aztreonam has been researched along with Adverse Drug Event in 4 studies
Aztreonam: A monocyclic beta-lactam antibiotic originally isolated from Chromobacterium violaceum. It is resistant to beta-lactamases and is used in gram-negative infections, especially of the meninges, bladder, and kidneys. It may cause a superinfection with gram-positive organisms.
aztreonam : A synthetic monocyclic beta-lactam antibiotic (monobactam), used primarily to treat infections caused by Gram-negative bacteria. It inhibits mucopeptide synthesis in the bacterial cell wall, thereby blocking peptidoglycan crosslinking.
Excerpt | Relevance | Reference |
---|---|---|
" Frequency of treatment-emergent adverse events in the delafloxacin and vancomycin/aztreonam groups was similar." | 2.84 | Efficacy and safety of delafloxacin compared with vancomycin plus aztreonam for acute bacterial skin and skin structure infections: a Phase 3, double-blind, randomized study. ( Cammarata, S; Farley, B; Gardovskis, J; Lawrence, L; Ling, R; Pullman, J; Quintas, M; Sun, E, 2017) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 0 (0.00) | 18.7374 |
1990's | 0 (0.00) | 18.2507 |
2000's | 0 (0.00) | 29.6817 |
2010's | 4 (100.00) | 24.3611 |
2020's | 0 (0.00) | 2.80 |
Authors | Studies |
---|---|
Pullman, J | 1 |
Gardovskis, J | 1 |
Farley, B | 1 |
Sun, E | 1 |
Quintas, M | 1 |
Lawrence, L | 1 |
Ling, R | 1 |
Cammarata, S | 1 |
Shaw, E | 1 |
Rombauts, A | 1 |
Tubau, F | 1 |
Padullés, A | 1 |
Càmara, J | 1 |
Lozano, T | 1 |
Cobo-Sacristán, S | 1 |
Sabe, N | 1 |
Grau, I | 1 |
Rigo-Bonnin, R | 1 |
Dominguez, MA | 1 |
Carratalà, J | 1 |
Dryden, M | 1 |
Zhang, Y | 1 |
Wilson, D | 1 |
Iaconis, JP | 1 |
Gonzalez, J | 1 |
Elborn, JS | 1 |
Henig, NR | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
A Phase 3, Multicenter, Randomized, Double-blind, Active-controlled Study to Evaluate the Efficacy and Safety of Delafloxacin Compared With Vancomycin + Aztreonam in Patients With Acute Bacterial Skin and Skin Structure Infections[NCT01811732] | Phase 3 | 660 participants (Actual) | Interventional | 2013-04-30 | Completed | ||
A Phase III, Multicentre, Randomised, Double-Blind Comparative Study to Evaluate the Efficacy and Safety of Ceftaroline Fosamil (600 mg Every 8 Hours) vs Vancomycin Plus Aztreonam in the Treatment of Patients With Complicated Bacterial Skin and Soft Tissu[NCT02202135] | Phase 3 | 4 participants (Actual) | Interventional | 2014-06-30 | Terminated (stopped due to "Overall study status is changed to Terminated due to low enrollment") | ||
A Phase III, Multicentre, Randomised, Double-Blind Comparative Study to Evaluate the Efficacy and Safety of Ceftaroline Fosamil (600 mg Every 8 Hours) Versus Vancomycin Plus Aztreonam in the Treatment of Patients With Complicated Bacterial Skin and Soft T[NCT01499277] | Phase 3 | 802 participants (Actual) | Interventional | 2012-05-31 | Completed | ||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
"A patient was considered a Cure if all baseline signs and symptoms of ABSSSI had resolved; if some symptoms remained, but the patient was improved to the extent that no additional antibiotic treatment was necessary, the response was Improved. A patient was considered a Failure for any of the following reasons: nonstudy antibacterial drug therapy was required because of lack of efficacy after at least 4 doses of study drug or for a treatment-related AE; study antibacterial drug therapy was required for longer than 28 doses; and/or unplanned surgical intervention was needed after study entry except for limited bedside debridement and standard wound care. Improved and Indeterminate responses were considered failures in the primary analysis.~A sensitivity analysis was also performed, in which the assigned responses were Success (Cure + Improved) or Failure (Failure + Indeterminate/Missing)." (NCT01811732)
Timeframe: Study Day 14 +/- 1 day
Intervention | Participants (Count of Participants) | |||
---|---|---|---|---|
Cure | Improved | Failure | Indeterminate | |
