic characterization of VIM-7, a divergent member of the VIM metallo-beta-lactamase family.
AID1604445Inhibition of OXA-24/40 in Acinetobacter baumannii assessed as potentiation of imipenem-induced antibacterial activity by CLSI based broth microdilution method2020Journal of medicinal chemistry, 03-12, Volume: 63, Issue:5
β-Lactamase Inhibitors To Restore the Efficacy of Antibiotics against Superbugs.
AID1559326Inhibition of KPC-2/PDC-42 in Pseudomonas aeruginosa CDC-0356 assessed as piperacillin antibacterial activity at 16 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb > 128 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID542048Antibacterial activity against rifampicin resistant Escherichia coli J53-2 by Etest method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Jan, Volume: 53, Issue:1
Nationwide survey of CTX-M-type extended-spectrum beta-lactamases among Klebsiella pneumoniae isolates in Slovenian hospitals.
AID1576700Inhibition of bacterial N-terminal His-tagged TEV protease site linked SFH1 (3 to 234 amino acids) expressed in Escherichia coli Transetta (DE3) preincubated for 10 mins followed by FC5 fluorescent substrate addition by fluorescence assay
AID1471290Inhibition of Klebsiella pneumoniae NP6 KPC-2 expressed in Escherichia coli DH5alpha2017Journal of medicinal chemistry, 10-26, Volume: 60, Issue:20
Pharmaceutical Approaches to Target Antibiotic Resistance Mechanisms.
AID1559340Inhibition of NDM-1/CMY-6/OXA-1 in Escherichia coli CDC-0055 assessed as meropenem antibacterial activity at 4 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb = 32 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID558577Antibacterial activity against bla gene-positive and nitrocefin reaction-positive beta-lactamase harboring Campylobacter jejuni isolate P1618 by NCCLS agar doubling dilution method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Beta-lactamase-mediated beta-lactam resistance in Campylobacter species: prevalence of Cj0299 (bla OXA-61) and evidence for a novel beta-Lactamase in C. jejuni.
AID577229Antibacterial activity against intI1-positive tigecycline-susceptible Acinetobacter baumannii AB095 with PFGE subgroup E containing carbapenemase OXA-23 and OXA-51 by Etest2010Antimicrobial agents and chemotherapy, Nov, Volume: 54, Issue:11
Overexpression of the adeB gene in clinical isolates of tigecycline-nonsusceptible Acinetobacter baumannii without insertion mutations in adeRS.
AID44064In vitro inhibitory activity against Class A (Imi-1) beta-Lactamases2004Journal of medicinal chemistry, Jul-01, Volume: 47, Issue:14
Mechanism of inactivation of beta-lactamases by novel 6-methylidene penems elucidated using electrospray ionization mass spectrometry.
AID1559345Inhibition of KPC-2/PDC-42 in Pseudomonas aeruginosa CDC-0457 assessed as meropenem antibacterial activity at 4 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb = 128 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID1559348Inhibition of TEM/CTX-M/SHV/Cephalosporinase in Enterobacter cloacae CH23 assessed as cefepime antibacterial activity at 4 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb > 128 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID572898Inhibition of Enterobacter cloacae Beta-lactamase AmpC2009Antimicrobial agents and chemotherapy, Feb, Volume: 53, Issue:2
In vitro activity of LK-157, a novel tricyclic carbapenem as broad-spectrum {beta}-lactamase inhibitor.
AID1225761Inhibition of Escherichia coli recombinant SHV-12 assessed as substrate nitrocefin degradation preincubated for 10 mins followed by substrate addition measured every 10 secs for 10 mins by spectrophotometric analysis2015Journal of medicinal chemistry, May-14, Volume: 58, Issue:9
Discovery of a Cyclic Boronic Acid β-Lactamase Inhibitor (RPX7009) with Utility vs Class A Serine Carbapenemases.
AID577236Antibacterial activity against intI1-positive tigecycline-resistant Acinetobacter baumannii AB113 with PFGE subgroup B1 containing carbapenemase OXA-23 and OXA-51 by Etest2010Antimicrobial agents and chemotherapy, Nov, Volume: 54, Issue:11
Overexpression of the adeB gene in clinical isolates of tigecycline-nonsusceptible Acinetobacter baumannii without insertion mutations in adeRS.
AID558321Antibacterial activity against Campylobacter coli by NCCLS agar doubling dilution method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Beta-lactamase-mediated beta-lactam resistance in Campylobacter species: prevalence of Cj0299 (bla OXA-61) and evidence for a novel beta-Lactamase in C. jejuni.
AID358400Inhibition of Escherichia coli beta lactamase OXA-12007The Journal of biological chemistry, Jul-27, Volume: 282, Issue:30
Efficient inhibition of class A and class D beta-lactamases by Michaelis complexes.
AID1559323Inhibition of VIM-27/CTX-M-15/SHV-11/OXA-1 in Klebsiella pneumoniae CDC-0040 assessed as piperacillin antibacterial activity at 16 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb > 128 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID524593Antimicrobial activity against multidrug-resistant Klebsiella pneumoniae isolate Kpn-DK2 by broth microdilution method2010Antimicrobial agents and chemotherapy, May, Volume: 54, Issue:5
KPC-producing extreme drug-resistant Klebsiella pneumoniae isolate from a patient with diabetes mellitus and chronic renal failure on hemodialysis in South Korea.
AID1209732Drug uptake by mouse OAT3 expressed in CHO cells at 100 uM after 25 mins by HPLC/UV detection method in presence of probenecid2013Drug metabolism and disposition: the biological fate of chemicals, Apr, Volume: 41, Issue:4
Organic anion transporter 3 interacts selectively with lipophilic β-lactam antibiotics.
AID727648Antimicrobial activity against Escherichia coli DH10B expressing Beta-lactamase SHV K234R mutant by CLSI agar dilution method in presence of ampicillin2013Journal of medicinal chemistry, Feb-14, Volume: 56, Issue:3
Design and exploration of novel boronic acid inhibitors reveals important interactions with a clavulanic acid-resistant sulfhydryl-variable (SHV) β-lactamase.
AID18730Compound was tested for the values for the rate of formation of the acyl-enzyme complex in Escherichia coli TEM-3.1996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID1529360Inhibition of beta lactamase in Prevotella sp. clinical isolate assessed as potentiation of ceftolozane-induced antibacterial activity by measuring ceftolozane MIC902018MedChemComm, Sep-01, Volume: 9, Issue:9
β-lactam/β-lactamase inhibitor combinations: an update.
AID1576712Inhibition of beta lactamase KPC-2 in Escherichia coli 11119 assessed as potentiation of meropenem-induced antibacterial activity by measuring meropenem MIC at 50 uM after 16 to 20 hrs by broth microdilution assay (Rvb = 16 ug/ml)
AID1559355Inhibition of VIM-1/VIM-2/VIM-4/NDM-1 in Klebsiella pneumoniae assessed as cefepime antibacterial activity at 4 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb = 32 to 512 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID1559356Inhibition of VIM-1/VIM-2/VIM-4/NDM-1 in Pseudomonas aeruginosa assessed as cefepime antibacterial activity at 4 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb = 32 to 512 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID44222Inhibitory activity against class A Beta-lactamase TEM isolated from Enterobacter coli2000Bioorganic & medicinal chemistry letters, Oct-02, Volume: 10, Issue:19
The synthesis and SAR of rhodanines as novel class C beta-lactamase inhibitors.
AID1559354Inhibition of VIM-1/VIM-2/VIM-4/NDM-1 in Enterobacter cloacae assessed as cefepime antibacterial activity at 4 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb = 32 to 512 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID727650Antimicrobial activity against Escherichia coli DH10B by CLSI agar dilution method in presence of ampicillin2013Journal of medicinal chemistry, Feb-14, Volume: 56, Issue:3
Design and exploration of novel boronic acid inhibitors reveals important interactions with a clavulanic acid-resistant sulfhydryl-variable (SHV) β-lactamase.
AID558771Antibacterial activity against bla-positive and beta-lactamase-weakly positive Campylobacter coli isolate P1627 by NCCLS agar doubling dilution method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Beta-lactamase-mediated beta-lactam resistance in Campylobacter species: prevalence of Cj0299 (bla OXA-61) and evidence for a novel beta-Lactamase in C. jejuni.
AID1476623Antibacterial activity against clinical isolates of Acinetobacter baumannii ARC 5079 after 18 hrs by broth microdilution method2017Journal of medicinal chemistry, 11-09, Volume: 60, Issue:21
Methodology for Monobactam Diversification: Syntheses and Studies of 4-Thiomethyl Substituted β-Lactams with Activity against Gram-Negative Bacteria, Including Carbapenemase Producing Acinetobacter baumannii.
AID531317Activity of Escherichia coli beta-lactamase VIM-1 by spectrophotometry2008Antimicrobial agents and chemotherapy, Aug, Volume: 52, Issue:8
Kinetic characterization of VIM-7, a divergent member of the VIM metallo-beta-lactamase family.
AID266526Inhibition of Escherichia coli TEM12006Journal of medicinal chemistry, Jul-27, Volume: 49, Issue:15
Structure-activity relationship of 6-methylidene penems bearing 6,5 bicyclic heterocycles as broad-spectrum beta-lactamase inhibitors: evidence for 1,4-thiazepine intermediates with C7 R stereochemistry by computational methods.
AID1576710Inhibition of beta lactamase NDM1 in Klebsiella pneumoniae 13249 assessed as potentiation of meropenem-induced antibacterial activity by measuring meropenem MIC at 50 uM after 16 to 20 hrs by broth microdilution assay (Rvb = 64 ug/ml)
AID558770Antibacterial activity against bla gene-positive and nitrocefin reaction-positive beta-lactamase harboring Campylobacter coli isolate P321 by NCCLS agar doubling dilution method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Beta-lactamase-mediated beta-lactam resistance in Campylobacter species: prevalence of Cj0299 (bla OXA-61) and evidence for a novel beta-Lactamase in C. jejuni.
AID50708Inhibitory activity against Class C beta-lactamase2002Bioorganic & medicinal chemistry letters, Jun-17, Volume: 12, Issue:12
Cephalosporin-derived inhibitors of beta-lactamase. Part 4: The C3 substituent.
AID1169072Inhibition of Klebsiella pneumoniae OXA-48 pre-incubated with enzyme for 5 mins before nitrocefin substrate addition by colorimetric assay2014ACS medicinal chemistry letters, Oct-09, Volume: 5, Issue:10
Enantioselective Synthesis and Profiling of Two Novel Diazabicyclooctanone β-Lactamase Inhibitors.
AID326273Inhibition of Escherichia coli beta-lactamase SCO12007Antimicrobial agents and chemotherapy, Jun, Volume: 51, Issue:6
SCO-1, a novel plasmid-mediated class A beta-lactamase with carbenicillinase characteristics from Escherichia coli.
AID285160Antimicrobial activity against non replicating persistence Mycobacterium tuberculosis H37Rv in aerobic condition assessed as bacterial density after 7 days2007Antimicrobial agents and chemotherapy, Apr, Volume: 51, Issue:4
Low-oxygen-recovery assay for high-throughput screening of compounds against nonreplicating Mycobacterium tuberculosis.
AID1559336Inhibition of NDM in Escherichia coli CDC-0452 assessed as cefepime antibacterial activity after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb = 64 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID1559331Inhibition of VIM-27/CTX-M-15/SHV-11/OXA-1 in Klebsiella pneumoniae CDC-0040 assessed as cefepime antibacterial activity at 8 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb > 128 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID525580Inhibition of Beta-lactamase OXA-1 expressed in Escherichia coli BL21 (DE3) by nitrocefin hydrolysis assay2010Antimicrobial agents and chemotherapy, Apr, Volume: 54, Issue:4
Penicillin sulfone inhibitors of class D beta-lactamases.
AID1476625Antibacterial activity against cephalosporinase producing Acinetobacter baumannii ATCC 17978-PNT-320 after 18 hrs by broth microdilution method2017Journal of medicinal chemistry, 11-09, Volume: 60, Issue:21
Methodology for Monobactam Diversification: Syntheses and Studies of 4-Thiomethyl Substituted β-Lactams with Activity against Gram-Negative Bacteria, Including Carbapenemase Producing Acinetobacter baumannii.
AID1476628Antibacterial activity against Acinetobacter baumannii ATCC BAA 1800 at 10 ug/ml after 18 hrs by broth microdilution method2017Journal of medicinal chemistry, 11-09, Volume: 60, Issue:21
Methodology for Monobactam Diversification: Syntheses and Studies of 4-Thiomethyl Substituted β-Lactams with Activity against Gram-Negative Bacteria, Including Carbapenemase Producing Acinetobacter baumannii.
AID584983Inhibition of beta-lactamase TEM-1 assessed as inactivation rate constant for longer incubation time yield of enzyme by spectrophotometry2010Antimicrobial agents and chemotherapy, Dec, Volume: 54, Issue:12
Mechanistic studies of the inactivation of TEM-1 and P99 by NXL104, a novel non-beta-lactam beta-lactamase inhibitor.
AID44066In vitro inhibitory activity against Class B (CCRA) beta-Lactamases2004Journal of medicinal chemistry, Jul-01, Volume: 47, Issue:14
Mechanism of inactivation of beta-lactamases by novel 6-methylidene penems elucidated using electrospray ionization mass spectrometry.
AID18756Compound was tested for the half saturation constant derived from concentration dependence studies in Escherichia coli SHV-2.1996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID266528Inhibition of Bacteroides fragilis CcrA2006Journal of medicinal chemistry, Jul-27, Volume: 49, Issue:15
Structure-activity relationship of 6-methylidene penems bearing 6,5 bicyclic heterocycles as broad-spectrum beta-lactamase inhibitors: evidence for 1,4-thiazepine intermediates with C7 R stereochemistry by computational methods.
AID1808873Inhibition beta lactamase PDC-1 in Pseudomonas aeruginosa PAO1 using nitrocefin as substrate measured by 96 well microtitre plate
AID584976Inhibition of beta-lactamase TEM- 1 assessed as nitrocefin hydrolysis after 5 mins enzyme-compound preincubation2010Antimicrobial agents and chemotherapy, Dec, Volume: 54, Issue:12
Mechanistic studies of the inactivation of TEM-1 and P99 by NXL104, a novel non-beta-lactam beta-lactamase inhibitor.
AID1529354Inhibition of beta lactamase in Pseudomonas aeruginosa assessed as potentiation of ceftolozane-induced antibacterial activity by measuring ceftolozane MIC902018MedChemComm, Sep-01, Volume: 9, Issue:9
β-lactam/β-lactamase inhibitor combinations: an update.
AID541026Inhibition of Burkholderia cenocepacia 07-34 beta-lactamase PenB12009Antimicrobial agents and chemotherapy, Mar, Volume: 53, Issue:3
Naturally occurring Class A ss-lactamases from the Burkholderia cepacia complex.
AID548267Inhibition of Klebsiella pneumoniae 1534 beta-lactamase KPC-2 T237S mutant by competitive assay2010Antimicrobial agents and chemotherapy, Jul, Volume: 54, Issue:7
Substrate selectivity and a novel role in inhibitor discrimination by residue 237 in the KPC-2 beta-lactamase.
AID44079In vitro inhibitory activity against Beta-lactamase AmpC of class C enzyme2003Journal of medicinal chemistry, Jun-19, Volume: 46, Issue:13
Spirocyclopropyl beta-lactams as mechanism-based inhibitors of serine beta-lactamases. Synthesis by rhodium-catalyzed cyclopropanation of 6-diazopenicillanate sulfone.
AID1559328Inhibition of NDM in Escherichia coli CDC-0452 assessed as piperacillin antibacterial activity at 16 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb > 128 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID727646Antimicrobial activity against Escherichia coli DH10B expressing Beta-lactamase SHV K234X mutant by CLSI agar dilution method in presence of ampicillin2013Journal of medicinal chemistry, Feb-14, Volume: 56, Issue:3
Design and exploration of novel boronic acid inhibitors reveals important interactions with a clavulanic acid-resistant sulfhydryl-variable (SHV) β-lactamase.
AID1559357Inhibition of VIM-1/VIM-2/VIM-4/NDM-1 in Acinetobacter baumannii assessed as cefepime antibacterial activity at 4 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb = 32 to 512 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID18551Compound was tested for the rate of the acyl-enzyme complex in Citrobacter freundii1996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID577238Antibacterial activity against intI1-positive tigecycline-resistant Acinetobacter baumannii AB125 with PFGE subgroup A1 containing carbapenemase OXA-23 and OXA-51 by Etest2010Antimicrobial agents and chemotherapy, Nov, Volume: 54, Issue:11
Overexpression of the adeB gene in clinical isolates of tigecycline-nonsusceptible Acinetobacter baumannii without insertion mutations in adeRS.
AID43118Compound was tested for inhibition of Beta-lactamase from Citrobacter freundii 19821996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID560706Inhibition of Escherichia coli MC4100 Beta-Lactamase CMY-2 using cephalothin as reporter substrate2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Extended-spectrum properties of CMY-30, a Val211Gly mutant of CMY-2 cephalosporinase.
AID1559327Inhibition of KPC-2/SHV12/TEM-1 in Klebsiella pneumoniae CDC-0361 assessed as piperacillin antibacterial activity at 16 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb > 128 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID1559341Inhibition of OXA-232/OXA-9/TEM-1A/CTX-M-15/OXA-1 in Klebsiella pneumoniae CDC-0066 assessed as meropenem antibacterial activity at 4 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb = 32 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID285444Inhibition of Citrobacter gillenii CIP 106783 Beta-lactamase GIL1 expressed in Escherichia coli DH10B2007Antimicrobial agents and chemotherapy, Apr, Volume: 51, Issue:4
Chromosome-encoded narrow-spectrum Ambler class A beta-lactamase GIL-1 from Citrobacter gillenii.
AID70143The ratio of compound to that of piperacillin was evaluated for antimicrobial activity against Escherichia coli OC 4075 by inhibiting enzyme TEM-1 at 4 ug/mL2000Bioorganic & medicinal chemistry letters, Oct-02, Volume: 10, Issue:19
The synthesis and SAR of rhodanines as novel class C beta-lactamase inhibitors.
AID1559333Inhibition of OXA-232/OXA-9/TEM-1A/CTX-M-15/OXA-1 in Klebsiella pneumoniae CDC-0066 assessed as cefepime antibacterial activity at 8 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb > 128 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID584986Ratio of Inactivation rate constant for longer incubation time yield to Km for Enterobacter cloacae beta-lactamase P99 by spectrophotometry2010Antimicrobial agents and chemotherapy, Dec, Volume: 54, Issue:12
Mechanistic studies of the inactivation of TEM-1 and P99 by NXL104, a novel non-beta-lactam beta-lactamase inhibitor.
AID571686Antimicrobial activity against ESBL producing Escherichia coli isolated from patient bloodstream assessed as resistant isolate by Etest method in presence of Tazobactam2008Antimicrobial agents and chemotherapy, Sep, Volume: 52, Issue:9
Bloodstream infections caused by extended-spectrum-beta-lactamase- producing Escherichia coli: risk factors for inadequate initial antimicrobial therapy.
AID43879Compound was tested for inhibition of Beta-lactamase from Pseudomonas aeruginosa GN103621996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID43281Inhibitory activity against class C Beta-lactamase isolated from Enterobacter cloacae2000Bioorganic & medicinal chemistry letters, Oct-02, Volume: 10, Issue:19
The synthesis and SAR of rhodanines as novel class C beta-lactamase inhibitors.
AID163442The ratio of compound to that of piperacillin was evaluated for antimicrobial activity against Pseudomonas aeruginosa OC 4290 by inhibiting enzyme AmpC(const) at 4 ug/mL2000Bioorganic & medicinal chemistry letters, Oct-02, Volume: 10, Issue:19
The synthesis and SAR of rhodanines as novel class C beta-lactamase inhibitors.
AID577230Antibacterial activity against intI1-positive tigecycline-susceptible Acinetobacter baumannii AB110 with PFGE subgroup C containing carbapenemase OXA-51 by Etest2010Antimicrobial agents and chemotherapy, Nov, Volume: 54, Issue:11
Overexpression of the adeB gene in clinical isolates of tigecycline-nonsusceptible Acinetobacter baumannii without insertion mutations in adeRS.
AID43110Compound was tested for inhibition of Beta-lactamase from Bacillus licheniformis 749/C1996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID1559353Inhibition of VIM-1/VIM-2/VIM-4/NDM-1 in Escherichia coli assessed as cefepime antibacterial activity at 4 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb = 32 to 512 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID531318Ratio of Kcat to Km for Escherichia coli beta-lactamase VIM-1 by spectrophotometry2008Antimicrobial agents and chemotherapy, Aug, Volume: 52, Issue:8
Kinetic characterization of VIM-7, a divergent member of the VIM metallo-beta-lactamase family.
AID572899Inhibition of Beta-lactamase TEM-12009Antimicrobial agents and chemotherapy, Feb, Volume: 53, Issue:2
In vitro activity of LK-157, a novel tricyclic carbapenem as broad-spectrum {beta}-lactamase inhibitor.
AID577234Antibacterial activity against intI1-positive tigecycline-intermediate Acinetobacter baumannii AB099 with PFGE subgroup H containing carbapenemase OXA-23 and OXA-51 by Etest2010Antimicrobial agents and chemotherapy, Nov, Volume: 54, Issue:11
Overexpression of the adeB gene in clinical isolates of tigecycline-nonsusceptible Acinetobacter baumannii without insertion mutations in adeRS.
AID584975Inhibition of beta-lactamase CTX-M-15 assessed as nitrocefin hydrolysis after 5 mins enzyme-compound preincubation2010Antimicrobial agents and chemotherapy, Dec, Volume: 54, Issue:12
Mechanistic studies of the inactivation of TEM-1 and P99 by NXL104, a novel non-beta-lactam beta-lactamase inhibitor.
AID1529357Inhibition of beta lactamase in Pseudomonas aeruginosa assessed as potentiation of colistin-induced antibacterial activity by measuring colistin MIC902018MedChemComm, Sep-01, Volume: 9, Issue:9
β-lactam/β-lactamase inhibitor combinations: an update.
AID560594Antimicrobial activity against Pseudomonas aeruginosa isolate IMCJ798 by microdilution method in presence of beta-lactamase inhibitor Tazobactam2009Antimicrobial agents and chemotherapy, Jun, Volume: 53, Issue:6
AAC(6')-Iaf, a novel aminoglycoside 6'-N-acetyltransferase from multidrug-resistant Pseudomonas aeruginosa clinical isolates.
AID1476622Antibacterial activity against clinical isolates of Acinetobacter baumannii ISR14-005 after 18 hrs by broth microdilution method2017Journal of medicinal chemistry, 11-09, Volume: 60, Issue:21
Methodology for Monobactam Diversification: Syntheses and Studies of 4-Thiomethyl Substituted β-Lactams with Activity against Gram-Negative Bacteria, Including Carbapenemase Producing Acinetobacter baumannii.
AID548266Inhibition of Klebsiella pneumoniae 1534 beta-lactamase KPC-2 by competitive assay2010Antimicrobial agents and chemotherapy, Jul, Volume: 54, Issue:7
Substrate selectivity and a novel role in inhibitor discrimination by residue 237 in the KPC-2 beta-lactamase.
AID548270Ratio of Ki for Klebsiella pneumoniae 1534 beta-lactamase KPC-2 T237A mutant to Ki for Klebsiella pneumoniae beta-lactamase KPC-2 T237S mutant by competitive assay2010Antimicrobial agents and chemotherapy, Jul, Volume: 54, Issue:7
Substrate selectivity and a novel role in inhibitor discrimination by residue 237 in the KPC-2 beta-lactamase.
AID1604446Inhibition of OXA-24/40 in Acinetobacter baumannii assessed as potentiation of meropenem-induced antibacterial activity by CLSI based broth microdilution method2020Journal of medicinal chemistry, 03-12, Volume: 63, Issue:5
β-Lactamase Inhibitors To Restore the Efficacy of Antibiotics against Superbugs.
AID558765Antibacterial activity against bla gene-positive and nitrocefin reaction-positive beta-lactamase harboring Campylobacter jejuni isolate P1730 by NCCLS agar doubling dilution method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Beta-lactamase-mediated beta-lactam resistance in Campylobacter species: prevalence of Cj0299 (bla OXA-61) and evidence for a novel beta-Lactamase in C. jejuni.
AID1559329Inhibition of KPC-2/PDC-42 in Pseudomonas aeruginosa CDC-0457 assessed as piperacillin antibacterial activity at 16 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb = 64 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID1476609Antibacterial activity against Pseudomonas aeruginosa ARC 3502 after 18 hrs by broth microdilution method2017Journal of medicinal chemistry, 11-09, Volume: 60, Issue:21
Methodology for Monobactam Diversification: Syntheses and Studies of 4-Thiomethyl Substituted β-Lactams with Activity against Gram-Negative Bacteria, Including Carbapenemase Producing Acinetobacter baumannii.
AID577237Antibacterial activity against intI1-positive tigecycline-resistant Acinetobacter baumannii AB118 with PFGE subgroup B2 containing carbapenemase OXA-23 and OXA-51 by Etest2010Antimicrobial agents and chemotherapy, Nov, Volume: 54, Issue:11
Overexpression of the adeB gene in clinical isolates of tigecycline-nonsusceptible Acinetobacter baumannii without insertion mutations in adeRS.
AID558319Antibacterial activity against Campylobacter coli by NCCLS agar doubling dilution method2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Beta-lactamase-mediated beta-lactam resistance in Campylobacter species: prevalence of Cj0299 (bla OXA-61) and evidence for a novel beta-Lactamase in C. jejuni.
AID558768Antibacterial activity against bla gene-negative and nitrocefin reaction-positive beta-lactamase harboring Campylobacter jejuni isolate P843 by NCCLS agar doubling dilution method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Beta-lactamase-mediated beta-lactam resistance in Campylobacter species: prevalence of Cj0299 (bla OXA-61) and evidence for a novel beta-Lactamase in C. jejuni.
AID531314Ratio of Kcat to Km for Pseudomonas aeruginosa beta-lactamase VIM-7 by spectrophotometry2008Antimicrobial agents and chemotherapy, Aug, Volume: 52, Issue:8
Kinetic characterization of VIM-7, a divergent member of the VIM metallo-beta-lactamase family.
AID374028Inhibition of Enterobacter cloacae IMI1 beta lactamase expressed in Escherichia coli DH5alpha by SDS-PAGE2007Antimicrobial agents and chemotherapy, Dec, Volume: 51, Issue:12
Biochemical Characterization of SFC-1, a class A carbapenem-hydrolyzing beta-lactamase.
AID44075Compound was tested for inhibition of Beta-lactamase from RTEM-21996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID558567Antibacterial activity against bla gene-negative and nitrocefin reaction-negative beta-lactamase harboring Campylobacter jejuni isolate P850 by NCCLS agar doubling dilution method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Beta-lactamase-mediated beta-lactam resistance in Campylobacter species: prevalence of Cj0299 (bla OXA-61) and evidence for a novel beta-Lactamase in C. jejuni.
AID1576704Inhibition of bacterial N-terminal His-tagged TEV protease site linked AmpC (20 to 377 amino acids) expressed in Escherichia coli Transetta (DE3) preincubated for 10 mins followed by FC5 fluorescent substrate addition by fluorescence assay
AID558565Antibacterial activity against Campylobacter jejuni isolate P270 harboring blaOXA-61::cat gene by NCCLS agar doubling dilution method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Beta-lactamase-mediated beta-lactam resistance in Campylobacter species: prevalence of Cj0299 (bla OXA-61) and evidence for a novel beta-Lactamase in C. jejuni.
AID1559325Inhibition of OXA-232/OXA-9/TEM-1A/CTX-M-15/OXA-1 in Klebsiella pneumoniae CDC-0066 assessed as piperacillin antibacterial activity at 16 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb > 128 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID297200Inhibition of Enterobacter cloacae AmpC2007Journal of medicinal chemistry, Aug-23, Volume: 50, Issue:17
4-Substituted trinems as broad spectrum beta-lactamase inhibitors: structure-based design, synthesis, and biological activity.
AID577243Antibacterial activity against intI1-positive tigecycline-resistant Acinetobacter baumannii AB096 with PFGE subgroup B1 containing carbapenemase OXA-23 and OXA-51 by Etest2010Antimicrobial agents and chemotherapy, Nov, Volume: 54, Issue:11
Overexpression of the adeB gene in clinical isolates of tigecycline-nonsusceptible Acinetobacter baumannii without insertion mutations in adeRS.
AID372630Inhibition of Escherichia coli DH5alpha beta-lactamase TEM-12007Antimicrobial agents and chemotherapy, Nov, Volume: 51, Issue:11
TEM-158 (CMT-9), a new member of the CMT-type extended-spectrum beta-lactamases.
AID266532Antibacterial activity against Pseudomonas aeruginosa expressing AmpC2006Journal of medicinal chemistry, Jul-27, Volume: 49, Issue:15
Structure-activity relationship of 6-methylidene penems bearing 6,5 bicyclic heterocycles as broad-spectrum beta-lactamase inhibitors: evidence for 1,4-thiazepine intermediates with C7 R stereochemistry by computational methods.
AID1576702Inhibition of bacterial N-terminal His-tagged TEV protease site linked KPC-2 (29 to 289 amino acids) expressed in Escherichia coli Transetta (DE3) preincubated for 10 mins followed by FC5 fluorescent substrate addition by fluorescence assay
AID496596Ratio of Kcat to Kinact for Escherichia coli DH10B beta-lactamase KPC-22010Antimicrobial agents and chemotherapy, Feb, Volume: 54, Issue:2
Inhibitor resistance in the KPC-2 beta-lactamase, a preeminent property of this class A beta-lactamase.
AID1169069Inhibition of Klebsiella pneumoniae CTX-M-15 pre-incubated with enzyme for 5 mins before nitrocefin substrate addition by colorimetric assay2014ACS medicinal chemistry letters, Oct-09, Volume: 5, Issue:10
Enantioselective Synthesis and Profiling of Two Novel Diazabicyclooctanone β-Lactamase Inhibitors.
AID43881Compound was tested for inhibition of Beta-lactamase from Pseudomonas aeruginosa 18SH1996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID1559338Inhibition of KPC-2 in Klebsiella pneumoniae ATCC BAA 1705 assessed as meropenem antibacterial activity at 4 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb = 16 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID585192Inhibition of Beta-lactamase GES-13 K104, N170 mutant preincubated for 5 mins before substrate addition using cephalothin substrate by spectrophotometry2010Antimicrobial agents and chemotherapy, Nov, Volume: 54, Issue:11
Comparative biochemical and computational study of the role of naturally occurring mutations at Ambler positions 104 and 170 in GES β-lactamases.
AID374364Antimicrobial activity against Aeromonas caviae A324R expressing metallo-beta-lactamase IMP-19 by broth dilution method2007Antimicrobial agents and chemotherapy, Dec, Volume: 51, Issue:12
First occurrence of an IMP metallo-beta-lactamase in Aeromonas caviae: IMP-19 in an isolate from France.
AID1529352Inhibition of ESBL in Escherichia coli clinical isolate assessed as potentiation of ceftolozane-induced antibacterial activity by measuring ceftolozane MIC by broth microdilution method2018MedChemComm, Sep-01, Volume: 9, Issue:9
β-lactam/β-lactamase inhibitor combinations: an update.
AID285162Antimicrobial activity against non replicating persistence Mycobacterium tuberculosis H37Rv in anaerobic condition assessed as bacterial density after 10 days2007Antimicrobial agents and chemotherapy, Apr, Volume: 51, Issue:4
Low-oxygen-recovery assay for high-throughput screening of compounds against nonreplicating Mycobacterium tuberculosis.
AID285276Inhibition of Escherichia coli BL21(DE3) beta-lactamase TEM362007Antimicrobial agents and chemotherapy, Apr, Volume: 51, Issue:4
Evolution of TEM-type enzymes: biochemical and genetic characterization of two new complex mutant TEM enzymes, TEM-151 and TEM-152, from a single patient.
AID577233Antibacterial activity against intI1-negative tigecycline-intermediate Acinetobacter baumannii AB098 with PFGE subgroup F containing carbapenemase OXA-23 and OXA-51 by Etest2010Antimicrobial agents and chemotherapy, Nov, Volume: 54, Issue:11
Overexpression of the adeB gene in clinical isolates of tigecycline-nonsusceptible Acinetobacter baumannii without insertion mutations in adeRS.
AID1225759Inhibition of Escherichia coli recombinant KPC-2 assessed as substrate nitrocefin degradation preincubated for 10 mins followed by substrate addition measured every 10 secs for 10 mins by spectrophotometric analysis2015Journal of medicinal chemistry, May-14, Volume: 58, Issue:9
Discovery of a Cyclic Boronic Acid β-Lactamase Inhibitor (RPX7009) with Utility vs Class A Serine Carbapenemases.
AID511293Inhibition of Pseudomonas aeruginosa GES-13 beta lactamase2010Antimicrobial agents and chemotherapy, Mar, Volume: 54, Issue:3
GES-13, a beta-lactamase variant possessing Lys-104 and Asn-170 in Pseudomonas aeruginosa.
AID44067In vitro inhibitory activity against Class C (Amp-C) beta-Lactamases2004Journal of medicinal chemistry, Jul-01, Volume: 47, Issue:14
Mechanism of inactivation of beta-lactamases by novel 6-methylidene penems elucidated using electrospray ionization mass spectrometry.
AID44051Compound was tested for inhibition of Beta-lactamase from Xanthomonas maltophila 3281996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID727649Antimicrobial activity against Escherichia coli DH10B expressing wild type Beta-lactamase SHV1 gene by CLSI agar dilution method in presence of ampicillin2013Journal of medicinal chemistry, Feb-14, Volume: 56, Issue:3
Design and exploration of novel boronic acid inhibitors reveals important interactions with a clavulanic acid-resistant sulfhydryl-variable (SHV) β-lactamase.
AID525578Inhibition of Beta-lactamase OXA-14 expressed in Escherichia coli BL21 (DE3) by nitrocefin hydrolysis assay2010Antimicrobial agents and chemotherapy, Apr, Volume: 54, Issue:4
Penicillin sulfone inhibitors of class D beta-lactamases.
AID558576Antibacterial activity against Campylobacter jejuni isolate P1093 harboring blaOXA-61::cat gene by NCCLS agar doubling dilution method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Beta-lactamase-mediated beta-lactam resistance in Campylobacter species: prevalence of Cj0299 (bla OXA-61) and evidence for a novel beta-Lactamase in C. jejuni.
AID558564Antibacterial activity against bla gene-positive and nitrocefin reaction-negative beta-lactamase harboring Campylobacter jejuni isolate NCTC 11168 by NCCLS agar doubling dilution method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Beta-lactamase-mediated beta-lactam resistance in Campylobacter species: prevalence of Cj0299 (bla OXA-61) and evidence for a novel beta-Lactamase in C. jejuni.
AID1559352Inhibition of TEM/CTX-M/SHV/Oxacillinases in Klebsiella pneumoniae 971 assessed as cefepime antibacterial activity at 4 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb > 128 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID558566Antibacterial activity against bla gene-negative and nitrocefin reaction-negative beta-lactamase harboring Campylobacter jejuni isolate P835 by NCCLS agar doubling dilution method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Beta-lactamase-mediated beta-lactam resistance in Campylobacter species: prevalence of Cj0299 (bla OXA-61) and evidence for a novel beta-Lactamase in C. jejuni.
AID1576703Inhibition of bacterial N-terminal His-tagged TEV protease site linked TEM-1 (24 to 286 amino acids) expressed in Escherichia coli Transetta (DE3) preincubated for 10 mins followed by FC5 fluorescent substrate addition by fluorescence assay
AID18728Compound was tested for the rate of formation of the acyl-enzyme complex in Escherichia coli SNO3.1996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID558774Antibacterial activity against Campylobacter jejuni by NCCLS agar doubling dilution method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Beta-lactamase-mediated beta-lactam resistance in Campylobacter species: prevalence of Cj0299 (bla OXA-61) and evidence for a novel beta-Lactamase in C. jejuni.
AID1559330Inhibition of KPC-2 in Klebsiella pneumoniae ATCC BAA 1705 assessed as cefepime antibacterial activity at 8 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb = 16 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID727652Inhibition of wild type Beta-lactamase SHV-1 in Escherichia coli DH10B by Henri-Michaelis-Menten steady state equation analysis2013Journal of medicinal chemistry, Feb-14, Volume: 56, Issue:3
Design and exploration of novel boronic acid inhibitors reveals important interactions with a clavulanic acid-resistant sulfhydryl-variable (SHV) β-lactamase.
AID374366Antimicrobial activity against Escherichia coli DH5alpha by broth dilution method2007Antimicrobial agents and chemotherapy, Dec, Volume: 51, Issue:12
First occurrence of an IMP metallo-beta-lactamase in Aeromonas caviae: IMP-19 in an isolate from France.
AID1559321Inhibition of bacterial IMP-1 using nitrocefin as substrate preincubated for 15 mins followed by susbtrate addition and measured after 10 mins by spectrophotometric method2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID1559308Inhibition of bacterial KPC-2 using imipenem as substrate preincubated for 15 mins followed by susbtrate addition and measured after 10 mins by spectrophotometric method2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID1476626Antibacterial activity against Burkholderia dolosa AU0018 after 18 hrs by broth microdilution method2017Journal of medicinal chemistry, 11-09, Volume: 60, Issue:21
Methodology for Monobactam Diversification: Syntheses and Studies of 4-Thiomethyl Substituted β-Lactams with Activity against Gram-Negative Bacteria, Including Carbapenemase Producing Acinetobacter baumannii.
AID1559343Inhibition of KPC-2/SHV12/TEM-1 in Klebsiella pneumoniae CDC-0361 assessed as meropenem antibacterial activity at 4 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb = 16 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID584984Inhibition of Enterobacter cloacae beta-lactamase P99 assessed as inactivation rate constant for longer incubation time yield of enzyme by spectrophotometry2010Antimicrobial agents and chemotherapy, Dec, Volume: 54, Issue:12
Mechanistic studies of the inactivation of TEM-1 and P99 by NXL104, a novel non-beta-lactam beta-lactamase inhibitor.
AID584988Inhibition of Enterobacter cloacae beta-lactamase P99 after 5 seconds incubation with nitrocefin substrate by spectrophotometry2010Antimicrobial agents and chemotherapy, Dec, Volume: 54, Issue:12
Mechanistic studies of the inactivation of TEM-1 and P99 by NXL104, a novel non-beta-lactam beta-lactamase inhibitor.
AID1559310Inhibition of bacterial OXA-48 using nitrocefin as substrate preincubated for 15 mins followed by susbtrate addition and measured after 10 mins by spectrophotometric method2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID584991Activity of beta-lactamase TEM-1 by spectrophotometry2010Antimicrobial agents and chemotherapy, Dec, Volume: 54, Issue:12
Mechanistic studies of the inactivation of TEM-1 and P99 by NXL104, a novel non-beta-lactam beta-lactamase inhibitor.
AID374029Inhibition of Klebsiella pneumoniae KPC-1 beta lactamase expressed in Escherichia coli DH5alpha by SDS-PAGE2007Antimicrobial agents and chemotherapy, Dec, Volume: 51, Issue:12
Biochemical Characterization of SFC-1, a class A carbapenem-hydrolyzing beta-lactamase.
AID1476611Antibacterial activity against clinical isolates of Pseudomonas aeruginosa ISR-14-003 after 18 hrs by broth microdilution method2017Journal of medicinal chemistry, 11-09, Volume: 60, Issue:21
Methodology for Monobactam Diversification: Syntheses and Studies of 4-Thiomethyl Substituted β-Lactams with Activity against Gram-Negative Bacteria, Including Carbapenemase Producing Acinetobacter baumannii.
AID1529355Inhibition of beta lactamase in Pseudomonas aeruginosa assessed as potentiation of ceftazidime-induced antibacterial activity by measuring ceftazidime MIC by broth microdilution method2018MedChemComm, Sep-01, Volume: 9, Issue:9
β-lactam/β-lactamase inhibitor combinations: an update.
AID1529361Inhibition of beta lactamase in Fusobacterium sp. clinical isolate assessed as potentiation of ceftolozane-induced antibacterial activity by measuring ceftolozane MIC902018MedChemComm, Sep-01, Volume: 9, Issue:9
β-lactam/β-lactamase inhibitor combinations: an update.
AID495659Inhibition of Pseudomonas aeruginosa 531 beta-lactamase BEL-22010Antimicrobial agents and chemotherapy, Jan, Volume: 54, Issue:1
BEL-2, an extended-spectrum beta-lactamase with increased activity toward expanded-spectrum cephalosporins in Pseudomonas aeruginosa.
AID38400In vitro inhibitory concentration against AmpC enzyme2001Bioorganic & medicinal chemistry letters, Apr-23, Volume: 11, Issue:8
Allyl and propargyl substituted penam sulfones as versatile intermediates toward the syntheses of new beta-lactamase inhibitors.
AID495653Inhibition of Pseudomonas luteola LAM Beta-lactamase LUT-12010Antimicrobial agents and chemotherapy, Jan, Volume: 54, Issue:1
Molecular and biochemical characterization of the natural chromosome-encoded class A beta-lactamase from Pseudomonas luteola.
AID43276Compound was tested for inhibition of Beta-lactamase from Enterobacter cloacae 908R1996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID558318Antibacterial activity against Campylobacter jejuni by NCCLS agar doubling dilution method2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Beta-lactamase-mediated beta-lactam resistance in Campylobacter species: prevalence of Cj0299 (bla OXA-61) and evidence for a novel beta-Lactamase in C. jejuni.
AID727651Inhibition of Beta-lactamase SHV-1 K234R protein mutant in Escherichia coli DH10B by Henri-Michaelis-Menten steady state equation analysis2013Journal of medicinal chemistry, Feb-14, Volume: 56, Issue:3
Design and exploration of novel boronic acid inhibitors reveals important interactions with a clavulanic acid-resistant sulfhydryl-variable (SHV) β-lactamase.
AID1559349Inhibition of TEM/CTX-M/SHV in Klebsiella pneumoniae 9032 assessed as cefepime antibacterial activity at 4 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb = 64 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID1225763Inhibition of Escherichia coli recombinant P99 assessed as substrate nitrocefin degradation preincubated for 10 mins followed by substrate addition measured every 10 secs for 10 mins by spectrophotometric analysis2015Journal of medicinal chemistry, May-14, Volume: 58, Issue:9
Discovery of a Cyclic Boronic Acid β-Lactamase Inhibitor (RPX7009) with Utility vs Class A Serine Carbapenemases.
AID585187Inhibition of Beta-lactamase GES-1 E104, G170 mutant preincubated for 5 mins before substrate addition using cephalothin substrate by spectrophotometry2010Antimicrobial agents and chemotherapy, Nov, Volume: 54, Issue:11
Comparative biochemical and computational study of the role of naturally occurring mutations at Ambler positions 104 and 170 in GES β-lactamases.
AID18720Compound was tested for the rate of the acyl-enzyme complex in Escherichia coli SHV-2.1996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID542055Antibacterial activity against Klebsiella pneumoniae A expressing CTX-M group 1 beta-lactamase by Etest method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Jan, Volume: 53, Issue:1
Nationwide survey of CTX-M-type extended-spectrum beta-lactamases among Klebsiella pneumoniae isolates in Slovenian hospitals.
AID727643Binding affinity to wild type Beta-lactamase SHV-1 in Escherichia coli DH10B assessed as melting temperature at 50 uM by circular dichroism analysis (Rvb = 54.2 degC)2013Journal of medicinal chemistry, Feb-14, Volume: 56, Issue:3
Design and exploration of novel boronic acid inhibitors reveals important interactions with a clavulanic acid-resistant sulfhydryl-variable (SHV) β-lactamase.
AID1559309Inhibition of bacterial AmpC using nitrocefin as substrate preincubated for 15 mins followed by susbtrate addition and measured after 10 mins by spectrophotometric method2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID542067Antibacterial activity against Escherichia coli TrC C expressing Klebsiella pneumoniae C blaCTX-M beta-lactamase by Etest method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Jan, Volume: 53, Issue:1
Nationwide survey of CTX-M-type extended-spectrum beta-lactamases among Klebsiella pneumoniae isolates in Slovenian hospitals.
AID1559318Inhibition of bacterial CMY-2 using nitrocefin as substrate preincubated for 15 mins followed by susbtrate addition and measured after 10 mins by spectrophotometric method2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID560705Inhibition of Escherichia coli MC4100 Beta-Lactamase CMY-30 using cephalothin as reporter substrate2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Extended-spectrum properties of CMY-30, a Val211Gly mutant of CMY-2 cephalosporinase.
AID44078Compound was tested for inhibition of Beta-lactamase fromOXA-21996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID1559320Inhibition of bacterial NDM-1 using cefepime as substrate preincubated for 15 mins followed by susbtrate addition and measured after 10 mins by spectrophotometric method2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID1576711Inhibition of beta lactamase KPC-2 in Escherichia coli BAA-2340 assessed as potentiation of meropenem-induced antibacterial activity by measuring meropenem MIC at 50 uM after 16 to 20 hrs by broth microdilution assay (Rvb = 4 ug/ml)
AID558573Antibacterial activity against Campylobacter jejuni isolate P338 harboring blaOXA-61::cat gene by NCCLS agar doubling dilution method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Beta-lactamase-mediated beta-lactam resistance in Campylobacter species: prevalence of Cj0299 (bla OXA-61) and evidence for a novel beta-Lactamase in C. jejuni.
AID577231Antibacterial activity against intI1-positive tigecycline-intermediate Acinetobacter baumannii AB127 with PFGE subgroup I containing carbapenemase OXA-23 and OXA-51 by Etest2010Antimicrobial agents and chemotherapy, Nov, Volume: 54, Issue:11
Overexpression of the adeB gene in clinical isolates of tigecycline-nonsusceptible Acinetobacter baumannii without insertion mutations in adeRS.
AID51552In vitro inhibitory concentration against CCRA enzyme2001Bioorganic & medicinal chemistry letters, Apr-23, Volume: 11, Issue:8
Allyl and propargyl substituted penam sulfones as versatile intermediates toward the syntheses of new beta-lactamase inhibitors.
AID542045Antibacterial activity against Escherichia coli TrC A expressing Klebsiella pneumoniae A blaCTX-M beta-lactamase by Etest method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Jan, Volume: 53, Issue:1
Nationwide survey of CTX-M-type extended-spectrum beta-lactamases among Klebsiella pneumoniae isolates in Slovenian hospitals.
AID43112Compound was tested for inhibition of Beta-lactamase from Bacteroides fragilis 361996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID1559322Inhibition of KPC-2 in Klebsiella pneumoniae ATCC BAA 1705 assessed as piperacillin antibacterial activity at 16 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb > 128 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID584977Inhibition of Enterobacter cloacae beta-lactamase P99 assessed as nitrocefin hydrolysis after 5 mins enzyme-compound preincubation2010Antimicrobial agents and chemotherapy, Dec, Volume: 54, Issue:12
Mechanistic studies of the inactivation of TEM-1 and P99 by NXL104, a novel non-beta-lactam beta-lactamase inhibitor.
