Evidence map›Paper›PMID 32015049›Full record

ReviewAntimicrobial agents and chemotherapy2020

Considerations in the Selection of Renal Dosage Adjustments for Patients with Serious Infections and Lessons Learned from the Development of Ceftazidime-Avibactam.

Jianguo Li, Mark Lovern, Todd Riccobene, Timothy J Carrothers, Paul Newell, Shampa Das, Angela K Talley, Margaret Tawadrous

Open access · greenAbstract readReview
In one paragraph

Review in Antimicrobial agents and chemotherapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% 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, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Efficacy of Ceftazidime-avibactam in treating Gram-negative infections: a systematic review and meta-analysis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
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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

8 authors at 4 institutions in 2 countries.

Jianguo LiAstraZeneca, Waltham, Massachusetts, USA.
Mark LovernCertara Strategic Consulting, Princeton, New Jersey, USA.
Todd RiccobeneAllergan plc, Madison, New Jersey, USA.
Timothy J CarrothersAllergan plc, Madison, New Jersey, USA.
Paul NewellAstraZeneca, Macclesfield, United Kingdom.
Shampa DasAstraZeneca, Macclesfield, United Kingdom.ORCID 0000-0002-2540-4816
Angela K TalleyAllergan plc, Madison, New Jersey, USA.
Margaret TawadrousPfizer, Groton, Connecticut, USA Margaret.Tawadrous@pfizer.com.
Allergan (United States) · USAstraZeneca (United Kingdom) · GBAstraZeneca (United States) · USPfizer (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An extensive clinical development program (comprising two phase 2 and five phase 3 trials) has demonstrated the efficacy and safety of ceftazidime-avibactam in the treatment of adults with complicated intra-abdominal infection (cIAI), complicated urinary tract infection (cUTI), and hospital-acquired pneumonia (HAP), including ventilator-associated pneumonia (VAP). During the phase 3 clinical program, updated population pharmacokinetic (PK) modeling and Monte Carlo simulations using clinical PK data supported modified ceftazidime-avibactam dosage adjustments for patients with moderate or severe renal impairment (comprising a 50% increase in total daily dose compared with the original dosage adjustments) to reduce the risk of subtherapeutic drug exposures in the event of rapidly improving renal function. The modified dosage adjustments were included in the ceftazidime-avibactam labeling information at the time of initial approval and were subsequently evaluated in the final phase 3 trial (in patients with HAP, including VAP), providing supportive data for the approved U.S. and European ceftazidime-avibactam dosage regimens across renal function categories. This review describes the analyses supporting the ceftazidime-avibactam dosage adjustments for renal impairment and discusses the wider implications and benefits of using modeling and simulation to support dosage regimen optimization based on emerging clinical evidence.

Indexed as

Anti-Bacterial AgentsAzabicyclo Compoundsbeta-Lactamase InhibitorsCeftazidimeDrug CombinationsDrug Dosage CalculationsDrug Resistance, Multiple, BacterialHumansIntraabdominal InfectionsMicrobial Sensitivity TestsPneumonia, Ventilator-AssociatedRenal InsufficiencyUrinary Tract InfectionsAnti-Bacterial Agentsavibactam, ceftazidime drug combinationAzabicyclo Compoundsbeta-Lactamase InhibitorsCeftazidimeDrug Combinationsceftazidime-avibactamcIAIcUTIHAP/VAPinfectionPK/PD modelingrenal dosage adjustment

Identifiers

PMID32015049
PMCPMC7179271
OpenAlexW3005408381

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.