Evidence map›Paper›PMID 32632582›Full record

ReviewInfectious diseases and therapy2020

Bezlotoxumab for Preventing Recurrent Clostridioides difficile Infection: A Narrative Review from Pathophysiology to Clinical Studies.

Daniele Roberto Giacobbe, Silvia Dettori, Stefano Di Bella, Antonio Vena, Guido Granata, Roberto Luzzati, Nicola Petrosillo, Matteo Bassetti

Open access · goldAbstract readReview
In one paragraph

Review in Infectious diseases and therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.3field-weighted citation impact, top 27% 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

13 citing papers in PubMed, 27 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Review
  5. The complete catalog of antimicrobial resistance secondary active transporters inComputational and structural biotechnology journal · 2024
    Article
  6. Review
  7. Article
  8. The Role of Bezlotoxumab for the Prevention of RecurrentAntibiotics (Basel, Switzerland) · 2022
    Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. 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.

Daniele Roberto GiacobbeInfectious Diseases Unit, Ospedale Policlinico San Martino, IRCCS, Genoa, Italy. daniele.roberto.giacobbe@gmail.com.ORCID http://orcid.org/0000-0003-2385-1759
Silvia DettoriInfectious Diseases Unit, Ospedale Policlinico San Martino, IRCCS, Genoa, Italy.
Stefano Di BellaClinical Department of Medical, Surgical and Health Sciences, Trieste University, Trieste, Italy.
Antonio VenaInfectious Diseases Unit, Ospedale Policlinico San Martino, IRCCS, Genoa, Italy.
Guido GranataClinical and Research Department for Infectious Diseases, Severe and Immunedepression-Associated Infections Unit, National Institute for Infectious Diseases L. Spallanzani, IRCCS, Rome, Italy.
Roberto LuzzatiClinical Department of Medical, Surgical and Health Sciences, Trieste University, Trieste, Italy.
Nicola PetrosilloClinical and Research Department for Infectious Diseases, Severe and Immunedepression-Associated Infections Unit, National Institute for Infectious Diseases L. Spallanzani, IRCCS, Rome, Italy.
Matteo BassettiInfectious Diseases Unit, Ospedale Policlinico San Martino, IRCCS, Genoa, Italy.
Ospedale Policlinico San Martino · ITIstituto Nazionale per le Malattie Infettive Lazzaro Spallanzani · ITUniversity of Trieste · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clostridioides difficile infection (CDI) and recurrent CDI (rCDI) remain associated with a reduction in the patients' quality of life and with increased healthcare costs. Bezlotoxumab is a monoclonal antibody against toxin B of C. difficile, approved for prevention of rCDI. In this narrative review, we briefly discuss the pathophysiology of CDI and the mechanism of action of bezlotoxumab, as well as the available evidence from investigational and observational studies in terms of efficacy, effectiveness, and safety of bezlotoxumab for the prevention of rCDI. Overall, bezlotoxumab has proved efficacious in reducing the burden of rCDI, thereby providing clinicians with an important novel strategy to achieve sustained cure. Nonetheless, experiences outside randomized controlled trials (RCTs) remain scant, and mostly represented by case series without a control group. Along with the conduction of RCTs to directly compare bezlotoxumab with faecal microbiota transplantation (or to precisely evaluate the role of their combined use), further widening our post-marketing experience remains paramount to firmly guide the use of bezlotoxumab outside RCTs, and to clearly identify those real-life settings where its preventive benefits can be exploited most.

Indexed as

BezlotoxumabCDIClostridioidesClostridiumHealthcare-associated infectionsNosocomial infectionsrCDIRecurrence

Identifiers

PMID32632582
PMCPMC7452994
OpenAlexW3040350357

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.