AID18758Compound was tested for the half saturation constant derived from concentration dependence studies in Escherichia coli TEM-3.1996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID18729Compound was tested for the values for the rate of formation of the acyl-enzyme complex in Escherichia coli SHV-2.1996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID1529356Inhibition of beta lactamase in Pseudomonas aeruginosa assessed as potentiation of piperacillin-induced antibacterial activity by measuring piperacillin MIC by broth microdilution method2018MedChemComm, Sep-01, Volume: 9, Issue:9
β-lactam/β-lactamase inhibitor combinations: an update.
AID531313Activity of Pseudomonas aeruginosa beta-lactamase VIM-7 by spectrophotometry2008Antimicrobial agents and chemotherapy, Aug, Volume: 52, Issue:8
Kinetic characterization of VIM-7, a divergent member of the VIM metallo-beta-lactamase family.
AID1576715Inhibition of beta lactamase AmpC in Klebsiella pneumoniae C660 assessed as potentiation of meropenem-induced antibacterial activity by measuring meropenem MIC at 50 uM after 16 to 20 hrs by broth microdilution assay (Rvb = 32 ug/ml)
AID1576701Inhibition of bacterial N-terminal His-tagged TEV protease site linked GOB-18 (1 to 290 amino acids) expressed in Escherichia coli Transetta (DE3) preincubated for 10 mins followed by FC5 fluorescent substrate addition by fluorescence assay
AID372627Inhibition of Escherichia coli DH5alpha beta-lactamase TEM-1582007Antimicrobial agents and chemotherapy, Nov, Volume: 51, Issue:11
TEM-158 (CMT-9), a new member of the CMT-type extended-spectrum beta-lactamases.
AID66077The ratio of compound to that of piperacillin was evaluated for antimicrobial activity against Enterobacter cloacae OC 4080 by inhibiting enzyme P99 at 4 ug/mL2000Bioorganic & medicinal chemistry letters, Oct-02, Volume: 10, Issue:19
The synthesis and SAR of rhodanines as novel class C beta-lactamase inhibitors.
AID372629Inhibition of Escherichia coli CF0042 beta-lactamase TEM-352007Antimicrobial agents and chemotherapy, Nov, Volume: 51, Issue:11
TEM-158 (CMT-9), a new member of the CMT-type extended-spectrum beta-lactamases.
AID1476627Antibacterial activity against Acinetobacter baumannii ATCC BAA 1793 at 10 ug/ml after 18 hrs by broth microdilution method2017Journal of medicinal chemistry, 11-09, Volume: 60, Issue:21
Methodology for Monobactam Diversification: Syntheses and Studies of 4-Thiomethyl Substituted β-Lactams with Activity against Gram-Negative Bacteria, Including Carbapenemase Producing Acinetobacter baumannii.
AID203173The ratio of compound to that of piperacillin was evaluated for antimicrobial activity against Serratia marcescens OC 4294 by inhibiting enzyme AmpC(const) at 4 ug/mL2000Bioorganic & medicinal chemistry letters, Oct-02, Volume: 10, Issue:19
The synthesis and SAR of rhodanines as novel class C beta-lactamase inhibitors.
AID558569Antibacterial activity against bla gene-positive and nitrocefin reaction-positive beta-lactamase harboring Campylobacter jejuni isolate P285 by NCCLS agar doubling dilution method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Beta-lactamase-mediated beta-lactam resistance in Campylobacter species: prevalence of Cj0299 (bla OXA-61) and evidence for a novel beta-Lactamase in C. jejuni.
AID18721Compound was tested for the rate of the acyl-enzyme complex in Escherichia coli SNO3.1996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID727642Binding affinity to Beta-lactamase SHV-1 K234R protein mutant in Escherichia coli DH10B assessed as melting temperature at 50 uM by circular dichroism analysis (Rvb = 48.2 degC)2013Journal of medicinal chemistry, Feb-14, Volume: 56, Issue:3
Design and exploration of novel boronic acid inhibitors reveals important interactions with a clavulanic acid-resistant sulfhydryl-variable (SHV) β-lactamase.
AID373218Inhibition of Bacillus clausii NR beta-lactamase BCL1 expressed in Escherichia coli BL21 (DE3)2007Antimicrobial agents and chemotherapy, Nov, Volume: 51, Issue:11
Molecular and biochemical characterization of the chromosome-encoded class A beta-lactamase BCL-1 from Bacillus clausii.
AID558767Antibacterial activity against bla gene-positive and nitrocefin reaction-negative beta-lactamase harboring Campylobacter jejuni isolate P1699 by NCCLS agar doubling dilution method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Beta-lactamase-mediated beta-lactam resistance in Campylobacter species: prevalence of Cj0299 (bla OXA-61) and evidence for a novel beta-Lactamase in C. jejuni.
AID1576705Inhibition of bacterial N-terminal His-tagged TEV protease site linked OXA-48 (1 to 265 amino acids) expressed in Escherichia coli Transetta (DE3) preincubated for 10 mins followed by FC5 fluorescent substrate addition by fluorescence assay
AID1169068Hydrolytic solution stability in pH 7.4 aqueous phosphate buffer at 70 degC by HPLC-UV method2014ACS medicinal chemistry letters, Oct-09, Volume: 5, Issue:10
Enantioselective Synthesis and Profiling of Two Novel Diazabicyclooctanone β-Lactamase Inhibitors.
AID285273Inhibition of Escherichia coli BL21(DE3) beta-lactamase TEM1522007Antimicrobial agents and chemotherapy, Apr, Volume: 51, Issue:4
Evolution of TEM-type enzymes: biochemical and genetic characterization of two new complex mutant TEM enzymes, TEM-151 and TEM-152, from a single patient.
AID727644Ratio of Kcat to Kinact for Beta-lactamase SHV-1 K234R protein mutant in Escherichia coli DH10B2013Journal of medicinal chemistry, Feb-14, Volume: 56, Issue:3
Design and exploration of novel boronic acid inhibitors reveals important interactions with a clavulanic acid-resistant sulfhydryl-variable (SHV) β-lactamase.
AID519751Inhibition of Klebsiella pneumoniae Beta-Lactamase SHV-722008Antimicrobial agents and chemotherapy, May, Volume: 52, Issue:5
The Lys234Arg substitution in the enzyme SHV-72 is a determinant for resistance to clavulanic acid inhibition.
AID1559311Inhibition of bacterial VIM-2 using nitrocefin as substrate preincubated for 15 mins followed by susbtrate addition and measured after 10 mins by spectrophotometric method2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID44080In vitro inhibitory activity against Beta-lactamase TEM-1 of class A enzyme2003Journal of medicinal chemistry, Jun-19, Volume: 46, Issue:13
Spirocyclopropyl beta-lactams as mechanism-based inhibitors of serine beta-lactamases. Synthesis by rhodium-catalyzed cyclopropanation of 6-diazopenicillanate sulfone.
AID266531Antibacterial activity against Enterobacter cloacae expressing P992006Journal of medicinal chemistry, Jul-27, Volume: 49, Issue:15
Structure-activity relationship of 6-methylidene penems bearing 6,5 bicyclic heterocycles as broad-spectrum beta-lactamase inhibitors: evidence for 1,4-thiazepine intermediates with C7 R stereochemistry by computational methods.
AID560135Inhibition of recombinant beta-lactamase RTG4 expressed in Escherichia coli TOP10 by nitrocefin hydrolysis assay2009Antimicrobial agents and chemotherapy, Jul, Volume: 53, Issue:7
Genetic and biochemical characterization of the first extended-spectrum CARB-type beta-lactamase, RTG-4, from Acinetobacter baumannii.
AID374027Inhibition of Serratia fonticola UTAD54 SFC1 beta lactamase expressed in Escherichia coli BL21(DE3) by SDS-PAGE2007Antimicrobial agents and chemotherapy, Dec, Volume: 51, Issue:12
Biochemical Characterization of SFC-1, a class A carbapenem-hydrolyzing beta-lactamase.
AID44065In vitro inhibitory activity against Class A (TEM-1) beta-Lactamases2004Journal of medicinal chemistry, Jul-01, Volume: 47, Issue:14
Mechanism of inactivation of beta-lactamases by novel 6-methylidene penems elucidated using electrospray ionization mass spectrometry.
AID44073Compound was tested for inhibition of Beta-lactamase from PSE-11996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID584974Inhibition of beta-lactamase KPC-2 assessed as nitrocefin hydrolysis after 5 mins enzyme-compound preincubation2010Antimicrobial agents and chemotherapy, Dec, Volume: 54, Issue:12
Mechanistic studies of the inactivation of TEM-1 and P99 by NXL104, a novel non-beta-lactam beta-lactamase inhibitor.
AID1169070Inhibition of Enterobacter cloacae KPC-2 pre-incubated with enzyme for 5 mins before nitrocefin substrate addition by colorimetric assay2014ACS medicinal chemistry letters, Oct-09, Volume: 5, Issue:10
Enantioselective Synthesis and Profiling of Two Novel Diazabicyclooctanone β-Lactamase Inhibitors.
AID542053Antibacterial activity against Klebsiella pneumoniae C expressing CTX-M group 1 beta-lactamase by Etest method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Jan, Volume: 53, Issue:1
Nationwide survey of CTX-M-type extended-spectrum beta-lactamases among Klebsiella pneumoniae isolates in Slovenian hospitals.
AID558568Antibacterial activity against bla gene-negative and nitrocefin reaction-negative beta-lactamase harboring Campylobacter jejuni isolate P1962 by NCCLS agar doubling dilution method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Beta-lactamase-mediated beta-lactam resistance in Campylobacter species: prevalence of Cj0299 (bla OXA-61) and evidence for a novel beta-Lactamase in C. jejuni.
AID1476612Antibacterial activity against clinical isolates of Pseudomonas aeruginosa ISR-14-004 after 18 hrs by broth microdilution method2017Journal of medicinal chemistry, 11-09, Volume: 60, Issue:21
Methodology for Monobactam Diversification: Syntheses and Studies of 4-Thiomethyl Substituted β-Lactams with Activity against Gram-Negative Bacteria, Including Carbapenemase Producing Acinetobacter baumannii.
AID203172The ratio of compound to that of piperacillin was evaluated for antimicrobial activity against Serratia marcescens OC 4101 by inhibiting enzyme AmpC(ind) at 4 ug/mL2000Bioorganic & medicinal chemistry letters, Oct-02, Volume: 10, Issue:19
The synthesis and SAR of rhodanines as novel class C beta-lactamase inhibitors.
AID585191Inhibition of Beta-lactamase GES-6 K104, S170 mutant preincubated for 5 mins before substrate addition using cephalothin substrate by spectrophotometry2010Antimicrobial agents and chemotherapy, Nov, Volume: 54, Issue:11
Comparative biochemical and computational study of the role of naturally occurring mutations at Ambler positions 104 and 170 in GES β-lactamases.
AID556339Inhibition of Salmonella enterica serotype Westhampton beta-lactamase CTX-M-532009Antimicrobial agents and chemotherapy, May, Volume: 53, Issue:5
Novel plasmid-encoded ceftazidime-hydrolyzing CTX-M-53 extended-spectrum beta-lactamase from Salmonella enterica serotypes Westhampton and Senftenberg.
AID44072Compound was tested for inhibition of Beta-lactamase from OXA-11996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID1529358Inhibition of beta lactamase in Pseudomonas aeruginosa assessed as potentiation of meropenem-induced antibacterial activity by measuring meropenem MIC902018MedChemComm, Sep-01, Volume: 9, Issue:9
β-lactam/β-lactamase inhibitor combinations: an update.
AID340738Ratio of Kcat to Km of Chryseobacterium indologenes metallo-beta-lactamase IND-5 expressed in Escherichia coli BL21(DE3) assessed as substrate hydrolysis relative to control2007Antimicrobial agents and chemotherapy, Aug, Volume: 51, Issue:8
Identification and characterization of a new metallo-beta-lactamase, IND-5, from a clinical isolate of Chryseobacterium indologenes.
AID43114Compound was tested for inhibition of Beta-lactamase from Bacteroides fragilis 981996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID1559342Inhibition of KPC-2/PDC-42 in Pseudomonas aeruginosa CDC-0356 assessed as meropenem antibacterial activity at 4 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb = 32 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID558769Antibacterial activity against bla gene-negative and nitrocefin reaction-positive beta-lactamase harboring Campylobacter jejuni isolate P854 by NCCLS agar doubling dilution method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Beta-lactamase-mediated beta-lactam resistance in Campylobacter species: prevalence of Cj0299 (bla OXA-61) and evidence for a novel beta-Lactamase in C. jejuni.
AID368519Inhibition of Escherichia coli CTX-M-152007Antimicrobial agents and chemotherapy, Sep, Volume: 51, Issue:9
Interactions of ceftobiprole with beta-lactamases from molecular classes A to D.
AID43275Compound was tested for inhibition of Beta-lactamase from Ent. cloacae 63001996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID285161Antimicrobial activity against non replicating persistence Mycobacterium tuberculosis H37Rv in anaerobic condition assessed as relative light unit after 11 days by LORA assay2007Antimicrobial agents and chemotherapy, Apr, Volume: 51, Issue:4
Low-oxygen-recovery assay for high-throughput screening of compounds against nonreplicating Mycobacterium tuberculosis.
AID495660Inhibition of Pseudomonas aeruginosa 51170 beta-lactamase BEL-12010Antimicrobial agents and chemotherapy, Jan, Volume: 54, Issue:1
BEL-2, an extended-spectrum beta-lactamase with increased activity toward expanded-spectrum cephalosporins in Pseudomonas aeruginosa.
AID584987Inhibition of beta-lactamase TEM-1 after 5 seconds incubation with nitrocefin substrate by spectrophotometry2010Antimicrobial agents and chemotherapy, Dec, Volume: 54, Issue:12
Mechanistic studies of the inactivation of TEM-1 and P99 by NXL104, a novel non-beta-lactam beta-lactamase inhibitor.
AID577228Antibacterial activity against intI1-positive tigecycline-susceptible Acinetobacter baumannii AB039 with PFGE subgroup B1 containing carbapenemase OXA-23 and OXA-51 by Etest2010Antimicrobial agents and chemotherapy, Nov, Volume: 54, Issue:11
Overexpression of the adeB gene in clinical isolates of tigecycline-nonsusceptible Acinetobacter baumannii without insertion mutations in adeRS.
AID1529344Inhibition of beta lactamase in Pseudomonas aeruginosa assessed as potentiation of ceftazidime-induced antibacterial activity by measuring fold reduction in ceftazidime MIC90 at 4 ug/ml relative to ceftazidime alone2018MedChemComm, Sep-01, Volume: 9, Issue:9
β-lactam/β-lactamase inhibitor combinations: an update.
AID496597Ratio of Kinact to Km for Escherichia coli DH10B beta-lactamase KPC-22010Antimicrobial agents and chemotherapy, Feb, Volume: 54, Issue:2
Inhibitor resistance in the KPC-2 beta-lactamase, a preeminent property of this class A beta-lactamase.
AID1559335Inhibition of KPC-2/SHV12/TEM-1 in Klebsiella pneumoniae CDC-0361 assessed as cefepime antibacterial activity at 8 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb = 32 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID542054Antibacterial activity against Klebsiella pneumoniae B expressing CTX-M group 1 beta-lactamase by Etest method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Jan, Volume: 53, Issue:1
Nationwide survey of CTX-M-type extended-spectrum beta-lactamases among Klebsiella pneumoniae isolates in Slovenian hospitals.
AID525575Antibacterial activity against Escherichia coli DH10B harboring RGN238 plasmid containing Beta-lactamase OXA-1 at 4 ug/ml in presence of increasing concentrations of piperacillin by broth agar dilution assay2010Antimicrobial agents and chemotherapy, Apr, Volume: 54, Issue:4
Penicillin sulfone inhibitors of class D beta-lactamases.
AID297198Inhibition of Escherichia coli TEM12007Journal of medicinal chemistry, Aug-23, Volume: 50, Issue:17
4-Substituted trinems as broad spectrum beta-lactamase inhibitors: structure-based design, synthesis, and biological activity.
AID372628Inhibition of Escherichia coli DH5alpha beta-lactamase TEM-122007Antimicrobial agents and chemotherapy, Nov, Volume: 51, Issue:11
TEM-158 (CMT-9), a new member of the CMT-type extended-spectrum beta-lactamases.
AID525577Inhibition of Beta-lactamase OXA-24/40 expressed in Escherichia coli BL21 (DE3) by nitrocefin hydrolysis assay2010Antimicrobial agents and chemotherapy, Apr, Volume: 54, Issue:4
Penicillin sulfone inhibitors of class D beta-lactamases.
AID18757Compound was tested for the half saturation constant derived from concentration dependence studies in Escherichia coli SNO3.1996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID18727Compound was tested for the rate of formation of the acyl-enzyme complex in Citrobacter freundii1996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID18722Compound was tested for the rate of the acyl-enzyme complex in Escherichia coli TEM-3.1996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID577240Antibacterial activity against intI1-positive tigecycline-resistant Acinetobacter baumannii AB168 with PFGE subgroup A1 containing carbapenemase OXA-23 and OXA-51 by Etest2010Antimicrobial agents and chemotherapy, Nov, Volume: 54, Issue:11
Overexpression of the adeB gene in clinical isolates of tigecycline-nonsusceptible Acinetobacter baumannii without insertion mutations in adeRS.
AID340736Activity of Chryseobacterium indologenes metallo-beta-lactamase IND-5 expressed in Escherichia coli BL21(DE3) assessed as substrate hydrolysis2007Antimicrobial agents and chemotherapy, Aug, Volume: 51, Issue:8
Identification and characterization of a new metallo-beta-lactamase, IND-5, from a clinical isolate of Chryseobacterium indologenes.
AID584978Inhibition of Pseudomonas aeruginosa beta-lactamase AmpC assessed as nitrocefin hydrolysis after 5 mins enzyme-compound preincubation2010Antimicrobial agents and chemotherapy, Dec, Volume: 54, Issue:12
Mechanistic studies of the inactivation of TEM-1 and P99 by NXL104, a novel non-beta-lactam beta-lactamase inhibitor.
AID1529359Inhibition of beta lactamase in Bacteroides fragilis assessed as potentiation of ceftolozane-induced antibacterial activity by measuring ceftolozane MIC902018MedChemComm, Sep-01, Volume: 9, Issue:9
β-lactam/β-lactamase inhibitor combinations: an update.
AID285277Inhibition of Escherichia coli BL21(DE3) beta-lactamase TEM12007Antimicrobial agents and chemotherapy, Apr, Volume: 51, Issue:4
Evolution of TEM-type enzymes: biochemical and genetic characterization of two new complex mutant TEM enzymes, TEM-151 and TEM-152, from a single patient.
AID1559351Inhibition of TEM/CTX-M/SHV/KPC in Klebsiella pneumoniae 964-2 assessed as cefepime antibacterial activity at 4 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb > 128 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID285275Inhibition of Escherichia coli BL21(DE3) beta-lactamase TEM292007Antimicrobial agents and chemotherapy, Apr, Volume: 51, Issue:4
Evolution of TEM-type enzymes: biochemical and genetic characterization of two new complex mutant TEM enzymes, TEM-151 and TEM-152, from a single patient.
AID1225764Inhibition of Escherichia coli recombinant CMY-2 assessed as substrate nitrocefin degradation preincubated for 10 mins followed by substrate addition measured every 10 secs for 10 mins by spectrophotometric analysis2015Journal of medicinal chemistry, May-14, Volume: 58, Issue:9
Discovery of a Cyclic Boronic Acid β-Lactamase Inhibitor (RPX7009) with Utility vs Class A Serine Carbapenemases.
AID266533Antibacterial activity against Serratia marcescens expressing AmpC and Smel2006Journal of medicinal chemistry, Jul-27, Volume: 49, Issue:15
Structure-activity relationship of 6-methylidene penems bearing 6,5 bicyclic heterocycles as broad-spectrum beta-lactamase inhibitors: evidence for 1,4-thiazepine intermediates with C7 R stereochemistry by computational methods.
AID1529351Inhibition of beta lactamase in Enterobacteriaceae clinical isolate assessed as potentiation of ceftolozane-induced antibacterial activity by measuring ceftolozane MIC by broth microdilution method2018MedChemComm, Sep-01, Volume: 9, Issue:9
β-lactam/β-lactamase inhibitor combinations: an update.
AID558575Antibacterial activity against bla gene-positive and nitrocefin reaction-positive beta-lactamase harboring Campylobacter jejuni isolate P1093 by NCCLS agar doubling dilution method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Beta-lactamase-mediated beta-lactam resistance in Campylobacter species: prevalence of Cj0299 (bla OXA-61) and evidence for a novel beta-Lactamase in C. jejuni.
AID1559316Inhibition of bacterial SHV-5 using cefotaxime as substrate preincubated for 15 mins followed by susbtrate addition and measured after 10 mins by spectrophotometric method2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID1559337Inhibition of KPC-2/PDC-42 in Pseudomonas aeruginosa CDC-0457 assessed as cefepime antibacterial activity at 8 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb = 16 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID577242Antibacterial activity against intI1-positive tigecycline-resistant Acinetobacter baumannii AB097 with PFGE subgroup B1 containing carbapenemase OXA-23 and OXA-51 by Etest2010Antimicrobial agents and chemotherapy, Nov, Volume: 54, Issue:11
Overexpression of the adeB gene in clinical isolates of tigecycline-nonsusceptible Acinetobacter baumannii without insertion mutations in adeRS.
AID727640Binding affinity to Beta-lactamase SHV-1 K234R protein mutant in Escherichia coli DH10B assessed as change in secondary structure at 50 uM by circular dichroism analysis2013Journal of medicinal chemistry, Feb-14, Volume: 56, Issue:3
Design and exploration of novel boronic acid inhibitors reveals important interactions with a clavulanic acid-resistant sulfhydryl-variable (SHV) β-lactamase.
AID44077Compound was tested for inhibition of Beta-lactamase from SHV-21996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID1576698Inhibition of bacterial N-terminal His-tagged TEV protease site linked VIM-2 (27 to 266 amino acids) expressed in Escherichia coli Transetta (DE3) preincubated for 10 mins followed by FC5 fluorescent substrate addition by fluorescence assay
AID266529Inhibition of Enterobacter cloacae AmpC2006Journal of medicinal chemistry, Jul-27, Volume: 49, Issue:15
Structure-activity relationship of 6-methylidene penems bearing 6,5 bicyclic heterocycles as broad-spectrum beta-lactamase inhibitors: evidence for 1,4-thiazepine intermediates with C7 R stereochemistry by computational methods.
AID558772Antibacterial activity against bla gene-positive and nitrocefin reaction-positive beta-lactamase harboring Campylobacter coli isolate P1826 by NCCLS agar doubling dilution method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Beta-lactamase-mediated beta-lactam resistance in Campylobacter species: prevalence of Cj0299 (bla OXA-61) and evidence for a novel beta-Lactamase in C. jejuni.
AID1225760Inhibition of Escherichia coli recombinant CTX-M-15 assessed as substrate nitrocefin degradation preincubated for 10 mins followed by substrate addition measured every 10 secs for 10 mins by spectrophotometric analysis2015Journal of medicinal chemistry, May-14, Volume: 58, Issue:9
Discovery of a Cyclic Boronic Acid β-Lactamase Inhibitor (RPX7009) with Utility vs Class A Serine Carbapenemases.
AID43744Compound was tested for inhibition of beta-Lactamases from Morganell morgani U16271996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID1476610Antibacterial activity against Pseudomonas aeruginosa ARC 3506 after 18 hrs by broth microdilution method2017Journal of medicinal chemistry, 11-09, Volume: 60, Issue:21
Methodology for Monobactam Diversification: Syntheses and Studies of 4-Thiomethyl Substituted β-Lactams with Activity against Gram-Negative Bacteria, Including Carbapenemase Producing Acinetobacter baumannii.
AID266530Antibacterial activity against Escherichia coli expressing TEM12006Journal of medicinal chemistry, Jul-27, Volume: 49, Issue:15
Structure-activity relationship of 6-methylidene penems bearing 6,5 bicyclic heterocycles as broad-spectrum beta-lactamase inhibitors: evidence for 1,4-thiazepine intermediates with C7 R stereochemistry by computational methods.
AID519637Inhibition of Brachyspira pilosicoli beta-lactamase OXA-63 expressed in Escherichia coli BL21 (DE3) assessed as reduction in nitrocefin hydrolysis by spectrophotometry relative to oxacillin2008Antimicrobial agents and chemotherapy, Apr, Volume: 52, Issue:4
Genetic and biochemical characterization of OXA-63, a new class D beta-lactamase from Brachyspira pilosicoli BM4442.
AID574203Ratio of Kinact to Ki for beta-lactamase OXA-1 expressed in Escherichia coli BL21 (DE3) using nitrocefin substrate by spectrophotometry2008Antimicrobial agents and chemotherapy, Sep, Volume: 52, Issue:9
Inhibition of OXA-1 beta-lactamase by penems.
AID70946In vitro antibacterial activity against TEM-1 producing Escherichia coli (GC2206)2001Bioorganic & medicinal chemistry letters, Apr-23, Volume: 11, Issue:8
Allyl and propargyl substituted penam sulfones as versatile intermediates toward the syntheses of new beta-lactamase inhibitors.
AID1576719Inhibition of bacterial KPC-2 (29 to 289 amino acids) expressed in Escherichia coli Transetta (DE3) preincubated for 10 mins followed by FC5 fluorescent substrate addition by jump-dilution recovery method
AID1559324Inhibition of NDM-1/CMY-6/OXA-1 in Escherichia coli CDC-0055 assessed as piperacillin antibacterial activity at 16 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb > 128 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID560596Antimicrobial activity against multidrug resistant Pseudomonas aeruginosa isolate IMCJ2S1 by microdilution method in presence of beta-lactamase inhibitor Tazobactam2009Antimicrobial agents and chemotherapy, Jun, Volume: 53, Issue:6
AAC(6')-Iaf, a novel aminoglycoside 6'-N-acetyltransferase from multidrug-resistant Pseudomonas aeruginosa clinical isolates.
AID577235Antibacterial activity against intI1-positive tigecycline-resistant Acinetobacter baumannii AB106 with PFGE subgroup B1 containing carbapenemase OXA-23 and OXA-51 by Etest2010Antimicrobial agents and chemotherapy, Nov, Volume: 54, Issue:11
Overexpression of the adeB gene in clinical isolates of tigecycline-nonsusceptible Acinetobacter baumannii without insertion mutations in adeRS.
AID1559344Inhibition of NDM in Escherichia coli CDC-0452 assessed as meropenem antibacterial activity at 4 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb = 32 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID43908Compound was tested for inhibition of Beta-lactamase from Staphylococcus aureus PCI1996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID572897Inhibition of Klebsiella pneumoniae Beta-lactamase SHV-12009Antimicrobial agents and chemotherapy, Feb, Volume: 53, Issue:2
In vitro activity of LK-157, a novel tricyclic carbapenem as broad-spectrum {beta}-lactamase inhibitor.
AID560597Antimicrobial activity against rifampin-resistant Pseudomonas aeruginosa ATCC 27853 by microdilution method in presence of beta-lactamase inhibitor Tazobactam2009Antimicrobial agents and chemotherapy, Jun, Volume: 53, Issue:6
AAC(6')-Iaf, a novel aminoglycoside 6'-N-acetyltransferase from multidrug-resistant Pseudomonas aeruginosa clinical isolates.
AID374361Antimicrobial activity against Escherichia coli DH5alpha expressing pJDB2 containing Aeromonas caviae A324R metallo-beta-lactamase gene by broth dilution method2007Antimicrobial agents and chemotherapy, Dec, Volume: 51, Issue:12
First occurrence of an IMP metallo-beta-lactamase in Aeromonas caviae: IMP-19 in an isolate from France.
AID43880Compound was tested for inhibition of Beta-lactamase from Pseudomonas aeruginosa MK-11841996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID43113Compound was tested for inhibition of Beta-lactamase from Bacteroides fragilis BF 1011996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID297199Inhibition of Escherichia coli SHV12007Journal of medicinal chemistry, Aug-23, Volume: 50, Issue:17
4-Substituted trinems as broad spectrum beta-lactamase inhibitors: structure-based design, synthesis, and biological activity.
AID560595Antimicrobial activity against Pseudomonas aeruginosa isolate IMCJ799 by microdilution method in presence of beta-lactamase inhibitor Tazobactam2009Antimicrobial agents and chemotherapy, Jun, Volume: 53, Issue:6
AAC(6')-Iaf, a novel aminoglycoside 6'-N-acetyltransferase from multidrug-resistant Pseudomonas aeruginosa clinical isolates.
AID1529353Inhibition of beta lactamase in Pseudomonas aeruginosa assessed as potentiation of ceftolozane-induced antibacterial activity by measuring ceftolozane MIC by broth microdilution method2018MedChemComm, Sep-01, Volume: 9, Issue:9
β-lactam/β-lactamase inhibitor combinations: an update.
AID519750Inhibition of Klebsiella pneumoniae Beta-Lactamase SHV-12008Antimicrobial agents and chemotherapy, May, Volume: 52, Issue:5
The Lys234Arg substitution in the enzyme SHV-72 is a determinant for resistance to clavulanic acid inhibition.
AID44076Compound was tested for inhibition of Beta-lactamase from RTEM-31996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID542042Antibacterial activity against Escherichia coli TrC B expressing Klebsiella pneumoniae B blaCTX-M beta-lactamase by Etest method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Jan, Volume: 53, Issue:1
Nationwide survey of CTX-M-type extended-spectrum beta-lactamases among Klebsiella pneumoniae isolates in Slovenian hospitals.
AID584992Activity of Enterobacter cloacae beta-lactamase P99 by spectrophotometry2010Antimicrobial agents and chemotherapy, Dec, Volume: 54, Issue:12
Mechanistic studies of the inactivation of TEM-1 and P99 by NXL104, a novel non-beta-lactam beta-lactamase inhibitor.
AID525576Inhibition of Beta-lactamase OXA-17 expressed in Escherichia coli BL21 (DE3) by nitrocefin hydrolysis assay2010Antimicrobial agents and chemotherapy, Apr, Volume: 54, Issue:4
Penicillin sulfone inhibitors of class D beta-lactamases.
AID558574Antibacterial activity against bla gene-positive and nitrocefin reaction-positive beta-lactamase harboring Campylobacter jejuni isolate P790 by NCCLS agar doubling dilution method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Beta-lactamase-mediated beta-lactam resistance in Campylobacter species: prevalence of Cj0299 (bla OXA-61) and evidence for a novel beta-Lactamase in C. jejuni.
AID1559334Inhibition of KPC-2/PDC-42 in Pseudomonas aeruginosa CDC-0356 assessed as cefepime antibacterial activity at 8 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb > 128 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID266527Inhibition of Enterobacter cloacae Imi12006Journal of medicinal chemistry, Jul-27, Volume: 49, Issue:15
Structure-activity relationship of 6-methylidene penems bearing 6,5 bicyclic heterocycles as broad-spectrum beta-lactamase inhibitors: evidence for 1,4-thiazepine intermediates with C7 R stereochemistry by computational methods.
AID577239Antibacterial activity against intI1-positive tigecycline-resistant Acinetobacter baumannii AB134 with PFGE subgroup A2 containing carbapenemase OXA-23 and OXA-51 by Etest2010Antimicrobial agents and chemotherapy, Nov, Volume: 54, Issue:11
Overexpression of the adeB gene in clinical isolates of tigecycline-nonsusceptible Acinetobacter baumannii without insertion mutations in adeRS.
AID585189Inhibition of Beta-lactamase GES-2 E104, N170 mutant preincubated for 5 mins before substrate addition using cephalothin substrate by spectrophotometry2010Antimicrobial agents and chemotherapy, Nov, Volume: 54, Issue:11
Comparative biochemical and computational study of the role of naturally occurring mutations at Ambler positions 104 and 170 in GES β-lactamases.
AID1576699Inhibition of bacterial N-terminal His-tagged TEV protease site linked NDM-1 (1 to 270 amino acids) expressed in Escherichia coli Transetta (DE3) preincubated for 10 mins followed by FC5 fluorescent substrate addition by fluorescence assay
AID326275Inhibition of Escherichia coli K12 TEM12007Antimicrobial agents and chemotherapy, Jun, Volume: 51, Issue:6
SCO-1, a novel plasmid-mediated class A beta-lactamase with carbenicillinase characteristics from Escherichia coli.
AID548269Ratio of Ki for Klebsiella pneumoniae 1534 beta-lactamase KPC-2 T237S mutant to Ki for Klebsiella pneumoniae wild type beta-lactamase KPC-2 by competitive assay2010Antimicrobial agents and chemotherapy, Jul, Volume: 54, Issue:7
Substrate selectivity and a novel role in inhibitor discrimination by residue 237 in the KPC-2 beta-lactamase.
AID584985Ratio of Inactivation rate constant for longer incubation time yield to Km for beta-lactamase TEM-1 by spectrophotometry2010Antimicrobial agents and chemotherapy, Dec, Volume: 54, Issue:12
Mechanistic studies of the inactivation of TEM-1 and P99 by NXL104, a novel non-beta-lactam beta-lactamase inhibitor.
AID18755Compound was tested for the half saturation constant derived from concentration dependence studies in Citrobacter freundii1996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID70901In vitro antibacterial activity against AmpC producing Escherichia coli (GC2894)2001Bioorganic & medicinal chemistry letters, Apr-23, Volume: 11, Issue:8
Allyl and propargyl substituted penam sulfones as versatile intermediates toward the syntheses of new beta-lactamase inhibitors.
AID558578Antibacterial activity against bla gene-positive and nitrocefin reaction-positive beta-lactamase harboring Campylobacter jejuni isolate P1650 by NCCLS agar doubling dilution method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Beta-lactamase-mediated beta-lactam resistance in Campylobacter species: prevalence of Cj0299 (bla OXA-61) and evidence for a novel beta-Lactamase in C. jejuni.
AID1559319Inhibition of bacterial OXA-1 using nitrocefin as substrate preincubated for 15 mins followed by susbtrate addition and measured after 10 mins by spectrophotometric method2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID577232Antibacterial activity against intI1-positive tigecycline-intermediate Acinetobacter baumannii AB166 with PFGE subgroup A3 containing carbapenemase OXA-51 by Etest2010Antimicrobial agents and chemotherapy, Nov, Volume: 54, Issue:11
Overexpression of the adeB gene in clinical isolates of tigecycline-nonsusceptible Acinetobacter baumannii without insertion mutations in adeRS.
AID422500Inhibition of Carnobacterium divergens BM4489 penicillinase Cad-12008Antimicrobial agents and chemotherapy, Feb, Volume: 52, Issue:2
Genetic and biochemical characterization of CAD-1, a chromosomally encoded new class A penicillinase from Carnobacterium divergens.
AID558572Antibacterial activity against bla gene-positive and nitrocefin reaction-positive beta-lactamase harboring Campylobacter jejuni isolate P338 by NCCLS agar doubling dilution method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Beta-lactamase-mediated beta-lactam resistance in Campylobacter species: prevalence of Cj0299 (bla OXA-61) and evidence for a novel beta-Lactamase in C. jejuni.
AID405083Inhibition of Citrobacter freundii PER2 beta lactamase2007Antimicrobial agents and chemotherapy, Jul, Volume: 51, Issue:7
Biochemical characterization of PER-2 and genetic environment of blaPER-2.
AID588220Literature-mined public compounds from Kruhlak et al phospholipidosis modelling dataset2008Toxicology mechanisms and methods, , Volume: 18, Issue:2-3
Development of a phospholipidosis database and predictive quantitative structure-activity relationship (QSAR) models.
AID1169071Inhibition of Pseudomonas aeruginosa AmpC pre-incubated with enzyme for 5 mins before nitrocefin substrate addition by colorimetric assay2014ACS medicinal chemistry letters, Oct-09, Volume: 5, Issue:10
Enantioselective Synthesis and Profiling of Two Novel Diazabicyclooctanone β-Lactamase Inhibitors.
AID585190Inhibition of Beta-lactamase GES-5 E104, S170 mutant preincubated for 5 mins before substrate addition using cephalothin substrate by spectrophotometry2010Antimicrobial agents and chemotherapy, Nov, Volume: 54, Issue:11
Comparative biochemical and computational study of the role of naturally occurring mutations at Ambler positions 104 and 170 in GES β-lactamases.
AID577227Antibacterial activity against intI1-positive tigecycline-susceptible Acinetobacter baumannii AB018 with PFGE subgroup G containing carbapenemase OXA-58 and OXA-51 by Etest2010Antimicrobial agents and chemotherapy, Nov, Volume: 54, Issue:11
Overexpression of the adeB gene in clinical isolates of tigecycline-nonsusceptible Acinetobacter baumannii without insertion mutations in adeRS.
AID1559332Inhibition of NDM-1/CMY-6/OXA-1 in Escherichia coli CDC-0055 assessed as cefepime antibacterial activity at 8 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb = 128 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID285274Inhibition of Escherichia coli BL21(DE3) beta-lactamase TEM282007Antimicrobial agents and chemotherapy, Apr, Volume: 51, Issue:4
Evolution of TEM-type enzymes: biochemical and genetic characterization of two new complex mutant TEM enzymes, TEM-151 and TEM-152, from a single patient.
AID574202Inhibition of beta-lactamase OXA-1 expressed in Escherichia coli BL21 (DE3) using nitrocefin substrate by spectrophotometry2008Antimicrobial agents and chemotherapy, Sep, Volume: 52, Issue:9
Inhibition of OXA-1 beta-lactamase by penems.
AID1225762Inhibition of Escherichia coli recombinant TEM-10 assessed as substrate nitrocefin degradation preincubated for 10 mins followed by substrate addition measured every 10 secs for 10 mins by spectrophotometric analysis2015Journal of medicinal chemistry, May-14, Volume: 58, Issue:9
Discovery of a Cyclic Boronic Acid β-Lactamase Inhibitor (RPX7009) with Utility vs Class A Serine Carbapenemases.
AID531316Ratio of Kcat to Km for Pseudomonas aeruginosa beta-lactamase VIM-2 by spectrophotometry2008Antimicrobial agents and chemotherapy, Aug, Volume: 52, Issue:8
Kinetic characterization of VIM-7, a divergent member of the VIM metallo-beta-lactamase family.
AID558571Antibacterial activity against bla gene-positive and nitrocefin reaction-positive beta-lactamase harboring Campylobacter jejuni isolate P316 by NCCLS agar doubling dilution method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Beta-lactamase-mediated beta-lactam resistance in Campylobacter species: prevalence of Cj0299 (bla OXA-61) and evidence for a novel beta-Lactamase in C. jejuni.
AID374365Antimicrobial activity against Escherichia coli DH5alpha expressing pIP19 containing Aeromonas caviae A324R metallo-beta-lactamase blaIMP-19 gene by broth dilution method2007Antimicrobial agents and chemotherapy, Dec, Volume: 51, Issue:12
First occurrence of an IMP metallo-beta-lactamase in Aeromonas caviae: IMP-19 in an isolate from France.
AID394491Inhibition of Escherichia coli beta-lactamase ACC42007Antimicrobial agents and chemotherapy, Oct, Volume: 51, Issue:10
Plasmid-encoded ACC-4, an extended-spectrum cephalosporinase variant from Escherichia coli.
AID577241Antibacterial activity against intI1-positive tigecycline-resistant Acinetobacter baumannii AB173 with PFGE subgroup B1 containing carbapenemase OXA-23 and OXA-51 by Etest2010Antimicrobial agents and chemotherapy, Nov, Volume: 54, Issue:11
Overexpression of the adeB gene in clinical isolates of tigecycline-nonsusceptible Acinetobacter baumannii without insertion mutations in adeRS.
AID495801Inhibition of carbapenem-resistant Klebsiella pneumoniae carbepenem-hydrolyzing beta-lactamase KPC-12010Antimicrobial agents and chemotherapy, Jan, Volume: 54, Issue:1
Novel ambler class A carbapenem-hydrolyzing beta-lactamase from a Pseudomonas fluorescens isolate from the Seine River, Paris, France.
AID585188Inhibition of Beta-lactamase GES-7 K104, G170 mutant preincubated for 5 mins before substrate addition using cephalothin substrate by spectrophotometry2010Antimicrobial agents and chemotherapy, Nov, Volume: 54, Issue:11
Comparative biochemical and computational study of the role of naturally occurring mutations at Ambler positions 104 and 170 in GES β-lactamases.
AID1559339Inhibition of VIM-27/CTX-M-15/SHV-11/OXA-1 in Klebsiella pneumoniae CDC-0040 assessed as meropenem antibacterial activity at 4 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb > 128 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID496594Ratio of Kcat to Km for Escherichia coli DH10B beta-lactamase KPC-22010Antimicrobial agents and chemotherapy, Feb, Volume: 54, Issue:2
Inhibitor resistance in the KPC-2 beta-lactamase, a preeminent property of this class A beta-lactamase.
AID209020In vitro inhibitory concentration against TEM-1 enzyme2001Bioorganic & medicinal chemistry letters, Apr-23, Volume: 11, Issue:8
Allyl and propargyl substituted penam sulfones as versatile intermediates toward the syntheses of new beta-lactamase inhibitors.
AID495800Inhibition of Pseudomonas fluorescens PF-1 beta-lactamase BIC-1 expressed in Escherichia coli DH10B carrying pSau12010Antimicrobial agents and chemotherapy, Jan, Volume: 54, Issue:1
Novel ambler class A carbapenem-hydrolyzing beta-lactamase from a Pseudomonas fluorescens isolate from the Seine River, Paris, France.
AID1559346Inhibition of TEM/CTX-M/SHV/Cephalosporinase in Escherichia coli EC1552 assessed as cefepime antibacterial activity at 4 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb = 16 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID584973Inhibition of beta-lactamase SHV-4 assessed as nitrocefin hydrolysis after 5 mins enzyme-compound preincubation2010Antimicrobial agents and chemotherapy, Dec, Volume: 54, Issue:12
Mechanistic studies of the inactivation of TEM-1 and P99 by NXL104, a novel non-beta-lactam beta-lactamase inhibitor.
AID358399Inhibition of beta lactamase SHV12007The Journal of biological chemistry, Jul-27, Volume: 282, Issue:30
Efficient inhibition of class A and class D beta-lactamases by Michaelis complexes.
AID44074Compound was tested for inhibition of Beta-lactamase from RTEM-11996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID1559350Inhibition of KPC/Cephalosporinase in Klebsiella pneumoniae 664-1 assessed as cefepime antibacterial activity at 4 ug/ml after 16 to 20 hrs by CLSI-based microbroth dilution method (Rvb > 128 ug/ml)2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID560136Inhibition of recombinant beta-lactamase RTG3 expressed in Escherichia coli TOP10 by nitrocefin hydrolysis assay2009Antimicrobial agents and chemotherapy, Jul, Volume: 53, Issue:7
Genetic and biochemical characterization of the first extended-spectrum CARB-type beta-lactamase, RTG-4, from Acinetobacter baumannii.
AID1209731Drug uptake by mouse OAT3 expressed in CHO cells at 100 uM after 25 mins by HPLC/UV detection method2013Drug metabolism and disposition: the biological fate of chemicals, Apr, Volume: 41, Issue:4
Organic anion transporter 3 interacts selectively with lipophilic β-lactam antibiotics.
AID496600Inhibition of Escherichia coli DH10B beta-lactamase KPC-2 assessed as residual activity at 25 to 200 uM after 15 mins by diode array spectrophotometry2010Antimicrobial agents and chemotherapy, Feb, Volume: 54, Issue:2
Inhibitor resistance in the KPC-2 beta-lactamase, a preeminent property of this class A beta-lactamase.
AID285159Antimicrobial activity against non replicating persistence Mycobacterium tuberculosis H37Rv in aerobic condition assessed by relative light units after 7 days2007Antimicrobial agents and chemotherapy, Apr, Volume: 51, Issue:4
Low-oxygen-recovery assay for high-throughput screening of compounds against nonreplicating Mycobacterium tuberculosis.
AID574204Ratio of Kcat to Kinact for beta-lactamase OXA-1 expressed in Escherichia coli BL21 (DE3) using nitrocefin substrate by spectrophotometry2008Antimicrobial agents and chemotherapy, Sep, Volume: 52, Issue:9
Inhibition of OXA-1 beta-lactamase by penems.
AID727647Antimicrobial activity against Escherichia coli DH10B expressing Beta-lactamase SHV K234A mutant by CLSI agar dilution method in presence of ampicillin2013Journal of medicinal chemistry, Feb-14, Volume: 56, Issue:3
Design and exploration of novel boronic acid inhibitors reveals important interactions with a clavulanic acid-resistant sulfhydryl-variable (SHV) β-lactamase.
AID326274Inhibition of Escherichia coli K12 CARB12007Antimicrobial agents and chemotherapy, Jun, Volume: 51, Issue:6
SCO-1, a novel plasmid-mediated class A beta-lactamase with carbenicillinase characteristics from Escherichia coli.
AID43428Compound was tested for inhibition of Beta-lactamase from Escherichia coli SN031996Journal of medicinal chemistry, Sep-13, Volume: 39, Issue:19
Design, synthesis, and evaluation of 2 beta-alkenyl penam sulfone acids as inhibitors of beta-lactamases.
AID285272Inhibition of Escherichia coli BL21(DE3) beta-lactamase TEM1512007Antimicrobial agents and chemotherapy, Apr, Volume: 51, Issue:4
Evolution of TEM-type enzymes: biochemical and genetic characterization of two new complex mutant TEM enzymes, TEM-151 and TEM-152, from a single patient.
AID1559317Inhibition of bacterial CTX-M-15 using cefotaxime as substrate preincubated for 15 mins followed by susbtrate addition and measured after 10 mins by spectrophotometric method2020Journal of medicinal chemistry, 03-26, Volume: 63, Issue:6
Discovery of Taniborbactam (VNRX-5133): A Broad-Spectrum Serine- and Metallo-β-lactamase Inhibitor for Carbapenem-Resistant Bacterial Infections.
AID558570Antibacterial activity against bla gene-positive and nitrocefin reaction-positive beta-lactamase harboring Campylobacter jejuni isolate P286 by NCCLS agar doubling dilution method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Beta-lactamase-mediated beta-lactam resistance in Campylobacter species: prevalence of Cj0299 (bla OXA-61) and evidence for a novel beta-Lactamase in C. jejuni.
AID163441The ratio of compound to that of piperacillin was evaluated for antimicrobial activity against Pseudomonas aeruginosa OC 4270 by inhibiting enzyme AmpC(ind) at 4 ug/mL2000Bioorganic & medicinal chemistry letters, Oct-02, Volume: 10, Issue:19
The synthesis and SAR of rhodanines as novel class C beta-lactamase inhibitors.
AID1576709Inhibition of beta lactamase NDM1 in Escherichia coli BAA-2452 assessed as potentiation of meropenem-induced antibacterial activity by measuring meropenem MIC at 50 uM after 16 to 20 hrs by broth microdilution assay (Rvb = 32 ug/ml)
AID1576714Inhibition of beta lactamase KPC-2 in Klebsiella pneumoniae 5846 assessed as potentiation of meropenem-induced antibacterial activity by measuring meropenem MIC at 50 uM after 16 to 20 hrs by broth microdilution assay (Rvb = 16 ug/ml)
AID1576713Inhibition of beta lactamase KPC-2 in Klebsiella pneumoniae BAA-1705 assessed as potentiation of meropenem-induced antibacterial activity by measuring meropenem MIC at 50 uM after 16 to 20 hrs by broth microdilution assay (Rvb = 16 ug/ml)
AID548268Inhibition of Klebsiella pneumoniae 1534 beta-lactamase KPC-2 T237A mutant by competitive assay2010Antimicrobial agents and chemotherapy, Jul, Volume: 54, Issue:7
Substrate selectivity and a novel role in inhibitor discrimination by residue 237 in the KPC-2 beta-lactamase.
AID727645Ratio of Kcat to Kinact for wild type Beta-lactamase SHV-1 in Escherichia coli DH10B2013Journal of medicinal chemistry, Feb-14, Volume: 56, Issue:3
Design and exploration of novel boronic acid inhibitors reveals important interactions with a clavulanic acid-resistant sulfhydryl-variable (SHV) β-lactamase.
AID558766Antibacterial activity against bla gene-positive and nitrocefin reaction-negative beta-lactamase harboring Campylobacter jejuni isolate P1698 by NCCLS agar doubling dilution method in presence of Tazobactam2009Antimicrobial agents and chemotherapy, Aug, Volume: 53, Issue:8
Beta-lactamase-mediated beta-lactam resistance in Campylobacter species: prevalence of Cj0299 (bla OXA-61) and evidence for a novel beta-Lactamase in C. jejuni.
AID1801066Steady-State Kinetics Assay from Article 10.1021/bi501197t: \\Detecting a quasi-stable imine species on the reaction pathway of SHV-1 u00DF-lactamase and 6u00DF-(hydroxymethyl)penicillanic acid sulfone.\\2015Biochemistry, Jan-27, Volume: 54, Issue:3
Detecting a quasi-stable imine species on the reaction pathway of SHV-1 β-lactamase and 6β-(hydroxymethyl)penicillanic acid sulfone.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (1,274)

