Evidence map›Paper›PMID 26096377›Full record

Trial reportJournal of clinical pharmacology2016

Ceftolozane/tazobactam pharmacokinetic/pharmacodynamic-derived dose justification for phase 3 studies in patients with nosocomial pneumonia.

Alan J Xiao, Benjamin W Miller, Jennifer A Huntington, David P Nicolau

2 registry-linked trialsOpen access · hybridAbstract readClinical Trial, Phase III
In one paragraph

Trial report in Journal of clinical pharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 68 papers.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed
14.9field-weighted citation impact, top 1% 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.

NCT02070757 phase3completednot on this map

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

TypeinterventionalSponsorCubist Pharmaceuticals LLC, a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA)Ran2014 to 2018Enrolled726ConditionsHealthcare-Associated Pneumonia, Ventilator-Associated Pneumonia, Lung DiseasesArmsCeftolozane/tazobactam, Meropenem
NCT03581370 phase3recruitingnot on this mapstarted 2018, after this paper: background citation

Comparison of Short Infusion Versus Prolonged Infusion of Ceftolozane-tazobactam Among Patients with Ventilator Associated-pneumonia to Pseudomonas Aeruginosa in Intensive Care Units

TypeinterventionalSponsorUniversity Hospital, ToulouseRan2018 to 2025Enrolled80ConditionsVentilator-associated PneumoniaArms1 hour infusion, 4 hours infusion
3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 149 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Review
  10. Nosocomial pneumonia: Current etiology and impact on antimicrobial therapy.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2023
    Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Antimicrobial Treatment ofAntibiotics (Basel, Switzerland) · 2022
    Review
  17. Article
  18. Review
  19. Ceftolozane-tazobactam in nosocomial pneumonia.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2022
    Review
  20. Article

8 more citing papers are in PubMed but not listed here.

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

4 authors at 2 institutions in 1 country.

Alan J XiaoMerck and Co., Inc., Kenilworth, NJ, USA.
Benjamin W MillerMerck and Co., Inc., Kenilworth, NJ, USA.
Jennifer A HuntingtonMerck and Co., Inc., Kenilworth, NJ, USA.
David P NicolauHartford Hospital, Hartford, CT, USA.
Merck & Co., Inc., Rahway, NJ, USA (United States) · USHartford Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ceftolozane/tazobactam is an antipseudomonal antibacterial approved for the treatment of complicated urinary tract infections (cUTIs) and complicated intra-abdominal infections (cIAIs) and in phase 3 clinical development for treatment of nosocomial pneumonia. 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. Monte Carlo simulations were performed to determine ceftolozane/tazobactam dosing regimens with a > 90% probability of target attainment (PTA) for a range of pharmacokinetic/pharmacodynamic targets at relevant minimum inhibitory concentrations (MICs) for key pathogens in nosocomial pneumonia. With a plasma-to-ELF penetration ratio of approximately 50%, as observed from an ELF PK study, a doubling of the current dose regimens for different renal functions that are approved for cUTIs and cIAIs is needed to achieve > 90% PTA for nosocomial pneumonia. For example, a 3-g dose of ceftolozane/tazobactam for nosocomial pneumonia patients with normal renal function is needed to achieve a > 90% PTA (actual 98%) for the 1-log kill target against pathogens with an MIC of ≤ 8 mg/L in ELF, compared with the 1.5-g dose approved for cIAIs and cUTIs.

Indexed as

AdultAnti-Bacterial AgentsBronchoalveolar Lavage FluidCephalosporinsCross InfectionDrug CombinationsFemaleHumansMaleMicrobial Sensitivity TestsMiddle AgedModels, BiologicalMonte Carlo MethodPenicillanic AcidPneumoniaTazobactamAnti-Bacterial AgentsceftolozaneCephalosporinsDrug CombinationsPenicillanic AcidTazobactamceftolozane/tazobactamdose justificationepithelial lining fluidnosocomial pneumoniaprobability of target attainmentPseudomonas aeruginosa

Identifiers

PMID26096377
PMCPMC5049594
OpenAlexW2150729119

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.