Evidence map›Paper›PMID 29437614›Full record

Trial reportAntimicrobial agents and chemotherapy2018

Phase 1 Study of the Safety, Tolerability, and Pharmacokinetics of Vaborbactam and Meropenem Alone and in Combination following Single and Multiple Doses in Healthy Adult Subjects.

Christopher M Rubino, Sujata M Bhavnani, Jeffery S Loutit, Elizabeth E Morgan, Dan White, Michael N Dudley, David C Griffith

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Antimicrobial agents and chemotherapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01897779 (A Phase 1, Randomized, Double-Blind, Placebo-Controlled, Single- and Multiple Ascending-dose Study of the Safety, Tolerability, and Pharmacokinetics of Intravenous RPX2014 and RPX7009 Alone and in Combination in Healthy Adult Subjects), which is not on this map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
5.1field-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.

NCT01897779 phase1completednot on this map

A Phase 1, Randomized, Double-Blind, Placebo-Controlled, Single- and Multiple Ascending-dose Study of the Safety, Tolerability, and Pharmacokinetics of Intravenous RPX2014 and RPX7009 Alone and in Combination in Healthy Adult Subjects

TypeinterventionalSponsorRempex Pharmaceuticals (a wholly owned subsidiary of The Medicines Company)Ran2013 to 2014Enrolled94ConditionsHealthy Volunteers, Bacterial InfectionsArmsRPX7009, RPX2014, Placebo, Combination RPX7009 and RPX2014
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. CombattingAntibiotics (Basel, Switzerland) · 2025
    Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. What to Do with the New Antibiotics?Antibiotics (Basel, Switzerland) · 2023
    Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Review
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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 2 institutions in 1 country.

Christopher M RubinoInstitute for Clinical Pharmacodynamics, Schenectady, New York, USA.
Sujata M BhavnaniInstitute for Clinical Pharmacodynamics, Schenectady, New York, USA.
Jeffery S LoutitThe Medicines Company, San Diego, California, USA.
Elizabeth E MorganThe Medicines Company, San Diego, California, USA.
Dan WhiteThe Medicines Company, San Diego, California, USA.
Michael N DudleyThe Medicines Company, San Diego, California, USA.
David C GriffithThe Medicines Company, San Diego, California, USA david.griffith@themedco.com.
Doctors Company (United States) · USInstitute for Clinical Pharmacodynamics (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Meropenem-vaborbactam is a fixed combination of the novel β-lactamase inhibitor vaborbactam and the carbapenem antibiotic meropenem, developed for the treatment of serious infections caused by drug-resistant Gram-negative bacteria. The safety, tolerability, and pharmacokinetics (PK) of vaborbactam and meropenem following single and multiple ascending doses of each study drug administered alone or combined were evaluated in 76 healthy adult subjects in a randomized, placebo-controlled, double-blind study. Subjects were enrolled in 1 of 5 dose cohorts (receiving 250 to 2,000 mg vaborbactam and/or 1,000 to 2,000 mg meropenem) alone or in combination. No subjects discontinued the study due to adverse events (AEs), and no serious AEs were observed. The pharmacokinetics of meropenem and vaborbactam were similar when given alone or in combination; all evaluated plasma PK exposure measures (peak plasma concentration, area under the plasma concentration-time curve [AUC] from time zero to the last measurable concentration area under the plasma concentration-time curve, and AUC from time zero to infinity) were similar for the study drugs alone versus those in combination, indicating no pharmacokinetic interaction between meropenem and vaborbactam. Across all treatments, 47 to 64% of an administered meropenem dose and 75 to 95% of vaborbactam was excreted unchanged in the urine over 48 h postdose. Meropenem and vaborbactam, when given alone or in combination, have similar pharmacokinetic properties, with no plasma or urine PK drug-drug interactions, and are well tolerated. These findings supported further clinical investigation of the combination product. (This study is registered at ClinicalTrials.gov under registration no. NCT01897779.).

Indexed as

AdolescentAdultBoronic AcidsDouble-Blind MethodDrug Administration ScheduleDrug InteractionsFemaleHealthy VolunteersHumansMaleMeropenemMiddle AgedYoung AdultBoronic AcidsMeropenemvaborbactambeta-lactamasedrug interactionmeropenempharmacokineticsvaborbactam

Identifiers

PMID29437614
PMCPMC5914003
OpenAlexW2790077090

What OpenQuestion holds

Textmetadata
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.