Delafloxacin Plus Placebo | 172 | 98 | 9 | 52 |
Vancomycin Plus Aztreonam + Placebo | 166 | 108 | 7 | 48 |
A patient was considered a responder if s/he had a ≥20% reduction in size of the area of erythema associated with the baseline ABSSSI, as determined by digital planimetry of the leading edge and had none of the reasons for clinical failure; a patient was considered a non-responder (failure) if s/he had <20% reduction in size of the area of erythema associated with the baseline ABSSSI as determined by digital planimetry of the leading edge, or had major intervention such as another antibiotic or surgical intervention or died within 74 hours after initiation of study drug. (NCT01811732)
Timeframe: 48 to 72 hours after starting treatment
Intervention | Participants (Count of Participants) | |
---|---|---|
Responder | Non-Responder | |
Delafloxacin Plus Placebo | 259 | 72 |
Vancomycin Plus Aztreonam + Placebo | 266 | 63 |
Clinical cure is defined as resolution or improvement of signs and symptoms compared to baseline and no further antimicrobial therapy is necessary. Clinical failure is defined as any of the following: persistence or worsening in signs or symptoms, or requirement for concomitant antibiotic therapy, or requirement of an unplanned surgical intervention >48 hours after the first dose, or death caused by skin infection, or an AE leading to study drug discontinuation with alternative antimicrobial therapy required, or diagnosis of osteomyelitis >=8 days after the first dose. (NCT02202135)
Timeframe: 7 to 20 days after last dose of study drug
Intervention | Participant (Number) | ||
---|---|---|---|
Clinical cure | Clinical failure | Indeterminate | |
Ceftaroline | 3 | 0 | 1 |
The observed difference in the clinical relapse rates at LFU (ceftaroline group minus vancomycin plus aztreonam group) in CE. Clinical relapse rate at LFU is measured by comparing a patient's signs and symptoms at late follow-up to those when they were cured at TOC. (NCT01499277)
Timeframe: 21 to 42 days after the last dose of study drug
Intervention | Participants (Number) | |||
---|---|---|---|---|
Relapse | No relapse | Indeterminate | Missing | |
Ceftaroline | 3 | 335 | 3 | 1 |
Vancomycin/Aztreonam | 3 | 174 | 3 | 0 |
The observed difference in the clinical cure rates at EOT (ceftaroline group minus vancomycin plus aztreonam group) in MITT. Clinical cure rate is measured by comparing the participant's signs and symptoms at EOT visit to those recorded at study baseline. (NCT01499277)
Timeframe: On day of last dose of study drug (or + 1 day)
Intervention | Participants (Number) | |||
---|---|---|---|---|
Clinical cure | Clinical failure | Indeterminate | Missing | |
Ceftaroline | 429 | 44 | 31 | 2 |
Vancomycin/Aztreonam | 213 | 29 | 11 | 2 |
The observed difference in the clinical cure rates at EOT (ceftaroline group minus vancomycin plus aztreonam group) in CE. Clinical cure rate is measured by comparing the participant's signs and symptoms at EOT visit to those recorded at study baseline. (NCT01499277)
Timeframe: On day of last dose of study drug (or +1 day)
Intervention | Participants (Number) | |
---|---|---|
Clinical cure | Clinical failure | |
Ceftaroline | 356 | 39 |
Vancomycin/Aztreonam | 184 | 27 |
The observed difference in the clinical cure rates at TOC (ceftaroline group minus vancomycin plus aztreonam group) in MITT. Clinical cure rate is measured by comparing the participant's signs and symptoms at TOC visit to those recorded at study baseline. (NCT01499277)
Timeframe: 7 to 20 days after the last dose of study drug
Intervention | Participant (Number) | ||
---|---|---|---|
Clinical cure | Clinical failure | indeterminate | |
Ceftaroline | 396 | 58 | 52 |
Vancomycin/Aztreonam | 202 | 34 | 19 |
The observed difference in the clinical cure rates at TOC (ceftaroline group minus vancomycin plus aztreonam group) in CE. Clinical cure rate is measured by comparing the participant's signs and symptoms at TOC visit to those recorded at study baseline. (NCT01499277)
