Evidence map›Paper›PMID 32363211›Full record

ArticleOpen forum infectious diseases2020

Real-world Experience of Bezlotoxumab for Prevention of

Richard L Hengel, Timothy E Ritter, Ramesh V Nathan, Lucinda J Van Anglen, Claudia P Schroeder, Ryan J Dillon, Stephen W Marcella, Kevin W Garey

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
0.9field-weighted citation impact, top 15% 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

23 citing papers in PubMed, 43 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Real-world use of bezlotoxumab to prevent recurrentTherapeutic advances in gastroenterology · 2025
    Article
  6. Article
  7. Review
  8. Recurrent Clostridioides difficile Infection: Current Clinical Management and Microbiome-Based Therapies.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2023
    Review
  9. Article
  10. Article
  11. Article
  12. The Role of Bezlotoxumab for the Prevention of RecurrentAntibiotics (Basel, Switzerland) · 2022
    Review
  13. Review
  14. Bezlotoxumab in the treatment of Clostridioides difficile infections: a real-life experience.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2022
    Article
  15. Article
  16. Review
  17. ADS024, aFrontiers in microbiology · 2022
    Article
  18. Effectiveness of Bezlotoxumab for Prevention of RecurrentOpen forum infectious diseases · 2021
    Article
  19. Immune response againstTherapeutic advances in gastroenterology · 2021
    Review
  20. Fecal microbiota transplantation for recurrentTherapeutic advances in gastroenterology · 2021
    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

8 authors at 3 institutions in 1 country.

Richard L HengelAtlanta ID Group, Atlanta, Georgia.
Timothy E RitterGI Alliance, Southlake, Texas, USA.
Ramesh V NathanMazur, Statner, Dutta, Nathan, PC, Thousand Oaks, California, USA.
Lucinda J Van AnglenHealix Infusion Therapy, LLC., Sugar Land, Texas, USA.
Claudia P SchroederHealix Infusion Therapy, LLC., Sugar Land, Texas, USA.
Ryan J DillonMerck & Co., Inc., Kenilworth, New Jersey, USA.
Stephen W MarcellaMerck & Co., Inc., Kenilworth, New Jersey, USA.
Kevin W GareyUniversity of Houston College of Pharmacy, Houston, Texas.
Merck & Co., Inc., Rahway, NJ, USA (United States) · USAID Atlanta · USUniversity of Houston · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBezlotoxumab is approved for prevention of recurrence of

methodsRecords of patients receiving bezlotoxumab between April 2017 and December 2018 across 34 infusion centers in the United States were retrospectively reviewed. Recurrent CDI (rCDI), defined as diarrhea lasting ≥2 days resulting in treatment, was assessed 90 days postbezlotoxumab.

resultsThe study cohort included 200 patients (median age, 70 years; 66% female; median Charlson comorbidity index, 5), of whom 86% (n = 173) had prior CDI episodes and 79% (n = 158) had ≥2 risk factors for rCDI. SoC antibiotics included vancomycin (n = 137, 68%), fidaxomicin (n = 60, 30%), and metronidazole (n = 3, 2%). Median time from

conclusionsThis real-world multicenter study demonstrated successful prevention of rCDI with bezlotoxumab comparable to clinical trial results regardless of type of SoC and timing of infusion. Multiple prior CDI recurrences were associated with a higher risk of subsequent rCDI, supporting the use of bezlotoxumab earlier in the disease course.

Indexed as

bezlotoxumabClostridioides difficile infectionoutpatientrecurrence

Identifiers

PMID32363211
PMCPMC7186524
OpenAlexW3012186458

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.