TimeframeStudies, This Drug (%)All Drugs %
pre-199029 (2.28)18.7374
1990's259 (20.33)18.2507
2000's262 (20.57)29.6817
2010's445 (34.93)24.3611
2020's279 (21.90)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 109.45

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be very strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index109.45 (24.57)
Research Supply Index7.30 (2.92)
Research Growth Index5.54 (4.65)
Search Engine Demand Index201.15 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (109.45)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials153 (11.53%)5.53%
Reviews111 (8.36%)6.00%
Case Studies146 (11.00%)4.05%
Observational17 (1.28%)0.25%
Other900 (67.82%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (139)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase 2, Randomized, Active Comparator-Controlled, Multicenter, Double-Blind Clinical Trial to Study the Safety and Efficacy of Ceftolozane/Tazobactam (MK-7625A) Versus Meropenem in Pediatric Subjects With Complicated Urinary Tract Infection, Including [NCT03230838]Phase 2134 participants (Actual)Interventional2018-04-26Completed
A Phase 2, Randomized, Active Comparator-Controlled, Multicenter, Double-Blind Clinical Trial to Study the Safety and Efficacy of Ceftolozane/Tazobactam (MK-7625A) Plus Metronidazole Versus Meropenem in Pediatric Subjects With Complicated Intra-Abdominal [NCT03217136]Phase 294 participants (Actual)Interventional2018-04-03Completed
Role of Prophylactic Antibiotics in Preventing Neonatal Sepsis in Neonates Born Through Meconium Stained Amniotic Fluid - A Randomized Controlled Trial [NCT01290003]250 participants (Actual)Interventional2010-06-30Completed
Rational Use of Broad-spectrum Antibiotics as Empiric Antibiotic Therapy in Febrile Neutropenia in Recipients of Allogeneic Hematopoietic Cell Transplantation [NCT03078010]Phase 2460 participants (Anticipated)Interventional2017-02-10Recruiting
Comparison of the Nephrotoxicity of Vancomycin in Combination With Piperacillin/Tazobactam or Other Beta-lactams in Critically Ill Patients: A Retrospective, Multicenter Study in China [NCT03776409]700 participants (Actual)Observational2018-12-12Completed
Comparison of 9 Doses vs 3 Doses of Post Operative Antibiotics in Live Liver Donors: A Randomized Controlled Trial [NCT03765645]126 participants (Actual)Interventional2018-10-04Completed
Optimal Care of Complicated Appendicitis [NCT03159754]Phase 440 participants (Actual)Interventional2017-06-29Completed
Prospective Randomized Study to Compare Clinical Outcomes in Patients With Osteomyelitis Treated With Intravenous Antibiotics Versus Intravenous Antibiotics With an Early Switch to Oral Antibiotics [NCT02099240]Early Phase 111 participants (Actual)Interventional2014-03-06Terminated(stopped due to Not enough patient enrollment and lack of staffing)
A Randomized, Observer-blinded, Active-controlled, Phase Illb Study to Compare IV / Oral Delafloxacin Fixed-dose Monotherapy With Best Available Treatments in a Microbiologically Enriched Population With Surgical Site Infections [NCT04042077]Phase 3268 participants (Actual)Interventional2019-09-25Terminated(stopped due to COVID-19 seriously affected the study execution as required by the protocol)
A Randomized, Double-blind, Multicenter, Phase2 Trial to Evaluate the Safety and Efficacy of YH1177 or YH1177-D Otic Soultion in Patients With Otitis Media and Otorrhea [NCT02817347]Phase 1/Phase 2135 participants (Actual)Interventional2016-06-30Terminated(stopped due to Sponsor's decision for the Drug Development.)
Single Centre, Prospective, Comparative, Open-label, Randomised Study to Evaluate the Efficacy and Tolerability of the Combination of Moxifloxacin Plus Metronidazole Versus Piperacillin/Tazobactam for the Treatment of Patients With Intra-abdominal Abscess [NCT00629135]Phase 3180 participants (Actual)Interventional2005-11-15Completed
A Phase 3, Randomized, Double-Blind, Study to Evaluate the Efficacy and Safety of Cefepime-AAI101 Compared to Piperacillin/Tazobactam in the Treatment of Complicated Urinary Tract Infections, Including Acute Pyelonephritis. [NCT03687255]Phase 31,043 participants (Actual)Interventional2018-09-24Completed
An Investigator Initiated, Phase II Single-Center, Randomized, Open-Label, Prospective, Comparative Study to Determine the Efficacy, Safety, and Tolerability of Ceftolozane-Tazobactam Plus Vancomycin, Linezolid Versus Standard of Care Plus Vancomycin, Lin [NCT03485950]Phase 2100 participants (Actual)Interventional2018-05-16Completed
The Feasibility of Ceftolozane/Tazobactam Continuous Infusion for Exacerbations of Cystic Fibrosis and Bronchiectasis Treated in an Outpatient Parenteral Antibiotic Therapy (OPAT) Setting [NCT06035055]Phase 430 participants (Anticipated)Interventional2023-10-31Not yet recruiting
Optimisation, Valorisation and Application of UPLC-MS/MS Based Monitoring of Antibiotic Concentrations in Sputum of Cystic Fibrosis Patients - Part 3: Non-blank Sputum Samples for Method Optimisation and Validation [NCT02840136]40 participants (Actual)Interventional2016-02-29Terminated(stopped due to Lack of staff)
Continuous Infusion Piperacillin-Tazobactam for the Treatment of Pulmonary Exacerbations in Patients With Cystic Fibrosis [NCT01694069]Phase 46 participants (Actual)Interventional2012-09-30Terminated(stopped due to Recruitment was not sufficient to complete the study)
Clinical Outcomes With Ceftolozane-tazobactam in Patients With Multi Drug Resistant (MDR) Pseudomonas Aeruginosa Infections [NCT03510351]200 participants (Actual)Observational2017-02-01Active, not recruiting
A Phase III, Randomized, Double-Blind, Active Comparator-Controlled Clinical Trial to Study the Efficacy and Safety of Ertapenem Sodium (MK-0826) Versus Piperacillin/Tazobactam Sodium in the Treatment of Diabetic Foot Infections in Chinese Adults [NCT01370616]Phase 3565 participants (Actual)Interventional2011-09-02Completed
A Randomized Controlled Trial Assessing Noninferiority of Three Antimicrobial Regimens for the Treatment of Grade III Open Fractures [NCT03560232]Phase 417 participants (Actual)Interventional2018-07-09Terminated(stopped due to Unable to recruit patients in a timely fashion and unable to recruit sufficient patients)
Efficacy and Safety of the Administration of Betalactam Antibiotics in Continuous or Extended Infusion Compared to Intermittent Infusion in Patients With Sepsis in Two Pediatric Third-level Care Hospitals [NCT03019965]426 participants (Actual)Interventional2017-02-01Completed
Randomized Controlled Trial of Meropenem Versus Piperacillin-Tazobactam for Definitive Treatment of Bloodstream Infections Due to Ceftriaxone Non-susceptible E. Coli and Klebsiella Species. [NCT02176122]Phase 4391 participants (Actual)Interventional2014-02-28Terminated(stopped due to Secondary to third interim analysis by the study DSMB.)
Randomized, Double-Blind, Comparative Study to Evaluate the Safety and Efficacy of ZTI-01 vs Piperacillin/Tazobactam in the Treatment of cUTI/AP Infection in Hospitalized Adults [NCT02753946]Phase 2/Phase 3465 participants (Actual)Interventional2016-04-30Completed
Is Combination Antibiotic Therapy Superior to Monotherapy in the Treatment of Acute Exacerbations of Chronic Obstructive Pulmonary Disease [NCT04879030]Phase 2/Phase 3170 participants (Actual)Interventional2020-01-01Completed
Computer-basierte Dosierungsregime Von Antiinfektiva Bei eingeschränkter Nierenfunktion Und Kontinuierlichen Nierenersatztherapieverfahren (Computer-based Dosage Calculation for Antibiotics in Patients With Impaired Renal Function or Renal Replacement The [NCT03036826]0 participants (Actual)Observational2019-06-30Withdrawn(stopped due to due to organisational changes)
Efficacy of Extended Infusion of β-lactam Antibiotics for the Treatment of Febrile Neutropenia in Haematologic Patients: a Randomised, Multicentre, Open-label, Superiority Clinical Trial (BEATLE) [NCT04233996]Phase 4150 participants (Anticipated)Interventional2019-06-05Recruiting
Model-based Dose Versus Empirical Dose of Piperacillin/Tazobactam in the Treatment of Late-onset Sepsis in Preterm Neonates: a Multicentre, Randomised, Open-label, Non-inferiority Study. [NCT05981079]Phase 4332 participants (Anticipated)Interventional2023-07-31Recruiting
Randomized Control Trial: Two Different Antibiotics Versus One Antibiotic for Pediatric Perforated Appendicitis [NCT03289351]Phase 4162 participants (Actual)Interventional2017-05-22Active, not recruiting
Therapeutic Drug Monitoring and Continuous Infusion of Beta-lactam Antibiotics in Patients With Bacteraemia [NCT03108690]Phase 40 participants (Actual)Interventional2017-10-01Withdrawn(stopped due to Logistics)
Piperacillin/Tazobactam Versus Carbapenems in Non-bacteremic Urinary Tract Infections Due to Extended-spectrum β-lactamase (ESBL)-Producing Escherichia Coli or Klebsiella Pneumoniae - (CAPITIS Study) [NCT03891433]Phase 4198 participants (Anticipated)Interventional2019-04-01Recruiting
Efficacy and Safety of Antibiotics in the Treatment of Early Onset Neonatal Sepsis [NCT03932123]500 participants (Anticipated)Observational2019-05-05Recruiting
Randomized Phase II Trial of Total Gut Decontamination Followed by Fecal Microbiota Transplant (FMT), FMT-Alone or Standard of Care for Reduction in Acute Graft-Versus-Host Disease of the Gastrointestinal Tract in Patients Given Broad-Spectrum Antibiotics [NCT03862079]Phase 20 participants (Actual)Interventional2020-06-01Withdrawn(stopped due to Per PI's request)
Monitoring of Ceftolozane-Tazobactam Plasmatic Levels in Critical Patients [NCT04257812]20 participants (Anticipated)Observational2020-02-15Not yet recruiting
A Multicentre, Parallel Group Open-label Randomised Controlled Non-Inferiority Phase 3 Trial, of Ceftolozane-tazobactam Versus Meropenem for Definitive Treatment of Bloodstream Infection Due to Extended-Spectrum Beta-Lactamase (ESBL) and AmpC-producing En [NCT04238390]Phase 30 participants (Actual)Interventional2022-01-31Withdrawn(stopped due to The decision to withdraw the study was made due to delayed logistics of the supply chain of ceftolozane-tazobactam along with the immense complexities of conducting clinical research felt because of the COVID-19 pandemic.)
Comparing Oral Versus Parenteral Antimicrobial Therapy (COPAT) Trial [NCT05977868]Phase 4135 participants (Anticipated)Interventional2023-08-04Enrolling by invitation
Beta-lactam Continuous Versus Intermittent Infusion and Associated Bacterial Resistance and Therapy Outcomes in Critically Ill Patients With Severe Pneumonia [NCT05102162]Phase 435 participants (Actual)Interventional2021-12-17Terminated(stopped due to Low recruitment.)
Pharmacokinetics of Piperacillin and Tazobactam in Critically Ill Patients - Finding the Best Predictor for Piperacillin-tazobactam Clearance [NCT03738683]40 participants (Actual)Observational2019-02-01Completed
A Double-Blind, Double-Dummy, Randomized, Moxifloxacin and Placebo Controlled, Four-Way Crossover Study of the Effects of a Single Intravenous Supra-Therapeutic Dose and Single Intravenous Therapeutic Dose of CXA-101/Tazobactam on the QT/QTC Intervals in [NCT02508753]Phase 152 participants (Actual)Interventional2010-06-30Completed
A Multicenter, Open-label, Noncomparative, Japanese Phase III Study to Assess the Efficacy and Safety of Ceftolozane/Tazobactam (MK-7625A) in Japanese Patients With Uncomplicated Pyelonephritis and Complicated Urinary Tract Infection [NCT02728089]Phase 3115 participants (Actual)Interventional2016-04-14Completed
Target Attainment and Pharmacokinetics of Antimicrobials in Non-critically Ill Surgery Patients [NCT03120663]120 participants (Anticipated)Observational2016-11-30Recruiting
First Dose Pharmacokinetics for Piperacillin and Meropenem in ICU Patients [NCT05134298]50 participants (Anticipated)Observational2019-11-01Recruiting
Prospective Unblinded Randomized Trial to Examine Short vs Prolonged Antibiotic Treatment for Hospitalized Hemato-oncology Patients With Febrile Neutropenia [NCT02463747]Phase 4110 participants (Anticipated)Interventional2015-06-30Not yet recruiting
A Multi-centre Study to Define Novel Individualised Dosing Regimens to Maximise Antibiotic Effectiveness for Treatment of Pneumonia in Intensive Care Units [NCT04986254]80 participants (Anticipated)Observational2019-10-17Recruiting
A Phase III Multicenter, Open Label Randomized Controlled Trial of Cefoxitin Versus Piperacillin-Tazobactam as Surgical Antibiotic Prophylaxis in Patients Undergoing Pancreatoduodenectomy [NCT03269994]Phase 3962 participants (Actual)Interventional2017-11-21Active, not recruiting
Antibiotic Dosing in Pediatric Intensive Care [NCT02456974]640 participants (Anticipated)Observational [Patient Registry]2012-05-31Recruiting
A Pilot Study of Ceftolozane-Tazobactam in Conjunction With Rapid Molecular Diagnosis for Directed Treatment of Pseudomonas Aeruginosa Bacteremia and Pneumonia in Patients With Hematological Malignancies and Hematopoietic Stem Cell Transplantation [NCT04673175]Phase 1/Phase 220 participants (Anticipated)Interventional2022-07-20Recruiting
"Antibioprophylaxis for Excision-graft Surgery in Burn Patient: a Multicenter Randomized Double-blind Study: A2B Trial" [NCT04292054]Phase 3506 participants (Anticipated)Interventional2020-10-11Recruiting
Early Versus Late Stopping of Antibiotics in Children With Cancer and High-risk Febrile Neutropenia [NCT04948463]Phase 4312 participants (Anticipated)Interventional2021-11-15Recruiting
Randomized, Embedded, Multifactorial Adaptive Platform Trial for Community- Acquired Pneumonia [NCT02735707]Phase 310,000 participants (Anticipated)Interventional2016-04-11Recruiting
A Multicenter, Open-label, Noncomparative, Japanese Phase III Study to Assess the Efficacy and Safety of Ceftolozane/Tazobactam (MK-7625A) Used in Combination With Metronidazole in Japanese Patients With Complicated Intra-abdominal Infection. [NCT02739997]Phase 3100 participants (Actual)Interventional2016-04-08Completed
Population Pharmacokinetics and Pharmacodynamics Study of Piperacillin/Tazobactam During Early Phase in Critically Ill Patients With Severe Sepsis [NCT02730624]Phase 450 participants (Actual)Interventional2014-03-31Completed
Procalcitonin as a Marker of Antibiotic Therapy in Patients With Lower Respiratory Tract Infections. Can Measurement of Procalcitonin Reduce the Use of Antibiotics? [NCT02171338]Phase 455 participants (Anticipated)Interventional2013-10-31Active, not recruiting
Piperacllin Versus Placebo in Patients Undergoing Surgery for Acute Cholecystitis [NCT02619149]Phase 3100 participants (Actual)Interventional2009-03-31Completed
Antibiotic Pharmacokinetics in Critically Ill Patients [NCT02609646]1,500 participants (Actual)Observational2016-01-31Completed
Samu Save Sepsis: Early Goal Directed Therapy in Pre Hospital Care of Patients With Severe Sepsis and/or Septic Shock [NCT02473263]Phase 3398 participants (Actual)Interventional2016-05-09Completed
Prospective Study Evaluating Plasma Exposure of Optimized Antibiotic Therapy According to TDM in Patients With Subarachnoid Haemorrhage (ES) and Cerebral Haemorrhage (EC) [NCT04132115]104 participants (Anticipated)Observational2019-10-01Recruiting
A Comparison of Standard Vs Renal Dosing of Piperacillin/Tazobactam in Acute Renal Failure and Septic Shock [NCT00816790]Phase 420 participants (Anticipated)Interventional2009-01-31Terminated(stopped due to Study stopped because of study personel movement to another institution.)
Monitoring of Piperacillin-Tazobactam and Meropenem Plasmatic Levels in Critical Patients [NCT04257838]200 participants (Anticipated)Observational2020-02-15Not yet recruiting
Validation of Uncertainty Quantifying Machine Learning Models to Predict Beta-lactam Antimicrobial Concentrations in ICU Patients [NCT06026852]600 participants (Anticipated)Interventional2023-12-20Not yet recruiting
A Prospective, Randomized, Double Dummy, Double Blind, Multinational, Multicenter Trial Comparing the Safety and Efficacy of Sequential (Intravenous/Oral) Moxifloxacin 400 mg OD to Intravenous Piperacillin/Tazobactam 4.0/0.5 g Every 8 Hours Followed by Or [NCT00402727]Phase 3813 participants (Actual)Interventional2006-09-30Completed
A Single-Dose Pharmacokinetics Study of Tapimycin Injection(Piperacillin 4 g + Tazobactam 0.5 g Powder for Injection) Administered Under Fasting Conditions to Healthy Adult Subjects [NCT00924742]12 participants (Actual)Interventional2009-03-31Completed
Population Pharmacokinetics and Dosage Individualization of Biapenem,Meropenem,Piperacillin and Tazobactam,Tigecycline,Levofloxacin .Etc in Elderly Patients Who Was Hospitalized in Intensive Care Unit [NCT04799626]500 participants (Anticipated)Observational [Patient Registry]2021-04-01Recruiting
[NCT02709382]Phase 148 participants (Actual)Interventional2016-03-31Completed
Low Doses of Lung Radiation Therapy in Cases of COVID-19 Pneumonia: Prospective Multicentric Study in Radiation Oncology Centers [NCT04394182]15 participants (Anticipated)Interventional2020-04-21Suspended(stopped due to lack of recruitment)
Pharmacokinetics and Pharmacodynamic (PK/PD) of Extended-infusion Meropenem, Piperacillin-tazobactam and Cefepime in the Early Phase of Septic Shock [NCT02820987]Phase 3129 participants (Anticipated)Interventional2016-09-01Recruiting
Randomized, Multicenter, Phase III, Controlled Clinical Trial, to Demonstrate the no Inferiority of Reduced Antibiotic Treatment vs a Broad Spectrum Betalactam Antipseudomonal Treatment in Patients With Bacteremia by Enterobacteriaceae [NCT02795949]Phase 3344 participants (Actual)Interventional2016-10-31Completed
Pharmacokinetics of Piperacillin and Tazobactam in Anuric Septic Patients Treated by Continuous Veno Venous Hemodiafiltration [NCT00703144]Phase 410 participants (Actual)Interventional2008-06-30Completed
Antibiotic Treatment in Ventilator Associated Tracheobronchitis (VAT): A Randomized, Controlled Trial [NCT01027832]Phase 2/Phase 3100 participants (Anticipated)Interventional2009-09-30Recruiting
Effects on the Emergence and Transmission of Vancomycin-Resistant Enterococci After Changes in Antibiotic Use in a Hematology Unit. [NCT00167960]1,500 participants Observational2005-01-31Completed
A Phase III, Randomized, Double-Blind, Active Comparator-Controlled Clinical Trial to Study the Safety, Tolerability, and Efficacy of Imipenem/Cilastatin/Relebactam (MK-7655A) Versus Piperacillin/Tazobactam in Subjects With Hospital-Acquired Bacterial Pne [NCT02493764]Phase 3537 participants (Actual)Interventional2015-11-24Completed
Targeted AntiBiotics for Chronic Pulmonary Disease: Can Targeted Antibiotic Therapy Improve the Prognosis of Pseudomonas Aeruginosa Infected Patients With Chronic Pulmonary Obstructive Disease, Non-cystic Fibrosis Bronchiectasis and Asthma? A Multicenter, [NCT03262142]Phase 451 participants (Actual)Interventional2018-01-10Terminated(stopped due to Slow recruitment)
A Multicenter, Double-Blind, Randomized, Phase 2 Study to Compare the Safety and Efficacy of Intravenous CXA 101/ Tazobactam and Metronidazole With That of Meropenem in Complicated Intraabdominal Infections [NCT01147640]Phase 2122 participants (Actual)Interventional2010-06-25Completed
Piperacillin Tazobactam Versus Meropenem for Treatment of Bloodstream Infections Caused by Cephalosporin-resistant Enterobacteriaceae- a Non-inferiority Randomized Controlled Trial [NCT03671967]Phase 41,084 participants (Anticipated)Interventional2019-05-01Recruiting
An Investigator Initiated, Phase IV Single-Center, Randomized, Open-Label, Prospective Study to Determine the Impact of Serial Procalcitonin on Improving Antimicrobial Stewardship and on the Efficacy, Safety, and Tolerability of Imipenem - Relebactam Plus [NCT04983901]Phase 2100 participants (Actual)Interventional2021-09-14Active, not recruiting
Effects of Piperacillin-Tazobactam Use on the Prevalence Rate of Extended-Spectrum Beta-Lactamase (ESBL) Producing Escherichia Coli and Klebsiella Pneumoniae in Hematology and Oncology Units. [NCT00167999]200 participants Observational2005-02-28Completed
Empirical Meropenem Versus Piperacillin/Tazobactam for Adult Patients With Sepsis (EMPRESS) Trial [NCT06184659]Phase 45,800 participants (Anticipated)Interventional2024-03-01Not yet recruiting
Appropriate Antimicrobial Therapy in Critical Care: A Pilot Randomized Controlled Trial [NCT00438269]Phase 280 participants Interventional2003-02-28Completed
Association of Antibiotic Utilization Measures and Control of Extended-Spectrum β-Lactamases (ESBLs) Producing Bacteria [NCT00488189]Phase 4134 participants (Actual)Interventional2007-05-31Completed
Antimicrobial Pharmacokinetics in High Risk Infants (Urinary Proteomics in Antimicrobial/Antifungal-Treated Newborns - add-on Study) [NCT00491426]450 participants (Actual)Observational2006-01-31Completed
A Phase 1, Open-label, Non-comparative, Multicenter Clinical Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Ceftolozane/Tazobactam (MK-7625A) in Pediatric Participants With Nosocomial Pneumonia [NCT04223752]Phase 140 participants (Anticipated)Interventional2020-04-17Recruiting
Pharmacokinetics of Understudied Drugs Administered to Children Per Standard of Care [NCT01431326]3,520 participants (Actual)Observational2011-11-30Completed
Antibiotic Plasma Concentrations During Continuous Renal Replacement Therapy With a High Adsorption Membrane (oXiris®) [NCT04033029]20 participants (Actual)Observational2021-01-01Completed
Pharmacokinetics and Safety of Piperacillin-tazobactam in Neonates [NCT00873327]Phase 132 participants (Actual)Interventional2009-10-31Completed
Comparison of Medical and Surgical Treatment of Uncomplicated Acute Appendicitis in Children [NCT02991937]Phase 439 participants (Actual)Interventional2016-12-31Completed
Antimicrobial Therapy for Ventilator-associated Pneumonia Among Patients Colonized With Extended-spectrum Beta-lactamase-producing Enterobacteriaceae : Efficacy of a Strategy Using Piperacillin-tazobactam as Empirical Treatment. [NCT04276480]30 participants (Anticipated)Interventional2022-02-16Recruiting
Observed Pharmacokinetic of Piperacillin/Tazobactam in ICU Patients Compared to Therapeutic Drug Monitoring of Amikacin [NCT03990467]60 participants (Anticipated)Interventional2021-01-28Recruiting
eXtended Antibiotic Prophylaxis for Intermediate- and High-risk Glands After Pancreatoduodenectomy to Reduce Clinically Relevant PostOperative Pancreatic Fistula: A Phase 2 Randomized Control Trial (X-POPF) [NCT05753735]Phase 296 participants (Anticipated)Interventional2023-12-20Recruiting
Monotherapy With Piperacillin-tazobactam Versus Combination Therapy With Piperacillin-tazobactam Plus Glycopeptide as an Initial Empiric Therapy for Fever in Neutropenic Patients. An Observational Prospective Study. [NCT00195533]801 participants (Actual)Observational2001-07-31Completed
Antibiotic Concentrations in Serum and Epithelial Lining Fluid Under Continous Infusion [NCT00435305]40 participants (Anticipated)Observational2006-11-30Terminated(stopped due to difficulties by enrolling patients fundings consumed, no staff could be recruited and payed to continue enrolling patients,)
Pharmacokinetic of Doripenem and Piperacillin/Tazobactam in More Than 120 kg Critically Ill Patients [NCT01517815]50 participants (Actual)Interventional2012-02-29Completed
An Open-label, Randomized Study Comparing the Efficacy and Safety of Piperacillin/Tazobactam and Ampicillin/Sulbactam Administered Intravenously in the Empirical Treatment of Foot Infections in Diabetic Inpatients [NCT00044746]Phase 4314 participants (Actual)Interventional2000-10-31Completed
A Prospective, Multicenter, Double-Blind With In-House Blinding, Randomized, Comparative Study to Evaluate the Efficacy, Safety, and Tolerability of Ertapenem Sodium Versus Piperacillin/Tazobactam in the Treatment of Complicated Intra-Abdominal Infections [NCT00389987]Phase 3300 participants Interventional2001-09-30Completed
A Randomized, Open-Label, Multi-Center, Comparative Study of the Efficacy and Safety of Piperacillin/Tazobactam to Cefepime for the Empiric Treatment of Neutropenic Fever in Patients With a Hematologic Malignancy or Lymphoma [NCT00044759]Phase 30 participants InterventionalCompleted
Standard vs. Biofilm Susceptibility Testing in CF [NCT00153634]75 participants (Actual)Interventional2004-03-31Completed
Randomized, Open-label, Comparative Study of Zosyn (Pip/Tazo [12g/1.5g]) Administered by Daily 24hr Continuous Infusion vs Zosyn (Pip/Tazo) [3g/0.375g]) q6h for the Treatment of Hospitalized Patients With Complicated Intra-abdominal Infection [NCT00044928]Phase 4262 participants (Actual)Interventional2002-07-31Completed
Study of the Safety and Efficacy of Piperacillin/Tazobactam in the Treatment of Patients With Complicated Urinary Infections. [NCT00195286]180 participants (Actual)Observational2004-06-30Completed
Optimized Treatment for Uncomplicated Acute Appendicitis; Active Observation With or Without Antibiotic Treatment [NCT03985514]Phase 4126 participants (Actual)Interventional2018-05-15Completed
[NCT02620774]Phase 116 participants (Actual)Interventional2016-02-19Completed
A Prospective, Multicenter, Double-Blind With In-House Blinding, Randomized, Comparative Study to Evaluate the Efficacy, Safety, and Tolerability, of Ertapenem Versus Piperacillin/Tazobactam in the Treatment of Diabetic Foot Infections in Adults. [NCT00229112]Phase 3400 participants Interventional2001-04-30Completed
An Open-Label, Multicenter, Multinational, Centrally Randomized, Two-Arm Parallel-Group Study to Demonstrate the Non-Inferiority in Clinical Efficacy of Levofloxacin 750mg od in Comparison With Piperacillin/Tazobactam 4g/500mg Every 8 Hours in the Treatme [NCT00253955]Phase 3460 participants (Actual)Interventional2003-06-30Completed
Ceftolozane-tazobactam for the Treatment of Respiratory Infections Due to Extensively Drug-resistant Pseudomonas Aeruginosa Among Critically Ill Patients: a Retrospective Study. [NCT04352855]55 participants (Actual)Observational2018-01-18Active, not recruiting
Continuous-infusion Anti-pseudomonal β-lactams for the Treatment of Acute, Infective Pulmonary Exacerbations in Cystic Fibrosis [NCT01667094]Phase 450 participants (Actual)Interventional2012-09-30Active, not recruiting
Pharmacokinetics of Antibiotics During Extracorporeal Membrane Oxygenation (ECMO) Support [NCT03922451]4 participants (Actual)Observational2019-08-27Terminated(stopped due to COVID-19 - study and recruitment not feasible)
Nosocomial Infections in Patients With Acute Respiratory Distress Syndrome Treated With Extracorporeal Membrane Oxygenation [NCT05566665]200 participants (Anticipated)Observational2023-01-01Recruiting
Piperacillin-tazobactam and Temocillin as Carbapenem-alternatives for the Treatment of Severe Infections Due to Extended-spectrum Beta-lactamase-Producing Gram-negative Enterobacteriaceae in the Intensive Care Unit [NCT05565222]Phase 3600 participants (Anticipated)Interventional2023-03-11Recruiting
Piperacillin/Tazobactam for Prophylaxis in Patients of Neutropenia After Hematopoietic Stem Cell Transplantation - A Pilot Study [NCT01714557]150 participants (Anticipated)Interventional2012-09-30Not yet recruiting
A Prospective, Randomized, Open Label Study of Piperacillin/Tazobactam Versus Imipenem/Cilastin for Empirical Therapy of Febrile Patients With Neutropenia After Hematopoietic Stem Cell Transplantation [NCT01714570]123 participants (Actual)Interventional2012-11-30Completed
A Phase 1, Open-label, Randomized, 2-period, Crossover Study to Assess the Effect of Intravenous Infusion of Piperacillin/Tazobactam on the Pharmacokinetics of Orally Administered Lumicitabine (JNJ-64041575) in Healthy Adult Subjects [NCT03441529]Phase 118 participants (Actual)Interventional2018-02-09Completed
Assessing the Longitudinal Outcomes of Piperacillin/Tazobactam Versus ceftriAxone and Metronidazole for Children With Perforated Appendicitis (ALPACA): a Randomized Controlled Trial [NCT05943223]Phase 216 participants (Anticipated)Interventional2024-01-31Not yet recruiting
Per Oral Versus Intravenous Postoperative Antibiotics After Surgery for Complicated Appendicitis: A Cluster Randomized Cluster Crossover Non-Inferiority Study. [NCT04803422]2,631 participants (Anticipated)Interventional2021-05-01Recruiting
A Prospective, Multicenter, Open-Label Study to Assess Population Pharmacokinetics and Safety of Intravenous Ceftolozane/Tazobactam in Adult Cystic Fibrosis Patients Admitted With Acute Pulmonary Exacerbation [NCT02421120]Phase 421 participants (Actual)Interventional2015-09-30Completed
Antibiotic Safety in Infants With Complicated Intra-Abdominal Infections (SCAMP Trial) [NCT01994993]Phase 2/Phase 3260 participants (Actual)Interventional2013-12-31Completed
A Prospective Pharmacokinetic Evaluation of the Plasma and Cerebrospinal Fluid Concentrations of a Single Dose Ceftolozane/Tazobactam in Infected Critically Ill Patients With an Indwelling External Ventricular Drain [NCT03309657]Phase 1/Phase 210 participants (Actual)Interventional2018-02-01Completed
Pilot RCT of Meropenem Versus Piperacillin-Tazobactam for Definitive Treatment of Bloodstream Infections Caused by AmpC Beta-lactamase Producing Enterobacter Spp., Citrobacter Freundii, Morganella Morganii, Providencia Spp. or Serratia Marcescens. in Low- [NCT02437045]Phase 4100 participants (Anticipated)Interventional2015-04-30Completed
A Prospective, Randomized, Double-Blind, Multicenter, Phase 3 Study to Assess the Safety and Efficacy of Intravenous Ceftolozane/Tazobactam Compared With Meropenem in Adult Patients With Ventilated Nosocomial Pneumonia [NCT02070757]Phase 3726 participants (Actual)Interventional2014-09-02Completed
A Phase 3, Multicenter, Double-blind, Randomized, Active-controlled Clinical Study to Evaluate the Efficacy and Safety of Ceftolozane/Tazobactam (MK-7625A) Plus Metronidazole Versus Meropenem in Chinese Participants With Complicated Intra-abdominal Infect [NCT03830333]Phase 3268 participants (Actual)Interventional2019-03-20Completed
Safety and Pharmacokinetics of Piperacillin-Tazobactam Extended Infusions in Infants and Children [NCT02466438]Phase 1141 participants (Anticipated)Interventional2016-01-31Recruiting
TAID Study - A Prospective Interventional Trial on Antibiotics Continuous Infusion at Home [NCT04816968]Phase 150 participants (Anticipated)Interventional2021-09-30Not yet recruiting
Pharmacokinetics of Ceftolozane/Tazobactam in Patients With Burns [NCT03002506]Phase 46 participants (Actual)Interventional2017-08-21Terminated(stopped due to Much slower recruitment than anticipated)
Efficacy and Safety of Piperacillin-Tazobactam Continuous Infusion vs Intermittent Infusion for Complicated or Nosocomial Pseudomonas Aeruginosa Infection or Suspected Infection [NCT01577368]Phase 376 participants (Actual)Interventional2011-05-31Completed
Vancomycin Versus Placebo in Persistently Febrile Granulocytopenic Patients Given Piperacillin/Tazobactam [NCT00003805]Phase 3859 participants (Actual)Interventional1997-11-30Completed
Phase III, Randomized, Double-Blind, Study Evaluating Efficacy/Safety/Tolerability of Meropenem-Vaborbactam Compared to Piperacillin/Tazobactam in Adult Patients With Complicated Urinary Tract Infections, Including Acute Pyelonephritis [NCT02166476]Phase 3550 participants (Actual)Interventional2014-11-20Completed
CEFtolozane-Tazobactam for the Empiric Anti-bacterial Treatment of Neutropenic Fever in Hematology Patients; a Single-arm, Single-center, Open-label Clinical Trial (CEF-10 Study) [NCT05061654]Phase 40 participants (Actual)Interventional2022-08-31Withdrawn(stopped due to Administrative constraints)
Population Pharmacokinetic Modeling to Optimize the Dosage of the Piperacillin / Tazobactam Combination in Patients With Sepsis in Intensive Care [NCT03748095]90 participants (Anticipated)Observational2019-03-12Recruiting
Amplification and Selection of Antimicrobial Resistance in the Intestine II [NCT03140826]60 participants (Actual)Observational2018-01-30Completed
Postoperative Anti-infective Strategy Following Pancreaticoduodenectomy in Patients With Preoperative Biliary Stent [NCT06123169]Phase 3326 participants (Anticipated)Interventional2024-03-31Not yet recruiting
In Vitro Activity of Ceftolozane/Tazobactam and Imipenem/Relebactam in Clinical Isolates of Pseudomonas Aeruginosa and Enterobacterales Collected From Hematology and Oncology Patients [NCT04196608]1,005 participants (Anticipated)Observational2019-11-01Recruiting
Clinical and Microbiological Effects of Local and Systemic Antimicrobials as an Adjunctive Therapy in Periodontitis Stages 2 and 3 [NCT05608564]40 participants (Actual)Interventional2022-01-17Active, not recruiting
A Phase 1, Non-comparative, Open-label Study to Characterize the Pharmacokinetics of a Single Intravenous Dose of Ceftolozane/Tazobactam in Pediatric Patients Receiving Standard of Care Antibiotic Therapy for Proven or Suspected Gram-negative Infection or [NCT02266706]Phase 143 participants (Actual)Interventional2014-09-17Completed
Extended-infusion Piperacillin-Tazobactam Versus Intermittent-Infusion Dosing Strategy in Critically Ill Patients With Suspected or Confirmed Bacterial Infections. [NCT04895657]Phase 456 participants (Actual)Interventional2018-07-27Completed
