Evidence map›Paper›PMID 26976128›Full record

Trial reportAnnals of clinical microbiology and antimicrobials2016

Real-world daptomycin use across wide geographical regions: results from a pooled analysis of CORE and EU-CORE.

R Andrew Seaton, Armando Gonzalez-Ruiz, Kerry O Cleveland, Kimberly A Couch, Rashidkhan Pathan, Kamal Hamed

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Annals of clinical microbiology and antimicrobials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 4% 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, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Daptomycin to bone and joint infections and prosthesis joint infections: a systematic review.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Expression ofmBio · 2025
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. High-Dose Daptomycin and Clinical Applications.The Annals of pharmacotherapy · 2021
    Review
  16. Article
  17. Daptomycin use in adult inpatients in a Canadian tertiary care setting.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2019
    Article
  18. Article
  19. Safety of high-dose daptomycin in patients with severe renal impairment.Therapeutics and clinical risk management · 2018
    Article
  20. 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

6 authors at 5 institutions in 4 countries.

R Andrew SeatonQueen Elizabeth University Hospital, Glasgow, UK.
Armando Gonzalez-RuizDarent Valley Hospital, Dartford, UK.
Kerry O ClevelandUniversity of Tennessee Health Science Center, Memphis, TN, USA.
Kimberly A CouchInfectious Diseases Pharmacy Associates, Inc., Stevensville, MD, USA.
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
Darent Valley Hospital · GBNovartis (India) · INNovartis (Switzerland) · CHQueen Elizabeth University Hospital · GBUniversity of Tennessee Health Science Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPooled data from two large registries, Cubicin(®) Outcomes Registry and Experience (CORE; USA) and European Cubicin(®) Outcomes Registry and Experience (EU-CORE; Europe, Latin America, and Asia), were analyzed to determine the characteristics and clinical outcomes of daptomycin therapy in patients with Gram-positive infections across wide geographical regions.

methodsPatients receiving at least one dose of daptomycin between 2004 and 2012 for the treatment of Gram-positive infections were included. Clinical success was defined as an outcome of 'cured' or 'improved'. Post-treatment follow-up data were collected for a subset of patients (CORE: osteomyelitis and orthopedic foreign body device infection; EU-CORE: endocarditis, intracardiac/intravascular device infection, osteomyelitis, and orthopedic device infection). Safety was assessed for up to 30 days after daptomycin treatment.

resultsIn 11,557 patients (CORE, 5482; EU-CORE, 6075) treated with daptomycin (median age, 62 [range, 1-103] years), the most frequent underlying conditions were cardiovascular disease (54.7 %) and diabetes mellitus (28.0 %). The most commonly treated primary infections were complicated skin and soft tissue infection (cSSTI; 31.2 %) and bacteremia (21.8 %). The overall clinical success rate was 77.2 % (uncomplicated SSTI, 88.3 %; cSSTI, 81.0 %; osteomyelitis, 77.7 %; foreign body/prosthetic infection (FBPI), 75.9 %; endocarditis, 75.4 %; and bacteremia, 69.5 %). The clinical success rate was 79.1 % in patients with Staphylococcus aureus infections (MRSA, 78.1 %). An increasing trend of high-dose daptomycin (>6 mg/kg/day) prescribing pattern was observed over time. Clinical success rates were higher with high-dose daptomycin treatment for endocarditis and FBPI. Adverse events (AEs) and serious AEs possibly related to daptomycin therapy were reported in 628 (5.4 %) and 133 (1.2 %) patients, respectively.

conclusionsThe real-world data showed that daptomycin was effective and safe in the treatment of various Gram-positive infections, including those caused by resistant pathogens, across wide geographical regions.

Indexed as

AdolescentAdultAgedAged, 80 and overAnti-Bacterial AgentsAsiaChildChild, PreschoolDaptomycinEuropeFemaleGram-Positive BacteriaGram-Positive Bacterial InfectionsHumansInfantInfant, NewbornAnti-Bacterial AgentsDaptomycinCOREDaptomycinEfficacyEU-COREGram-positive infectionsHigh doseMRSAReal-worldSafetyStaphylococcus aureus

Identifiers

PMID26976128
PMCPMC4791778
OpenAlexW2298522477

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.