Evidence map›Paper›PMID 26610384›Full record

ArticleAdvances in therapy2015

Evaluation of Effectiveness and Safety of High-Dose Daptomycin: Results from Patients Included in the European Cubicin(®) Outcomes Registry and Experience.

R Andrew Seaton, Francesco Menichetti, Georgios Dalekos, Andres Beiras-Fernandez, Francisco Nacinovich, Rashidkhan Pathan, Kamal Hamed

Open access · hybridAbstract read
In one paragraph

Article in Advances in therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
4.1field-weighted citation impact, top 5% 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

26 citing papers in PubMed, 69 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Risk factors of daptomycin overexposure: a case-control study.Antimicrobial agents and chemotherapy · 2025
    Article
  5. Review
  6. Review
  7. Article
  8. Contemporary Management of Staphylococcus aureus Bacteremia-Controversies in Clinical Practice.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Review
  9. Article
  10. Article
  11. Importance and Reality of TDM for Antibiotics Not Covered by Insurance in Japan.International journal of environmental research and public health · 2022
    Review
  12. Review
  13. Article
  14. High-Dose Daptomycin and Clinical Applications.The Annals of pharmacotherapy · 2021
    Review
  15. Article
  16. Review
  17. Time-kill curves of daptomycin and Monte Carlo simulation for the treatment of bacteraemia caused by Enterococcus faecium.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2020
    Article
  18. The New, New Daptomycin Breakpoint forJournal of clinical microbiology · 2019
    Article
  19. Article
  20. Article
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

7 authors at 7 institutions in 8 countries.

R Andrew SeatonQueen Elizabeth University Hospital, Glasgow, UK.
Francesco MenichettiAzienda Ospedaliera Universitaria Pisana-Ospedale Cisanello-U.O. Malattie Infettive, Pisa, Italy.
Georgios DalekosDepartments of Medicine and Research Laboratory of Internal Medicine, School of Medicine, University of Thessaly, Larissa, Greece.
Andres Beiras-FernandezKlinik für Herzchirurgie, Universitätsklinik Großhadern, München, Germany.
Francisco NacinovichInstituto Cardiovascular de Buenos Aires, Ciudad de Buenos Aires, Argentina.
Rashidkhan PathanNovartis Healthcare Pvt. Ltd., Hyderabad, India.
Kamal HamedNovartis Pharmaceuticals Corporation, East Hanover, NJ, USA. kamal.hamed@novartis.com.ORCID http://orcid.org/0000-0003-1896-9736
Goethe University Frankfurt · DEInstituto Cardiovascular de Buenos Aires · ARNovartis (India) · INNovartis (Switzerland) · CHOspedale Cisanello · ITQueen Elizabeth University Hospital · GBUniversity of Thessaly · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDaptomycin, a rapid concentration-dependent bactericidal antibiotic, is approved at a dose of 4 mg/kg/day for the treatment of complicated skin and soft tissue infections (cSSTI) and at a dose of 6 mg/kg/day for the treatment of Staphylococcus aureus right-sided infective endocarditis (RIE) and bacteremia associated with cSSTI and RIE. Studies have reported the successful use of high-dose daptomycin (>6 mg/kg/day) in patients with difficult-to-treat infections. The present analysis evaluated the effectiveness and safety of high doses (>6 mg/kg/day) of daptomycin for the treatment of different Gram-positive infections.

methodsEuropean Cubicin(®) Outcomes Registry and Experience (EU-CORE) is a non-interventional, multicenter, retrospective, patient registry designed to collect real-world data from patients treated with daptomycin between 2006 and 2012. Clinical outcomes were assessed at the end of daptomycin treatment for three dose groups: ≤6, >6 to <8, and ≥8 mg/kg/day. Safety was assessed for up to 30 days post-daptomycin treatment.

resultsOf the 6075 patients enrolled in EU-CORE, 4892 patients received daptomycin doses ≤6 mg/kg/day, while 1097 patients received high doses (>6 mg/kg/day). The primary infections with the largest proportion of patients treated with a high dose (>6 mg/kg/day) were osteomyelitis (37.1%), foreign body/prosthetic infection (31.6%), and endocarditis (27.6%). S. aureus was identified in 42.9% of patients with positive cultures treated with either ≤6 or >6 mg/kg/day. The overall clinical success rate was 82.0% (899/1097) with high doses (>6 mg/kg/day) and 80.3% (3928/4890) with doses ≤6 mg/kg/day. Numerically higher clinical success rate was observed for endocarditis and foreign body/prosthetic infection, as well as for coagulase-negative staphylococcal and enterococcal infections, with high-dose daptomycin treatment. There were no new or unexpected safety findings at doses >6 mg/kg/day.

conclusionThese results suggested that daptomycin at doses >6 mg/kg/day was effective and well tolerated. High-dose daptomycin is a potential therapeutic option in patients with difficult-to-treat Gram-positive infections.

fundingThis study was funded by Novartis Pharma AG.

Indexed as

AdultAgedAnti-Bacterial AgentsDaptomycinDose-Response Relationship, DrugEuropeFemaleGram-Positive Bacterial InfectionsHumansMaleMiddle AgedRegistriesRetrospective StudiesTreatment OutcomeAnti-Bacterial AgentsDaptomycinClinical responseDaptomycinEU-COREGram-positive infectionsHigh doseInfectious diseasesSafety

Identifiers

PMID26610384
PMCPMC4679787
OpenAlexW2175507382

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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.