Phase Ⅱ, Randomized, Double-Blind,Double-Dummy Study Evaluating Safety,Tolerability,Efficacy of Meropenem-FL058 in Adult Patients With Complicated Urinary Tract Infections, Including Acute Pyelonephritis [NCT05060419]Phase 2150 participants (Anticipated)Interventional2021-10-08Not yet recruiting
A Multicenter, Open-Label, Randomized Study to Compare the Safety and Efficacy of Intravenous Ceftolozane/Tazobactam With That of Piperacillin/Tazobactam in Ventilator Associated Pneumonia [NCT01853982]Phase 34 participants (Actual)Interventional2013-06-14Terminated(stopped due to Terminated to focus on a larger study within the clinical development program.)
A Phase IIIb, Multicenter, Double-Blind, Randomized, Comparative Study to Evaluate the Efficacy, Safety, and Tolerability of Meropenem-Vaborbactam Versus Piperacillin/Tazobactam in the Treatment of Hospital-Acquired Bacterial Pneumonia and Ventilator-Asso [NCT03006679]Phase 30 participants (Actual)Interventional2018-08-31Withdrawn(stopped due to Sponsor Decision)
PipEracillin/Tazobactam vs mERoPENem for Treatment of AmpC-producing Bloodstream Infections: an Extension of the Original PETERPEN Trial [NCT05355350]Phase 41,000 participants (Anticipated)Interventional2022-07-01Recruiting
A Phase 1, Prospective, Multi-center, Open-label Study to Assess the Plasma Pharmacokinetics and Lung Penetration of Intravenous (IV) Ceftolozane/Tazobactam in Critically Ill Patients [NCT02387372]Phase 137 participants (Actual)Interventional2015-02-05Completed
A Single-Center, Randomized, Open-label, Prospective, Comparative Study to Determine the Efficacy, Safety, and Tolerability of Ceftazidime-Avibactam (CAZ-AVI) Plus Vancomycin or Linezolid Versus Standard of Care Plus Vancomycin or Linezolid as Empiric The [NCT02732327]Phase 22 participants (Actual)Interventional2016-05-17Terminated(stopped due to No longer aligned with the revised clinical development plan and commercial strategy)
A Single-center, Multi-arm, Open-label, Randomized, 3-period, Crossover, Phase 1 Study to Evaluate the DDI, PK, Safety, and Tolerability of Single Doses of SPR741 Co-administered With Three Different Antibiotics in Healthy Volunteers [NCT03376529]Phase 127 participants (Actual)Interventional2017-11-10Completed
Population Pharmacokinetic of Piperacillin/Tazobactam in Maternal and Neonatal Populations With High Risk for EOS [NCT06076200]50 participants (Anticipated)Observational2023-09-30Recruiting
Pharmacokinetics and Pharmacodynamics of High-Dose Piperacillin/Tazobactam in Obese Patients [NCT01923363]29 participants (Actual)Interventional2014-02-25Completed
Efficacy of Oral Antibiotic Therapy Compared to Intravenous Antibiotic Therapy for the Treatment of Diabetic Foot Osteomyelitis (CRO-OSTEOMYELITIS) [NCT02168816]Phase 230 participants (Actual)Interventional2014-03-19Terminated(stopped due to The study was stopped for feasibility (i.e., low recruitment))
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00402727 (12) [back to overview]Percentage of Participants Assessed as Improvements by the Data Review Committee (DRC) at the During Treatment Day 3-5 in the Intent to Treat (ITT) Population
NCT00402727 (12) [back to overview]Percentage of Participants Assessed as Resolution by the Data Review Committee (DRC) at End of Therapy in the Per Protocol (PP) Population
NCT00402727 (12) [back to overview]Percentage of Participants With Bacteriological Success (BS) After 14 - 28 Days After Last Dose of Study Medication in the ITT Population With Causative Organisms
NCT00402727 (12) [back to overview]Percentage of Participants With Bacteriological Success (BS) After 14 - 28 Days After Last Dose of Study Medication in the Microbiological Valid (MBV) Population
NCT00402727 (12) [back to overview]Percentage of Participants With Bacteriological Success (BS) After 7 - 21 Days of Treatment in the ITT Population With Causative Organisms
NCT00402727 (12) [back to overview]Percentage of Participants With Bacteriological Success (BS) After 7 - 21 Days of Treatment in the Microbiological Valid (MBV) Population
NCT00402727 (12) [back to overview]Percentage of Participants With Bacteriological Success (BS) at 3 to 5 Days After Start of Treatment in the ITT Population With Causative Organisms
NCT00402727 (12) [back to overview]Percentage of Participants With Bacteriological Success (BS) at 3 to 5 Days After Start of Treatment in the Microbiological Valid (MBV) Population
NCT00402727 (12) [back to overview]Percentage of Participants Assessed as Resolution by the Data Review Committee (DRC) at End of Therapy in the Intent to Treat (ITT) Population
NCT00402727 (12) [back to overview]Percentage of Participants Assessed as Improvements by the Data Review Committee (DRC) at the During Treatment Day 3-5 in the Per Protocol (PP) Population
NCT00402727 (12) [back to overview]Percentage of Cured Participants as Determined by the Data Review Committee (DRC) at Test of Cure Visit in the Per Protocol (PP) Population
NCT00402727 (12) [back to overview]Percentage of Cured Participants as Determined by the Data Review Committee (DRC) at Test of Cure Visit in the Intent to Treat (ITT) Population
NCT00873327 (1) [back to overview]Piperacillin Pharmacokinetics (PK)
NCT01147640 (2) [back to overview]Clinical Response of CXA 101/Tazobactam and Metronidazole at Test of Cure (TOC) Visit in the Microbiological Modified Intent to Treat (mMITT) Analysis Population
NCT01147640 (2) [back to overview]Microbiological Response of CXA 101/Tazobactam and Metronidazole at the TOC Visit in the Microbiologically Evaluable (ME) Population
NCT01370616 (9) [back to overview]Percentage of Participants With Favorable Microbiological Response Assessments at FUA Day 10 of Post-antibiotic Study Therapy
NCT01370616 (9) [back to overview]Percentage of Participants With Favorable Clinical Response Assessments at Follow-up Assessment (FUA) Day 10 of Post-antibiotic Study Therapy
NCT01370616 (9) [back to overview]Percentage of Participants With Serious AEs (SAEs)
NCT01370616 (9) [back to overview]Percentage of Participants With One or More Adverse Events (AEs)
NCT01370616 (9) [back to overview]Percentage of Participants Who Discontinued Treatment Due to an AE
NCT01370616 (9) [back to overview]Percentage of Participants With Both Favorable Clinical and Microbiological Response Assessments at FUA Day 10 of Post-antibiotic Study Therapy
NCT01370616 (9) [back to overview]Percentage of Participants With Drug-related AEs
NCT01370616 (9) [back to overview]Percentage of Participants With Favorable Clinical Response Assessments at Day 5 of IV Study Therapy
NCT01370616 (9) [back to overview]Percentage of Participants With Favorable Clinical Response Assessments at Discontinuation of Intravenous (IV) Study Therapy (DCIV)
NCT01923363 (4) [back to overview]Half-life of Piperacillin
NCT01923363 (4) [back to overview]Volume of Distribution of Piperacillin
NCT01923363 (4) [back to overview]Serum Minimum Concentrations of Piperacillin
NCT01923363 (4) [back to overview]Serum Maximum Concentrations for Piperacillin
NCT01994993 (11) [back to overview]Number of Participants With Feeding Intolerance
NCT01994993 (11) [back to overview]Number of Participants With Therapeutic Success at Day 30
NCT01994993 (11) [back to overview]Number of Participants With Short Bowel Syndrome
NCT01994993 (11) [back to overview]Number of Participants With Seizure
NCT01994993 (11) [back to overview]Number of Participants With Positive Blood Cultures
NCT01994993 (11) [back to overview]Number of Participants With Intestinal Stricture
NCT01994993 (11) [back to overview]Number of Participants With Intestinal Perforation
NCT01994993 (11) [back to overview]Number of Participants With Grade 3 and/or Grade 4 Intraventricular Hemorrhage (IVH)
NCT01994993 (11) [back to overview]Death
NCT01994993 (11) [back to overview]Number of Participants Progressed to a Higher Stage of Necrotizing Enterocolitis (NEC), if NEC is the Cause of the Complicated Intra-abdominal Infection
NCT01994993 (11) [back to overview]Number of Participants With Gastrointestinal Surgeries
NCT02070757 (13) [back to overview]Percentage of Participants With All Cause Mortality in the Microbiological Intent-to-Treat (mITT) Population - Day 28
NCT02070757 (13) [back to overview]Percentage of Participants With All Cause Mortality in the Intent-to-Treat (ITT) Population - Day 28
NCT02070757 (13) [back to overview]Percentage of Participants Who Report 1 or More Adverse Event (AE)
NCT02070757 (13) [back to overview]Percentage of Participants Discontinuing Study Drug Due to an Adverse Event (AE)
NCT02070757 (13) [back to overview]Percentage of Participants With Any Serious Adverse Event (SAE)
NCT02070757 (13) [back to overview]Percentage of Participants With Microbiological Response of Eradication or Presumed Eradication, by Pathogen, at the Test-of-Cure (TOC) Visit in the Microbiologically Evaluable (ME) Population (>=10 Isolates at Baseline)
NCT02070757 (13) [back to overview]Percentage of Participants With Per-Participant Microbiological Response of Cure or Presumed Cure at the Test-of-Cure (TOC) Visit in the Microbiologically Evaluable (ME) Population
NCT02070757 (13) [back to overview]Percentage of Participants With Per-Participant Microbiological Response of Cure or Presumed Cure at the End-of-Therapy (EOT) Visit in the Microbiologically Evaluable (ME) Population
NCT02070757 (13) [back to overview]Percentage of Participants With Clinical Response of Clinical Cure at the Test-of-Cure (TOC) Visit in the Intent-to-Treat (ITT) Population
NCT02070757 (13) [back to overview]Percentage of Participants With Clinical Response of Clinical Cure at the Test-of-Cure (TOC) Visit in the Clinically Evaluable (CE) Population
NCT02070757 (13) [back to overview]Percentage of Participants With Clinical Response of Clinical Cure at the Late Follow-up (LFU) Visit in the Clinically Evaluable (CE) Population
NCT02070757 (13) [back to overview]Percentage of Participants With Clinical Response of Clinical Cure at the End-of-Therapy (EOT) Visit in the Intent-to-Treat (ITT) Population
NCT02070757 (13) [back to overview]Percentage of Participants With All-Cause Mortality in the Intent-to-Treat (ITT) Population - Day 14
NCT02166476 (15) [back to overview]Proportion Of Participants With A Clinical Outcome Of Cure In The Clinical Evaluable (CE) Population
NCT02166476 (15) [back to overview]Proportion Of Participants With A Clinical Outcome Of Cure In The ME Population
NCT02166476 (15) [back to overview]Per-Pathogen Microbiological Outcome (EMA) In The m-MITT Population
NCT02166476 (15) [back to overview]Proportion Of Participants In The ME Population Who Achieved A Microbiologic Outcome Of Eradication
NCT02166476 (15) [back to overview]Per-Pathogen Microbiological Outcome (EMA) In The ME Population
NCT02166476 (15) [back to overview]Proportion Of Participants In The Microbiological Modified Intent-To-Treat (m-MITT) Population Who Achieved Overall Success At The End Of Intravenous Treatment Visit
NCT02166476 (15) [back to overview]Proportion Of Participants In The Microbiological Evaluable (ME) Population Who Achieved A Microbiologic Outcome Of Eradication At The TOC Visit
NCT02166476 (15) [back to overview]Proportion Of Participants With A Clinical Outcome Of Cure In The m-MITT Population
NCT02166476 (15) [back to overview]Proportion Of Participants In The m-MITT Population Who Achieved A Microbiologic Outcome Of Eradication At The Test Of Cure Visit
NCT02166476 (15) [back to overview]Per-Pathogen Microbiological Outcome (FDA) In The m-MITT Population
NCT02166476 (15) [back to overview]Per-Pathogen Microbiological Outcome (FDA) In The ME Population
NCT02166476 (15) [back to overview]Pharmacokinetic (PK) Characterization Of Plasma Exposure Of Meropenem/Vaborbactam
NCT02166476 (15) [back to overview]Proportion Of Participants In The m-MITT Population Who Achieved A Microbiologic Outcome Of Eradication
NCT02166476 (15) [back to overview]Proportion Of Participants In The m-MITT Population With Overall Success
NCT02166476 (15) [back to overview]Proportion Of Participants In The ME Population With Overall Success
NCT02266706 (20) [back to overview]Number of Participants Who Discontinued the Study Due to an Adverse Event
NCT02266706 (20) [back to overview]Elimination Half-life (t1/2) of Ceftolozane
NCT02266706 (20) [back to overview]Elimination Half-life (t1/2) of Tazobactam
NCT02266706 (20) [back to overview]Maximum Plasma Concentration (Cmax) of Ceftolozane
NCT02266706 (20) [back to overview]Plasma Concentration at the Last Quantifiable Concentration (Clast) of Tazobactam
NCT02266706 (20) [back to overview]Time of Last Sampling Point (Tlast) of Ceftolozane
NCT02266706 (20) [back to overview]Maximum Plasma Concentration (Cmax) of Tazobactam
NCT02266706 (20) [back to overview]Number of Participants With One or More Adverse Events
NCT02266706 (20) [back to overview]Plasma Clearance (CL) of Ceftolozane
NCT02266706 (20) [back to overview]Plasma Clearance (CL) of Tazobactam
NCT02266706 (20) [back to overview]Plasma Concentration at the Last Quantifiable Concentration (Clast) of Ceftolozane
NCT02266706 (20) [back to overview]Time of Last Sampling Point (Tlast) of Tazobactam
NCT02266706 (20) [back to overview]Time to Maximum Plasma Concentration (Tmax) of Ceftolozane
NCT02266706 (20) [back to overview]Time to Maximum Plasma Concentration (Tmax) of Tazobactam
NCT02266706 (20) [back to overview]Volume of Distribution at Steady State (Vss) of Ceftolozane
NCT02266706 (20) [back to overview]Volume of Distribution at Steady State (Vss) of Tazobactam
NCT02266706 (20) [back to overview]Area Under the Plasma Concentration-Time Curve (AUC0-inf) of Ceftolozane
NCT02266706 (20) [back to overview]Area Under the Plasma Concentration-Time Curve (AUC0-inf) of Tazobactam
NCT02266706 (20) [back to overview]Area Under the Plasma Concentration-Time Curve (AUClast) of Ceftolozane
NCT02266706 (20) [back to overview]Area Under the Plasma Concentration-Time Curve (AUClast) of Tazobactam
NCT02387372 (20) [back to overview]Terminal Elimination Half-life (t1/2) of Ceftolozane or Tazobactam in Mechanically Ventilated Participants for the First and Last Dose of Ceftolozane/Tazobactam Treatment.
NCT02387372 (20) [back to overview]Plasma Clearance (CL) of Ceftolozane or Tazobactam in Mechanically Ventilated Participants for the First and Last Dose of Ceftolozane/Tazobactam Treatment.
NCT02387372 (20) [back to overview]Maximum Plasma Concentration (Cmax) of Ceftolozane or Tazobactam in Mechanically Ventilated Participants for the First and Last Dose of Ceftolozane/Tazobactam Treatment.
NCT02387372 (20) [back to overview]Last Quantifiable Plasma Concentration (Clast) of Ceftolozane or Tazobactam in Mechanically Ventilated Participants for the First and Last Dose of Ceftolozane/Tazobactam Treatment.
NCT02387372 (20) [back to overview]Epithelial Lining Fluid (ELF) / Plasma Ratio (Intrapulmonary Penetration) of Ceftolozane and Tazobactam Concentrations in Mechanically Ventilated Participants.
NCT02387372 (20) [back to overview]AUC From the Time of the Dose to Infinity (AUC0-∞) of Ceftolozane or Tazobactam in Mechanically Ventilated Participants for the First and Last Dose of Ceftolozane/Tazobactam Treatment.
NCT02387372 (20) [back to overview]Vss of Ceftolozane/Tazobactam in Critically Ill Participants With Augmented Renal Function.
NCT02387372 (20) [back to overview]Tmax of Ceftolozane/Tazobactam in Critically Ill Participants With Augmented Renal Function.
NCT02387372 (20) [back to overview]Tlast of Ceftolozane/Tazobactam in Critically Ill Participants With Augmented Renal Function.
NCT02387372 (20) [back to overview]T1/2 of Ceftolozane/Tazobactam in Critically Ill Participants With Augmented Renal Function.
NCT02387372 (20) [back to overview]Number of Participants With Adverse Events (AEs)
NCT02387372 (20) [back to overview]Cmax of Ceftolozane/Tazobactam in Critically Ill Participants With Augmented Renal Function.
NCT02387372 (20) [back to overview]CL of Ceftolozane/Tazobactam in Critically Ill Participants With Augmented Renal Function.
NCT02387372 (20) [back to overview]AUC0-last of Ceftolozane/Tazobactam in Critically Ill Participants With Augmented Renal Function.
NCT02387372 (20) [back to overview]Area Under the Concentration Time Curve (AUC) From the First to Time of the Last Dose (AUC0-last) of Ceftolozane or Tazobactam in Mechanically Ventilated Participants for the First and Last Dose of Ceftolozane/Tazobactam Treatment.
NCT02387372 (20) [back to overview]AUC0-∞ of Ceftolozane/Tazobactam in Critically Ill Participants With Augmented Renal Function.
NCT02387372 (20) [back to overview]Time of Maximum Plasma Concentration (Tmax) of Ceftolozane or Tazobactam in Mechanically Ventilated Participants for the First and Last Dose of Ceftolozane/Tazobactam Treatment.
NCT02387372 (20) [back to overview]Volume of Distribution at Steady State (Vss) of Ceftolozane or Tazobactam in Mechanically Ventilated Participants for the First and Last Dose of Ceftolozane/Tazobactam Treatment.
NCT02387372 (20) [back to overview]Clast of Ceftolozane/Tazobactam in Critically Ill Participants With Augmented Renal Function.
NCT02387372 (20) [back to overview]Time of Last Quantifiable Plasma Concentration (Tlast)) of Ceftolozane or Tazobactam in Mechanically Ventilated Participants for the First and Last Dose of Ceftolozane/Tazobactam Treatment.
NCT02421120 (5) [back to overview]Ceftolozane Volume of Distribution (Central Compartment)
NCT02421120 (5) [back to overview]Ceftolozane Probability of Target Attainment at 8 mcg/ml
NCT02421120 (5) [back to overview]Ceftolozane Clearance
NCT02421120 (5) [back to overview]Tazobactam Volume of Distribution (Central Compartment)
NCT02421120 (5) [back to overview]Tazobactam Clearance
NCT02493764 (22) [back to overview]Percentage of Participants in the CE Population With a FCR at OTX3 (Day 10)
NCT02493764 (22) [back to overview]Percentage of Participants in the Clinically Evaluable (CE) Population With a FCR at On-therapy Visit 1 (OTX1) [Day 3]
NCT02493764 (22) [back to overview]Percentage of Participants in the ME Population With a FMR at EFU Visit
NCT02493764 (22) [back to overview]Percentage of Participants in the Microbiologically Evaluable (ME) Population With a FMR at EOT Visit
NCT02493764 (22) [back to overview]Percentage of Participants in the MITT Population With a Favorable Clinical Response (FCR) at Early Follow-up (EFU) Visit
NCT02493764 (22) [back to overview]Percentage of Participants in the MITT Population With a FCR at Day 28
NCT02493764 (22) [back to overview]Percentage of Participants in the MITT Population With a FCR at EOT
NCT02493764 (22) [back to overview]Percentage of Participants in the MITT Population With a FCR at OTX1 (Day 3)
NCT02493764 (22) [back to overview]Percentage of Participants in the MITT Population With a FCR at OTX2 (Day 6)
NCT02493764 (22) [back to overview]Percentage of Participants in the MITT Population With a FCR at OTX3 (Day 10)
NCT02493764 (22) [back to overview]Percentage of Participants in the mMITT Population With a Favorable Microbiological Response (FMR) at End of Treatment (EOT) Visit
NCT02493764 (22) [back to overview]Percentage of Participants in the mMITT Population With a FMR at EFU Visit
NCT02493764 (22) [back to overview]Percentage of Participants With ≥1 Adverse Event (AE)
NCT02493764 (22) [back to overview]Percentage of Participants With ACM at EFU in the MITT Population
NCT02493764 (22) [back to overview]Percentage of Participants With ACM at EFU in the mMITT Population
NCT02493764 (22) [back to overview]Percentage of Participants With ACM in the Microbiological Modified Intention-to-treat (mMITT) Population
NCT02493764 (22) [back to overview]Percentage of Participants With All-cause Mortality (ACM) Through Day 28 in the Modified Intention-to-treat (MITT) Population
NCT02493764 (22) [back to overview]Percentage of Participants Discontinuing Study Therapy Due to an AE
NCT02493764 (22) [back to overview]Percentage of Participants in the CE Population With a FCR at Day 28
NCT02493764 (22) [back to overview]Percentage of Participants in the CE Population With a FCR at EFU Visit
NCT02493764 (22) [back to overview]Percentage of Participants in the CE Population With a FCR at EOT Visit
NCT02493764 (22) [back to overview]Percentage of Participants in the CE Population With a FCR at OTX2 (Day 6)
NCT02620774 (7) [back to overview]Tazobactam AUC in Tissue
NCT02620774 (7) [back to overview]Ceftolozane Area Under the Curve (AUC) in Tissue
NCT02620774 (7) [back to overview]Ceftolozane Tissue Penetration
NCT02620774 (7) [back to overview]Ceftolozane Total Drug AUC in Plasma
NCT02620774 (7) [back to overview]Number of Participants With Adverse Events
NCT02620774 (7) [back to overview]Tazobactam Total Drug AUC in Plasma
NCT02620774 (7) [back to overview]Tazobactam Tissue Penetration
NCT02728089 (12) [back to overview]Percentage of Participants With Microbiological Response of Eradication, by Pathogen at EOT
NCT02728089 (12) [back to overview]Percentage of Participants With Microbiological Response of Eradication at End Of Therapy (EOT)
NCT02728089 (12) [back to overview]Percentage of Participants With Clinical Response of Clinical Cure at TOC
NCT02728089 (12) [back to overview]Percentage of Participants With Clinical Response of Clinical Cure at LFU
NCT02728089 (12) [back to overview]Percentage of Participants With Clinical Response of Clinical Cure at EOT
NCT02728089 (12) [back to overview]Percentage of Participants Who Report 1 or More Adverse Event (AE)
NCT02728089 (12) [back to overview]Percentage of Participants Discontinuing Study Drug Due to an AE
NCT02728089 (12) [back to overview]Percentage of Participants With Microbiological Response of Eradication by Pathogen at TOC
NCT02728089 (12) [back to overview]Percentage of Participants With Microbiological Response of Eradication by Pathogen at LFU
NCT02728089 (12) [back to overview]Percentage of Participants With Microbiological Response of Eradication at Test of Cure (TOC)
NCT02728089 (12) [back to overview]Percentage of Participants With Microbiological Response of Eradication at Late Follow-up (LFU)
NCT02728089 (12) [back to overview]Percentage of Participants With a Composite Response of Both Eradication and Clinical Cure at TOC
NCT02739997 (9) [back to overview]Percentage of Participants With Clinical Response (Clinical Cure, Clinical Failure, or Indeterminate) at Test of Cure (TOC)
NCT02739997 (9) [back to overview]Percentage of Participants With Clinical Response (Clinical Cure, Clinical Failure, or Indeterminate) at Late Follow-Up (LFU)
NCT02739997 (9) [back to overview]Percentage of Participants With Clinical Response (Clinical Cure, Clinical Failure, or Indeterminate) at End Of Therapy (EOT)
NCT02739997 (9) [back to overview]Percentage of Participants With Adverse Events (AEs)
NCT02739997 (9) [back to overview]Percentage of Participants Discontinuing Study Drug Due to AEs
NCT02739997 (9) [back to overview]Percentage of Participants With Microbiological Response (Eradication, Persistence, or Indeterminate) at TOC
NCT02739997 (9) [back to overview]Percentage of Participants With Microbiological Response (Eradication, Persistence, or Indeterminate) at EOT
NCT02739997 (9) [back to overview]Percentage of Participants With Microbiological Response (Eradication, Persistence, or Indeterminate) by Pathogen at EOT
NCT02739997 (9) [back to overview]Percentage of Participants With Microbiological Response (Eradication, Persistence, or Indeterminate) by Pathogen at TOC
NCT02753946 (3) [back to overview]Number of Patients With a Response of Microbiologic Eradication
NCT02753946 (3) [back to overview]Number of Patients With a Response of Clinical Cure in Various Protocol Populations
NCT02753946 (3) [back to overview]Number of Patients With an Overall Success
NCT02991937 (3) [back to overview]Readmission Rates
NCT02991937 (3) [back to overview]Incidence of Long-term Complications in Medical Therapy Group
NCT02991937 (3) [back to overview]Pediatric Quality of Life Inventory (PedsQL) Generic Core Scale - Parent
NCT03002506 (1) [back to overview]Ceftolozane Clearnace
NCT03019965 (2) [back to overview]Number of Participants With Adverse Events
NCT03019965 (2) [back to overview]Number of Participants With Clinical Response
NCT03159754 (9) [back to overview]Recurrent Appendicitis
NCT03159754 (9) [back to overview]Number of Percutaneous Drainage Procedures
NCT03159754 (9) [back to overview]Parents Away From Work
NCT03159754 (9) [back to overview]Quality of Life (PedsQL)
NCT03159754 (9) [back to overview]Quality of Life (PedsQL)
NCT03159754 (9) [back to overview]Complications
NCT03159754 (9) [back to overview]Duration of Antibiotic Therapy
NCT03159754 (9) [back to overview]Length of Stay
NCT03159754 (9) [back to overview]Number of Radiographic Imaging Studies
NCT03217136 (6) [back to overview]Number of Participants Who Discontinued Study Therapy Due to AE(s)
NCT03217136 (6) [back to overview]Number of Participants Experiencing ≥1 Adverse Events (AEs)
NCT03217136 (6) [back to overview]"Percentage of Participants With a Clinical Response of Cure at the End of Treatment (EOT) Visit"
NCT03217136 (6) [back to overview]"Percentage of Participants With a Clinical Response of Cure at the Test of Cure (TOC) Visit"
NCT03217136 (6) [back to overview]Percentage of Participants With Microbiological Eradication at the TOC Visit
NCT03217136 (6) [back to overview]Percentage of Participants With Microbiological Eradication at the EOT Visit
NCT03230838 (6) [back to overview]Percentage of Participants With a Clinical Response of Cure at the Test of Cure Visit
NCT03230838 (6) [back to overview]Percentage of Participants With Microbiological Eradication of All Baseline Pathogens at the End of Treatment Visit
NCT03230838 (6) [back to overview]Percentage of Participants With Microbiological Eradication of All Baseline Pathogens at the Test of Cure Visit
NCT03230838 (6) [back to overview]Number of Participants Discontinuing Study Therapy Due to AE
NCT03230838 (6) [back to overview]Percentage of Participants With a Clinical Response of Cure at the End of Treatment Visit
NCT03230838 (6) [back to overview]Number of Participants With ≥1 Adverse Events (AEs)
NCT03309657 (4) [back to overview]Unbound Ceftolozane Exposure in the CSF
NCT03309657 (4) [back to overview]Unbound Ceftolozane Exposure in the Plasma
NCT03309657 (4) [back to overview]Unbound Tazobactam Exposure in the CSF
NCT03309657 (4) [back to overview]Unbound Tazobactam Exposure in the Plasma
NCT03485950 (24) [back to overview]Number of Participants With Infection-related Mortality in the MITT Analysis Set at LFU
NCT03485950 (24) [back to overview]Number of Participants With Favorable Microbiological Response in the mMITT Analysis Set at LFU.
NCT03485950 (24) [back to overview]Number of Participants With Favorable Clinical Response in the ME Analysis Set at TOC
NCT03485950 (24) [back to overview]Number of Participants With Favorable Clinical Response in the MITT Analysis Set at Late Follow-Up (LFU)
NCT03485950 (24) [back to overview]Number of Participants With Favorable Microbiological Response in the ME Analysis Set at TOC.
NCT03485950 (24) [back to overview]Number of Participants With Favorable Microbiological Response in the ME Analysis Set at LFU
NCT03485950 (24) [back to overview]Number of Participants With Favorable Microbiological Response in the ME Analysis Set at EOIV.
NCT03485950 (24) [back to overview]Number of Participants With Favorable Clinical Response in the mMITT Analysis Set at Test of Cure (TOC)
NCT03485950 (24) [back to overview]Number of Participants With Favorable Clinical Response in the mMITT Analysis Set at Late Follow-Up (LFU)
NCT03485950 (24) [back to overview]Number of Participants With Favorable Clinical Response in the MITT Analysis Set at TOC
NCT03485950 (24) [back to overview]Number of Participants With Favorable Clinical Response in the Microbiological Modified Intent-to-treat (mMITT) Analysis Set at EOIV.
NCT03485950 (24) [back to overview]Number of Participants With Favorable Clinical Response in the ME Analysis Set at LFU.
NCT03485950 (24) [back to overview]Number of Participants With Favorable Clinical Response in the ME Analysis Set at EOIV.
NCT03485950 (24) [back to overview]Number of Participants With Favorable Clinical Response in the Clinically Evaluable (CE) Analysis Set at EOIV.
NCT03485950 (24) [back to overview]Number of Participants With Favorable Clinical Response in the CE Analysis Set at TOC
NCT03485950 (24) [back to overview]Number of Participants With Favorable Clinical Response at End of Inpatient Intravenous Therapy (EOIV)
NCT03485950 (24) [back to overview]Favorable Microbiological Response in the mMITT Analysis Set at TOC.
NCT03485950 (24) [back to overview]30 Day All-cause Mortality in the mMITT Analysis Set
NCT03485950 (24) [back to overview]30 Day All-cause Mortality in the MITT Analysis Set
NCT03485950 (24) [back to overview]Number of Participants With Favorable Microbiological Response in the mMITT Analysis Set at EOIV.
NCT03485950 (24) [back to overview]Number of Participants With Infection-related Mortality the mMITT Analysis Set at TOC
NCT03485950 (24) [back to overview]Number of Participants With Favorable Clinical Response in the CE Analysis Set at LFU.
NCT03485950 (24) [back to overview]Number of Participants With Infection-related Mortality in the mMITT Analysis Set at LFU.
NCT03485950 (24) [back to overview]Number of Participants With Infection-related Mortality in the MITT Analysis Set at TOC
NCT03830333 (9) [back to overview]Percentage of Participants With Favorable Per-Participant Microbiological Response of Eradication or Presumed Eradication at TOC Visit: Expanded Microbiologically Evaluable (EME) Population
NCT03830333 (9) [back to overview]Percentage of Participants With Favorable Microbiological Response of Eradication or Presumed Eradication, by Pathogen, at the TOC Visit: EME Population
NCT03830333 (9) [back to overview]Percentage of Participants With Clinical Response (Clinical Cure, Clinical Failure, or Indeterminate) at TOC Visit: Intent to Treat (ITT) Population
NCT03830333 (9) [back to overview]Percentage of Participants With Clinical Response (Clinical Cure, Clinical Failure, or Indeterminate) at EOT Visit: ITT Population
NCT03830333 (9) [back to overview]Percentage of Participants With Clinical Response (Clinical Cure or Clinical Failure) at End of Therapy (EOT) Visit: CE Population
NCT03830333 (9) [back to overview]Percentage of Participants Who Experienced 1 or More Adverse Events (AEs)
NCT03830333 (9) [back to overview]Percentage of Participants With Clinical Response (Clinical Cure or Clinical Failure) at Test of Cure (TOC) Visit: Clinically Evaluable (CE) Population
NCT03830333 (9) [back to overview]Percentage of Participants That Discontinued Study Treatment Due to an AE
NCT03830333 (9) [back to overview]Percentage of Participants With Favorable Microbiological Response of Eradication or Presumed Eradication, by Pathogen, at the TOC Visit: EME Population
NCT04042077 (5) [back to overview]Hospital Infection Related Length of Stay (IRLOS)
NCT04042077 (5) [back to overview]Number of Participants Eligible to Switch to Oral Formulation According to Blinded Observer's Assessment
NCT04042077 (5) [back to overview]Hospital Length of Stay (LOS)
NCT04042077 (5) [back to overview]Number of Participants With Clinical Success at Test Of Cure Visit
NCT04042077 (5) [back to overview]Microbiological Response
NCT05102162 (10) [back to overview]Superinfection Between Patients Treated With Continuous and Intermittent Infusion Beta-lactam Regimens.
NCT05102162 (10) [back to overview]Percent of Time Free Drug Concentrations Remain Above the Minimum Inhibitory Concentration (%fT>MIC) in the Dosing Interval Between Patients Treated With Continuous and Intermittent Infusion Beta-lactam Regimens
NCT05102162 (10) [back to overview]Percent of Time Free Drug Concentrations Remain Above Four Multiples of the Minimum Inhibitory Concentration (%fT>4xMIC) in the Dosing Interval Between Patients Treated With Continuous and Intermittent Infusion Beta-lactam Regimens
NCT05102162 (10) [back to overview]Microbiologic Eradication Between Patients Treated With Continuous and Intermittent Infusion Beta-lactam Regimens
NCT05102162 (10) [back to overview]Mortality Between Patients Treated With Continuous and Intermittent Infusion Beta-lactam Regimens
NCT05102162 (10) [back to overview]Clinical Cure at Day 7 of Therapy Between Patients Treated With Continuous and Intermittent Infusion Beta-lactam Regimens
NCT05102162 (10) [back to overview]Clinical Cure at the End of Therapy Between Patients Treated With Continuous and Intermittent Infusion Beta-lactam Regimens
NCT05102162 (10) [back to overview]Gram-negative Bacterial Resistance Emergence Between Patients Treated With Continuous and Intermittent Infusion Beta-lactam Regimens
NCT05102162 (10) [back to overview]Hospital Length of Stay Between Patients Treated With Continuous and Intermittent Infusion Beta-lactam Regimens.
NCT05102162 (10) [back to overview]Intensive Care Unit (ICU) Length of Stay Between Patients Treated With Continuous and Intermittent Infusion Beta-lactam Regimens

