Evidence map›Paper›PMID 34580096›Full record

ArticleBMJ open2021

Temocillin versus meropenem for the targeted treatment of bacteraemia due to third-generation cephalosporin-resistant

Alicia Marín-Candón, Clara M Rosso-Fernández, Natalia Bustos de Godoy, Lorena López-Cerero, Belén Gutiérrez-Gutiérrez, Luis Eduardo López-Cortés, Lydia Barrera Pulido, Irene Borreguero Borreguero, María José León, Vicente Merino and 6 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04478721 (Randomised Controlled Trial of Temocillin vs Meropenem for the Targeted Treatment of Bacteraemia Due to Enterobacteriaceae Showing Resistance to Third Generation Cephalosporins), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.6field-weighted citation impact, top 41% 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.

NCT04478721 phase3completednot on this map

Randomised Controlled Trial of Temocillin vs Meropenem for the Targeted Treatment of Bacteraemia Due to Enterobacteriaceae Showing Resistance to Third Generation Cephalosporins

TypeinterventionalSponsorFundación Pública Andaluza para la gestión de la Investigación en SevillaRan2020 to 2024Enrolled334ConditionsBacteremiaArmsTemocillin, Meropenem
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Therapeutic strategies for multi-resistantJAC-antimicrobial resistance · 2026
    Review
  2. ASP-COMPLEX: redefining antimicrobial stewardship to improve outcomes in high-risk patients with severe infections.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2026
    Review
  3. Temocillin: A Narrative Review of Its Clinical Reappraisal.Antibiotics (Basel, Switzerland) · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
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

16 authors at 2 institutions in 1 country.

Alicia Marín-CandónUnidad de Investigación Clínica y Ensayos Clínicos (CTU), Hospital Universitario Virgen del Rocio, Sevilla, Spain.
Clara M Rosso-FernándezUnidad de Investigación Clínica y Ensayos Clínicos (CTU), Hospital Universitario Virgen del Rocio, Sevilla, Spain.
Natalia Bustos de GodoyUnidad de Enfermedades Infecciosas y Microbiología, Hospital Universitario Virgen Macarena, Sevilla, Spain.
Lorena López-CereroUnidad de Enfermedades Infecciosas y Microbiología, Hospital Universitario Virgen Macarena, Sevilla, Spain.
Belén Gutiérrez-GutiérrezUnidad de Enfermedades Infecciosas y Microbiología, Hospital Universitario Virgen Macarena, Sevilla, Spain.
Luis Eduardo López-CortésUnidad de Enfermedades Infecciosas y Microbiología, Hospital Universitario Virgen Macarena, Sevilla, Spain.
Lydia Barrera PulidoUnidad de Enfermedades Infecciosas y Microbiología, Hospital Universitario Virgen Macarena, Sevilla, Spain.
Irene Borreguero BorregueroUnidad de Investigación Clínica y Ensayos Clínicos (CTU), Hospital Universitario Virgen del Rocio, Sevilla, Spain.
María José LeónUnidad de Investigación Clínica y Ensayos Clínicos (CTU), Hospital Universitario Virgen del Rocio, Sevilla, Spain.
Vicente MerinoUnidad Clínica de Farmacia, Hospital Universitario Virgen Macarena, Sevilla, Spain.
Manuel Camean-FernándezUnidad Clínica de Farmacia, Hospital Universitario Virgen Macarena, Sevilla, Spain.
Pilar RetamarUnidad de Enfermedades Infecciosas y Microbiología, Hospital Universitario Virgen Macarena, Sevilla, Spain.
Elena SalamancaUnidad de Enfermedades Infecciosas y Microbiología, Hospital Universitario Virgen Macarena, Sevilla, Spain elesalamanca@hotmail.com.ORCID 0000-0001-8605-7611
Alvaro PascualUnidad de Enfermedades Infecciosas y Microbiología, Hospital Universitario Virgen Macarena, Sevilla, Spain.
Jesús Rodriguez-BañoUnidad de Enfermedades Infecciosas y Microbiología, Hospital Universitario Virgen Macarena, Sevilla, Spain.
ASTARTÉ Study Group
Hospital Universitario Virgen Macarena · ESHospital Universitario Virgen del Rocío · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlternatives to carbapenems are needed in the treatment of third-generation cephalosporin-resistant METHODS AND ANALYSIS: Multicentre, open-label, randomised, controlled, pragmatic phase 3 trial. Patients with bacteraemia due to 3GCR-E will be randomised to receive intravenously temocillin (2 g three times a day) or carbapenem (meropenem 1 g three times a day or ertapenem 1 g once daily). The primary endpoint will be clinical success 7-10 days after end of treatment with no recurrence or death at day 28. Adverse events will be collected; serum levels of temocillin will be investigated in a subset of patients. For a 10% non-inferiority margin, 334 patients will be included (167 in each study arm). For the primary analysis, the absolute difference with one-sided 95% CI in the proportion of patients reaching the primary endpoint will be compared in the modified intention-to-treat population. ETHICS AND DISSEMINATION: The study started after approval of the Spanish Regulatory Agency and the reference institutional review board. Data will be published in peer-reviewed journals. TRIAL REGISTRATION NUMBER: NCT04478721.

Indexed as

BacteremiaMeropenemPenicillinsCephalosporinsClinical Trials, Phase III as TopicEnterobacteriaceaeHumansMulticenter Studies as TopicPragmatic Clinical Trials as TopicRandomized Controlled Trials as TopicCephalosporinsMeropenemPenicillinstemocillinbacteriologyclinical pharmacologyinfection controlinfectious diseasesmicrobiology

Identifiers

PMID34580096
PMCPMC8477313
OpenAlexW3204718026

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.