Evidence map›Paper›PMID 25652749›Full record

ArticleThe Journal of antimicrobial chemotherapy2015

SMT19969 for Clostridium difficile infection (CDI): in vivo efficacy compared with fidaxomicin and vancomycin in the hamster model of CDI.

Abdul Sattar, Pia Thommes, Lloyd Payne, Peter Warn, Richard J Vickers

Open access · hybridAbstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 35 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. European Practice for CDI Treatment.Advances in experimental medicine and biology · 2024
    Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Antimicrobial agents and chemotherapy · 2021
    Article
  10. Article
  11. Article
  12. An Engineered Synthetic Biologic Protects AgainstFrontiers in microbiology · 2018
    Article
  13. Novel Antimicrobials for the Treatment ofFrontiers in medicine · 2018
    Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Ridinilazole: a novel antimicrobial forAnnals of gastroenterology
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Abdul SattarEvotec (UK), Williams House, Manchester Science Park, Lloyd Street North, Manchester M15 6SE, UK.
Pia ThommesEvotec (UK), Williams House, Manchester Science Park, Lloyd Street North, Manchester M15 6SE, UK.
Lloyd PayneEvotec (UK), Williams House, Manchester Science Park, Lloyd Street North, Manchester M15 6SE, UK.
Peter WarnEvotec (UK), Williams House, Manchester Science Park, Lloyd Street North, Manchester M15 6SE, UK.
Richard J VickersSummit plc, Abingdon, Oxfordshire, UK richard.vickers@summitplc.com.
Williams (United Kingdom) · GBSummit (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSMT19969 is a novel narrow-spectrum antimicrobial under development for the treatment of Clostridium difficile infection (CDI). The objectives were to assess the relative efficacies of SMT19969, vancomycin and fidaxomicin in the hamster model of CDI.

methodsHamsters were infected with either C. difficile BI1 (ribotype 027) or C. difficile 630 (ribotype 012) prior to treatment with vehicle, SMT19969, fidaxomicin or vancomycin for 5 days. Animals were further monitored through to day 28 and survival recorded. Plasma and gastrointestinal concentrations of SMT19969 following single and repeat administration in infected hamsters were determined.

resultsFollowing infection with C. difficile BI1, treatment with SMT19969, vancomycin and fidaxomicin resulted in 100% survival during the 5 day dosing period, with 90%-100% of animals receiving SMT19969 and fidaxomicin surviving during the post-dosing follow-up period. Whilst protective during treatment, onset of mortality was observed on day 11 in animals treated with vancomycin, with a 10% survival recorded by day 28. Similar results were observed for SMT19969 and vancomycin following infection with C. difficile 630, with day 28 survival rates of 80%-100% and 0%, respectively. Fidaxomicin protected animals infected with C. difficile 630 from mortality during dosing, although day 28 survival rates varied from 0% to 40% depending on dose. Plasma levels of SMT19969 were typically below the limit of quantification, but levels in the gastrointestinal tract remained far in excess of the MIC.

conclusionsThese data show that SMT19969 is highly effective at treating both acute infection and preventing recurrent disease and support continued investigation of SMT19969 as a potential therapy for CDI.

Indexed as

AminoglycosidesAnimalsAnti-Bacterial AgentsBenzimidazolesClostridioides difficileClostridium InfectionsDisease Models, AnimalFidaxomicinGastrointestinal TractMesocricetusMicrobial Sensitivity TestsPlasmaPyridinesRecurrenceSurvival AnalysisTreatment OutcomeAminoglycosidesAnti-Bacterial AgentsBenzimidazolesFidaxomicinPyridinesridinilazoleVancomycinantimicrobialC. difficiletreatment

Identifiers

PMID25652749
PMCPMC4498292
OpenAlexW2100618300

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.