Percentage of Participants Assessed as Improvements by the Data Review Committee (DRC) at the During Treatment Day 3-5 in the Intent to Treat (ITT) Population

"Clinical response was evaluated by the investigator and graded as improvement in signs and symptoms, or failure to respond, or indeterminate at Day 3 to 5 after treatment start based on subject data for clinical signs and symptoms at each visit, concomitant medication, microbiology results, laboratory tests and interpretation of photographs" (NCT00402727)
Timeframe: 3 - 5 days after start of treatment

Interventionpercentage of participants (Number)
Moxifloxacin97.2
PIP/TAZ-AMC95.8

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Percentage of Participants Assessed as Resolution by the Data Review Committee (DRC) at End of Therapy in the Per Protocol (PP) Population

"Clinical response was evaluated by the investigator and graded as resolution, or failure to respond, or indeterminate at the end of therapy based on subject data for clinical signs and symptoms at each visit, concomitant medication, microbiology results, laboratory tests and interpretation of photographs." (NCT00402727)
Timeframe: after 7 - 21 days of treatment

Interventionpercentage of participants (Number)
Moxifloxacin95.3
PIP/TAZ-AMC95.1

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Percentage of Participants With Bacteriological Success (BS) After 14 - 28 Days After Last Dose of Study Medication in the ITT Population With Causative Organisms

BS is presumed eradication or eradication without recurrence, super- or reinfection. Presumed eradication was defined as clinical cure in absence of a culture, eradication as a negative culture, recurrence as reappearance of organism present at start of study; super-, reinfection as appearance of a new organism during/after treatment. (NCT00402727)
Timeframe: 14 - 28 days after last dose of study medication

Interventionpercentage of participants (Number)
Moxifloxacin78.9
PIP/TAZ-AMC79.0

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Percentage of Participants With Bacteriological Success (BS) After 14 - 28 Days After Last Dose of Study Medication in the Microbiological Valid (MBV) Population

BS is presumed eradication or eradication without recurrence, super- or reinfection. Presumed eradication was defined as clinical cure in absence of a culture, eradication as a negative culture, recurrence as reappearance of organism present at start of study; super-, reinfection as appearance of a new organism during/after treatment. (NCT00402727)
Timeframe: 14 - 28 days after last dose of study medication

Interventionpercentage of participants (Number)
Moxifloxacin84.3
PIP/TAZ-AMC87.2

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Percentage of Participants With Bacteriological Success (BS) After 7 - 21 Days of Treatment in the ITT Population With Causative Organisms

Bacteriological success is presumed eradication or eradication without recurrence or superinfection. Presumed eradication was defined as clinical cure in absence of a culture, eradication as a negative culture, recurrence as reappearance of organism present at start of study, superinfection as appearance of a new organism. (NCT00402727)
Timeframe: after 7 - 21 days of treatment

Interventionpercentage of participants (Number)
Moxifloxacin84.0
PIP/TAZ-AMC87.9

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Percentage of Participants With Bacteriological Success (BS) After 7 - 21 Days of Treatment in the Microbiological Valid (MBV) Population

Bacteriological success is presumed eradication or eradication without recurrence or superinfection. Presumed eradication was defined as clinical cure in absence of a culture, eradication as a negative culture, recurrence as reappearance of organism present at start of study, superinfection as appearance of a new organism. (NCT00402727)
Timeframe: after 7 - 21 days of treatment

Interventionpercentage of participants (Number)
Moxifloxacin85.8
PIP/TAZ-AMC91.4

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Percentage of Participants With Bacteriological Success (BS) at 3 to 5 Days After Start of Treatment in the ITT Population With Causative Organisms

Bacteriological success was defined as presumed eradication or eradication without superinfection. Presumed eradication was defined as clinical cure in absence of a culture, eradication as a negative culture, superinfection as appearance of a new organism. (NCT00402727)
Timeframe: 3 - 5 days after start of treatment

Interventionpercentage of participants (Number)
Moxifloxacin54.6
PIP/TAZ-AMC63.1

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Percentage of Participants With Bacteriological Success (BS) at 3 to 5 Days After Start of Treatment in the Microbiological Valid (MBV) Population

Bacteriological success was defined as presumed eradication or eradication without superinfection. Presumed eradication was defined as clinical cure in absence of a culture, eradication as a negative culture, superinfection as appearance of a new organism. (NCT00402727)
Timeframe: 3 - 5 days after start of treatment

Interventionpercentage of participants (Number)
Moxifloxacin55.2
PIP/TAZ-AMC63.8

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Percentage of Participants Assessed as Resolution by the Data Review Committee (DRC) at End of Therapy in the Intent to Treat (ITT) Population

"Clinical response was evaluated by the investigator and graded as resolution, or failure to respond, or indeterminate at the end of therapy based on subject data for clinical signs and symptoms at each visit, concomitant medication, microbiology results, laboratory tests and interpretation of photographs." (NCT00402727)
Timeframe: after 7 - 21 days of treatment

Interventionpercentage of participants (Number)
Moxifloxacin92.3
PIP/TAZ-AMC90.7

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Percentage of Participants Assessed as Improvements by the Data Review Committee (DRC) at the During Treatment Day 3-5 in the Per Protocol (PP) Population

"Clinical response was evaluated by the investigator and graded as improvement in signs and symptoms, or failure to respond, or indeterminate at Day 3 to 5 after treatment start based on subject data for clinical signs and symptoms at each visit, concomitant medication, microbiology results, laboratory tests and interpretation of photographs." (NCT00402727)
Timeframe: 3 - 5 days after start of treatment

Interventionpercentage of participants (Number)
Moxifloxacin98.3
PIP/TAZ-AMC99.0

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Percentage of Cured Participants as Determined by the Data Review Committee (DRC) at Test of Cure Visit in the Per Protocol (PP) Population

"Clinical response was evaluated by the DRC and graded as cure, failure or indeterminate at the TOC visit. Members of the DRC were provided with subject data from the study database that included clinical signs and symptoms at each visit, concomitant medication, microbiology results, laboratory tests and interpretation of photographs." (NCT00402727)
Timeframe: 14 - 28 days after last dose of study medication

Interventionpercentage of participants (Number)
Moxifloxacin88.6
PIP/TAZ-AMC89.6

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Percentage of Cured Participants as Determined by the Data Review Committee (DRC) at Test of Cure Visit in the Intent to Treat (ITT) Population

"Clinical response was evaluated by the DRC and graded as cure, failure or indeterminate at the TOC visit. Members of the DRC were provided with subject data from the study database that included clinical signs and symptoms at each visit, concomitant medication, microbiology results, laboratory tests and interpretation of photographs." (NCT00402727)
Timeframe: 14 - 28 days after last dose of study medication

Interventionpercentage of participants (Number)
Moxifloxacin82.2
PIP/TAZ-AMC80.9

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Piperacillin Pharmacokinetics (PK)

To study how Piperacillin is metabolized in the body by measuring the drug concentration in plasma samples collected at different time points during the study (NCT00873327)
Timeframe: 2-3 days after infant receives 1st drug dosing

InterventionL/hr/kg (Median)
PK Analysis Cohort - Piperacillin Plasma Clearance0.0799

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Clinical Response of CXA 101/Tazobactam and Metronidazole at Test of Cure (TOC) Visit in the Microbiological Modified Intent to Treat (mMITT) Analysis Population

Clinical response is complete resolution or significant improvement of all signs and symptoms of the index infection, such that no additional antibacterial therapy or surgical or drainage procedure was required for the index infection. (NCT01147640)
Timeframe: Test-of-Cure Visit (7-14 days after End of Therapy [EOT])

Interventionpercentage of subjects (Number)
CXA 101/Tazobactam and Metronidazole83.6
Meropenem With Matching Saline Placebo96.0

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Microbiological Response of CXA 101/Tazobactam and Metronidazole at the TOC Visit in the Microbiologically Evaluable (ME) Population

Microbiological response is eradication (absence of the baseline pathogen from a suitable intra-abdominal specimen) or presumed eradication (absence of a suitable intra-abdominal specimen to culture at the TOC visit in a subject who is assessed as a clinical cure at TOC) (NCT01147640)
Timeframe: Test-of-Cure Visit (7-14 days after EOT)

Interventionpercentage of subjects (Number)
CXA 101/Tazobactam and Metronidazole90.6
Meropenem With Matching Saline Placebo95.8

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Percentage of Participants With Favorable Microbiological Response Assessments at FUA Day 10 of Post-antibiotic Study Therapy

The investigator assessed participants for a favorable microbiological response, defined as eradication or presumptive eradication. Eradication means that the original pathogen was absent from the last available culture of an adequate specimen obtained from the original site of infection. Presumptive eradication means that the participant showed cure or improvement and no appropriate material is available to follow-up culture from the original site of infection, or collection of such a specimen would cause undue discomfort. (NCT01370616)
Timeframe: Day 15 up to Day 38

InterventionPercentage of participants (Number)
Ertapenem Sodium86.4
Piperacillin/Tazobactam Sodium89.9

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Percentage of Participants With Favorable Clinical Response Assessments at Follow-up Assessment (FUA) Day 10 of Post-antibiotic Study Therapy

The investigator assessed participants for a favorable clinical response, defined as clinical improvement or cure. Clinical improvement means that most pretherapy signs and symptoms of the index infection, in particular fever, lympangitis, and purulent drainage had resolved, and no further IV antibiotic therapy was required. Cure means that all pretherapy signs and symptoms of the index infection had resolved, and no further IV antibiotic therapy was required. (NCT01370616)
Timeframe: Day 15 up to Day 38

InterventionPercentage of participants (Number)
Ertapenem Sodium92.2
Piperacillin/Tazobactam Sodium94.4

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Percentage of Participants With Serious AEs (SAEs)

A SAE is an AE occurring at any dose that resulted in any of the following: death, was life threatening, a persistent or significant disability/incapacity, prolonged an existing inpatient hospitalization, was a congenital anomaly/birth defect in an offspring, was a cancer, an overdose, or other important medical events requiring medical or surgical intervention. (NCT01370616)
Timeframe: Up to day 42

InterventionPercentage of participants (Number)
Ertapenem Sodium6.2
Piperacillin/Tazobactam Sodium4.4

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Percentage of Participants With One or More Adverse Events (AEs)

An AE is any unfavorable and unintended change in the structure, function, or chemistry of the body that is temporally associated with the use of the investigational product, whether or not considered related to the use of the medicinal product. This also includes any change in frequency and/or intensity of a preexisting condition which is temporally associated with the use of the medicinal product. (NCT01370616)
Timeframe: Up to day 42

InterventionPercentage of participants (Number)
Ertapenem Sodium64.0
Piperacillin/Tazobactam Sodium56.7

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Percentage of Participants Who Discontinued Treatment Due to an AE

Participants chose to discontinue treatment or were discontinued from the study by the investigator due to any untoward effects, or for safety reasons such as an AE. The investigator determined whether or not the AE caused the test drug to be discontinued. (NCT01370616)
Timeframe: Up to day 28

InterventionPercentage of participants (Number)
Ertapenem Sodium4.0
Piperacillin/Tazobactam Sodium5.8

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Percentage of Participants With Both Favorable Clinical and Microbiological Response Assessments at FUA Day 10 of Post-antibiotic Study Therapy

The investigator assessed participants for both a favorable clinical response (clinical improvement or cure) and a favorable microbiological response (eradication or presumptive eradication). Clinical improvement means that most pretherapy signs and symptoms of the index infection, had resolved, and no further IV antibiotic therapy is required. Cure means that all pretherapy signs and symptoms of the index infection had resolved, and no further IV antibiotic therapy was required. Eradication means that the original pathogen was absent from the last available culture obtained from the original site of infection. Presumptive eradication means that the participant showed cure or improvement and no appropriate material is available to follow-up culture from the original site of infection, or collection of such a specimen would cause undue discomfort. (NCT01370616)
Timeframe: Day 15 up to Day 38

InterventionPercentage of participants (Number)
Ertapenem Sodium86.3
Piperacillin/Tazobactam Sodium89.9

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Percentage of Participants With Favorable Clinical Response Assessments at Day 5 of IV Study Therapy

The investigator assessed participants for a favorable clinical response, defined as clinical improvement or cure. Clinical improvement means that most pretherapy signs and symptoms of the index infection, in particular fever, lympangitis, and purulent drainage had resolved, and no further IV antibiotic therapy was required. Cure means that all pretherapy signs and symptoms of the index infection had resolved, and no further IV antibiotic therapy was required. (NCT01370616)
Timeframe: Day 5

InterventionPercentage of participants (Number)
Ertapenem Sodium96.2
Piperacillin/Tazobactam Sodium97.7

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Percentage of Participants With Favorable Clinical Response Assessments at Discontinuation of Intravenous (IV) Study Therapy (DCIV)

The investigator assessed participants for a favorable clinical response, defined as clinical improvement or cure. Clinical improvement means that most pretherapy signs and symptoms of the index infection, in particular fever, lympangitis, and purulent drainage had resolved, and no further IV antibiotic therapy was required. Cure means that all pretherapy signs and symptoms of the index infection had resolved, and no further IV antibiotic therapy was required. (NCT01370616)
Timeframe: Day 5 up to Day 28

InterventionPercentage of participants (Number)
Ertapenem Sodium93.6
Piperacillin/Tazobactam Sodium97.3

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Half-life of Piperacillin

Half-life (t1/2) of piperacillin will be calculated from serum concentrations in both standard and high doses (NCT01923363)
Timeframe: 0, 1, 3, and 6 hours post-dose

Interventionhours (Mean)
Group 1 (CrCl >/= 80 mL/min) on 3.375 gramsGroup 1 (CrCl >/= 80 mL/min) on 4.5 gramsGroup 1 (CrCl >/= 80 mL/min) on 6.75 gramsGroup 1 (CrCl >/= 80 mL/min) on 9 gramsGroup 2 (CrCl >/= 40 to < 80 mL/min) on 3.375 gramGroup 2 (CrCl >/= 40 to < 80 mL/min) on 4.5 gramsGroup 2 (CrCl >/= 40 to < 80 mL/min) on 6.75 gramsGroup 2 (CrCl >/= 40 to < 80 mL/min) on 9 gramsGroup 3 (CrCl < 40 mL/min) on 2.25 gramsGroup 3 (CrCl < 40 mL/min) on 3.375 gramsGroup 3 (CrCl < 40 mL/min) on 4.5 gramsGroup 3 (CrCl < 40 mL/min) on 6.75 gramsGroup 4 (HD) on 2.25 gramsGroup 4 (HD) on 3.375 gramsGroup 4 (HD) on 4.5 gramsGroup 4 (HD) on 6.75 grams
Standard Dose to High Dose Piperacillin/Tazobactam1.21.51.80.93.92.73.82.54.310.76.25.59.88.69.17.4

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Volume of Distribution of Piperacillin

Volume of distribution (Vd) of piperacillin will be calculated from serum concentrations in both standard and high doses (NCT01923363)
Timeframe: 0, 1, 3, and 6 hours post-dose

Interventionliters (Mean)
Group 1 (CrCl >/= 80 mL/min) on 3.375 gramsGroup 1 (CrCl >/= 80 mL/min) on 4.5 gramsGroup 1 (CrCl >/= 80 mL/min) on 6.75 gramsGroup 1 (CrCl >/= 80 mL/min) on 9 gramsGroup 2 (CrCl >/= 40 to < 80 mL/min) on 3.375 gramGroup 2 (CrCl >/= 40 to < 80 mL/min) on 4.5 gramGroup 2 (CrCl >/= 40 to < 80 mL/min) on 6.75 gramGroup 2 (CrCl >/= 40 to < 80 mL/min) on 9 gramGroup 3 (CrCl < 40mL/min) on 2.25 gramsGroup 3 (CrCl < 40mL/min) on 3.375 gramsGroup 3 (CrCl < 40mL/min) on 4.5 gramsGroup 3 (CrCl < 40mL/min) on 6.75 gramsGroup 4 (HD) on 2.25 gramsGroup 4 (HD) on 3.375 gramsGroup 4 (HD) on 4.5 gramsGroup 4 (HD) on 6.75 grams
Standard Dose to High Dose Piperacillin/Tazobactam19.020.927.720.131.620.331.748.822.930.526.329.934.928.924.634.0

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Serum Minimum Concentrations of Piperacillin

Minimum serum concentrations (Cmin) of piperacillin will be measured in both standard and high doses (NCT01923363)
Timeframe: 0, 1, 3, and 6 hours post-dose

Interventionmilligrams per liter (Mean)
Group 1 (CrCl >/= 80 mL/min) on 3.375 gramsGroup 1 (CrCl >/= 80 mL/min) on 4.5 gramsGroup 1 (CrCl >/= 80 mL/min) on 6.75 gramsGroup 1 (CrCl >/= 80 mL/min) on 9 gramsGroup 2 (CrCl >/= 40 to 80 mL/min) on 3.375 gramsGroup 2 (CrCl >/= 40 to 80 mL/min) on 4.5 gramsGroup 2 (CrCl >/= 40 to 80 mL/min) on 6.75 gramsGroup 2 (CrCl >/= 40 to 80 mL/min) on 9 gramsGroup 3 (CrCl < 40 mL/min) on 2.25 gramsGroup 3 (CrCl < 40 mL/min) on 3.375 gramsGroup 3 (CrCl < 40 mL/min) on 4.5 gramsGroup 3 (CrCl < 40 mL/min) on 6.75 gramsGroup 4 (HD) on 2.25 gramsGroup 4 (HD) on 3.375 gramsGroup 4 (HD) on 4.5 gramsGroup 4 (HD) on 6.75 grams
Standard Dose to High Dose Piperacillin/Tazobactam8.911.127.010.347.452.572.654.178.820714214899143181234

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Serum Maximum Concentrations for Piperacillin

Pharmacokinetic parameters for piperacillin of maximum serum concentration (Cmax) will be measured in both standard dosing and high dosing. (NCT01923363)
Timeframe: 0, 1, 3, and 6 hours post-dose

Interventionmilligrams per liter (Mean)
Group 1 (CrCl >/= 80 mL/min) on 3.375 gramsGroup 1 (CrCl >/= 80 mL/min) on 4.5 gramsGroup 1 (CrCl > 80 mL/min) on 6.75 gramsGroup 1 (CrCl >/= 80 mL/min) on 9 gramsGroup 2 (CrCl >/= 40 to < 80 mL/min) on 3.375 gramGroup 2 (CrCl >/= 40 to < 80 mL/min) on 4.5 gramsGroup 2 (CrCl >/= 40 to < 80 mL/min) on 6.75 gramsGroup 2 (CrCl >/= 40 to < 80 mL/min) on 9 gramsGroup 3 (CrCl < 40 mL/min) on 2.25 gramsGroup 3 (CrCl < 40 mL/min) on 3.375 gramsGroup 3 (CrCl < 40 mL/min) on 4.5 gramsGroup 3 (CrCl < 40 mL/min) on 6.75 gramsGroup 4 (HD) on 2.25 gramsGroup 4 (HD) on 3.375 gramsGroup 4 (HD) on 4.5 gramsGroup 4 (HD) on 6.75 grams
Standard Dose to High Dose Piperacillin/Tazobactam136190237332144214244191176296265299158223275397

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Number of Participants With Feeding Intolerance

Feeding intolerance confirmed by documentation of any feedings held for >24 consecutive hours in infants being fed (NCT01994993)
Timeframe: 90 days after last dose of study drug

InterventionParticipants (Count of Participants)
Group 124
Group 219
Group 321
Group 418

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Number of Participants With Therapeutic Success at Day 30

"Confirmed by 1).Alive, 2).Negative bacterial blood cultures, and 3). Clinical cure score >4.~Clinical cure score =1 for each of the following elements:~FiO2 ≤ baseline FiO2; Urine output ≥1 mL/kg/h for 24-hour period prior to assessment; Absence of inotropic support at time of assessment; Absence of mechanical ventilation at time of assessment; No seizure in 24-hour period prior to assessment; pH ≥7.25 or not measured in 24 hours prior to assessment" (NCT01994993)
Timeframe: 30 days after last dose of study drug

InterventionParticipants (Count of Participants)
Group 145
Group 239
Group 352
Group 452

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Number of Participants With Short Bowel Syndrome

"Short bowel syndrome: Operative reports documenting resection of bowel, estimated bowel length, and absence/presence of the ileocecal valve.~Total parenteral nutrition for >42 consecutive days after bowel resection, or a residual small bowel length of less than 25% expected for gestational age" (NCT01994993)
Timeframe: 90 days after last dose of study drug

InterventionParticipants (Count of Participants)
Group 15
Group 23
Group 31
Group 41

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Number of Participants With Seizure

documented seizure(s) in hospital records (NCT01994993)
Timeframe: 90 days after last dose of study drug

InterventionParticipants (Count of Participants)
Group 14
Group 20
Group 32
Group 41

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Number of Participants With Positive Blood Cultures

Positive blood culture (bacterial or fungal) (NCT01994993)
Timeframe: 90 days after last dose of study drug

InterventionParticipants (Count of Participants)
Group 18
Group 24
Group 312
Group 45

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Number of Participants With Intestinal Stricture

"Intestinal stricture: Radiology reports leading to the diagnosis of intestinal stricture. These include plain abdominal x-rays, upper gastrointestinal series with small bowel follow-through, contrast enema studies, and computed tomography scans of the abdomen and pelvis.~Operative reports documenting surgical procedures leading to the diagnosis and/or treatment of intestinal stricture. These procedures include endoscopy, laparotomy, stricture dilatation, intestinal resection, and ostomy placement" (NCT01994993)
Timeframe: 90 days after last dose of study drug

InterventionParticipants (Count of Participants)
Group 13
Group 22
Group 34
Group 41

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Number of Participants With Intestinal Perforation

"Intestinal perforation: Radiological reports leading to the diagnosis of intestinal perforation. These include plain chest x-rays, plain abdominal x-rays, ultra-sonograms of the abdomen, contrast studies, and computed tomography scans of the abdomen and pelvis.~Operative reports documenting surgical procedures leading to the diagnosis and/or treatment of intestinal perforation. These include placement of a surgical drain, laparotomy, intestinal resection, and ostomy placement" (NCT01994993)
Timeframe: 90 days after last dose of study drug

InterventionParticipants (Count of Participants)
Group 12
Group 24
Group 32
Group 41

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Number of Participants With Grade 3 and/or Grade 4 Intraventricular Hemorrhage (IVH)

"Grade 3 IVH: Subependymal hemorrhage with extension into lateral ventricles with ventricular enlargement~Grade 4 IVH: Intraparenchymal hemorrhage" (NCT01994993)
Timeframe: 90 days after last dose of study drug

InterventionParticipants (Count of Participants)
Group 12
Group 24
Group 34
Group 40

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Death

Number of Participants who experienced Death (NCT01994993)
Timeframe: Within 30 days after last dose of study drug, up to 40 days

InterventionParticipants (Count of Participants)
Group 15
Group 25
Group 37
Group 41
Group 50

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Number of Participants Progressed to a Higher Stage of Necrotizing Enterocolitis (NEC), if NEC is the Cause of the Complicated Intra-abdominal Infection

Progression is determined by the clinical NEC scoring (NCT01994993)
Timeframe: 90 days after last dose of study drug

InterventionParticipants (Count of Participants)
Group 11
Group 22
Group 30
Group 41

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Number of Participants With Gastrointestinal Surgeries

Determined by medical history and confirmed with hospital records. (Laparotomy) (NCT01994993)
Timeframe: 90 days after last dose of study drug

InterventionParticipants (Count of Participants)
Group 127
Group 215
Group 326
Group 410

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Percentage of Participants With All Cause Mortality in the Microbiological Intent-to-Treat (mITT) Population - Day 28

To compare the all cause mortality rates of participants in the ceftolozane/tazobactam versus meropenem arms in microbiological intent-to-treat (mITT) population. (NCT02070757)
Timeframe: Day 28

InterventionPercentage of Participants (Number)
Ceftolozane/Tazobactam20.1
Meropenem25.5

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Percentage of Participants With All Cause Mortality in the Intent-to-Treat (ITT) Population - Day 28

To demonstrate the non-inferiority of ceftolozane/tazobactam versus meropenem in stratified adult participants with ventilated nosocomial pneumonia (VNP) (participants with either ventilator-associated bacterial pneumonia [VABP] or ventilated hospital-acquired bacterial pneumonia [HABP]) based on the difference in all-cause mortality rates in the intent to treat (ITT) population using a non-inferiority margin of 10%. The estimated adjusted percentage was a weighted average across all strata, constructed using Mehrotra-Railkar continuity-corrected minimum risk (MRc) stratum weights. (NCT02070757)
Timeframe: Day 28

InterventionPercentage of Participants (Number)
Ceftolozane/Tazobactam24.0
Meropenem25.3

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Percentage of Participants Who Report 1 or More Adverse Event (AE)

An AE is any untoward medical occurrence in a participant administered a pharmaceutical product that does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to the medicinal product. (NCT02070757)
Timeframe: Up to 35 days after last dose of study drug (Up to ~Day 50)

InterventionPercentage of Participants (Number)
Ceftolozane/Tazobactam85.9
Meropenem83.3

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Percentage of Participants Discontinuing Study Drug Due to an Adverse Event (AE)

An AE is any untoward medical occurrence in a participant administered a pharmaceutical product that does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to the medicinal product. (NCT02070757)
Timeframe: Up to 14 days after the first dose of study drug (Up to ~Day 15)

InterventionPercentage of Participants (Number)
Ceftolozane/Tazobactam10.2
Meropenem11.7

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Percentage of Participants With Any Serious Adverse Event (SAE)

A serious adverse event (SAE) is an AE that results in death, is life threatening, requires or prolongs an existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly or birth defect, or is another important medical event deemed such by medical or scientific judgment. (NCT02070757)
Timeframe: Up to 35 days after last dose of study drug (Up to ~Day 50)

InterventionPercentage of Participants (Number)
Ceftolozane/Tazobactam42.1
Meropenem35.9

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Percentage of Participants With Microbiological Response of Eradication or Presumed Eradication, by Pathogen, at the Test-of-Cure (TOC) Visit in the Microbiologically Evaluable (ME) Population (>=10 Isolates at Baseline)

"To compare the percentage of participants with a microbiological outcome of eradication or presumed eradication, by pathogen. The microbiological outcome was classified as eradication, presumed eradication, persistence, 'presumed persistence, indeterminate or recurrence. Eradication was defined as a ≥1- log reduction in bacterial burden of the original baseline LRT pathogen AND a per pathogen count of ≤10^4 colony-forming unit (CFU)/mL for endotracheal aspirate (ETA) or sputum specimens, ≤10^3 CFU/mL for a bronchoalveolar lavage (BAL) specimen, or ≤10^2 CFU/mL for a protected brush specimen (PBS) from a follow-up LRT culture. Presumed eradication was defined as an absence of material to culture (e.g. inability to obtain a culture in an extubated patient) in a patient deemed a clinical cure." (NCT02070757)
Timeframe: 7 to 14 days after last dose of study drug (Up to ~Day 30)

,
InterventionPercentage of Participants (Number)
Gram-NegativePseudomonas aeruginosaEnterobacteriaceaeEscherichia coliKlebsiella pneumoniaeProteus mirabilisHaemophilus influenzaeEnterobacter cloacaeKlebsiella oxytocaSerratia marcescensAcinetobacter baumannii
Ceftolozane/Tazobactam69.979.368.778.371.463.691.757.187.540.033.3
Meropenem62.455.365.673.966.770.050.075.057.150.080.0

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Percentage of Participants With Per-Participant Microbiological Response of Cure or Presumed Cure at the Test-of-Cure (TOC) Visit in the Microbiologically Evaluable (ME) Population

To compare the per-participant microbiological response rates of ceftolozane/tazobactam versus meropenem at the TOC visit in the microbiologically evaluable (ME) population. The per-participant microbiological response will be determined based on the individual microbiological outcomes for each baseline pathogen. A microbiological response at the TOC visit was defined as cure (baseline pathogens eradicated), failure (baseline pathogen is persistent) or indeterminate (no evaluable respiratory material). A favorable microbiological response is a microbiological cure or presumed cure. The data-as-observed (DAO) approach was used where participants with missing clinical responses, including indeterminate outcomes, are excluded from the analysis population. (NCT02070757)
Timeframe: 7 to 14 days after last dose of study drug (Up to ~Day 30)

InterventionPercentage of Participants (Number)
Ceftolozane/Tazobactam70.4
Meropenem62.7

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Percentage of Participants With Per-Participant Microbiological Response of Cure or Presumed Cure at the End-of-Therapy (EOT) Visit in the Microbiologically Evaluable (ME) Population

To compare the microbiological response rates of ceftolozane/tazobactam versus meropenem at the EOT visit. The per-participant microbiological response will be determined based on the individual microbiological outcomes for each baseline pathogen. A microbiological response at the EOT visit was defined as cure (baseline pathogens eradicated), failure (baseline pathogen is persistent) or indeterminate (no evaluable respiratory material). A favorable microbiological response is a microbiological cure or presumed cure. The data-as-observed (DAO) approach was used where participants with missing clinical responses, including indeterminate outcomes, are excluded from the analysis population. (NCT02070757)
Timeframe: Within 24 hours after last dose of study drug (Up to ~Day 15)

InterventionPercentage of Participants (Number)
Ceftolozane/Tazobactam80.9
Meropenem78.8

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Percentage of Participants With Clinical Response of Clinical Cure at the Test-of-Cure (TOC) Visit in the Intent-to-Treat (ITT) Population

To demonstrate the non-inferiority of ceftolozane/tazobactam versus meropenem in adult participants with ventilated nosocomial pneumonia (VNP) at the TOC visit (7 to 14 days after the end-of-therapy [EOT] visit) using a non-inferiority margin of 12.5%. Clinical response at the TOC visit was defined as cure (complete resolution with no new signs of VNP), failure (progression, relapse or recurrence of VNP) or indeterminate (no evaluable study data). A favorable clinical response is a clinical cure. A missing clinical response will be considered indeterminate unless the clinical outcome at the EOT visit was failure. The estimated adjusted percentage was a weighted average across all strata, constructed using Mehrotra-Railkar continuity-corrected minimum risk (MRc) stratum weights. (NCT02070757)
Timeframe: 7 to 14 days after last dose of study drug (Up to ~Day 30)

InterventionPercentage of Participants (Number)
Ceftolozane/Tazobactam54.4
Meropenem53.3

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Percentage of Participants With Clinical Response of Clinical Cure at the Test-of-Cure (TOC) Visit in the Clinically Evaluable (CE) Population

To compare the clinical response rates of ceftolozane/tazobactam versus meropenem in adult participants with VNP (participants with either ventilator-associated bacterial pneumonia [VABP] or ventilated hospital-acquired bacterial pneumonia [HABP]) at the TOC visit in the CE population. Clinical response at the TOC visit was defined as cure (complete resolution with no new signs of VNP), failure (progression, relapse or recurrence of VNP) or indeterminate (no evaluable study data). A favorable clinical response is a clinical cure. A missing clinical response will be considered indeterminate unless the clinical outcome at the EOT visit was failure. The data-as-observed (DAO) approach was used where participants with missing clinical responses, including indeterminate outcomes, are excluded from the analysis population. (NCT02070757)
Timeframe: 7 to 14 days after last dose of study drug (Up to ~Day 30)

InterventionPercentage of Participants (Number)
Ceftolozane/Tazobactam63.8
Meropenem64.7

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Percentage of Participants With Clinical Response of Clinical Cure at the Late Follow-up (LFU) Visit in the Clinically Evaluable (CE) Population

"To compare the clinical response rates at the Late Follow-up (LFU) visit for ceftolozane/tazobactam versus meropenem in the CE population. Clinical response at the LFU visit will be classified as sustained cure, relapse, or indeterminate only in participants deemed a clinical cure at the TOC visit. A favorable clinical response is sustained clinical cure." (NCT02070757)
Timeframe: 28 to 35 days after the last dose of study drug (Up to ~Day 50)

InterventionPercentage of Participants (Number)
Ceftolozane/Tazobactam52.8
Meropenem51.6

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Percentage of Participants With Clinical Response of Clinical Cure at the End-of-Therapy (EOT) Visit in the Intent-to-Treat (ITT) Population

To compare the clinical response rates at the EOT visit for ceftolozane/tazobactam versus meropenem. Clinical response at the EOT visit was defined as cure (complete resolution with no new signs of VNP), failure (progression, relapse or recurrence of VNP) or indeterminate (no evaluable study data). A favorable clinical response is a clinical cure. A missing clinical response will be considered indeterminate. (NCT02070757)
Timeframe: Within 24 hours after last dose of study drug (Up to ~Day 15)

InterventionPercentage of Participants (Number)
Ceftolozane/Tazobactam66.0
Meropenem66.8

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Percentage of Participants With All-Cause Mortality in the Intent-to-Treat (ITT) Population - Day 14

To compare the all cause mortality rates of participants (ceftolozane/tazobactam versus meropenem arms). Participants whose Day 14 mortality outcomes are missing or unknown are analysed as deceased. (NCT02070757)
Timeframe: Day 14

InterventionPercentage of Participants (Number)
Ceftolozane/Tazobactam14.1
Meropenem12.9

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Proportion Of Participants With A Clinical Outcome Of Cure In The Clinical Evaluable (CE) Population

This secondary outcome measure focused on a clinical outcome of Cure in the CE population. A clinical outcome of Cure was defined as the following: at EOIVT, the complete resolution or significant improvement of the baseline signs and symptoms of cUTI or AP; at EOT, TOC, and LFU, the complete resolution or significant improvement of the baseline signs and symptoms of cUTI or AP such that no further antimicrobial therapy was warranted. Symptom resolution did not necessarily include baseline symptoms associated with anatomic abnormalities that predisposed to cUTI, such as symptoms associated with the presence of an indwelling urinary catheter. The clinical outcome of Cure was reported only at the EOIVT, EOT, TOC, and LFU visits, and improvement was reported only at the Day 3, EOIVT, and EOT visits. (NCT02166476)
Timeframe: Day 3, EOIVT (Days 5-14), EOT (Days 10-14), TOC (Days 15-23), and LFU (Days 22-30)

,
InterventionParticipants (Count of Participants)
Day 3: ImprovementEOIVT: CureEOIVT: ImprovementEOT: CureEOT: ImprovementTOC: CureLFU: Cure
Meropenem-Vaborbactam243202452357231220
Piperacillin-Tazobactam250206462396224209

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Proportion Of Participants With A Clinical Outcome Of Cure In The ME Population

This secondary outcome measure focused on a clinical outcome of Cure in the ME population. A clinical outcome of Cure was defined as the following: at EOIVT, the complete resolution or significant improvement of the baseline signs and symptoms of cUTI or AP; at EOT, TOC, and LFU, the complete resolution or significant improvement of the baseline signs and symptoms of cUTI or AP such that no further antimicrobial therapy was warranted. Symptom resolution did not necessarily include baseline symptoms associated with anatomic abnormalities that predisposed to cUTI, such as symptoms associated with the presence of an indwelling urinary catheter. The clinical outcome of Cure was reported only at the EOIVT, EOT, TOC, and LFU visits, and improvement was reported only at the Day 3, EOIVT, and EOT visits. (NCT02166476)
Timeframe: Day 3, EOIVT (Days 5-14), EOT (Days 10-14), TOC (Days 15-23), and LFU (Days 22-30)

,
InterventionParticipants (Count of Participants)
Day 3: ImprovementEOIVT: CureEOIVT: ImprovementEOT: CureEOT: ImprovementTOC: CureLFU: Cure
Meropenem-Vaborbactam175148301703164156
Piperacillin-Tazobactam164138301613153139

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Per-Pathogen Microbiological Outcome (EMA) In The m-MITT Population

This secondary outcome measure focused on the per-pathogen (E. cloacae, E. faecalis, E. coli, K. pneumoniae) microbiological outcome of Eradication in the m-MITT population at 5 time points: Day 3, EOIVT, EOT, TOC, and LFU. Eradication was defined per the EMA criteria as a reduction in baseline bacterial pathogen(s) to <10^3 CFU/mL of urine culture and a negative blood culture for an organism that was identified as an uropathogen (if repeated after positive at baseline blood culture). (NCT02166476)
Timeframe: Day 3, EOIVT (Days 5-14), EOT (Days 10-14), TOC (Days 15-23), and LFU (Days 22-30)

,
InterventionParticipants (Count of Participants)
Day 3: E. cloacaeEOIVT: E. cloacaeEOT: E. cloacaeTOC: E. cloacaeLFU: E. cloacaeDay 3: E. faecalisEOIVT: E. faecalisEOT: E. faecalisTOC: E. faecalisLFU: E. faecalisDay 3: E. coliEOIVT: E. coliEOT: E. coliTOC: E. coliLFU: E. coliDay 3: K. pneumoniaeEOIVT: K. pneumoniaeEOT: K. pneumoniaeTOC: K. pneumoniaeLFU: K. pneumoniae
Meropenem-Vaborbactam101010981313125912412311289902929271915
Piperacillin-Tazobactam3553214141311910610710068682426241412

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Proportion Of Participants In The ME Population Who Achieved A Microbiologic Outcome Of Eradication

This secondary outcome measure focused on a microbiological outcome of Eradication in the ME population at 5 time points: Day 3, EOIVT, EOT, TOC, and LFU. Eradication was defined as a reduction in baseline bacterial pathogen(s) to <10^4 CFU/mL of urine culture (FDA) or <10^3 CFU/mL (EMA), and a negative blood culture for an organism that was identified as an uropathogen (if repeated after positive at baseline blood culture). (NCT02166476)
Timeframe: Day 3, EOIVT (Days 5-14), EOT (Days 10-14), TOC (Days 15-23), and LFU (Days 22-30)

,
InterventionParticipants (Count of Participants)
Day 3: FDAEOIVT: FDAEOT: FDATOC: FDALFU: FDADay 3: EMAEOIVT: EMAEOT: EMATOC: EMALFU: EMA
Meropenem-Vaborbactam177178163122122174178160118120
Piperacillin-Tazobactam1601661561099915716615610294

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Per-Pathogen Microbiological Outcome (EMA) In The ME Population

This secondary outcome measure focused on the per-pathogen (E. cloacae, E. faecalis, E. coli, K. pneumoniae) microbiological outcome of Eradication in the ME population at 5 time points: Day 3, EOIVT, EOT, TOC, and LFU. Eradication was defined per the EMA criteria as a reduction in baseline bacterial pathogen(s) to <10^3 CFU/mL of urine culture and a negative blood culture for an organism that was identified as an uropathogen (if repeated after positive at baseline blood culture). (NCT02166476)
Timeframe: Day 3, EOIVT (Days 5-14), EOT (Days 10-14), TOC (Days 15-23), and LFU (Days 22-30)

,
InterventionParticipants (Count of Participants)
Day 3: E. cloacaeEOIVT: E. cloacaeEOT: E. cloacaeTOC: E. cloacaeLFU: E. cloacaeDay 3: E. faecalisEOIVT: E. faecalisEOT: E. faecalisTOC: E. faecalisLFU: E. faecalisDay 3: E. coliEOIVT: E. coliEOT: E. coliTOC: E. coliLFU: E. coliDay 3: K. pneumoniaeEOIVT: K. pneumoniaeEOT: K. pneumoniaeTOC: K. pneumoniaeLFU: K. pneumoniae
Meropenem-Vaborbactam101010981111104811711710782832828261815
Piperacillin-Tazobactam355321414131191011069967662326241311

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Proportion Of Participants In The Microbiological Modified Intent-To-Treat (m-MITT) Population Who Achieved Overall Success At The End Of Intravenous Treatment Visit

This was the primary outcome measure for the Food and Drug Administration (FDA). For this composite outcome measure, overall success was achieved with a clinical outcome of Cure or Improvement and microbiologic outcome of Eradication at the end of intravenous treatment (EOIVT). Cure was defined as the complete resolution or significant improvement of the baseline signs and symptoms. Improvement was defined as lessening, incomplete resolution, or no worsening of the baseline signs and symptoms. Eradication was defined using the FDA's colony-forming units (CFU)/mL criteria that the bacterial pathogen(s) found at baseline was/were reduced to <10^4 CFU/mL of urine culture and a negative blood culture for an organism that was identified as an uropathogen (if repeated after positive at baseline blood culture). (NCT02166476)
Timeframe: EOIVT (Days 5-14)

InterventionParticipants (Count of Participants)
Meropenem-Vaborbactam189
Piperacillin-Tazobactam171

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Proportion Of Participants In The Microbiological Evaluable (ME) Population Who Achieved A Microbiologic Outcome Of Eradication At The TOC Visit

This was the primary outcome measure for the EMA. For this measure, a microbiologic outcome of Eradication was defined using the EMA's CFU/mL criteria: bacterial pathogen(s) found at baseline was reduced to <10^3 CFU/mL of urine culture and a negative blood culture for an organism that was identified as an uropathogen (if repeated after positive at baseline blood culture). The ME population included all participants who met m-MITT criteria and had a clinical outcome and microbiologic outcome at EOIVT or earlier; received <80% or >120% of expected IV doses; missed no more than 1 IV dose in the first 48 hours, missed no more than 2 consecutive IV doses; received no less than 6 doses for failure or no less than 9 doses for cure. (NCT02166476)
Timeframe: TOC (Days 15-23)

