Evidence map›Paper›PMID 40212030›Full record

Trial reportOpen forum infectious diseases2025

Real-World Applications of Imipenem-Cilastatin-Relebactam: Insights From a Multicenter Observational Cohort Study.

Kaylee E Caniff, Nicholas Rebold, Xhilda Xhemali, Nikki Tran, Taryn A Eubank, Kevin W Garey, Yi Guo, Mei Chang, Katie E Barber, Tamara Krekel and 25 more

Abstract readClinical Trial
In one paragraph

Trial report in Open forum infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. 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
  2. Review
  3. Article
  4. Article
  5. Review
  6. Effectiveness of imipenem-relebactam for multidrug-resistantAntimicrobial agents and chemotherapy · 2025
    Observational
  7. Therapeutic management of health care-associated pneumonia.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2025
    Review
  8. Review
  9. Observational
  10. Review
  11. 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

35 authors.

Kaylee E CaniffAnti-Infective Research Laboratory, Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, Detroit, Michigan, USA.ORCID https://orcid.org/0000-0003-1468-8267
Nicholas ReboldAnti-Infective Research Laboratory, Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, Detroit, Michigan, USA.ORCID https://orcid.org/0000-0002-5469-1228
Xhilda XhemaliDepartment of Pharmacy, Cleveland Clinic, Cleveland, Ohio, USA.
Nikki TranDepartment of Pharmacy, The Ohio State University Wexler Medical Center, Columbus, Ohio, USA.ORCID https://orcid.org/0000-0002-4199-7375
Taryn A EubankDepartment of Pharmacy Practice and Translational Research, University of Houston College of Pharmacy, Houston, Texas, USA.ORCID https://orcid.org/0000-0002-6645-406X
Kevin W GareyDepartment of Pharmacy Practice and Translational Research, University of Houston College of Pharmacy, Houston, Texas, USA.ORCID https://orcid.org/0000-0003-2063-7503
Yi GuoDepartment of Pharmacy, Montefiore Medical Center, The Bronx, New York, USA.
Mei ChangDepartment of Pharmacy, Montefiore Medical Center, The Bronx, New York, USA.
Katie E BarberDepartment of Pharmacy, University of Mississippi Medical Center, Jackson, Mississippi, USA.ORCID https://orcid.org/0000-0002-8411-3111
Tamara KrekelDepartment of Pharmacy, Barnes-Jewish Hospital, St Louis, Missouri, USA.ORCID https://orcid.org/0009-0000-2243-0798
Mark BiagiDepartment of Pharmacy, UW Health SwedishAmerican Hospital, Rockford, Illinois, USA.ORCID https://orcid.org/0000-0001-5190-0066
Wesley D KufelDepartment of Pharmacy, State University of New York Upstate Medical University, Syracuse, New York, USA.ORCID https://orcid.org/0000-0001-7703-096X
Amy CarrDepartment of Pharmacy, AdventHealth Orlando, Orlando, Florida, USA.ORCID https://orcid.org/0000-0002-5197-7132
Jillian HayesDepartment of Pharmacy, AdventHealth Orlando, Orlando, Florida, USA.ORCID https://orcid.org/0000-0002-0132-5136
Travis J CarlsonDepartment of Pharmacy, Cone Health, Greensboro, North Carolina, USA.ORCID https://orcid.org/0000-0001-9564-3030
Jeremy FrensDepartment of Clinical Sciences, High Point University Fred Wilson School of Pharmacy, High Point, North Carolina, USA.ORCID https://orcid.org/0009-0009-5360-707X
Veena VenugopalanDepartment of Pharmacotherapy & Translational Research, University of Florida College of Pharmacy, Gainesville, Gainesville, Florida, USA.ORCID https://orcid.org/0000-0002-9424-5783
Kristen LucasDepartment of Pharmacy Practice and Science, University of Kentucky College of Pharmacy, Lexington, Kentucky, USA.ORCID https://orcid.org/0000-0001-7700-151X
Ashlan J Kunz CoyneDepartment of Pharmacy Practice and Science, University of Kentucky College of Pharmacy, Lexington, Kentucky, USA.ORCID https://orcid.org/0000-0002-4891-8625
James SandersDepartment of Pharmacy, UT Southwestern Medical Center, Dallas, Texas, USA.ORCID https://orcid.org/0009-0002-0341-0171
Elisabeth ChandlerDepartment of Pharmacy, Lee Health, Fort Myers, Florida, USA.ORCID https://orcid.org/0000-0003-1523-809X
Rosanna LiDepartment of Pharmacy, Maimonides Medical Center, Brooklyn, New York, USA.ORCID https://orcid.org/0009-0002-0439-1793
Kayla AntoszDepartment of Pharmacy, Prisma Health Richland Hospital, Columbia, South Carolina, USA.
Julie Ann JustoDepartment of Pharmacy, Prisma Health Richland Hospital, Columbia, South Carolina, USA.ORCID https://orcid.org/0000-0002-4161-9577
Russell BenefieldDepartment of Pharmacy, University of Utah Health, Salt Lake City, Utah, USA.ORCID https://orcid.org/0000-0002-3235-6285
W Justin MooreDepartment of Pharmacy, Northwestern Memorial Hospital, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0001-5385-354X
Jennifer RossDepartment of Pharmacy, M Health Fairview University of Minnesota Medical Center, Minneapolis, Minnesota, USA.ORCID https://orcid.org/0009-0009-9075-6445
Jenna AdamsDepartment of Pharmacy, Loyola University Medical Center, Maywood, Illinois, USA.ORCID https://orcid.org/0009-0002-1589-6877
Fritzie AlbarilloDepartment of Medicine, Loyola University Medical Center, Maywood, Illinois, USA.ORCID https://orcid.org/0000-0002-3441-301X
Sylvia StefanosDepartment of Pharmacy, Methodist Le Bonheur Healthcare, University Hospital, Memphis, Tennessee, USA.ORCID https://orcid.org/0000-0002-5042-1095
Athena L V HobbsDepartment of Pharmacy, Methodist Le Bonheur Healthcare, University Hospital, Memphis, Tennessee, USA.ORCID https://orcid.org/0000-0002-2109-6123
Nicholas MercuroDepartment of Pharmacy, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0001-7619-8736
Brian RauxDepartment of Pharmacy, Medical University of South Carolina, Charleston, South Carolina, USA.
Kristen ZeitlerDepartment of Pharmacy, Tampa General Hospital, Tampa, Florida, USA.ORCID https://orcid.org/0000-0003-2196-7803
Michael J RybakAnti-Infective Research Laboratory, Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, Detroit, Michigan, USA.ORCID https://orcid.org/0000-0003-2220-0081