Timeframe: 7 to 20 days after the last dose of study drug
Intervention | Participant (Number) | |
---|---|---|
Clinical cure | Clinical failure | |
Ceftaroline | 342 | 53 |
Vancomycin/Aztreonam | 180 | 31 |
The observed difference in the early success rates at 48 to 72 hours of treatment (ceftaroline group minus vancomycin plus aztreonam group) in MITT. Early response rate as measured by comparing the participant's signs and symptoms at the 48-72 hour visit to those recorded at study baseline. (NCT01499277)
Timeframe: 48 to 72 hours after first dose of study drug
Intervention | Participants (Number) | ||
---|---|---|---|
success | failure | Indeterminate | |
Ceftaroline | 445 | 28 | 33 |
Vancomycin/Aztreonam | 229 | 11 | 15 |
Difference in microbiological favorable response rate at TOC in mMITT analysis set. Favorable microbiological response rate is measured by comparing TOC microbiological data to baseline microbiological data. In the absence of TOC microbiological data it is presumed from the clinical response. (NCT01499277)
Timeframe: 7 to 20 days after the last dose of study drug
Intervention | Participant (Number) | ||
---|---|---|---|
Favorable | Unfavorable | Indeterminate | |
Ceftaroline | 203 | 17 | 28 |
Vancomycin/Aztreonam | 109 | 17 | 10 |
Per-pathogen microbiological response at TOC by baseline pathogen from site of skin infection in ME analysis set (NCT01499277)
Timeframe: 7 to 20 days after the last dose of study drug
Intervention | Participants (Number) | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
MSSA - Favorable; (n=94, 57) | MSSA - Unfavorable; (n=94, 57) | MRSA - Favorable; (n=25, 15) | MRSA - Unfavorable; (n=25, 15) | Streptococcus pyogenes - Favorable; (n=15, 7) | Streptococcus pyogenes - Unfavorable; (n=15, 7) | Streptococcus agalactiae - Favorable; (n=6, 9) | Streptococcus agalactiae - Unfavorable; (n=6, 9) | Streptococcus dysgalactiae - Favorable; (n=9, 0) | Streptococcus dysgalactiae - Unfavorable; (n=9, 0) | Enterococcus faecalis - Favorable; (n=6, 5) | Enterococcus faecalis - Unfavorable; (n=6, 5) | Escherichia coli - Favorable; (n=12, 10) | Escherichia coli - Unfavorable; (n=12, 10) | Klebsiella pneumoniae - Favorable; (n=7, 4) | Klebsiella pneumoniae - Unfavorable; (n=7, 4) | Klebsiella oxytoca - Favorable; (n=4, 1) | Klebsiella oxytoca - Unfavorable; (n=4, 1) | Proteus mirabilis - Favorable; (n=7, 2) | Proteus mirabilis - Unfavorable; (n=7, 2) | Morganella morganii - Favorable; (n=4, 2) | Morganella morganii - Unfavorable; (n=4, 2) | Enterobacter cloacae - Favorable; (n=4, 5) | Enterobacter cloacae - Unfavorable; (n=4, 5) | |
Ceftaroline | 91 | 3 | 22 | 3 | 14 | 1 | 6 | 0 | 9 | 0 | 5 | 1 | 12 | 0 | 6 | 1 | 4 | 0 | 6 | 1 | 4 | 0 | 4 | 0 |
Vancomycin/Aztreonam | 49 | 8 | 12 | 3 | 7 | 0 | 9 | 0 | 0 | 0 | 4 | 1 | 9 | 1 | 3 | 1 | 1 | 0 | 2 | 0 | 2 | 0 | 5 | 0 |
Difference in microbiological favorable response rate at TOC in ME. Favourable microbiological response rate is measured by comparing TOC microbiological data to baseline microbiological data. In the absence of TOC microbiological data it is presumed from the clinical response. (NCT01499277)
Timeframe: 7 to 20 days after the last dose of study drug
Intervention | Participant (Number) | |
---|---|---|
Favourable | Unfavorable | |
Ceftaroline | 167 | 14 |
Vancomycin/Aztreonam | 98 | 14 |
1 review available for aztreonam and Adverse Drug Event
Article | Year |
---|---|
Optimal airway antimicrobial therapy for cystic fibrosis: the role of inhaled aztreonam lysine.
Topics: Administration, Inhalation; Aerosols; Anti-Bacterial Agents; Aztreonam; Controlled Clinical Trials a | 2010 |
2 trials available for aztreonam and Adverse Drug Event
1 other study available for aztreonam and Adverse Drug Event
Article | Year |
---|---|
Clinical outcomes after combination treatment with ceftazidime/avibactam and aztreonam for NDM-1/OXA-48/CTX-M-15-producing Klebsiella pneumoniae infection.
Topics: Aged; Aged, 80 and over; Anti-Bacterial Agents; Azabicyclo Compounds; Aztreonam; beta-Lactam Resista | 2018 |