InterventionParticipants (Count of Participants)
Meropenem-Vaborbactam118
Piperacillin-Tazobactam102

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Proportion Of Participants With A Clinical Outcome Of Cure In The m-MITT Population

This secondary outcome measure focused on a clinical outcome of Cure in the m-MITT Population. A clinical outcome of Cure was defined as the following: at EOIVT, the complete resolution or significant improvement of the baseline signs and symptoms of cUTI or AP; at EOT, TOC, and LFU, the complete resolution or significant improvement of the baseline signs and symptoms of cUTI or AP such that no further antimicrobial therapy was warranted. Symptom resolution did not necessarily include baseline symptoms associated with anatomic abnormalities that predisposed to cUTI, such as symptoms associated with the presence of an indwelling urinary catheter. The clinical outcome of Cure was reported only at the EOIVT, EOT, TOC, and LFU visits, and improvement was reported only at Day 3, EOIVT, and EOT visits. (NCT02166476)
Timeframe: Day 3, EOIVT (Days 5-14), EOT (Days 10-14), TOC (Days 15-23), and LFU (Days 22-30)

,
InterventionParticipants (Count of Participants)
Day 3: ImprovementEOIVT: CureEOIVT: ImprovementEOT: CureEOT: ImprovementTOC: CureLFU: Cure
Meropenem-Vaborbactam186156331794174166
Piperacillin-Tazobactam171144301673157143

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Proportion Of Participants In The m-MITT Population Who Achieved A Microbiologic Outcome Of Eradication At The Test Of Cure Visit

This was the primary outcome measure for the European Medicines Agency (EMA). For this measure, a microbiologic outcome of Eradication was defined using the EMA's CFU/mL criteria: bacterial pathogen(s) found at baseline was reduced to <10^3 CFU/mL of urine culture and a negative blood culture for an organism that was identified as an uropathogen (if repeated after positive at baseline blood culture). (NCT02166476)
Timeframe: Test of cure (TOC) (Days 15-23)

InterventionParticipants (Count of Participants)
Meropenem-Vaborbactam128
Piperacillin-Tazobactam105

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Per-Pathogen Microbiological Outcome (FDA) In The m-MITT Population

This secondary outcome measure focused on the per-pathogen (Enterobacter cloacae [E. cloacae], Enterococcus faecalis [E. faecalis], Escherichia coli [E. coli], Klebsiella pneumoniae [K. pneumoniae]) microbiological outcome of Eradication in the m-MITT population at 5 time points: Day 3, EOIVT, EOT, TOC, and LFU. Eradication was defined per the FDA criteria as a reduction in baseline bacterial pathogen(s) to <10^4 CFU/mL of urine culture and a negative blood culture for an organism that was identified as an uropathogen (if repeated after positive at baseline blood culture). (NCT02166476)
Timeframe: Day 3, EOIVT (Days 5-14), EOT (Days 10-14), TOC (Days 15-23), and LFU (Days 22-30)

,
InterventionParticipants (Count of Participants)
Day 3: E. cloacaeEOIVT: E. cloacaeEOT: E. cloacaeTOC: E. cloacaeLFU: E. cloacaeDay 3: E. faecalisEOIVT: E. faecalisEOT: E. faecalisTOC: E. faecalisLFU: E. faecalisDay 3: E. coliEOIVT: E. coliEOT: E. coliTOC: E. coliLFU: E. coliDay 3: K. pneumoniaeEOIVT: K. pneumoniaeEOT: K. pneumoniaeTOC: K. pneumoniaeLFU: K. pneumoniae
Meropenem-Vaborbactam1010109813131371112412311391912929271915
Piperacillin-Tazobactam35532141414121010610710073692626241513

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Per-Pathogen Microbiological Outcome (FDA) In The ME Population

This secondary outcome measure focused on the per-pathogen (E. cloacae, E. faecalis, E. coli, K. pneumoniae) microbiological outcome of Eradication in the ME population at 5 time points: Day 3, EOIVT, EOT, TOC, and LFU. Eradication was defined per the FDA criteria as a reduction in baseline bacterial pathogen(s) to <10^4 CFU/mL of urine culture and a negative blood culture for an organism that was identified as an uropathogen (if repeated after positive at baseline blood culture). (NCT02166476)
Timeframe: Day 3, EOIVT (Days 5-14), EOT (Days 10-14), TOC (Days 15-23), and LFU (Days 22-30)

,
InterventionParticipants (Count of Participants)
Day 3: E. cloacaeEOIVT: E. cloacaeEOT: E. cloacaeTOC: E. cloacaeLFU: E. cloacaeDay 3: E. faecalisEOIVT: E. faecalisEOT: E. faecalisTOC: E. faecalisLFU: E. faecalisDay 3: E. coliEOIVT: E. coliEOT: E. coliTOC: E. coliLFU: E. coliDay 3: K. pneumoniaeEOIVT: K. pneumoniaeEOT: K. pneumoniaeTOC: K. pneumoniaeLFU: K. pneumoniae
Meropenem-Vaborbactam101010981111116911711710884842828261815
Piperacillin-Tazobactam3553214141312101011069971672526241412

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Pharmacokinetic (PK) Characterization Of Plasma Exposure Of Meropenem/Vaborbactam

"This outcome measure focused on PK assessment of participants in the meropenem/vaborbactam group who met MITT criteria and had at least 1 plasma PK sample drawn. Sparse PK sampling on Day 1 was performed 3-3.5 hours and 5-6 hours after the start of the first 3-h IV study drug infusion. Samples were not collected around the 30-minute infusions. Samples were collected from both groups to maintain the blind; however, only PK samples for the meropenem/vaborbactam group were analyzed. The area under the curve (AUC) was generated using a Population PK model and post hoc estimates of each participants' PK parameters, including AUC0-24, were generated.~The AUC during 24 hours (AUC0-24) for Day 1 and at steady-state are presented in micrograms (ug)·hour/mL." (NCT02166476)
Timeframe: Day 1

Interventionug·hour/mL (Mean)
AUC0-24: Day 1AUC0-24: Steady-State
Meropenem-Vaborbactam803798

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Proportion Of Participants In The m-MITT Population Who Achieved A Microbiologic Outcome Of Eradication

This secondary outcome measure focused on a microbiological outcome of Eradication in the m-MITT population at 5 time points: Day 3, EOIVT, end of treatment (EOT), TOC, and late follow up (LFU). Eradication was defined as a reduction in baseline bacterial pathogen(s) to <10^4 CFU/mL of urine culture (FDA) or <10^3 CFU/mL (EMA), and a negative blood culture for an organism that was identified as a uropathogen (if repeated after positive at baseline blood culture). (NCT02166476)
Timeframe: Day 3, EOIVT (Days 5-14), EOT (Days 10-14), TOC (Days 15-23), and LFU (Days 22-30)

,
InterventionParticipants (Count of Participants)
Day 3: FDAEOIVT: FDAEOT: FDATOC: FDALFU: FDADay 3: EMAEOIVT: EMAEOT: EMATOC: EMALFU: EMA
Meropenem-Vaborbactam189188172132132186188169128129
Piperacillin-Tazobactam16716815811310316416815810598

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Proportion Of Participants In The m-MITT Population With Overall Success

This secondary outcome measure focused on the overall success in the ME population at the EOIVT and TOC visits. Overall success at TOC was defined as a clinical outcome of Cured and a microbiologic outcome of Eradication. Overall success at EOIVT was defined as a clinical outcome of Cured or Improvement and a microbiologic outcome of Eradication. Cured was defined as the complete resolution or significant improvement of the baseline signs and symptoms of cUTI or AP. Improvement was defined as lessening, incomplete resolution, or no worsening of the baseline signs and symptoms of cUTI or AP, but continued IV therapy was warranted. Eradication was defined using the FDA's CFU/mL criteria that the bacterial pathogen(s) found at baseline was/were reduced to <10^4 CFU/mL of urine culture and a negative blood culture for an organism that was identified as an uropathogen (if repeated after positive at baseline blood culture). (NCT02166476)
Timeframe: EOIVT (Days 5-14) and TOC (Days 15-23)

,
InterventionParticipants (Count of Participants)
EOIVTTOC
Meropenem-Vaborbactam189143
Piperacillin-Tazobactam171128

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Proportion Of Participants In The ME Population With Overall Success

This secondary outcome measure focused on the overall success in the ME population at the EOIVT and TOC visits. Overall success was defined as a clinical outcome of Cured or Improvement and a microbiologic outcome of Eradication. Cured was defined as the complete resolution or significant improvement of the baseline signs and symptoms of cUTI or AP. Improvement was defined as lessening, incomplete resolution, or no worsening of the baseline signs and symptoms of cUTI or AP, but continued IV therapy was warranted. Eradication was defined using the FDA's CFU/mL criteria that the bacterial pathogen(s) found at baseline was/were reduced to <10^4 CFU/mL of urine culture and a negative blood culture for an organism that was identified as an uropathogen (if repeated after positive at baseline blood culture). (NCT02166476)
Timeframe: EOIVT (Days 5-14) and TOC (Days 15-23)

,
InterventionParticipants (Count of Participants)
EOIVTTOC
Meropenem-Vaborbactam178134
Piperacillin-Tazobactam165124

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Number of Participants Who Discontinued the Study Due to an Adverse Event

An adverse event (AE) is any untoward medical occurrence in a study participant administered a pharmaceutical product that does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to the medicinal product. (NCT02266706)
Timeframe: Up to Day 10

InterventionParticipants (Count of Participants)
Cohort 1: ≥12 to <18 Years TOL/TAZ 1000/500 mg FDC0
Cohort 2: ≥7 to <12 Years TOL/TAZ 18/9 mg/kg0
Cohort 3: ≥2 to <7 Years TOL/TAZ 18/9 mg/kg0
Cohort 3: ≥2 to <7 Years TOL/TAZ 30/15 mg/kg0
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 18/9 mg/kg0
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 30/15 mg/kg0
Cohort 5: Birth to <3 Months TOL/TAZ 20/10 mg/kg0
Cohort 6: Birth to <3 Months TOL/TAZ 12/6 mg/kg0
Cohort 6: Birth to <3 Months TOL/TAZ 20/10 mg/kg0

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Elimination Half-life (t1/2) of Ceftolozane

Blood was collected for the determination of t1/2 of ceftolozane. t1/2 is expressed as geometric mean and percent geometric coefficient of variation, CV% = 100*sqrt(exp(s^2)-1), where s^2 is the observed between-subjects variance on the natural log-scale. (NCT02266706)
Timeframe: Predose and 0.5, 1, 2, 4, and 6 hours after the start of infusion for Cohorts 1 to 4 and 1, 2, and 6 hours after start of infusion for Cohorts 5 and 6.

InterventionHours (Geometric Mean)
Cohort 1: ≥12 to <18 Years TOL/TAZ 1000/500 mg FDC1.45
Cohort 2: ≥7 to <12 Years TOL/TAZ 18/9 mg/kg1.29
Cohort 3: ≥2 to <7 Years TOL/TAZ 18/9 mg/kg1.34
Cohort 3: ≥2 to <7 Years TOL/TAZ 30/15 mg/kg1.48
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 18/9 mg/kg1.30
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 30/15 mg/kg1.63
Cohort 5: Birth to <3 Months TOL/TAZ 20/10 mg/kg2.21
Cohort 6: Birth to <3 Months TOL/TAZ 12/6 mg/kg3.14
Cohort 6: Birth to <3 Months TOL/TAZ 20/10 mg/kg1.73

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Elimination Half-life (t1/2) of Tazobactam

Blood was collected for the determination of t1/2 of tazobactam. t1/2 is expressed as geometric mean and percent geometric coefficient of variation, CV% = 100*sqrt(exp(s^2)-1), where s^2 is the observed between-subjects variance on the natural log-scale. (NCT02266706)
Timeframe: Predose and 0.5, 1, 2, 4, and 6 hours after the start of infusion for Cohorts 1 to 4 and 1, 2, and 6 hours after start of infusion for Cohorts 5 and 6.

InterventionHours (Geometric Mean)
Cohort 1: ≥12 to <18 Years TOL/TAZ 1000/500 mg FDC0.702
Cohort 2: ≥7 to <12 Years TOL/TAZ 18/9 mg/kg0.544
Cohort 3: ≥2 to <7 Years TOL/TAZ 18/9 mg/kg0.719
Cohort 3: ≥2 to <7 Years TOL/TAZ 30/15 mg/kg0.770
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 18/9 mg/kg0.538
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 30/15 mg/kg0.815
Cohort 5: Birth to <3 Months TOL/TAZ 20/10 mg/kg1.09
Cohort 6: Birth to <3 Months TOL/TAZ 12/6 mg/kg3.03
Cohort 6: Birth to <3 Months TOL/TAZ 20/10 mg/kg0.875

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Maximum Plasma Concentration (Cmax) of Ceftolozane

Blood was collected for the determination of Cmax of ceftolozane. Cmax is expressed as geometric least-squares mean and confidence interval based on back-transformed least-squares mean and confidence interval from linear mixed-effects model with group fixed effect performed on natural log-transformed values. (NCT02266706)
Timeframe: Predose and 0.5, 1, 2, 4, and 6 hours after the start of infusion for Cohorts 1 to 4 and 1, 2, and 6 hours after start of infusion for Cohorts 5 and 6.

Interventionμg/mL (Geometric Least Squares Mean)
Cohort 1: ≥12 to <18 Years TOL/TAZ 1000/500 mg FDC63.5
Cohort 2: ≥7 to <12 Years TOL/TAZ 18/9 mg/kg56.2
Cohort 3: ≥2 to <7 Years TOL/TAZ 18/9 mg/kg51.4
Cohort 3: ≥2 to <7 Years TOL/TAZ 30/15 mg/kg96.6
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 18/9 mg/kg50.5
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 30/15 mg/kg91.3
Cohort 5: Birth to <3 Months TOL/TAZ 20/10 mg/kg45.0
Cohort 6: Birth to <3 Months TOL/TAZ 12/6 mg/kg34.9
Cohort 6: Birth to <3 Months TOL/TAZ 20/10 mg/kg45.2

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Plasma Concentration at the Last Quantifiable Concentration (Clast) of Tazobactam

Blood was collected for the determination of Clast of tazobactam. Clast is expressed as geometric mean and percent geometric coefficient of variation, CV% = 100*sqrt(exp(s^2)-1), where s^2 is the observed between-subjects variance on the natural log-scale. (NCT02266706)
Timeframe: Predose and 0.5, 1, 2, 4, and 6 hours after the start of infusion for Cohorts 1 to 4 and 1, 2, and 6 hours after start of infusion for Cohorts 5 and 6.

Interventionμg/mL (Geometric Mean)
Cohort 1: ≥12 to <18 Years TOL/TAZ 1000/500 mg FDC0.232
Cohort 2: ≥7 to <12 Years TOL/TAZ 18/9 mg/kg0.420
Cohort 3: ≥2 to <7 Years TOL/TAZ 18/9 mg/kg0.137
Cohort 3: ≥2 to <7 Years TOL/TAZ 30/15 mg/kg0.327
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 18/9 mg/kg0.224
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 30/15 mg/kg0.401
Cohort 5: Birth to <3 Months TOL/TAZ 20/10 mg/kg0.657
Cohort 6: Birth to <3 Months TOL/TAZ 12/6 mg/kg3.66
Cohort 6: Birth to <3 Months TOL/TAZ 20/10 mg/kg0.266

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Time of Last Sampling Point (Tlast) of Ceftolozane

Blood was collected for the determination of Tlast of ceftolozane. (NCT02266706)
Timeframe: Predose and 0.5, 1, 2, 4, and 6 hours after the start of infusion for Cohorts 1 to 4 and 1, 2, and 6 hours after start of infusion for Cohorts 5 and 6.

InterventionHours (Median)
Cohort 1: ≥12 to <18 Years TOL/TAZ 1000/500 mg FDC6.00
Cohort 2: ≥7 to <12 Years TOL/TAZ 18/9 mg/kg6.01
Cohort 3: ≥2 to <7 Years TOL/TAZ 18/9 mg/kg6.08
Cohort 3: ≥2 to <7 Years TOL/TAZ 30/15 mg/kg5.77
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 18/9 mg/kg6.00
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 30/15 mg/kg6.00
Cohort 5: Birth to <3 Months TOL/TAZ 20/10 mg/kg6.01
Cohort 6: Birth to <3 Months TOL/TAZ 12/6 mg/kg6.40
Cohort 6: Birth to <3 Months TOL/TAZ 20/10 mg/kg5.85

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Maximum Plasma Concentration (Cmax) of Tazobactam

Blood was collected for the determination of Cmax of tazobactam. Cmax is expressed as geometric least-squares mean and confidence interval based on back-transformed least-squares mean and confidence interval from linear mixed-effects model with group fixed effect performed on natural log-transformed values. (NCT02266706)
Timeframe: Predose and 0.5, 1, 2, 4, and 6 hours after the start of infusion for Cohorts 1 to 4 and 1, 2, and 6 hours after start of infusion for Cohorts 5 and 6.

Interventionμg/mL (Geometric Least Squares Mean)
Cohort 1: ≥12 to <18 Years TOL/TAZ 1000/500 mg FDC14.0
Cohort 2: ≥7 to <12 Years TOL/TAZ 18/9 mg/kg9.25
Cohort 3: ≥2 to <7 Years TOL/TAZ 18/9 mg/kg15.7
Cohort 3: ≥2 to <7 Years TOL/TAZ 30/15 mg/kg24.8
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 18/9 mg/kg11.6
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 30/15 mg/kg22.4
Cohort 5: Birth to <3 Months TOL/TAZ 20/10 mg/kg11.7
Cohort 6: Birth to <3 Months TOL/TAZ 12/6 mg/kg6.87
Cohort 6: Birth to <3 Months TOL/TAZ 20/10 mg/kg12.1

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Number of Participants With One or More Adverse Events

An adverse event (AE) is any untoward medical occurrence in a study participant administered a pharmaceutical product that does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to the medicinal product. (NCT02266706)
Timeframe: Up to Day 10

InterventionParticipants (Count of Participants)
Cohort 1: ≥12 to <18 Years TOL/TAZ 1000/500 mg FDC2
Cohort 2: ≥7 to <12 Years TOL/TAZ 18/9 mg/kg1
Cohort 3: ≥2 to <7 Years TOL/TAZ 18/9 mg/kg1
Cohort 3: ≥2 to <7 Years TOL/TAZ 30/15 mg/kg1
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 18/9 mg/kg1
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 30/15 mg/kg2
Cohort 5: Birth to <3 Months TOL/TAZ 20/10 mg/kg1
Cohort 6: Birth to <3 Months TOL/TAZ 12/6 mg/kg2
Cohort 6: Birth to <3 Months TOL/TAZ 20/10 mg/kg0

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Plasma Clearance (CL) of Ceftolozane

Blood was collected for the determination of CL of ceftolozane. CL is expressed as geometric mean and percent geometric coefficient of variation, CV% = 100*sqrt(exp(s^2)-1), where s^2 is the observed between-subjects variance on the natural log-scale. (NCT02266706)
Timeframe: Predose and 0.5, 1, 2, 4, and 6 hours after the start of infusion for Cohorts 1 to 4 and 1, 2, and 6 hours after start of infusion for Cohorts 5 and 6.

InterventionL/hour/kg (Geometric Mean)
Cohort 1: ≥12 to <18 Years TOL/TAZ 1000/500 mg FDC0.146
Cohort 2: ≥7 to <12 Years TOL/TAZ 18/9 mg/kg0.168
Cohort 3: ≥2 to <7 Years TOL/TAZ 18/9 mg/kg0.181
Cohort 3: ≥2 to <7 Years TOL/TAZ 30/15 mg/kg0.162
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 18/9 mg/kg0.176
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 30/15 mg/kg0.149
Cohort 5: Birth to <3 Months TOL/TAZ 20/10 mg/kg0.118
Cohort 6: Birth to <3 Months TOL/TAZ 12/6 mg/kg0.0723
Cohort 6: Birth to <3 Months TOL/TAZ 20/10 mg/kg0.147

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Plasma Clearance (CL) of Tazobactam

Blood was collected for the determination of CL of tazobactam. CL is expressed as geometric mean and percent geometric coefficient of variation, CV% = 100*sqrt(exp(s^2)-1), where s^2 is the observed between-subjects variance on the natural log-scale. (NCT02266706)
Timeframe: Predose and 0.5, 1, 2, 4, and 6 hours after the start of infusion for Cohorts 1 to 4 and 1, 2, and 6 hours after start of infusion for Cohorts 5 and 6.

InterventionL/hour/kg (Geometric Mean)
Cohort 1: ≥12 to <18 Years TOL/TAZ 1000/500 mg FDC0.556
Cohort 2: ≥7 to <12 Years TOL/TAZ 18/9 mg/kg0.886
Cohort 3: ≥2 to <7 Years TOL/TAZ 18/9 mg/kg0.506
Cohort 3: ≥2 to <7 Years TOL/TAZ 30/15 mg/kg0.519
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 18/9 mg/kg0.611
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 30/15 mg/kg0.502
Cohort 5: Birth to <3 Months TOL/TAZ 20/10 mg/kg0.385
Cohort 6: Birth to <3 Months TOL/TAZ 12/6 mg/kg0.0760
Cohort 6: Birth to <3 Months TOL/TAZ 20/10 mg/kg0.452

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Plasma Concentration at the Last Quantifiable Concentration (Clast) of Ceftolozane

Blood was collected for the determination of Clast of ceftolozane. Clast is expressed as geometric mean and percent geometric coefficient of variation, CV% = 100*sqrt(exp(s^2)-1), where s^2 is the observed between-subjects variance on the natural log-scale. (NCT02266706)
Timeframe: Predose and 0.5, 1, 2, 4, and 6 hours after the start of infusion for Cohorts 1 to 4 and 1, 2, and 6 hours after start of infusion for Cohorts 5 and 6.

Interventionμg/mL (Geometric Mean)
Cohort 1: ≥12 to <18 Years TOL/TAZ 1000/500 mg FDC4.01
Cohort 2: ≥7 to <12 Years TOL/TAZ 18/9 mg/kg2.85
Cohort 3: ≥2 to <7 Years TOL/TAZ 18/9 mg/kg2.47
Cohort 3: ≥2 to <7 Years TOL/TAZ 30/15 mg/kg5.69
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 18/9 mg/kg2.53
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 30/15 mg/kg5.72
Cohort 5: Birth to <3 Months TOL/TAZ 20/10 mg/kg8.70
Cohort 6: Birth to <3 Months TOL/TAZ 12/6 mg/kg10.2
Cohort 6: Birth to <3 Months TOL/TAZ 20/10 mg/kg6.26

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Time of Last Sampling Point (Tlast) of Tazobactam

Blood was collected for the determination of Tlast of tazobactam. (NCT02266706)
Timeframe: Predose and 0.5, 1, 2, 4, and 6 hours after the start of infusion for Cohorts 1 to 4 and 1, 2, and 6 hours after start of infusion for Cohorts 5 and 6.

InterventionHours (Median)
Cohort 1: ≥12 to <18 Years TOL/TAZ 1000/500 mg FDC4.15
Cohort 2: ≥7 to <12 Years TOL/TAZ 18/9 mg/kg3.10
Cohort 3: ≥2 to <7 Years TOL/TAZ 18/9 mg/kg5.85
Cohort 3: ≥2 to <7 Years TOL/TAZ 30/15 mg/kg5.72
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 18/9 mg/kg4.00
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 30/15 mg/kg5.02
Cohort 5: Birth to <3 Months TOL/TAZ 20/10 mg/kg5.95
Cohort 6: Birth to <3 Months TOL/TAZ 12/6 mg/kg6.40
Cohort 6: Birth to <3 Months TOL/TAZ 20/10 mg/kg5.85

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Time to Maximum Plasma Concentration (Tmax) of Ceftolozane

Blood was collected for the determination of Tmax of ceftolozane. (NCT02266706)
Timeframe: Predose and 0.5, 1, 2, 4, and 6 hours after the start of infusion for Cohorts 1 to 4 and 1, 2, and 6 hours after start of infusion for Cohorts 5 and 6.

InterventionHours (Median)
Cohort 1: ≥12 to <18 Years TOL/TAZ 1000/500 mg FDC1.02
Cohort 2: ≥7 to <12 Years TOL/TAZ 18/9 mg/kg1.07
Cohort 3: ≥2 to <7 Years TOL/TAZ 18/9 mg/kg1.02
Cohort 3: ≥2 to <7 Years TOL/TAZ 30/15 mg/kg1.03
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 18/9 mg/kg1.00
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 30/15 mg/kg1.05
Cohort 5: Birth to <3 Months TOL/TAZ 20/10 mg/kg1.08
Cohort 6: Birth to <3 Months TOL/TAZ 12/6 mg/kg1.80
Cohort 6: Birth to <3 Months TOL/TAZ 20/10 mg/kg1.07

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Time to Maximum Plasma Concentration (Tmax) of Tazobactam

Blood was collected for the determination of Tmax of tazobactam. (NCT02266706)
Timeframe: Predose and 0.5, 1, 2, 4, and 6 hours after the start of infusion for Cohorts 1 to 4 and 1, 2, and 6 hours after start of infusion for Cohorts 5 and 6.

InterventionHours (Median)
Cohort 1: ≥12 to <18 Years TOL/TAZ 1000/500 mg FDC1.00
Cohort 2: ≥7 to <12 Years TOL/TAZ 18/9 mg/kg1.07
Cohort 3: ≥2 to <7 Years TOL/TAZ 18/9 mg/kg1.02
Cohort 3: ≥2 to <7 Years TOL/TAZ 30/15 mg/kg1.03
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 18/9 mg/kg1.00
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 30/15 mg/kg1.05
Cohort 5: Birth to <3 Months TOL/TAZ 20/10 mg/kg1.08
Cohort 6: Birth to <3 Months TOL/TAZ 12/6 mg/kg3.89
Cohort 6: Birth to <3 Months TOL/TAZ 20/10 mg/kg1.07

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Volume of Distribution at Steady State (Vss) of Ceftolozane

Blood was collected for the determination of Vss of ceftolozane. Vss is expressed as geometric mean and percent geometric coefficient of variation, CV% = 100*sqrt(exp(s^2)-1), where s^2 is the observed between-subjects variance on the natural log-scale. (NCT02266706)
Timeframe: Predose and 0.5, 1, 2, 4, and 6 hours after the start of infusion for Cohorts 1 to 4 and 1, 2, and 6 hours after start of infusion for Cohorts 5 and 6.

InterventionL/kg (Geometric Mean)
Cohort 1: ≥12 to <18 Years TOL/TAZ 1000/500 mg FDC0.274
Cohort 2: ≥7 to <12 Years TOL/TAZ 18/9 mg/kg0.296
Cohort 3: ≥2 to <7 Years TOL/TAZ 18/9 mg/kg0.331
Cohort 3: ≥2 to <7 Years TOL/TAZ 30/15 mg/kg0.312
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 18/9 mg/kg0.282
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 30/15 mg/kg0.340
Cohort 5: Birth to <3 Months TOL/TAZ 20/10 mg/kg0.394
Cohort 6: Birth to <3 Months TOL/TAZ 12/6 mg/kg0.344
Cohort 6: Birth to <3 Months TOL/TAZ 20/10 mg/kg0.388

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Volume of Distribution at Steady State (Vss) of Tazobactam

Blood was collected for the determination of Vss of tazobactam. Vss is expressed as geometric mean and percent geometric coefficient of variation, CV% = 100*sqrt(exp(s^2)-1), where s^2 is the observed between-subjects variance on the natural log-scale. (NCT02266706)
Timeframe: Predose and 0.5, 1, 2, 4, and 6 hours after the start of infusion for Cohorts 1 to 4 and 1, 2, and 6 hours after start of infusion for Cohorts 5 and 6.

InterventionL/kg (Geometric Mean)
Cohort 1: ≥12 to <18 Years TOL/TAZ 1000/500 mg FDC0.474
Cohort 2: ≥7 to <12 Years TOL/TAZ 18/9 mg/kg0.740
Cohort 3: ≥2 to <7 Years TOL/TAZ 18/9 mg/kg0.488
Cohort 3: ≥2 to <7 Years TOL/TAZ 30/15 mg/kg0.513
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 18/9 mg/kg0.421
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 30/15 mg/kg0.574
Cohort 5: Birth to <3 Months TOL/TAZ 20/10 mg/kg0.668
Cohort 6: Birth to <3 Months TOL/TAZ 12/6 mg/kg0.338
Cohort 6: Birth to <3 Months TOL/TAZ 20/10 mg/kg0.667

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Area Under the Plasma Concentration-Time Curve (AUC0-inf) of Ceftolozane

Blood was collected for the determination of AUC from time zero extrapolated to infinity of ceftolozane. AUC0-inf is expressed as geometric least squares mean and confidence interval based on back-transformed least-squares mean and confidence interval from linear mixed-effects model with group fixed effect performed on natural log-transformed values. (NCT02266706)
Timeframe: Predose and 0.5, 1, 2, 4, and 6 hours after the start of infusion for Cohorts 1 to 4 and 1, 2, and 6 hours after start of infusion for Cohorts 5 and 6.

InterventionHours*μg/mL (Geometric Least Squares Mean)
Cohort 1: ≥12 to <18 Years TOL/TAZ 1000/500 mg FDC133
Cohort 2: ≥7 to <12 Years TOL/TAZ 18/9 mg/kg107
Cohort 3: ≥2 to <7 Years TOL/TAZ 18/9 mg/kg99.4
Cohort 3: ≥2 to <7 Years TOL/TAZ 30/15 mg/kg186
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 18/9 mg/kg103
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 30/15 mg/kg202
Cohort 5: Birth to <3 Months TOL/TAZ 20/10 mg/kg164
Cohort 6: Birth to <3 Months TOL/TAZ 12/6 mg/kg165
Cohort 6: Birth to <3 Months TOL/TAZ 20/10 mg/kg137

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Area Under the Plasma Concentration-Time Curve (AUC0-inf) of Tazobactam

Blood was collected for the determination of AUC from time zero extrapolated to infinity of tazobactam. AUC0-inf is expressed as geometric least squares mean and confidence interval based on back-transformed least-squares mean and confidence interval from linear mixed-effects model with group fixed effect performed on natural log-transformed values. (NCT02266706)
Timeframe: Predose and 0.5, 1, 2, 4, and 6 hours after the start of infusion for Cohorts 1 to 4 and 1, 2, and 6 hours after start of infusion for Cohorts 5 and 6.

InterventionHours*μg/mL (Geometric Least Squares Mean)
Cohort 1: ≥12 to <18 Years TOL/TAZ 1000/500 mg FDC17.5
Cohort 2: ≥7 to <12 Years TOL/TAZ 18/9 mg/kg10.2
Cohort 3: ≥2 to <7 Years TOL/TAZ 18/9 mg/kg17.8
Cohort 3: ≥2 to <7 Years TOL/TAZ 30/15 mg/kg28.9
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 18/9 mg/kg14.9
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 30/15 mg/kg29.9
Cohort 5: Birth to <3 Months TOL/TAZ 20/10 mg/kg24.9
Cohort 6: Birth to <3 Months TOL/TAZ 12/6 mg/kg77.6
Cohort 6: Birth to <3 Months TOL/TAZ 20/10 mg/kg22.3

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Area Under the Plasma Concentration-Time Curve (AUClast) of Ceftolozane

Blood was collected for the determination of AUC from time zero to the last quantifiable concentration of ceftolozane. AUC0-last is expressed as geometric least squares mean and confidence interval based on back-transformed least-squares mean and confidence interval from linear mixed-effects model with group fixed effect performed on natural log-transformed values. (NCT02266706)
Timeframe: Predose and 0.5, 1, 2, 4, and 6 hours after the start of infusion for Cohorts 1 to 4 and 1, 2, and 6 hours after start of infusion for Cohorts 5 and 6.

InterventionHours*μg/mL (Geometric Least Squares Mean)
Cohort 1: ≥12 to <18 Years TOL/TAZ 1000/500 mg FDC124
Cohort 2: ≥7 to <12 Years TOL/TAZ 18/9 mg/kg102
Cohort 3: ≥2 to <7 Years TOL/TAZ 18/9 mg/kg94.2
Cohort 3: ≥2 to <7 Years TOL/TAZ 30/15 mg/kg172
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 18/9 mg/kg98.8
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 30/15 mg/kg178
Cohort 5: Birth to <3 Months TOL/TAZ 20/10 mg/kg131
Cohort 6: Birth to <3 Months TOL/TAZ 12/6 mg/kg118
Cohort 6: Birth to <3 Months TOL/TAZ 20/10 mg/kg119

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Area Under the Plasma Concentration-Time Curve (AUClast) of Tazobactam

Blood was collected for the determination of AUC from time zero to the last quantifiable concentration of tazobactam. AUC0-last is expressed as geometric least squares mean and confidence interval based on back-transformed least-squares mean and confidence interval from linear mixed-effects model with group fixed effect performed on natural log-transformed values. (NCT02266706)
Timeframe: Predose and 0.5, 1, 2, 4, and 6 hours after the start of infusion for Cohorts 1 to 4 and 1, 2, and 6 hours after start of infusion for Cohorts 5 and 6.

InterventionHours*μg/mL (Geometric Least Squares Mean)
Cohort 1: ≥12 to <18 Years TOL/TAZ 1000/500 mg FDC17.3
Cohort 2: ≥7 to <12 Years TOL/TAZ 18/9 mg/kg9.69
Cohort 3: ≥2 to <7 Years TOL/TAZ 18/9 mg/kg17.6
Cohort 3: ≥2 to <7 Years TOL/TAZ 30/15 mg/kg28.5
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 18/9 mg/kg14.8
Cohort 4: ≥3 Months to <2 Years TOL/TAZ 30/15 mg/kg28.9
Cohort 5: Birth to <3 Months TOL/TAZ 20/10 mg/kg21.3
Cohort 6: Birth to <3 Months TOL/TAZ 12/6 mg/kg21.6
Cohort 6: Birth to <3 Months TOL/TAZ 20/10 mg/kg21.9

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Terminal Elimination Half-life (t1/2) of Ceftolozane or Tazobactam in Mechanically Ventilated Participants for the First and Last Dose of Ceftolozane/Tazobactam Treatment.

Mechanically ventilated participants received a 60 minute infusion of ceftolozane/tazobactam, adjusted for CLCR, every 8 hours; then blood samples were collected at 1, 2, 4, 6, and 8 hours post start of the final infusion after the last dose of study drug in order to determine the t1/2, terminal elimination half-life, of ceftolozane or tazobactam. PK data analysis was performed by NCA method using Phoenix WinNonlin version 6.3 or later. (NCT02387372)
Timeframe: Day 1 up to Day 2 at 0 (pre-dose), 1, 2, 4, 6 and 8 hours (h) after the start of the first and last infusions.

,
InterventionHours (Geometric Mean)
First DoseLast Dose
Mechanically Ventilated -Tazobactam2.152.33
Mechanically Ventilated- Ceftolozane4.154.86

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Plasma Clearance (CL) of Ceftolozane or Tazobactam in Mechanically Ventilated Participants for the First and Last Dose of Ceftolozane/Tazobactam Treatment.

Mechanically ventilated participants received a 60 minute infusion of ceftolozane/tazobactam, adjusted for CLCR, every 8 hours; then blood samples were collected at 1, 2, 4, 6, and 8 hours post start of the final infusion after the last dose of study drug in order to determine the CL, plasma clearance, of ceftolozane or tazobactam. PK data analysis was performed by NCA method using Phoenix WinNonlin version 6.3 or later. (NCT02387372)
Timeframe: Day 1 up to Day 2 at 0 (pre-dose), 1, 2, 4, 6 and 8 hours (h) after the start of the first and last infusions.

,
InterventionL/h (Geometric Mean)
First DoseLast Dose
Mechanically Ventilated -Tazobactam15.014.1
Mechanically Ventilated- Ceftolozane4.904.52

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Maximum Plasma Concentration (Cmax) of Ceftolozane or Tazobactam in Mechanically Ventilated Participants for the First and Last Dose of Ceftolozane/Tazobactam Treatment.

Mechanically ventilated participants received a 60 minute infusion of ceftolozane/tazobactam, adjusted for creatinine clearance (CLCR), every 8 hours; then blood samples were collected at 1, 2, 4, 6, and 8 hours post start of the final infusion after the last dose of study drug in order to determine the Cmax, maximum plasma concentration, of ceftolozane or tazobactam. Pharmacokinetic (PK) data analysis was performed by non-compartmental analysis (NCA) method using Phoenix WinNonlin version 6.3 or later. (NCT02387372)
Timeframe: Day 1 up to Day 2 at 0 (pre-dose), 1, 2, 4, 6 and 8 hours (h) after the start of the first and last infusions.

,
Interventionug/mL (Geometric Mean)
First DoseLast Dose
Mechanically Ventilated -Tazobactam22.626.1
Mechanically Ventilated- Ceftolozane73.0100

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Last Quantifiable Plasma Concentration (Clast) of Ceftolozane or Tazobactam in Mechanically Ventilated Participants for the First and Last Dose of Ceftolozane/Tazobactam Treatment.

Mechanically ventilated participants received a 60 minute infusion of ceftolozane/tazobactam, adjusted for CLCR, every 8 hours; then blood samples were collected at 1, 2, 4, 6, and 8 hours post start of the final infusion after the last dose of study drug in order to determine the Clast, last quantifiable plasma concentration, of ceftolozane or tazobactam. PK data analysis was performed by NCA method using Phoenix WinNonlin version 6.3 or later. (NCT02387372)
Timeframe: Day 1 up to Day 2 at 0 (pre-dose), 1, 2, 4, 6 and 8 hours (h) after the start of the first and last infusions.

,
Interventionug/mL (Geometric Mean)
First DoseLast Dose
Mechanically Ventilated -Tazobactam1.141.52
Mechanically Ventilated- Ceftolozane14.024.0

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Epithelial Lining Fluid (ELF) / Plasma Ratio (Intrapulmonary Penetration) of Ceftolozane and Tazobactam Concentrations in Mechanically Ventilated Participants.

Mechanically ventilated participants received a 60 minute infusion of ceftolozane/tazobactam, adjusted for CLCR, every 8 hours; then blood samples and epithelial lining fluid (ELF) were collected at 1, 2, 4, 6, and 8 hours post start of the final infusion after the last dose of study drug in order to determine the epithelial lining fluid, ELF to plasma ratio of ceftolozane and tazobactam. (NCT02387372)
Timeframe: Up to Day 2 at 0 (pre-dose), 1, 2, 4, 6 and 8 h after the start of the last infusion.

,
InterventionRatio (Mean)
1 Hr Post-dose2 Hr Post-dose4 Hr Post-dose6 Hr Post-dose8 Hr Post-dose
Mechanically Ventilated - Ceftolozane0.2130.3601.761.020.786
Mechanically Ventilated - Tazobactam0.2340.4712.342.591.06

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AUC From the Time of the Dose to Infinity (AUC0-∞) of Ceftolozane or Tazobactam in Mechanically Ventilated Participants for the First and Last Dose of Ceftolozane/Tazobactam Treatment.

Mechanically ventilated participants received a 60 minute infusion of ceftolozane/tazobactam, adjusted for CLCR, every 8 hours; then blood samples were collected at 1, 2, 4, 6, and 8 hours post start of the final infusion after the last dose of study drug in order to determine the AUC0-∞, AUC from the time of the dose to infinity, of ceftolozane or tazobactam. PK data analysis was determined by NCA method using Phoenix WinNonlin version 6.3 or later. (NCT02387372)
Timeframe: Day 1 up to Day 2 at 0 (pre-dose), 1, 2, 4, 6 and 8 hours (h) after the start of the first and last infusions.

,
Interventionh*ug/mL (Geometric Mean)
First DoseLast Dose
Mechanically Ventilated -Tazobactam58.169.8
Mechanically Ventilated- Ceftolozane353605

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Vss of Ceftolozane/Tazobactam in Critically Ill Participants With Augmented Renal Function.

Critically ill participants received a 60 minute infusion of ceftolozane/tazobactam, adjusted for CLCR, every 8 hours; then blood samples were collected at 1, 2, 4, 6, and 8 hours post start of the final infusion after the last dose of study drug in order to determine the Vss of ceftolozane or tazobactam. PK data analysis was performed by NCA method using Phoenix WinNonlin version 6.3 or later. (NCT02387372)
Timeframe: Day 1 at 0 (pre-dose), 1, 2, 4, 6 and 8 h after the start of infusion

InterventionLiter (Geometric Mean)
Critically Ill - Ceftolozane30.2
Critically Ill - Tazobactam51.6

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Tmax of Ceftolozane/Tazobactam in Critically Ill Participants With Augmented Renal Function.

Critically ill participants received a 60 minute infusion of ceftolozane/tazobactam, adjusted for CLCR, every 8 hours; then blood samples were collected at 1, 2, 4, 6, and 8 hours post start of the final infusion after the last dose of study drug in order to determine the Tmax of ceftolozane or tazobactam. PK data analysis was performed by NCA method using Phoenix WinNonlin version 6.3 or later. (NCT02387372)
Timeframe: Day 1 at 0 (pre-dose), 1, 2, 4, 6 and 8 h after the start of infusion

InterventionHours (Median)
Critically Ill - Ceftolozane1.02
Critically Ill - Tazobactam1.02

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Tlast of Ceftolozane/Tazobactam in Critically Ill Participants With Augmented Renal Function.