Funding

Texas Medical Center Training Program in Antimicrobial ResistanceT32AI141349 · NIAID · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI GARSIN, DANIELLE A · 2019 to 2023
$1.3M
NIAID NIH HHS L30 AI172010NIAID NIH HHS T32 AI141349
6 · The paper itself

Abstract

Background: Multidrug-resistant (MDR) gram-negative infections are a substantial threat to patients and public health. Imipenem-cilastatin-relebactam (IMI/REL) is a β-lactam/β-lactamase inhibitor with expanded activity against MDR Methods: This was a retrospective, multicenter, observational study of patients ≥18 years old who received IMI/REL for ≥48 hours for a suspected or confirmed gram-negative infection. The primary outcome was clinical success, defined as improvement or resolution of infection-related signs or symptoms while receiving IMI/REL and the absence of 30-day microbiologic failure. Multivariable logistic regression analysis was performed to identify independent predictors of clinical success. Results: The study included 151 patients from 24 US medical centers. IMI/REL was predominantly prescribed for lower respiratory tract infections, accounting for 52.3% of cases. Most patients were infected with a carbapenem-nonsusceptible pathogen (85.4%); Conclusions: This study provides a comprehensive analysis of the real-world effectiveness and safety of IMI/REL. Comparative studies and investigations of specific subgroups will further enhance our understanding of IMI/REL in treating MDR infections.

Indexed as

carbapenem-resistantgram-negativeimipenem-cilastatin-relebactammultidrug-resistantPseudomonas aeruginosa

Identifiers

PMID40212030
PMCPMC11983095

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Registered trials

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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.