Evidence map›Paper›PMID 32152509›Full record

ReviewNature reviews. Microbiology2020

Critical analysis of antibacterial agents in clinical development.

Ursula Theuretzbacher, Karen Bush, Stephan Harbarth, Mical Paul, John H Rex, Evelina Tacconelli, Guy E Thwaites

Open access · bronzeAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Microbiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 150 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
150citing papers in PubMed, 1 pooled it
15.9field-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.

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

150 citing papers in PubMed, 1 synthesis or guideline pooled it, 359 citations in OpenAlex.

  1. [Plasmid-mediated colistin resistance in pathogenic bacteria].Revista medica del Instituto Mexicano del Seguro Social · 2026
    Pooled it
  2. Trial
  3. Characterization of a Novel Quorum QuencherPlants (Basel, Switzerland) · 2026
    Article
  4. Article
  5. Intracellular barriers and receptor masking limit success of abioRxiv : the preprint server for biology · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. A Review ofInternational journal of microbiology · 2026
    Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

90 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

7 authors at 7 institutions in 7 countries.

Ursula TheuretzbacherCenter for Anti-Infective Agents, Vienna, Austria. utheuretzbacher@cefaia.com.ORCID http://orcid.org/0000-0003-2116-7128
Karen BushDepartment of Biology, Indiana University, Bloomington, IN, USA.ORCID http://orcid.org/0000-0002-7843-2474
Stephan HarbarthInfection Control Program, World Health Organization Collaborating Centre on Patient Safety, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland.
Mical PaulDiseases Institute, Rambam Health Care Campus. Ruth and Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel.
John H RexF2G Ltd., Wellesley Hills, MA,, USA.ORCID http://orcid.org/0000-0003-3265-5872
Evelina TacconelliInfectious Diseases, Department of Diagnostic and Public Health, Verona University Hospital, Verona, Italy.
Guy E ThwaitesOxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Gesundheit Österreich · ATIndiana University Bloomington · USTechnion – Israel Institute of Technology · ILUniversity of Oxford · GBUniversity of Verona · ITWellesley College · USWorld Health Organization · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The antibacterial agents currently in clinical development are predominantly derivatives of well-established antibiotic classes and were selected to address the class-specific resistance mechanisms and determinants that were known at the time of their discovery. Many of these agents aim to target the antibiotic-resistant priority pathogens listed by the WHO, including Gram-negative bacteria in the critical priority category, such as carbapenem-resistant Acinetobacter, Pseudomonas and Enterobacterales. Although some current compounds in the pipeline have exhibited increased susceptibility rates in surveillance studies that depend on geography, pre-existing cross-resistance both within and across antibacterial classes limits the activity of many of the new agents against the most extensively drug-resistant (XDR) and pan-drug-resistant (PDR) Gram-negative pathogens. In particular, cross-resistance to unrelated classes may occur by co-selection of resistant strains, thus leading to the rapid emergence and subsequent spread of resistance. There is a continued need for innovation and new-class antibacterial agents in order to provide effective therapeutic options against infections specifically caused by XDR and PDR Gram-negative bacteria.

Indexed as

Drug Resistance, BacterialAcinetobacterAcinetobacter InfectionsAnti-Bacterial AgentsDrug DevelopmentEnterobacteriaceaeEnterobacteriaceae InfectionsHumansPseudomonasPseudomonas InfectionsAnti-Bacterial Agents

Identifiers

PMID32152509
OpenAlexW3010223436

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.