Critically ill participants received a 60 minute infusion of ceftolozane/tazobactam, adjusted for CLCR, every 8 hours; then blood samples were collected at 1, 2, 4, 6, and 8 hours post start of the final infusion after the last dose of study drug in order to determine the Tlast of ceftolozane or tazobactam. PK data analysis was performed by NCA method using Phoenix WinNonlin version 6.3 or later. (NCT02387372)
Timeframe: Day 1 at 0 (pre-dose), 1, 2, 4, 6 and 8 h after the start of infusion

InterventionHours (Median)
Critically Ill - Ceftolozane7.95
Critically Ill - Tazobactam7.85

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T1/2 of Ceftolozane/Tazobactam in Critically Ill Participants With Augmented Renal Function.

Critically ill participants received a 60 minute infusion of ceftolozane/tazobactam, adjusted for CLCR, every 8 hours; then blood samples were collected at 1, 2, 4, 6, and 8 hours post start of the final infusion after the last dose of study drug in order to determine the T1/2 of ceftolozane or tazobactam. PK data analysis was performed by NCA method using Phoenix WinNonlin version 6.3 or later. (NCT02387372)
Timeframe: Day 1 at 0 (pre-dose), 1, 2, 4, 6 and 8 h after the start of infusion

InterventionHours (Geometric Mean)
Critically Ill - Ceftolozane2.59
Critically Ill - Tazobactam1.47

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Number of Participants With Adverse Events (AEs)

An adverse event (AE) is any untoward medical occurrence in a participant administered a pharmaceutical product that does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to the medicinal product. (NCT02387372)
Timeframe: Up to 5 days

InterventionParticipants (Count of Participants)
Mechanically Ventilated16
Critically Ill6

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Cmax of Ceftolozane/Tazobactam in Critically Ill Participants With Augmented Renal Function.

Critically ill participants received a 60 minute infusion of ceftolozane/tazobactam, adjusted for CLCR, every 8 hours; then blood samples were collected at 1, 2, 4, 6, and 8 hours post start of the final infusion after the last dose of study drug in order to determine the Cmax of ceftolozane or tazobactam. PK data analysis was performed by NCA method using Phoenix WinNonlin version 6.3 or later. (NCT02387372)
Timeframe: Day 1 at 0 (pre-dose), 1, 2, 4, 6 and 8 h after the start of infusion

Interventionug/mL (Geometric Mean)
Critically Ill - Ceftolozane68.9
Critically Ill - Tazobactam17.4

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CL of Ceftolozane/Tazobactam in Critically Ill Participants With Augmented Renal Function.

Critically ill participants received a 60 minute infusion of ceftolozane/tazobactam, adjusted for CLCR, every 8 hours; then blood samples were collected at 1, 2, 4, 6, and 8 hours post start of the final infusion after the last dose of study drug in order to determine the CL of ceftolozane or tazobactam. PK data analysis was performed by NCA method using Phoenix WinNonlin version 6.3 or later. (NCT02387372)
Timeframe: Day 1 at 0 (pre-dose), 1, 2, 4, 6 and 8 h after the start of infusion

InterventionL/h (Geometric Mean)
Critically Ill - Ceftolozane8.98
Critically Ill - Tazobactam28.7

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AUC0-last of Ceftolozane/Tazobactam in Critically Ill Participants With Augmented Renal Function.

Critically ill participants received a 60 minute infusion of ceftolozane/tazobactam, adjusted for CLCR, every 8 hours; then blood samples were collected at 1, 2, 4, 6, and 8 hours post start of the final infusion after the last dose of study drug in order to determine the AUC0-last of ceftolozane or tazobactam. PK data analysis was performed by NCA method using Phoenix WinNonlin version 6.3 or later. (NCT02387372)
Timeframe: Day 1 at 0 (pre-dose), 1, 2, 4, 6 and 8 h after the start of infusion

Interventionh*ug/mL (Geometric Mean)
Critically Ill - Ceftolozane188
Critically Ill - Tazobactam31.0

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Area Under the Concentration Time Curve (AUC) From the First to Time of the Last Dose (AUC0-last) of Ceftolozane or Tazobactam in Mechanically Ventilated Participants for the First and Last Dose of Ceftolozane/Tazobactam Treatment.

Mechanically ventilated participants received a 60 minute infusion of ceftolozane/tazobactam, adjusted for CLCR, every 8 hours; then blood samples were collected at 1, 2, 4, 6, and 8 hours post start of the final infusion after the last dose of study drug in order to determine the AUC0-last, AUC from the first to time of the last dose, of ceftolozane or tazobactam. PK data analysis was determined by NCA method using Phoenix WinNonlin version 6.3 or later. (NCT02387372)
Timeframe: Day 1 up to Day 2 at 0 (pre-dose), 1, 2, 4, 6 and 8 hours (h) after the start of the first and last infusions.

,
Interventionh*ug/mL (Geometric Mean)
First DoseLast Dose
Mechanically Ventilated -Tazobactam50.763.0
Mechanically Ventilated- Ceftolozane242390

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AUC0-∞ of Ceftolozane/Tazobactam in Critically Ill Participants With Augmented Renal Function.

Critically ill participants received a 60 minute infusion of ceftolozane/tazobactam, adjusted for CLCR, every 8 hours; then blood samples were collected at 1, 2, 4, 6, and 8 hours post start of the final infusion after the last dose of study drug in order to determine the AUC0-∞ of ceftolozane or tazobactam. PK data analysis was performed by NCA method using Phoenix WinNonlin version 6.3 or later. (NCT02387372)
Timeframe: Day 1 at 0 (pre-dose), 1, 2, 4, 6 and 8 h after the start of infusion

Interventionh*ug/mL (Geometric Mean)
Critically Ill - Ceftolozane233
Critically Ill - Tazobactam34.8

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Time of Maximum Plasma Concentration (Tmax) of Ceftolozane or Tazobactam in Mechanically Ventilated Participants for the First and Last Dose of Ceftolozane/Tazobactam Treatment.

Mechanically ventilated participants received a 60 minute infusion of ceftolozane/tazobactam, adjusted for CLCR, every 8 hours; then blood samples were collected at 1, 2, 4, 6, and 8 hours post start of the final infusion after the last dose of study drug in order to determine the Tmax, time of maximum plasma concentration, of ceftolozane or tazobactam. PK data analysis was performed by NCA method using Phoenix WinNonlin version 6.3 or later. (NCT02387372)
Timeframe: Day 1 up to Day 2 at 0 (pre-dose), 1, 2, 4, 6 and 8 hours (h) after the start of the first and last infusions.

,
InterventionHours (Median)
First DoseLast Dose
Mechanically Ventilated -Tazobactam1.001.00
Mechanically Ventilated- Ceftolozane1.001.00

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Volume of Distribution at Steady State (Vss) of Ceftolozane or Tazobactam in Mechanically Ventilated Participants for the First and Last Dose of Ceftolozane/Tazobactam Treatment.

Mechanically ventilated participants received a 60 minute infusion of ceftolozane/tazobactam, adjusted for CLCR, every 8 hours; then blood samples were collected at 1, 2, 4, 6, and 8 hours post start of the final infusion after the last dose of study drug in order to determine the Vss, volume of distribution at steady state, of ceftolozane or tazobactam. PK data analysis was performed by NCA method using Phoenix WinNonlin version 6.3 or later. (NCT02387372)
Timeframe: Day 1 up to Day 2 at 0 (pre-dose), 1, 2, 4, 6 and 8 hours (h) after the start of the first and last infusions.

,
InterventionLiter (Geometric Mean)
First DoseLast Dose
Mechanically Ventilated -Tazobactam39.940.4
Mechanically Ventilated- Ceftolozane27.529.4

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Clast of Ceftolozane/Tazobactam in Critically Ill Participants With Augmented Renal Function.

Critically ill participants received a 60 minute infusion of ceftolozane/tazobactam, adjusted for CLCR, every 8 hours; then blood samples were collected at 1, 2, 4, 6, and 8 hours post start of the final infusion after the last dose of study drug in order to determine the Clast of ceftolozane or tazobactam. PK data analysis was performed by NCA method using Phoenix WinNonlin version 6.3 or later. (NCT02387372)
Timeframe: Day 1 at 0 (pre-dose), 1, 2, 4, 6 and 8 h after the start of infusion

Interventionug/mL (Geometric Mean)
Critically Ill - Ceftolozane5.82
Critically Ill - Tazobactam0.357

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Time of Last Quantifiable Plasma Concentration (Tlast)) of Ceftolozane or Tazobactam in Mechanically Ventilated Participants for the First and Last Dose of Ceftolozane/Tazobactam Treatment.

Mechanically ventilated participants received a 60 minute infusion of ceftolozane/tazobactam, adjusted for CLCR, every 8 hours; then blood samples were collected at 1, 2, 4, 6, and 8 hours post start of the final infusion after the last dose of study drug in order to determine the Tlast, time of last quantifiable plasma concentration, of ceftolozane or tazobactam. PK data analysis was determined by NCA method using Phoenix WinNonlin version 6.3 or later. (NCT02387372)
Timeframe: Day 1 up to Day 2 at 0 (pre-dose), 1, 2, 4, 6 and 8 hours (h) after the start of the first and last infusions.

,
InterventionHours (Median)
First DoseLast Dose
Mechanically Ventilated -Tazobactam7.957.98
Mechanically Ventilated- Ceftolozane7.957.98

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Ceftolozane Volume of Distribution (Central Compartment)

This outcome determines the volume of distribution of ceftolozane over the 8 hour dosing interval. (NCT02421120)
Timeframe: 0, 1-1.08, 1.25-1.5, 2-3, 4-5, and 7-8 hours after start of final dose

InterventionLiters (Mean)
Ceftolozane/Tazobactam7.51

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Ceftolozane Probability of Target Attainment at 8 mcg/ml

This simulated outcome indicates the likelihood that ceftolozane will retain drug concentrations above the MIC for >/= 60% of the dosing interval at an MIC of 8 mcg/ml when administered as a 3g (2g ceftolozane/1g tazobactam) every 8 hour dose infused over 1 hour. This analysis is conducted via a Monte Carlo simulation using the population pharmacokinetic parameter estimates and dispersion from the 20 participants who contributed pharmacokinetic data to the study. (NCT02421120)
Timeframe: 24 hours

Interventionpercent of simulated population (Number)
Ceftolozane/Tazobactam97.1

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Ceftolozane Clearance

This outcome determines the clearance of ceftolozane over the 8 hour dosing interval. (NCT02421120)
Timeframe: 0, 1-1.08, 1.25-1.5, 2-3, 4-5, and 7-8 hours after start of final dose

InterventionLiters per hour (Mean)
Ceftolozane/Tazobactam4.76

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Tazobactam Volume of Distribution (Central Compartment)

This outcome determines the volume of distribution of tazobactam over the 8 hour dosing interval. (NCT02421120)
Timeframe: 0, 1-1.08, 1.25-1.5, 2-3, 4-5, and 7-8 hours after start of final dose

InterventionLiters (Mean)
Ceftolozane/Tazobactam7.85

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Tazobactam Clearance

This outcome determines the clearance of tazobactam over the 8 hour dosing interval. (NCT02421120)
Timeframe: 0, 1-1.08, 1.25-1.5, 2-3, 4-5, and 7-8 hours after start of final dose

InterventionLiters per hour (Mean)
Ceftolozane/Tazobactam20.51

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Percentage of Participants in the CE Population With a FCR at OTX3 (Day 10)

"The percentage of participants with a FCR at OTX3 was determined for each arm. Favorable clinical response at OTX3 was defined as improved (majority of pre-therapy signs and symptoms of the index infection have improved or resolved [or returned to pre-infection status])." (NCT02493764)
Timeframe: Day 10 (OTX3)

InterventionPercentage of participants (Number)
IMI/REL89.6
PIP/TAZ83.6

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Percentage of Participants in the Clinically Evaluable (CE) Population With a FCR at On-therapy Visit 1 (OTX1) [Day 3]

"The percentage of participants with a FCR at OTX1 was determined for each arm. Favorable clinical response at OTX1 was defined as improved (majority of pre-therapy signs and symptoms of the index infection have improved or resolved [or returned to pre-infection status])." (NCT02493764)
Timeframe: Day 3 (OTX1)

InterventionPercentage of participants (Number)
IMI/REL70.8
PIP/TAZ72.8

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Percentage of Participants in the ME Population With a FMR at EFU Visit

"The percentage of participants with a FMR at EOT was determined for each arm. Favorable microbiological response at EOT was defined as either eradication (a lower respiratory tract culture taken at EOT showing eradication of baseline pathogen) or presumed eradication (no specimen collected because the participant deemed clinically cured or improved)." (NCT02493764)
Timeframe: Up to 16 days after end of therapy (up to Day 30)

InterventionPercentage of participants (Number)
IMI/REL89.9
PIP/TAZ86.4

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Percentage of Participants in the Microbiologically Evaluable (ME) Population With a FMR at EOT Visit

"The percentage of participants with a FMR at EOT was determined for each arm. Favorable microbiological response at EOT was defined as either eradication (a lower respiratory tract culture taken at EOT showing eradication of baseline pathogen) or presumed eradication (no specimen collected because the participant deemed clinically cured or improved)." (NCT02493764)
Timeframe: From Day 7 to Day 14

InterventionPercentage of participants (Number)
IMI/REL87.1
PIP/TAZ85.5

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Percentage of Participants in the MITT Population With a Favorable Clinical Response (FCR) at Early Follow-up (EFU) Visit

"The percentage of participants with a FCR at EFU was determined for each arm. Favorable clinical response at EFU was defined as either sustained cure (all pre-therapy signs and symptoms of the index infection have resolved [or returned to pre-infection status] with no evidence of resurgence and no additional antibiotics are required) or cure (all pre-therapy signs and symptoms of the index infection have resolved [or returned to pre-infection status] and no additional antibiotics are required)." (NCT02493764)
Timeframe: Up to 16 days after end of therapy (up to 30 days)

InterventionPercentage of participants (Number)
IMI/REL61.0
PIP/TAZ55.8

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Percentage of Participants in the MITT Population With a FCR at Day 28

"The percentage of participants with a FCR at Day 28 was determined for each arm. Favorable clinical response at Day 28 was defined as either sustained cure (all pre-therapy signs and symptoms of the index infection have resolved [or returned to pre-infection status] with no evidence of resurgence and no additional antibiotics are required) or cure (all pre-therapy signs and symptoms of the index infection have resolved [or returned to pre-infection status] and no additional antibiotics are required)." (NCT02493764)
Timeframe: Day 28

InterventionPercentage of participants (Number)
IMI/REL51.9
PIP/TAZ50.6

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Percentage of Participants in the MITT Population With a FCR at EOT

"The percentage of participants with a FCR at EOT was determined for each arm. Favorable clinical response at EOT was defined as either cure (all pre-therapy signs and symptoms of the index infection have resolved [or returned to pre-infection status] and no additional antibiotics are required) or improved (the majority of pre-therapy signs and symptoms of the index infection have improved or resolved [or returned to pre-infection status] and no additional antibiotics are required)." (NCT02493764)
Timeframe: From Day 7 to Day 14

InterventionPercentage of participants (Number)
IMI/REL74.2
PIP/TAZ69.7

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Percentage of Participants in the MITT Population With a FCR at OTX1 (Day 3)

"The percentage of participants with a FCR at OTX1 was determined for each arm. Favorable clinical response at OTX1 was defined as improved (majority of pre-therapy signs and symptoms of the index infection have improved or resolved [or returned to pre-infection status])." (NCT02493764)
Timeframe: Day 3 (OTX1)

InterventionPercentage of participants (Number)
IMI/REL68.0
PIP/TAZ64.7

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Percentage of Participants in the MITT Population With a FCR at OTX2 (Day 6)

"The percentage of participants with a FCR at OTX2 was determined for each arm. Favorable clinical response at OTX2 was defined as improved (majority of pre-therapy signs and symptoms of the index infection have improved or resolved [or returned to pre-infection status])." (NCT02493764)
Timeframe: Day 6 (OTX2)

InterventionPercentage of participants (Number)
IMI/REL83.5
PIP/TAZ83.1

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Percentage of Participants in the MITT Population With a FCR at OTX3 (Day 10)

"The percentage of participants with a FCR at OTX3 was determined for each arm. Favorable clinical response at OTX3 was defined as improved (majority of pre-therapy signs and symptoms of the index infection have improved or resolved [or returned to pre-infection status])." (NCT02493764)
Timeframe: Day 10 (OTX3)

InterventionPercentage of participants (Number)
IMI/REL83.5
PIP/TAZ80.4

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Percentage of Participants in the mMITT Population With a Favorable Microbiological Response (FMR) at End of Treatment (EOT) Visit

"The percentage of participants with a FMR at EOT was determined for each arm. Favorable microbiological response at EOT was defined as either eradication (a lower respiratory tract culture taken at EOT showing eradication of baseline pathogen) or presumed eradication (no specimen collected because the participant deemed clinically cured or improved)." (NCT02493764)
Timeframe: From Day 7 to Day 14

InterventionPercentage of participants (Number)
IMI/REL77.2
PIP/TAZ67.9

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Percentage of Participants in the mMITT Population With a FMR at EFU Visit

"The percentage of participants with a FMR at EFU was determined for each arm. Favorable microbiological response at EOT was defined as either eradication (a lower respiratory tract culture taken at EFU showing eradication of baseline pathogen) or presumed eradication (no specimen collected because the participant deemed clinically cured or improved)." (NCT02493764)
Timeframe: Up to 16 days after end of therapy (up to Day 30)

InterventionPercentage of participants (Number)
IMI/REL67.9
PIP/TAZ61.9

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Percentage of Participants With ≥1 Adverse Event (AE)

An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. (NCT02493764)
Timeframe: Up to 30 days

InterventionPercentage of participants (Number)
IMI/REL85.0
PIP/TAZ86.6

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Percentage of Participants With ACM at EFU in the MITT Population

The percentage of participants in the MITT population with mortality due to any cause from randomization through EFU was determined for each arm. (NCT02493764)
Timeframe: Up to 16 days after end of therapy (up to 30 days)

InterventionPercentage of participants (Number)
IMI/REL14.8
PIP/TAZ19.5

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Percentage of Participants With ACM at EFU in the mMITT Population

The percentage of participants in the mMITT population with mortality due to any cause from randomization through EFU was determined for each arm. (NCT02493764)
Timeframe: Up to 16 days after end of therapy (up to 30 days)

InterventionPercentage of participants (Number)
IMI/REL15.3
PIP/TAZ18.3

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Percentage of Participants With ACM in the Microbiological Modified Intention-to-treat (mMITT) Population

The percentage of participants in the mMITT population with mortality due to any cause from randomization through Day 28 was determined for each arm. (NCT02493764)
Timeframe: Up to 28 days

InterventionPercentage of participants (Number)
IMI/REL16.7
PIP/TAZ20.2

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Percentage of Participants With All-cause Mortality (ACM) Through Day 28 in the Modified Intention-to-treat (MITT) Population

The percentage of participants in the MITT population with mortality due to any cause from randomization through Day 28 was determined for each arm. (NCT02493764)
Timeframe: Up to 28 days

InterventionPercentage of participants (Number)
IMI/REL15.9
PIP/TAZ21.3

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Percentage of Participants Discontinuing Study Therapy Due to an AE

An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. (NCT02493764)
Timeframe: Up to 14 days

InterventionPercentage of participants (Number)
IMI/REL5.6
PIP/TAZ8.2

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Percentage of Participants in the CE Population With a FCR at Day 28

"The percentage of participants with a FCR at Day 28 was determined for each arm. Favorable clinical response at Day 28 was defined as either sustained cure (all pre-therapy signs and symptoms of the index infection have resolved [or returned to pre-infection status] with no evidence of resurgence and no additional antibiotics are required) or cure (all pre-therapy signs and symptoms of the index infection have resolved [or returned to pre-infection status] and no additional antibiotics are required)." (NCT02493764)
Timeframe: Day 28

InterventionPercentage of participants (Number)
IMI/REL70.5
PIP/TAZ75.6

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Percentage of Participants in the CE Population With a FCR at EFU Visit

"The percentage of participants with a FCR at EFU was determined for each arm. Favorable clinical response at EFU was defined as either sustained cure (all pre-therapy signs and symptoms of the index infection have resolved [or returned to pre-infection status] with no evidence of resurgence and no additional antibiotics are required) or cure (all pre-therapy signs and symptoms of the index infection have resolved [or returned to pre-infection status] and no additional antibiotics are required)." (NCT02493764)
Timeframe: Up to 16 days after end of therapy (up to Day 30)

InterventionPercentage of participants (Number)
IMI/REL74.3
PIP/TAZ79.4

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Percentage of Participants in the CE Population With a FCR at EOT Visit

"The percentage of participants with a FCR at EOT was determined for each arm. Favorable clinical response at EOT was defined as either cure (all pre-therapy signs and symptoms of the index infection have resolved [or returned to pre-infection status] and no additional antibiotics are required) or improved (the majority of pre-therapy signs and symptoms of the index infection have improved or resolved [or returned to pre-infection status] and no additional antibiotics are required)." (NCT02493764)
Timeframe: From Day 7 to Day 14

InterventionPercentage of participants (Number)
IMI/REL84.7
PIP/TAZ85.3

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Percentage of Participants in the CE Population With a FCR at OTX2 (Day 6)

"The percentage of participants with a FCR at OTX2 was determined for each arm. Favorable clinical response at OTX2 was defined as improved (majority of pre-therapy signs and symptoms of the index infection have improved or resolved [or returned to pre-infection status])." (NCT02493764)
Timeframe: Day 6 (OTX2)

InterventionPercentage of participants (Number)
IMI/REL85.5
PIP/TAZ87.8

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Tazobactam AUC in Tissue

"The tazobactam AUC in tissue over 16 to 24 hours~Note. Ceftolozane/tazobactam doses were administered at 0, 8, and 16 hours. Dialysate concentrations were determined at hours 16, 17, 18, 19, 20, 21, 22, 23, and 24 hours after the first dose for determination of tazobactam AUC." (NCT02620774)
Timeframe: 16 to 24 hours post-dose

Interventionµg•h/mL (Median)
Diabetic Wound Infection15.8
Healthy Volunteer13.8

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Ceftolozane Area Under the Curve (AUC) in Tissue

"The ceftolozane AUC in tissue from 16 to 24 hours.~Note. Ceftolozane/tazobactam doses were administered at 0, 8, and 16 hours. Dialysate concentrations were determined at hours 16, 17, 18, 19, 20, 21, 22, 23, and 24 hours after the first dose for determination of ceftolozane AUC." (NCT02620774)
Timeframe: 16 to 24 hours post-dose

Interventionµg•h/mL (Median)
Diabetic Wound Infection121.5
Healthy Volunteer130.6

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Ceftolozane Tissue Penetration

"The ratio of ceftolozane tissue concentration area under the curve (AUC) to plasma concentrations AUC following the final (i.e., 3rd) ceftolozane/tazobactam dose.~Note. Ceftolozane/tazobactam doses were administered at 0, 8, and 16 hours. Plasma and dialysate concentrations were determined at hours 16, 17, 18, 19, 20, 21, 22, 23, and 24 hours after the first dose for determination of ceftolozane AUC in blood and tissue." (NCT02620774)
Timeframe: 16-24 hours

Interventionratio (Median)
Diabetic Wound Infection0.75
Healthy Volunteer0.87

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Ceftolozane Total Drug AUC in Plasma

"The ceftolozane total drug AUC in plasma over 16 to 24 hours~Note. Ceftolozane/tazobactam doses were administered at 0, 8, and 16 hours. Plasma concentrations were determined at hours 16, 17, 18, 19, 20, 21, 22, 23, and 24 hours after the first dose for determination of ceftolozane AUC." (NCT02620774)
Timeframe: 16 to 24 hours post-dose

Interventionµg•h/mL (Median)
Diabetic Wound Infection191.6
Healthy Volunteer191.3

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Number of Participants With Adverse Events

Number of reported or documented adverse events recorded during participation in the study. (NCT02620774)
Timeframe: Duration of study (34 hours)

InterventionParticipants (Count of Participants)
Diabetic Wound Infection1
Healthy Volunteer0

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Tazobactam Total Drug AUC in Plasma

"The tazobactam total drug AUC in plasma over 16 to 24 hours~Note. Ceftolozane/tazobactam doses were administered at 0, 8, and 16 hours. Plasma concentrations were determined at hours 16, 17, 18, 19, 20, 21, 22, 23, and 24 hours after the first dose for determination of tazobactam AUC." (NCT02620774)
Timeframe: 16 to 24 hours post-dose

Interventionµg•h/mL (Median)
Diabetic Wound Infection27.1
Healthy Volunteer22.2

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Tazobactam Tissue Penetration

"The ratio of tazobactam tissue concentration area under the curve (AUC) to plasma concentration AUC following the final (3rd) ceftolozane/tazobactam dose.~Note. Ceftolozane/tazobactam doses were administered at 0, 8, and 16 hours. Plasma and dialysate concentrations were determined at hours 16, 17, 18, 19, 20, 21, 22, 23, and 24 hours after the first dose for determination of tazobactam AUC in blood and tissue." (NCT02620774)
Timeframe: 16-24 hours

Interventionratio (Median)
Diabetic Wound Infection1.18
Healthy Volunteer0.85

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Percentage of Participants With Microbiological Response of Eradication, by Pathogen at EOT

"The per-pathogen microbiological outcome was determined for each uropathogen isolated at baseline. Microbiological outcome was classified as Eradication, Persistence or Indeterminate. A successful microbiological response was Eradication which was defined as urine culture showed the specific pathogen found at baseline at ≥10^5 colony-forming unit (CFU)/mL was reduced to <10^4 CFU/mL. If the outcome for any uropathogen was persistence (CFU/mL not reduced the result was classified as a failure. Outcomes reported as indeterminate were excluded. The percentage of participants that achieved eradication for each uropathogen at EOT (7 days post first dose of study drug) was summarized." (NCT02728089)
Timeframe: Day 7 (7 days post first dose of study drug)

InterventionPercentage of participants (Number)
Enterobacter aerogenesEscherichia coliKlebsiella pneumoniaeProteus mirabilisProteus vulgarisPseudomonas aeruginosa
MK-7625A100.0100.0100.0100.0100.0100.0

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Percentage of Participants With Microbiological Response of Eradication at End Of Therapy (EOT)

"The per-pathogen microbiological outcome was determined for each uropathogen isolated at baseline at EOT (7 days post first dose of study drug). Microbiological outcome was classified as eradication, persistence or indeterminate. A successful microbiological response was eradication which was defined as urine culture showed all uropathogens found at baseline at ≥10^5 colony-forming unit (CFU)/mL were reduced to <10^4 CFU/mL. If the outcome for any uropathogen was persistence (CFU/mL not reduced the result was classified as unsuccessful. Participants with responses reported as indeterminate were excluded." (NCT02728089)
Timeframe: Day 7 (7 days post first dose of study drug)

InterventionPercentage of participants (Number)
MK-7625A100.0

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Percentage of Participants With Clinical Response of Clinical Cure at TOC

"The Investigator classified clinical outcome as clinical cure, clinical failure, or indeterminate. A favorable clinical response is clinical cure defined as complete resolution of, marked improvement in (where clinical improvement was defined as a reduction in severity of all baseline signs and symptoms with worsening of none and with no requirement for additional antibiotic therapy after EOT), or return to pre-infection signs and symptoms and no use of additional or nonstudy antimicrobial therapy for the treatment of the current UTI. Outcomes reported as indeterminate were excluded. Percentage of participants with clinical response of clinical cure at TOC was summarized" (NCT02728089)
Timeframe: Day 14 (14 days post first dose of study drug)

InterventionPercentage of participants (Number)
MK-7625A96.6

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Percentage of Participants With Clinical Response of Clinical Cure at LFU

"The Investigator classified clinical outcome as clinical cure, clinical failure, or indeterminate. A favorable clinical response is clinical cure defined as complete resolution of, marked improvement in (where clinical improvement was defined as a reduction in severity of all baseline signs and symptoms with worsening of none and with no requirement for additional antibiotic therapy after EOT), or return to pre-infection signs and symptoms and no use of additional or nonstudy antimicrobial therapy for the treatment of the current UTI. Outcomes reported as indeterminate were excluded. Percentage of participants with clinical response of clinical cure at LFU was summarized." (NCT02728089)
Timeframe: Day 42 (42 days post first dose of study drug)

InterventionPercentage of participants (Number)
MK-7625A78.2

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Percentage of Participants With Clinical Response of Clinical Cure at EOT

"The Investigator classified clinical outcome as clinical cure, clinical failure, or indeterminate. A favorable clinical response is clinical cure defined as complete resolution of, marked improvement in (where clinical improvement was defined as a reduction in severity of all baseline signs and symptoms with worsening of none and with no requirement for additional antibiotic therapy after EOT), or return to pre-infection signs and symptoms and no use of additional or nonstudy antimicrobial therapy for the treatment of the current UTI. Outcomes reported as indeterminate were excluded. Percentage of participants with clinical response of clinical cure at EOT was summarized" (NCT02728089)
Timeframe: Day 7 (7 days post first dose of study drug)

InterventionPercentage of participants (Number)
MK-7625A97.8

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Percentage of Participants Who Report 1 or More Adverse Event (AE)

An AE was defined as any untoward medical occurrence in a participant which does not necessarily have a causal relationship with the treatment. An AE was any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with use of a medicinal product, regardless of whether or not it was considered related to the medicinal product. The percentage of participants that reported at least 1 AE was summarized. (NCT02728089)
Timeframe: Up to 42 days post first dose of study drug

InterventionPercentage of participants (Number)
MK-7625A58.8

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Percentage of Participants Discontinuing Study Drug Due to an AE

An AE was defined as any untoward medical occurrence in a participant which does not necessarily have a causal relationship with the treatment. An AE was any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with use of a medicinal product, regardless of whether or not considered related to the medicinal product. The percentage of participants that had study drug discontinued during the study due to an AE was summarized. (NCT02728089)
Timeframe: Up to 7 days after the first dose of study drug

InterventionPercentage of participants (Number)
MK-7625A1.8

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Percentage of Participants With Microbiological Response of Eradication by Pathogen at TOC

"The per-pathogen microbiological outcome was determined for each uropathogen isolated at baseline. Microbiological outcome was classified as Eradication, Persistence or Indeterminate. A successful microbiological response was Eradication which was defined as urine culture showed the specific pathogen found at baseline at ≥10^5 colony-forming unit (CFU)/mL was reduced to <10^4 CFU/mL. If the outcome for any uropathogen was persistence (CFU/mL not reduced), the result was classified as a failure. Outcomes reported as indeterminate were excluded. The percentage of participants that achieved eradication for each uropathogen at TOC (14 days post first dose of study drug) was summarized." (NCT02728089)
Timeframe: Day 14 (14 days post first dose of study drug)

InterventionPercentage of participants (Number)
Citrobacter koseriEnterobacter aerogenesEscherichia coliKlebsiella pneumoniaeProteus mirabilisProteus vulgarisPseudomonas aeruginosa
MK-7625A100.0100.082.942.9100.0100.0100.0

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Percentage of Participants With Microbiological Response of Eradication by Pathogen at LFU

"The per-pathogen microbiological outcome was determined for each uropathogen isolated at baseline. Microbiological outcome was classified as Eradication, Persistence or Indeterminate. A successful microbiological response was Eradication which was defined as urine culture showed the specific pathogen found at baseline at ≥10^5 colony-forming unit (CFU)/mL was reduced to <10^4 CFU/mL. If the outcome for any uropathogen was persistence (CFU/mL not reduced the result was classified as a failure. Outcomes reported as indeterminate were excluded. The percentage of participants that achieved eradication for each uropathogen LFU (42 days post first dose of study drug) was summarized.~." (NCT02728089)
Timeframe: Day 42 (42 days post first dose of study drug)

InterventionPercentage of participants (Number)
Citrobacter koseriEnterobacter aerogenesEscherichia coliKlebsiella pneumoniaeProteus mirabilisProteus vulgarisPseudomonas aeruginosa
MK-7625A100.0100.062.937.566.7100.0100.0

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Percentage of Participants With Microbiological Response of Eradication at Test of Cure (TOC)

"The per-pathogen microbiological outcome was determined for each uropathogen isolated at baseline at TOC (14 days post first dose). Microbiological outcome was classified as eradication, persistence or indeterminate. A successful microbiological response was eradication which was defined as urine culture showed all uropathogens found at baseline at ≥10^5 colony-forming unit (CFU)/mL were reduced to <10^4 CFU/mL. If the outcome for any uropathogen was persistence (CFU/mL not reduced the result was classified as unsuccessful. Participants with responses reported as indeterminate were excluded." (NCT02728089)
Timeframe: Day 14 (14 days post first dose of study drug)

InterventionPercentage of participants (Number)
MK-7625A80.7

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Percentage of Participants With Microbiological Response of Eradication at Late Follow-up (LFU)

"The per-pathogen microbiological outcome was determined for each uropathogen isolated at baseline at LFU (42 days post first dose of study drug). Microbiological outcome was classified as eradication, persistence or indeterminate. A successful microbiological response was eradication which was defined as urine culture showed all uropathogens found at baseline at ≥10^5 colony-forming unit (CFU)/mL were reduced to <10^4 CFU/mL. If the outcome for any uropathogen was persistence (CFU/mL not reduced the result was classified as unsuccessful. Participants with responses reported as indeterminate were excluded." (NCT02728089)
Timeframe: Day 42 (42 days post first dose of study drug)

InterventionPercentage of participants (Number)
MK-7625A61.0

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Percentage of Participants With a Composite Response of Both Eradication and Clinical Cure at TOC

The percentage of participants that met requirements for both eradication and clinical cure at TOC was summarized. (NCT02728089)
Timeframe: Day 14 (14 days post first dose of study drug)

InterventionPercentage of participants (Number)
MK-7625A80.7

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Percentage of Participants With Clinical Response (Clinical Cure, Clinical Failure, or Indeterminate) at Test of Cure (TOC)

"The percentage of participants with clinical responses (cure, failure, or indeterminate) at TOC was determined. Clinical cure was defined as complete resolution or significant improvement in signs and symptoms of the index infection, such that no additional antibacterial therapy or surgical or drainage procedure is required. Clinical failure was defined as death related to IAI at any time point; persisting or recurrent infection within the abdomen requiring additional intervention to cure; need for treatment with additional antibiotics for ongoing IAI symptoms; or post-surgical wound infection that requires additional antimicrobial therapy and/or non-routing wound care. Indeterminate was defined as study data are not available for evaluation for any reason, including death during the study period unrelated to the index infection; or extenuating circumstances that preclude classification as cure or failure." (NCT02739997)
Timeframe: Day 28 (28 days after initiating study therapy)

InterventionPercentage of Participants (Number)
SuccessFailureIndeterminate
MK-7625A + Metronidazole92.08.00.0

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Percentage of Participants With Clinical Response (Clinical Cure, Clinical Failure, or Indeterminate) at Late Follow-Up (LFU)

"The percentage of participants with clinical responses (cure, failure, or indeterminate) at LFU was determined. Clinical cure was defined as complete resolution or significant improvement in signs and symptoms of the index infection, such that no additional antibacterial therapy or surgical or drainage procedure is required. Clinical failure was defined as death related to IAI at any time point; persisting or recurrent infection within the abdomen requiring additional intervention to cure; need for treatment with additional antibiotics for ongoing IAI symptoms; or post-surgical wound infection that requires additional antimicrobial therapy and/or non-routing wound care. Indeterminate was defined as study data are not available for evaluation for any reason, including death during the study period unrelated to the index infection; or extenuating circumstances that preclude classification as cure or failure." (NCT02739997)
Timeframe: Up to Day 42 (28 days after completing study therapy)

InterventionPercentage of Participants (Number)
SuccessFailureIndeterminate
MK-7625A + Metronidazole90.69.40.0

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Percentage of Participants With Clinical Response (Clinical Cure, Clinical Failure, or Indeterminate) at End Of Therapy (EOT)

"The percentage of participants with clinical responses (cure, failure, or indeterminate) at EOT was determined. Clinical cure was defined as complete resolution or significant improvement in signs and symptoms of the index infection, such that no additional antibacterial therapy or surgical or drainage procedure is required. Clinical failure was defined as death related to IAI at any time point; persisting or recurrent infection within the abdomen requiring additional intervention to cure; need for treatment with additional antibiotics for ongoing IAI symptoms; or post-surgical wound infection that requires additional antimicrobial therapy and/or non-routing wound care. Indeterminate was defined as study data are not available for evaluation for any reason, including death during the study period unrelated to the index infection; or extenuating circumstances that preclude classification as cure or failure." (NCT02739997)
Timeframe: Up to Day 14

InterventionPercentage of Participants (Number)
SuccessFailureIndeterminate
MK-7625A + Metronidazole94.65.40.0

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Percentage of Participants With Adverse Events (AEs)

The percentage of participants with ≥1 AEs was determined. An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. (NCT02739997)
Timeframe: Up to Day 42 (up to 28 days after completing study therapy)

InterventionPercentage of Participants (Number)
MK-7625A + Metronidazole62.0

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Percentage of Participants Discontinuing Study Drug Due to AEs

The percentage of participants withdrawing from study therapy due to an AE was determined. (NCT02739997)
Timeframe: Up to Day 14

InterventionPercentage of Participants (Number)
MK-7625A + Metronidazole0.0

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Percentage of Participants With Microbiological Response (Eradication, Persistence, or Indeterminate) at TOC

"The percentage of participants with microbiological response (eradication, persistence, or indeterminate) at TOC was determined. Eradication was defined as absence of the baseline pathogen in a specimen. Persistence was defined as presence of the baseline pathogen in a specimen. Indeterminate was defined as Baseline culture either not obtained or has an assessment of no growth, or any other circumstance that makes it impossible to define the microbiological response." (NCT02739997)
Timeframe: Day 28 (28 days after initiating study therapy)

InterventionPercentage of Participants (Number)
EradicationPersistenceIndeterminate
MK-7625A + Metronidazole90.29.80.0

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Percentage of Participants With Microbiological Response (Eradication, Persistence, or Indeterminate) at EOT

"The percentage of participants with microbiological responses (eradication, persistence, or indeterminate) at EOT was determined. Eradication was defined as absence of the baseline pathogen in a specimen. Persistence was defined as presence of the baseline pathogen in a specimen. Indeterminate was defined as Baseline culture either not obtained or has an assessment of no growth, or any other circumstance that makes it impossible to define the microbiological response." (NCT02739997)
Timeframe: Up to Day 14

InterventionPercentage of Participants (Number)
EradicationPersistenceIndeterminate
MK-7625A + Metronidazole93.86.20.0

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Percentage of Participants With Microbiological Response (Eradication, Persistence, or Indeterminate) by Pathogen at EOT

The percentage of participants with per-pathogen microbiological responses at EOT was determined. Individual pathogens were identified at baseline, and the overall percentage of participants with eradication or presumed eradication within each pathogen category are shown. (NCT02739997)
Timeframe: Up to Day 14

InterventionPercentage of Participants (Number)
Gram-Negative AerobesGram-Positive AerobesGram-Negative AnaerobesGram-Positive Anaerobes
MK-7625A + Metronidazole94.595.097.790.5

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Percentage of Participants With Microbiological Response (Eradication, Persistence, or Indeterminate) by Pathogen at TOC

The percentage of participants with per-pathogen microbiological responses at TOC was determined. Individual pathogens were identified at baseline, and the overall percentage of participants with eradication or presumed eradication within each pathogen category are shown. (NCT02739997)
Timeframe: Day 28 (28 days after initiating study therapy)

InterventionPercentage of Participants (Number)
Gram-Negative AerobesGram-Positive AerobesGram-Negative AnaerobesGram-Positive Anaerobes
MK-7625A + Metronidazole90.689.595.285.0

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Number of Patients With a Response of Microbiologic Eradication

mMITT (NCT02753946)
Timeframe: TOC Visit (Day 19)

InterventionParticipants (Count of Participants)
ZTI-01121
Piperacillin Tazobactam100

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Number of Patients With a Response of Clinical Cure in Various Protocol Populations

mMITT (NCT02753946)
Timeframe: TOC Visit (Day 19)

InterventionParticipants (Count of Participants)
ZTI-01167
Piperacillin Tazobactam163

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Number of Patients With an Overall Success

Clinical cure (resolution or significant improvement in signs and symptoms) and microbiologic eradication (baseline pathogen) in m-MITT population (NCT02753946)
Timeframe: TOC Visit (Day 19)

InterventionParticipants (Count of Participants)
ZTI-01119
Piperacillin Tazobactam97

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Readmission Rates

Percentage of patients readmitted to the hospital after discharge. (NCT02991937)
Timeframe: 1 Year

Interventionpercentage of participants (Number)
Medical Therapy25
Surgical Intervention0

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Incidence of Long-term Complications in Medical Therapy Group

Incidence of long-term complications will be reported as number of cases where appendicitis reoccurred resulting in appendectomies in participants of the medical therapy arm. This data will be obtained from medical record review. (NCT02991937)
Timeframe: 1 Year

InterventionNumber of cases in 20 participants (Number)
Medical Therapy30

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Pediatric Quality of Life Inventory (PedsQL) Generic Core Scale - Parent

Brief, standardized, generic assessment instrument that systematically assesses patients' and parents' perceptions of health-related quality of life (HRQOL) in pediatric patients with chronic health conditions using pediatric cancer as an exemplary model. PedsQL consists of 23 items scored on a 5-point Likert scale (0=never to 4=almost always). Items are reversed scored and linearly transformed to a 0-100 scale (0=100, 1=75, 2=50, 3=25, and 4=0). The total score range is 0-100; the higher the score, the better the HRQOL. (NCT02991937)
Timeframe: 1 Year

Interventionscore on a scale (Median)
Medical Therapy91.3
Surgical Intervention90.2

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Ceftolozane Clearnace

Liters/hour (continuous values) (NCT03002506)
Timeframe: 24 hours

InterventionLiters per hour (Mean)
Ceftolozane/Tazobactam7.79

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Number of Participants With Adverse Events

Any harmful, undesirable, potentially serious and life threatening effects occurring during or after administration of the antibiotics proposed in this study (piperacillin / tazobactam, imipenem or meropenem), was evaluated as: none or adverse event classified according to the intensity of the clinical manifestation (severity) as: mild, moderate or severe and for each antibiotic. (NCT03019965)
Timeframe: Number of participants with adverse events evaluated by an physician at the time of administration of antibiotics, up to an average to 24 hours after the study drug cessation.

