Evidence map›Paper›PMID 34665248›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2022

Real-World Comparison of Bezlotoxumab to Standard of Care Therapy for Prevention of Recurrent Clostridioides difficile Infection in Patients at High Risk for Recurrence.

Tanner M Johnson, Kyle C Molina, Amanda H Howard, Kerry Schwarz, Lorna Allen, Misha Huang, Valida Bajrovic, Matthew A Miller

Open access · greenAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.4field-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

19 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. bioRxiv : the preprint server for biology · 2025
    Article
  5. Real-world use of bezlotoxumab to prevent recurrentTherapeutic advances in gastroenterology · 2025
    Article
  6. Therapeutics involved in managing initial and recurrentWorld journal of gastrointestinal pharmacology and therapeutics · 2024
    Review
  7. Article
  8. Article
  9. RecurrentOpen forum infectious diseases · 2024
    Article
  10. Review
  11. Bezlotoxumab during the first episode of Clostridioides difficile infection in patients at high risk of recurrence.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Article
  12. Article
  13. Article
  14. Microbiome profile and calprotectin levels as markers of risk of recurrentFrontiers in cellular and infection microbiology · 2023
    Article
  15. Article
  16. The Role of Bezlotoxumab for the Prevention of RecurrentAntibiotics (Basel, Switzerland) · 2022
    Review
  17. Review
  18. Article
  19. 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 1 institution in 1 country.

Tanner M JohnsonDepartment of Pharmacy, University of Colorado Hospital, Aurora, Colorado, USA.ORCID 0000-0002-9181-8347
Kyle C MolinaDepartment of Pharmacy, University of Colorado Hospital, Aurora, Colorado, USA.
Amanda H HowardDepartment of Pharmacy, University of Colorado Hospital, Aurora, Colorado, USA.
Kerry SchwarzDepartment of Pharmacy, University of Colorado Hospital, Aurora, Colorado, USA.
Lorna AllenDepartment of Medicine-Infectious Diseases, University of Colorado Hospital, Aurora, Colorado, USA.
Misha HuangDepartment of Medicine-Infectious Diseases, University of Colorado Hospital, Aurora, Colorado, USA.
Valida BajrovicDepartment of Medicine-Infectious Diseases, University of Colorado Hospital, Aurora, Colorado, USA.
Matthew A MillerDepartment of Pharmacy, University of Colorado Hospital, Aurora, Colorado, USA.
University of Colorado Hospital · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025780 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2008 to 2011
$61.3M
NCRR NIH HHS UL1 RR025780
6 · The paper itself

Abstract

backgroundBezlotoxumab (BEZ) is a monoclonal antibody used to prevent recurrent Clostridioides difficile infection (rCDI). This study investigates BEZ effectiveness in relation to rCDI and patient-specific risk factors in a real-world setting.

methodsA matched, retrospective cohort study was conducted from 2015 to 2019 to compare BEZ to historical standard of care (SoC) therapy with vancomycin or fidaxomicin. The primary outcome was incidence of 90-day rCDI. Secondary outcomes were incidence of all-cause hospital readmission and all-cause mortality at 90 days, infusion-related reactions, and incidence of heart failure exacerbation. Baseline confounding was addressed using inverse probability of treatment weighting (IPTW).

resultsOverall, 107 participants were included (54 BEZ and 53 SoC). Mean number of prior CDI episodes was 2, median number of risk factors for rCDI was 4, and 28% of participants had severe CDI. Incidence of 90-day rCDI was 11% BEZ vs 43% SoC (P = < .001) and 90-day all-cause readmission was 40% BEZ vs 64% SoC (P = .011). In IPTW-adjusted analyses, BEZ was associated with significantly reduced odds of rCDI (odds ratio [OR], 0.14 [95% confidence interval {CI}: .05-.41]) and all-cause readmission (OR, 0.36 [95% CI: .16-.81]). No safety signals were detected with BEZ use.

conclusionsBEZ is effective for the prevention of rCDI and reduction in all-cause hospital readmission for patients at high risk for recurrence, supporting current guideline recommendations.

Indexed as

Clostridioides difficileClostridium InfectionsAnti-Bacterial AgentsAntibodies, MonoclonalBroadly Neutralizing AntibodiesHumansRecurrenceRetrospective StudiesStandard of CareAnti-Bacterial AgentsAntibodies, MonoclonalbezlotoxumabBroadly Neutralizing AntibodiesbezlotoxumabCDIClostridioides difficilerecurrence

Identifiers

PMID34665248
PMCPMC9070853
OpenAlexW3207355328

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.