InterventionParticipants (Count of Participants)
Intermittent. Piperacillin/Tazobactam, Imipenem, Meropenem1
Prolonged Infusion. Continuous Piperacillin/Tazobactam, Extended Imipenem, Extended Meropenem3

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Number of Participants With Clinical Response

"Resolution. Disappearance of all signs and symptoms related to the infection.~Failure. Insufficient lessening of the signs and symptoms of infection to qualify as improvement, including death or indeterminate (no evaluation possible, for any reason)." (NCT03019965)
Timeframe: Number of participants with clinical response at 14 days after antibiotic cessation, up to an average of 28 days or the day of your discharge if this occurred before 14 days after antibiotic cessation.

InterventionParticipants (Count of Participants)
Intermittent. Piperacillin/Tazobactam, Imipenem, Meropenem178
Prolonged Infusion. Continuous Piperacillin/Tazobactam, Extended Imipenem, Extended Meropenem169

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Recurrent Appendicitis

Number of persons who experience recurrent appendicitis requiring hospitalization. Because the early appendectomy arm participant by definition have no appendix to infect after surgery, they are not shown below. (NCT03159754)
Timeframe: 2 years; (Although this appears longer than trial duration, study completion date is based on last 2 year survey turned in, and medical record analysis looked a full two years per participant which extended a bit longer.)

InterventionParticipants (Count of Participants)
Interval Appendectomy2
No Appendectomy0

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Number of Percutaneous Drainage Procedures

Number of persons with differing numbers of percutaneous drainage procedures (NCT03159754)
Timeframe: During index/initial hospitalization (generally not more than 5-6 weeks)

,,
InterventionParticipants (Count of Participants)
1 drainage2 drainage procedures
Early Appendectomy41
Interval Appendectomy40
No Appendectomy10

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Parents Away From Work

"Parents away from work measured in days is presented here. The intention was to collect missed activity days for children as well as missed parent work days. However, the question to capture this information referred to school and was determined to be too inconsistent with the way the question may have been interpreted when the survey was given to code reliably." (NCT03159754)
Timeframe: During index/initial hospitalization (generally not more than 5-6 weeks)

Interventiondays (Mean)
Early Appendectomy7.6
Interval Appendectomy9.3
No Appendectomy3.5

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Quality of Life (PedsQL)

Original QOL outcome measure listed was: Quality of life measured by PedsQL 2 years following discharge. Two year data collected was insufficient to allow for any analysis. One month GI QOL data collected, also listed in the protocol, is shown below. GI QoL is a validated measure with scores ranging from 0 to 100, where lower scores mean worse quality of life and higher scores mean better quality of life. Peds QL is a validated measure with scores ranging from 0 to 100, where lower scores mean worse quality of life and higher scores mean better quality of life. (NCT03159754)
Timeframe: 1 month; for GI QOL; 2 years for Peds QL

,
Interventionscore on a scale (Mean)
1 month GI QOL
Interval Appendectomy88.4
No Appendectomy87.25

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Quality of Life (PedsQL)

Original QOL outcome measure listed was: Quality of life measured by PedsQL 2 years following discharge. Two year data collected was insufficient to allow for any analysis. One month GI QOL data collected, also listed in the protocol, is shown below. GI QoL is a validated measure with scores ranging from 0 to 100, where lower scores mean worse quality of life and higher scores mean better quality of life. Peds QL is a validated measure with scores ranging from 0 to 100, where lower scores mean worse quality of life and higher scores mean better quality of life. (NCT03159754)
Timeframe: 1 month; for GI QOL; 2 years for Peds QL

Interventionscore on a scale (Mean)
1 month GI QOL2 year Peds QL (parental report)2 year Peds QL teen report
Early Appendectomy80.1886.387.34

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Complications

Number of persons who experience any of a number of specified complications, including new/recurrent abscess, wound infection, small bowel obstruction, or need for a larger operation (NCT03159754)
Timeframe: During index/initial hospitalization (generally not more than 5-6 weeks)

InterventionParticipants (Count of Participants)
Early Appendectomy9
Interval Appendectomy6
No Appendectomy1

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Duration of Antibiotic Therapy

Duration of antibiotic therapy measured in days (NCT03159754)
Timeframe: During index/initial hospitalization (generally not more than 5-6 weeks)

Interventiondays (Mean)
Early Appendectomy6.3
Interval Appendectomy5.1
No Appendectomy5.4

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Length of Stay

Length of all hospital stays measured in days (NCT03159754)
Timeframe: During index/initial hospitalization (generally not more than 5-6 weeks)

Interventiondays (Mean)
Early Appendectomy7.8
Interval Appendectomy7.4
No Appendectomy3.5

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Number of Radiographic Imaging Studies

Number of radiographic imaging studies including ultrasound, CT, and MRI (NCT03159754)
Timeframe: During index/initial hospitalization (generally not more than 5-6 weeks)

Interventionnumber of imaging procedures/participant (Mean)
Early Appendectomy1.96
Interval Appendectomy2.04
No Appendectomy1.88

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Number of Participants Who Discontinued Study Therapy Due to AE(s)

An AE was defined as any untoward medical occurrence in a participant administered study treatment and which did not necessarily have to have a causal relationship with this treatment. The number of participants who discontinued study treatment due to an AE is presented. (NCT03217136)
Timeframe: Up to approximately 18 days

InterventionParticipants (Count of Participants)
Ceftolozane/Tazobactam + Metronidazole2
Meropenem0

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Number of Participants Experiencing ≥1 Adverse Events (AEs)

An AE was defined as any untoward medical occurrence in a participant administered study treatment and which did not necessarily have to have a causal relationship with this treatment. The number of participants who experienced an AE is presented. (NCT03217136)
Timeframe: Up to approximately 75 days

InterventionParticipants (Count of Participants)
Ceftolozane/Tazobactam + Metronidazole56
Meropenem13

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"Percentage of Participants With a Clinical Response of Cure at the End of Treatment (EOT) Visit"

"The percentage of participants who had a clinical outcome of cure at the time of the EOT visit is presented. The cure clinical outcome was defined as complete resolution or marked improvement in signs and symptoms of the complicated intra-abdominal infection (cIAI) or return to pre-infection signs and symptoms such that no further antibiotic therapy (intravenous or oral) or surgical or drainage procedure is required for treatment of the cIAI. Participants who were missing clinical response data were considered treatment failures." (NCT03217136)
Timeframe: Up to approximately 27 days

InterventionPercentage of participants (Number)
Ceftolozane/Tazobactam + Metronidazole80.0
Meropenem95.2

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"Percentage of Participants With a Clinical Response of Cure at the Test of Cure (TOC) Visit"

"The percentage of participants who had a clinical outcome of cure at the time of the TOC visit is presented. The cure clinical outcome was defined as complete resolution or marked improvement in signs and symptoms of the complicated intra-abdominal infection (cIAI) or return to pre-infection signs and symptoms such that no further antibiotic therapy (intravenous or oral) or surgical or drainage procedure is required for treatment of the cIAI. Participants who were missing clinical response data were considered treatment failures." (NCT03217136)
Timeframe: Up to approximately 39 days

InterventionPercentage of participants (Number)
Ceftolozane/Tazobactam + Metronidazole80.0
Meropenem100.0

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Percentage of Participants With Microbiological Eradication at the TOC Visit

The percentage of participants who achieved either eradication or presumed eradication of each baseline infecting pathogen by the time of the TOC visit is presented. Eradication was defined as absence of the baseline pathogen(s) in a postbaseline specimen appropriately obtained from the original site of infection. Presumed eradication was defined as absence of material to culture in a participant who is assessed as having partial improvement, or clinical cure. In the event of multiple baseline pathogens, the least favorable microbiological response from all possible baseline pathogens was used. (NCT03217136)
Timeframe: Up to approximately 39 days

InterventionPercentage of participants (Number)
Ceftolozane/Tazobactam + Metronidazole84.1
Meropenem100

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Percentage of Participants With Microbiological Eradication at the EOT Visit

The percentage of participants who achieved either eradication or presumed eradication of each baseline infecting pathogen by the time of the EOT visit is presented. Eradication was defined as absence of the baseline pathogen(s) in a postbaseline specimen appropriately obtained from the original site of infection. Presumed eradication was defined as absence of material to culture in a participant who is assessed as having partial improvement, or clinical cure. In the event of multiple baseline pathogens, the least favorable microbiological response from all possible baseline pathogens was used. (NCT03217136)
Timeframe: Up to approximately 27 days

InterventionPercentage of participants (Number)
Ceftolozane/Tazobactam + Metronidazole84.1
Meropenem94.7

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Percentage of Participants With a Clinical Response of Cure at the Test of Cure Visit

Clinical response of cure is complete resolution or marked improvement in signs and symptoms of the complicated urinary tract infection (cUTI) or return to pre-infection signs and symptoms, such that no further antibiotic therapy (IV or oral) is required for the treatment of the cUTI. The 95% confidence intervals (CIs) of each treatment are unstratified Wilson CIs. (NCT03230838)
Timeframe: Up to Test of Cure Visit (up to 35 days)

InterventionPercentage of participants (Number)
Ceftolozane/Tazobactam88.7
Meropenem95.8

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Percentage of Participants With Microbiological Eradication of All Baseline Pathogens at the End of Treatment Visit

Microbiological eradication of all baseline pathogens is defined as a postbaseline urine culture shows all uropathogens found at baseline at ≥10^5 colony-forming units (CFU)/mL are reduced to <10^4 CFU/mL. The 95% CIs of each treatment are unstratified Wilson CIs. (NCT03230838)
Timeframe: Up to 48 hours after last oral dose (up to 19 days)

InterventionPercentage of participants (Number)
Ceftolozane/Tazobactam93.0
Meropenem95.8

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Percentage of Participants With Microbiological Eradication of All Baseline Pathogens at the Test of Cure Visit

Microbiological eradication of all baseline pathogens is defined as a postbaseline urine culture shows all uropathogens found at baseline at ≥10^5 colony-forming units (CFU)/mL are reduced to <10^4 CFU/mL. The 95% CIs of each treatment are unstratified Wilson CIs. (NCT03230838)
Timeframe: Up to Test of Cure Visit (up to 35 days)

InterventionPercentage of participants (Number)
Ceftolozane/Tazobactam84.5
Meropenem87.5

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Number of Participants Discontinuing Study Therapy Due to AE

An adverse event (AE) is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal product or protocol specified procedure, whether or not considered related to the medicinal product or protocol specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an AE. (NCT03230838)
Timeframe: Up to Day 15

InterventionParticipants (Count of Participants)
Ceftolozane/Tazobactam1
Meropenem0

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Percentage of Participants With a Clinical Response of Cure at the End of Treatment Visit

Clinical response of cure is complete resolution or marked improvement in signs and symptoms of the cUTI or return to pre-infection signs and symptoms, such that no further antibiotic therapy (IV or oral) is required for the treatment of the cUTI. The 95% CIs of each treatment are unstratified Wilson CIs. (NCT03230838)
Timeframe: Up to 48 hours after last oral dose (up to 19 days)

InterventionPercentage of participants (Number)
Ceftolozane/Tazobactam94.4
Meropenem100.0

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Number of Participants With ≥1 Adverse Events (AEs)

An adverse event (AE) is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal product or protocol specified procedure, whether or not considered related to the medicinal product or protocol specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an AE. (NCT03230838)
Timeframe: Up to Day 88

InterventionParticipants (Count of Participants)
Ceftolozane/Tazobactam59
Meropenem20

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Unbound Ceftolozane Exposure in the CSF

Unbound Ceftolozane Exposure in the CSF given by the area under the unbound concentration-time curve from time zero to infinity (AUC0-inf). (NCT03309657)
Timeframe: "Samples collected from 0 to 8 hours post dose at 0, 1, 2,4,6, & 8 h post dose were use estimate area under the curve from time zero to infinity estimated by non-compartmental analysis"

Interventionmg*h/L (Median)
Ceftolozane Tazobactam30.2

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Unbound Ceftolozane Exposure in the Plasma

Unbound Ceftolozane Exposure in the plasma given by the area under the unbound concentration-time curve from time zero to infinity (AUC0-inf). (NCT03309657)
Timeframe: "Samples collected from 0 to 8 hours post dose at 0, 1, 2,4,6, & 8 h post dose were use estimate area under the curve from time zero to infinity estimated by non-compartmental analysis"

Interventionmg*h/L (Median)
Ceftolozane Tazobactam322.6

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Unbound Tazobactam Exposure in the CSF

Unbound Tazobactam Exposure in the CSF given by the area under the unbound concentration-time curve from time zero to infinity (AUC0-inf). (NCT03309657)
Timeframe: "Samples collected from 0 to 8 hours post dose at 0, 1, 2,4,6, & 8 h post dose were use estimate area under the curve from time zero to infinity estimated by non-compartmental analysis"

Interventionmg*h/L (Median)
Ceftolozane Tazobactam5.6

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Unbound Tazobactam Exposure in the Plasma

Unbound Tazobactam Exposure in the plasma given by the area under the unbound concentration-time curve from time zero to infinity (AUC0-inf). (NCT03309657)
Timeframe: "Samples collected from 0 to 8 hours post dose at 0, 1, 2,4,6, & 8 h post dose were use estimate area under the curve from time zero to infinity estimated by non-compartmental analysis"

Interventionmg*h/L (Median)
Ceftolozane Tazobactam52.1

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Number of Participants With Favorable Microbiological Response in the mMITT Analysis Set at LFU.

The secondary efficacy outcome is favorable microbiological response of the patients in the mMITT (Microbiological Modified Intent-To-Treat) Analysis Set at late follow-up (LFU). The clinical outcome has three categories: Favorable clinical response, Clinical failure, and Indeterminate. (NCT03485950)
Timeframe: 35 to 42 days after the start of inpatient IV study drug.

InterventionParticipants (Count of Participants)
Ceftolozane/Tazobactam Arm3
Standard of Care (SOC) Arm2

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Number of Participants With Favorable Clinical Response in the ME Analysis Set at TOC

The secondary efficacy outcome is favorable clinical response of the patients in the ME (Microbiologically Evaluable) Analysis Set at test-of-cure (TOC). The clinical outcome has three categories: Favorable clinical response, Clinical failure, and Indeterminate. (NCT03485950)
Timeframe: 21 to 28 days after the start of inpatient IV study drug.

InterventionParticipants (Count of Participants)
Ceftolozane/Tazobactam Arm2
Standard of Care (SOC) Arm1

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Number of Participants With Favorable Clinical Response in the MITT Analysis Set at Late Follow-Up (LFU)

The secondary efficacy outcome is favorable clinical response of the patients in the MITT (Modified Intent-To-Treat) Analysis Set at late follow-up (LFU). The clinical outcome has three categories: Favorable clinical response, Clinical failure, and Indeterminate. (NCT03485950)
Timeframe: 35 to 42 days after the start of inpatient IV study drug

InterventionParticipants (Count of Participants)
Ceftolozane/Tazobactam Arm33
Standard of Care (SOC) Arm26

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Number of Participants With Favorable Microbiological Response in the ME Analysis Set at TOC.

The secondary efficacy outcome is favorable microbiological response of the patients in the ME (Microbiologically Evaluable) Analysis Set at test-of-cure (TOC). The clinical outcome has three categories: Favorable clinical response, Clinical failure, and Indeterminate. (NCT03485950)
Timeframe: 21 to 28 days after the start of inpatient IV study drug

InterventionParticipants (Count of Participants)
Ceftolozane/Tazobactam Arm2
Standard of Care (SOC) Arm1

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Number of Participants With Favorable Microbiological Response in the ME Analysis Set at LFU

The secondary efficacy outcome is favorable microbiological response of the patients in the ME (Microbiologically Evaluable) Analysis Set at late follow-up (LFU). The clinical outcome has three categories: Favorable clinical response, Clinical failure, and Indeterminate. (NCT03485950)
Timeframe: 35 to 42 days after the start of inpatient IV study drug

InterventionParticipants (Count of Participants)
Ceftolozane/Tazobactam Arm2
Standard of Care (SOC) Arm1

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Number of Participants With Favorable Microbiological Response in the ME Analysis Set at EOIV.

The secondary efficacy outcome is favorable clinical response of the patients in the ME (Microbiologically Evaluable) Analysis Set at end of inpatient intravenous therapy (EOIV). The clinical outcome has three categories: Favorable clinical response, Clinical failure, and Indeterminate. (NCT03485950)
Timeframe: Within 72 hours after administration of the last dose of inpatient IV study drug

InterventionParticipants (Count of Participants)
Ceftolozane/Tazobactam Arm2
Standard of Care (SOC) Arm1

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Number of Participants With Favorable Clinical Response in the mMITT Analysis Set at Test of Cure (TOC)

The secondary efficacy outcome is favorable clinical response of the patients in the mMITT (Microbiological Modified Intent-To-Treat) Analysis Set at test-of-cure (TOC). The clinical outcome has three categories: Favorable clinical response, Clinical failure, and Indeterminate. (NCT03485950)
Timeframe: 21 to 28 days after the start of inpatient IV study drug.

InterventionParticipants (Count of Participants)
Ceftolozane/Tazobactam Arm3
Standard of Care (SOC) Arm1

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Number of Participants With Favorable Clinical Response in the mMITT Analysis Set at Late Follow-Up (LFU)

The secondary efficacy outcome is favorable clinical response of the patients in the mMITT (Microbiological Modified Intent-To-Treat) Analysis Set at late follow-up (LFU). The clinical outcome has three categories: Favorable clinical response, Clinical failure, and Indeterminate. (NCT03485950)
Timeframe: 35 to 42 days after the start of inpatient IV study drug

InterventionParticipants (Count of Participants)
Ceftolozane/Tazobactam Arm3
Standard of Care (SOC) Arm1

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Number of Participants With Favorable Clinical Response in the MITT Analysis Set at TOC

The secondary efficacy outcome is favorable clinical response of the patients in the MITT (Modified Intent-To-Treat) Analysis Set at test-of-cure (TOC). The clinical outcome has three categories: Favorable clinical response, Clinical failure, and Indeterminate. (NCT03485950)
Timeframe: 21 to 28 days after the start of inpatient IV study drug

InterventionParticipants (Count of Participants)
Ceftolozane/Tazobactam Arm34
Standard of Care (SOC) Arm28

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Number of Participants With Favorable Clinical Response in the Microbiological Modified Intent-to-treat (mMITT) Analysis Set at EOIV.

The secondary efficacy outcome is favorable clinical response of the patients in the mMITT (Microbiological Modified Intent-To-Treat) Analysis Set at end of inpatient intravenous therapy (EOIV). The clinical outcome has three categories: Favorable clinical response, Clinical failure, and Indeterminate. (NCT03485950)
Timeframe: Within 72 hours after administration of the last dose of inpatient IV study drug.

InterventionParticipants (Count of Participants)
Ceftolozane/Tazobactam Arm3
Standard of Care (SOC) Arm1

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Number of Participants With Favorable Clinical Response in the ME Analysis Set at LFU.

The secondary efficacy outcome is favorable clinical response of the patients in the ME (Microbiologically Evaluable) Analysis Set at late follow-up (LFU). The clinical outcome has three categories: Favorable clinical response, Clinical failure, and Indeterminate. (NCT03485950)
Timeframe: 35 to 42 days after the start of inpatient IV study drug

InterventionParticipants (Count of Participants)
Ceftolozane/Tazobactam Arm2
Standard of Care (SOC) Arm1

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Number of Participants With Favorable Clinical Response in the ME Analysis Set at EOIV.

The secondary efficacy outcome is favorable clinical response of the patients in the ME (Microbiologically Evaluable) Analysis Set at end of inpatient intravenous therapy (EOIV). The clinical outcome has three categories: Favorable clinical response, Clinical failure, and Indeterminate. (NCT03485950)
Timeframe: Within 72 hours after administration of the last dose of inpatient IV study drug.

InterventionParticipants (Count of Participants)
Ceftolozane/Tazobactam Arm2
Standard of Care (SOC) Arm1

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Number of Participants With Favorable Clinical Response in the Clinically Evaluable (CE) Analysis Set at EOIV.

The secondary efficacy outcome is favorable clinical response of the patients in the CE (Clinically Evaluable) Analysis Set at end of inpatient intravenous therapy (EOIV). The clinical outcome has three categories: Favorable clinical response, Clinical failure, and Indeterminate. (NCT03485950)
Timeframe: Within 72 hours after administration of the last dose of inpatient IV study drug.

InterventionParticipants (Count of Participants)
Ceftolozane/Tazobactam Arm29
Standard of Care (SOC) Arm32

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Number of Participants With Favorable Clinical Response in the CE Analysis Set at TOC

The secondary efficacy outcome is favorable clinical response of the patients in the CE (Clinically Evaluable) Analysis Set at test-of-cure (TOC). The clinical outcome has three categories: Favorable clinical response, Clinical failure, and Indeterminate. (NCT03485950)
Timeframe: 21 to 28 days after the start of inpatient IV study drug

InterventionParticipants (Count of Participants)
Ceftolozane/Tazobactam Arm28
Standard of Care (SOC) Arm26

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Number of Participants With Favorable Clinical Response at End of Inpatient Intravenous Therapy (EOIV)

Resolution of all acute signs and symptoms of the primary infection or improvement to such an extent that no additional antibacterial therapy is required (ie, except for protocol-allowed adjunctive therapies and/or oral or IV switch) and such that no more than 14 days of total antibacterial therapy is required. (NCT03485950)
Timeframe: Within 72 hours after administration of the last dose of inpatient IV study drug

InterventionParticipants (Count of Participants)
Ceftolozane/Tazobactam Arm41
Standard of Care (SOC) Arm36

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Favorable Microbiological Response in the mMITT Analysis Set at TOC.

The secondary efficacy outcome is favorable microbiological response of the patients in the mMITT (Microbiological Modified Intent-To-Treat) Analysis Set at test-of-cure (TOC). The clinical outcome has three categories: Favorable clinical response, Clinical failure, and Indeterminate. (NCT03485950)
Timeframe: 21 to 28 days after the start of inpatient IV study drug

InterventionParticipants (Count of Participants)
Ceftolozane/Tazobactam Arm3
Standard of Care (SOC) Arm2

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30 Day All-cause Mortality in the mMITT Analysis Set

The secondary efficacy outcome is all-cause mortality of the patients in the mMITT (microbiological Modified Intent-To-Treat) Analysis Set, which is mortality within 30 days after the last dose of inpatient IV study drug. (NCT03485950)
Timeframe: 30 days after the last dose of inpatient IV study drug

InterventionParticipants (Count of Participants)
Ceftolozane/Tazobactam Arm0
Standard of Care (SOC) Arm0

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30 Day All-cause Mortality in the MITT Analysis Set

The secondary efficacy outcome is all-cause mortality of the patients in the MITT (Modified Intent-To-Treat) Analysis Set, which is mortality within 30 days after the last dose of inpatient IV study drug. (NCT03485950)
Timeframe: 30 days after the last dose of inpatient IV study drug

InterventionParticipants (Count of Participants)
Ceftolozane/Tazobactam Arm2
Standard of Care (SOC) Arm2

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Number of Participants With Favorable Microbiological Response in the mMITT Analysis Set at EOIV.

The secondary efficacy outcome is favorable microbiological response of the patients in the mMITT (Microbiological Modified Intent-To-Treat) Analysis Set at end of inpatient intravenous therapy (EOIV). The clinical outcome has three categories: Favorable clinical response, Clinical failure, and Indeterminate. (NCT03485950)
Timeframe: Within 72 hours after administration of the last dose of inpatient IV study drug

InterventionParticipants (Count of Participants)
Ceftolozane/Tazobactam Arm3
Standard of Care (SOC) Arm2

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Number of Participants With Favorable Clinical Response in the CE Analysis Set at LFU.

The secondary efficacy outcome is favorable clinical response of the patients in the CE (Clinically Evaluable) Analysis Set at late follow-up (LFU). The clinical outcome has three categories: Favorable clinical response, Clinical failure, and Indeterminate. (NCT03485950)
Timeframe: 35 to 42 days after the start of inpatient IV study drug

InterventionParticipants (Count of Participants)
Ceftolozane/Tazobactam Arm27
Standard of Care (SOC) Arm24

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Percentage of Participants With Favorable Per-Participant Microbiological Response of Eradication or Presumed Eradication at TOC Visit: Expanded Microbiologically Evaluable (EME) Population

An overall microbiological response was determined by the Sponsor for each participant based on individual microbiological responses for each baseline bacterial pathogen. A favorable individual microbiological response was eradication (absence of the baseline bacterial pathogen in a specimen appropriately obtained from the original site of infection) or presumed eradication (absence of material to culture in a participant who is assessed as a clinical cure). In order for the participant to have a favorable overall microbiological response, each individual baseline bacterial pathogen must have had a favorable microbiological outcome. The percentage of participants with a favorable per-participant microbiological response of eradication or presumed eradication was reported for the TOC visit. (NCT03830333)
Timeframe: Up to approximately Day 30

InterventionPercentage of Participants (Number)
Ceftolozane/Tazobactam + Metronidazole94.4
Meropenem + Placebo93.2

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Percentage of Participants With Favorable Microbiological Response of Eradication or Presumed Eradication, by Pathogen, at the TOC Visit: EME Population

A microbiological response was determined for each bacterial pathogen isolated at baseline by the Sponsor. Favorable microbiological responses included eradication (absence of the baseline bacterial pathogen in a specimen appropriately obtained from the original site of infection) or presumed eradication (absence of material to culture in a participant who is assessed as a clinical cure). The percentage of participants with a favorable microbiological response of eradication or presumed eradication was reported per pathogen for the TOC visit. (NCT03830333)
Timeframe: Up to approximately Day 30

InterventionPercentage of Participants (Number)
Gram-negative aerobesAll EnterobacteriaceaeOther Enterobacter spp.Escherichia coliKlebsiella oxytocaKlebsiella pneumoniaeMorganella morganiiPseudomonas aeruginosaGram-positive aerobesGram-negative anaerobesGram-positive anaerobes
Meropenem + Placebo95.095.0100.095.7100.090.9100.0100.088.2100.0100.0

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Percentage of Participants With Clinical Response (Clinical Cure, Clinical Failure, or Indeterminate) at TOC Visit: Intent to Treat (ITT) Population

"Clinical response was classified as cure, failure, or indeterminate. Clinical cure (favorable) was defined as complete resolution or significant improvement in signs and symptoms of the index infection, such that no additional antibacterial therapy or surgical or drainage procedure is required for the index infection. Clinical failure (unfavorable) was defined as death related to IAI at any time point; persisting or recurrent infection within the abdomen requiring additional intervention to cure; need for treatment with additional antibiotics for ongoing IAI symptoms; or post-surgical wound infection that requires additional antimicrobial therapy and/or non-routing wound care. Indeterminate (unfavorable) was defined as participants for whom study data were not available for evaluation of efficacy for any reason. The percentage of participants with clinical response of clinical cure, clinical failure, or indeterminate at TOC was summarized." (NCT03830333)
Timeframe: Up to approximately Day 30

,
InterventionPercentage of Participants (Number)
Clinical Cure (favorable)Clinical Failure (unfavorable)Indeterminate (unfavorable)
Ceftolozane/Tazobactam + Metronidazole85.114.20.7
Meropenem + Placebo89.69.70.7

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Percentage of Participants With Clinical Response (Clinical Cure, Clinical Failure, or Indeterminate) at EOT Visit: ITT Population

"Clinical response was classified as cure, failure, or indeterminate. Clinical cure (favorable) was defined as complete resolution or significant improvement in signs and symptoms of the index infection, such that no additional antibacterial therapy or surgical or drainage procedure is required for the index infection. Clinical failure (unfavorable) was defined as death related to IAI at any time point; persisting or recurrent infection within the abdomen requiring additional intervention to cure; need for treatment with additional antibiotics for ongoing IAI symptoms; or post-surgical wound infection that requires additional antimicrobial therapy and/or non-routing wound care. Indeterminate (unfavorable) was defined as participants for whom study data are not available for evaluation of efficacy for any reason. The percentage of participants with clinical response of clinical cure, clinical failure, or indeterminate at EOT was summarized." (NCT03830333)
Timeframe: Up to approximately Day 15

,
InterventionPercentage of Participants (Number)
Clinical Cure (favorable)Clinical Failure (unfavorable)Indeterminate (unfavorable)
Ceftolozane/Tazobactam + Metronidazole92.57.50.0
Meropenem + Placebo94.04.51.5

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Percentage of Participants With Clinical Response (Clinical Cure or Clinical Failure) at End of Therapy (EOT) Visit: CE Population

"Clinical response was classified as cure or failure. Clinical cure (favorable) was defined as complete resolution or significant improvement in signs and symptoms of the index infection, such that no additional antibacterial therapy or surgical or drainage procedure is required for the index infection. Clinical failure (unfavorable) was defined as death related to IAI at any time point; persisting or recurrent infection within the abdomen requiring additional intervention to cure; need for treatment with additional antibiotics for ongoing IAI symptoms; or post-surgical wound infection that requires additional antimicrobial therapy and/or non-routing wound care. The percentage of participants with clinical response of clinical cure or clinical failure at EOT was summarized." (NCT03830333)
Timeframe: Up to approximately Day 15

,
InterventionPercentage of Participants (Number)
Clinical Cure (favorable)Clinical Failure (unfavorable)
Ceftolozane/Tazobactam + Metronidazole98.11.9
Meropenem + Placebo96.63.4

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Percentage of Participants Who Experienced 1 or More Adverse Events (AEs)

An AE was any untoward medical occurrence in a participant administered a pharmaceutical product that did not necessarily have to have a causal relationship with this treatment. An AE could therefore have been any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to the medicinal product. The percentage of participants who experienced 1 or more AEs were summarized. (NCT03830333)
Timeframe: Up to approximately Day 30

InterventionPercentage of Participants (Number)
Ceftolozane/Tazobactam + Metronidazole50.0
Meropenem + Placebo50.7

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Percentage of Participants With Clinical Response (Clinical Cure or Clinical Failure) at Test of Cure (TOC) Visit: Clinically Evaluable (CE) Population

"Clinical response was classified as cure or failure. Clinical cure (favorable) was defined as complete resolution or significant improvement in signs and symptoms of the index infection, such that no additional antibacterial therapy or surgical or drainage procedure is required for the index infection. Clinical failure (unfavorable) was defined as death related to IAI at any time point; persisting or recurrent infection within the abdomen requiring additional intervention to cure; need for treatment with additional antibiotics for ongoing IAI symptoms; or post-surgical wound infection that requires additional antimicrobial therapy and/or non-routing wound care. The percentage of participants with clinical response of clinical cure or clinical failure at TOC was summarized." (NCT03830333)
Timeframe: Up to approximately Day 30

,
InterventionPercentage of Participants (Number)
Clinical Cure (favorable)Clinical Failure (unfavorable)
Ceftolozane/Tazobactam + Metronidazole95.24.8
Meropenem + Placebo93.16.9

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Percentage of Participants That Discontinued Study Treatment Due to an AE

An AE was any untoward medical occurrence in a participant administered a pharmaceutical product that did not necessarily have to have a causal relationship with this treatment. An AE could therefore have been any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to the medicinal product. The percentage of participants who had study drug discontinued during the study due to an AE was summarized. (NCT03830333)
Timeframe: Up to Day 14

InterventionPercentage of Participants (Number)
Ceftolozane/Tazobactam + Metronidazole2.2
Meropenem + Placebo2.2

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Percentage of Participants With Favorable Microbiological Response of Eradication or Presumed Eradication, by Pathogen, at the TOC Visit: EME Population

A microbiological response was determined for each bacterial pathogen isolated at baseline by the Sponsor. Favorable microbiological responses included eradication (absence of the baseline bacterial pathogen in a specimen appropriately obtained from the original site of infection) or presumed eradication (absence of material to culture in a participant who is assessed as a clinical cure). The percentage of participants with a favorable microbiological response of eradication or presumed eradication was reported per pathogen for the TOC visit. (NCT03830333)
Timeframe: Up to approximately Day 30

InterventionPercentage of Participants (Number)
Gram-negative aerobesAll EnterobacteriaceaeCitrobacter freundii complexCitrobacter koseriEnterobacter aerogenesEnterobacter cloacae complexEscherichia coliKlebsiella pneumoniaeProteus mirabilisAeromonas hydrophilaPseudomonas aeruginosaGram-positive aerobesGram-positive anaerobes
Ceftolozane/Tazobactam + Metronidazole94.093.8100.0100.0100.0100.093.8100.050.0100.075.080.0100.0

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Number of Participants Eligible to Switch to Oral Formulation According to Blinded Observer's Assessment

"Blinded assessment based on patient stabilization and ability to tolerate OS diet. In particular, the following details had to be met:~Systolic blood pressure normal/not clinically significant abnormal No infection related tachycardia Afebrile status; body temperature <38°C for at least 24 hours* WBC count normalized/not clinically significant abnormal Patient able to tolerate PO diet/to take PO treatment and no GI absorption problem~The measure counts only the participants eligible to switch, without taking into account the actually switched. Indeed, only linezolid in the BAT has an equivalent oral formulation suitable for the switch." (NCT04042077)
Timeframe: up to 14 days

InterventionParticipants (Count of Participants)
Delafloxacin129
Best Available Therapy129

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Hospital Length of Stay (LOS)

Length of Stay since Screening till actual hospital discharge (NCT04042077)
Timeframe: up to 45 days (Late Follow Up visit)

Interventionhours (Mean)
Delafloxacin178.8
Best Available Therapy193.5

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Number of Participants With Clinical Success at Test Of Cure Visit

"Clinical Success defined as the clinical response of Cure or improved. Below the definitions:~Cure: The complete resolution of all baseline signs and symptoms of SSI~Improved: two or more signs and/or symptoms (but not all) were considered resolved thus the patient had improved to an extent that no additional antibiotic treatment was necessary." (NCT04042077)
Timeframe: 7-14 days after last dose

InterventionParticipants (Count of Participants)
Delafloxacin123
Best Available Therapy119

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Microbiological Response

Documented or presumed eradication or persistence (NCT04042077)
Timeframe: up to 14 days (End Of Treatment visit) and 7-14 days after last dose (Test Of Cure visit)

InterventionParticipants (Count of Participants)
TOC Visit72552475TOC Visit72552474EOT Visit72552474EOT Visit72552475
EradicatedPersisted
Delafloxacin94
Best Available Therapy81
Delafloxacin11
Best Available Therapy21
Delafloxacin80
Best Available Therapy64
Delafloxacin25
Best Available Therapy38

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Superinfection Between Patients Treated With Continuous and Intermittent Infusion Beta-lactam Regimens.

Superinfection is defined as the growth of resistant Gram-negative bacteria during the follow-up period which was not isolated in baseline culture. Respiratory cultures during the follow up period were assessed for Gram-negative isolates resistant to the beta-lactams of interest that were not present in the initial respiratory cultures. (NCT05102162)
Timeframe: 4 weeks

InterventionBacteria isolates (Number)
Continuous Antibiotic Dose Over 24 Hours Arm0
Intermittent Antibiotic Dose Over 30 Minutes0

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Percent of Time Free Drug Concentrations Remain Above the Minimum Inhibitory Concentration (%fT>MIC) in the Dosing Interval Between Patients Treated With Continuous and Intermittent Infusion Beta-lactam Regimens

Beta-lactam bactericidal efficacy depends upon the percentage of time that free drug concentrations remain above the minimum inhibitory concentration (%fT>MIC) of the pathogen within the dosing interval. Pre-clinical animal studies demonstrate 40-70% fT>MIC is needed for adequate bacterial killing. However, clinical studies suggest higher exposures may be needed, potentially 100%fT>MIC to 100%fT>4xMIC. Patients had beta-lactam concentrations measured as part of therapeutic drug monitoring. Drug exposures were determined using a Bayesian-based software. Infusion arms were compared to determine if %fT>MIC was different between infusion arms. (NCT05102162)
Timeframe: 4 weeks

InterventionPercentage of time (Median)
Continuous Antibiotic Dose Over 24 Hours Arm100
Intermittent Antibiotic Dose Over 30 Minutes100

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Percent of Time Free Drug Concentrations Remain Above Four Multiples of the Minimum Inhibitory Concentration (%fT>4xMIC) in the Dosing Interval Between Patients Treated With Continuous and Intermittent Infusion Beta-lactam Regimens

Beta-lactam bactericidal efficacy depends upon the percentage of time that free drug concentrations remain above the minimum inhibitory concentration (%fT>MIC) of the pathogen within the dosing interval. Pre-clinical animal studies demonstrate 40-70% fT>MIC is needed for adequate bacterial killing. However, clinical studies suggest higher exposures may be needed, potentially 100%fT>MIC to 100%fT>4xMIC. Patients had beta-lactam concentrations measured as part of therapeutic drug monitoring. Drug exposures were determined using a Bayesian-based software. Infusion arms were compared to determine if %fT>4xMIC was different between infusion arms. (NCT05102162)
Timeframe: 4 weeks

InterventionPercentage of time (Median)
Continuous Antibiotic Dose Over 24 Hours Arm100
Intermittent Antibiotic Dose Over 30 Minutes100

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Microbiologic Eradication Between Patients Treated With Continuous and Intermittent Infusion Beta-lactam Regimens

Microbiologic eradication is defined as the absence of bacterial growth during the follow-up period with no subsequent positive culture from any site. Respiratory cultures during the follow up period were assessed for the absence of bacterial growth. (NCT05102162)
Timeframe: 4 weeks

InterventionBacteria isolates (Number)
Continuous Antibiotic Dose Over 24 Hours Arm1
Intermittent Antibiotic Dose Over 30 Minutes4

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Mortality Between Patients Treated With Continuous and Intermittent Infusion Beta-lactam Regimens

(NCT05102162)
Timeframe: 4 weeks

InterventionParticipants (Count of Participants)
Continuous Antibiotic Dose Over 24 Hours Arm2
Intermittent Antibiotic Dose Over 30 Minutes2

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Clinical Cure at Day 7 of Therapy Between Patients Treated With Continuous and Intermittent Infusion Beta-lactam Regimens

Clinical cure is the resolution of infection-related symptoms at day 7 of therapy, including normalization of body temperature and white blood cell (WBC) count and taking the patient off mechanical ventilation or vasopressors, and non-initiation of a new antibiotic within 48 hours of stopping the original antibiotic. (NCT05102162)
Timeframe: 7 Days

InterventionParticipants (Count of Participants)
Continuous Antibiotic Dose Over 24 Hours Arm0
Intermittent Antibiotic Dose Over 30 Minutes5

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Clinical Cure at the End of Therapy Between Patients Treated With Continuous and Intermittent Infusion Beta-lactam Regimens

Clinical cure is the resolution of infection-related symptoms at the end of therapy, including normalization of body temperature and white blood cell (WBC) count and taking the patient off mechanical ventilation or vasopressors, and non-initiation of a new antibiotic within 48 hours of stopping the original antibiotic. End of therapy could occur up to 4 weeks after enrollment. (NCT05102162)
Timeframe: 4 weeks

InterventionParticipants (Count of Participants)
Continuous Antibiotic Dose Over 24 Hours Arm3
Intermittent Antibiotic Dose Over 30 Minutes8

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Gram-negative Bacterial Resistance Emergence Between Patients Treated With Continuous and Intermittent Infusion Beta-lactam Regimens

Bacterial resistance is defined as new numeric increases (>/=2 fold) in the bacterial MIC during the follow-up period compared to the baseline when starting beta-lactam therapy. MICs were collected from respiratory samples and compared from study enrollment to end of the follow-up period for at least a 2 fold increase in MIC. (NCT05102162)
Timeframe: 4 weeks

InterventionBacteria isolates (Number)
Continuous Antibiotic Dose Over 24 Hours Arm4
Intermittent Antibiotic Dose Over 30 Minutes8

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Hospital Length of Stay Between Patients Treated With Continuous and Intermittent Infusion Beta-lactam Regimens.

(NCT05102162)
Timeframe: 4 weeks (may extend beyond depending on patient length of stay in hospital)

InterventionDays (Median)
Continuous Antibiotic Dose Over 24 Hours Arm27
Intermittent Antibiotic Dose Over 30 Minutes18

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Intensive Care Unit (ICU) Length of Stay Between Patients Treated With Continuous and Intermittent Infusion Beta-lactam Regimens

(NCT05102162)
Timeframe: 4 weeks (may extend beyond depending on patient length of stay in ICU)

InterventionDays (Median)
Continuous Antibiotic Dose Over 24 Hours Arm23
Intermittent Antibiotic Dose Over 30 Minutes9

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