Evidence map›Paper›PMID 41174563›Full record

SynthesisBMC infectious diseases2025

Omadacycline for the treatment of acute bacterial skin and skin structure infections: a systematic review and network meta-analysis.

Wen-Qiang Kong, Yun-Feng Shu, Juan Tang, Shi-Qin Li, Hong Zhong, Xuan-Yi Zhang

Abstract readNetwork Meta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Wen-Qiang Kong *Department of pharmacy of Zigong First People's Hospital, Zigong , 643000, China. wqkongpharmacist@outlook.com.
Yun-Feng Shu *Department of pharmacy of Zigong First People's Hospital, Zigong , 643000, China.
Juan TangDepartment of infectious disease of Zigong First People's Hospital, Zigong, 643000, China.
Shi-Qin LiDepartment of pharmacy of Zigong First People's Hospital, Zigong , 643000, China.
Hong ZhongDepartment of pharmacy of Zigong First People's Hospital, Zigong , 643000, China.
Xuan-Yi ZhangDepartment of pharmacy of Zigong First People's Hospital, Zigong , 643000, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFew studies have compared the efficacy and safety of omadacycline with other treatments for acute bacterial skin and skin structure infections (ABSSSI). Therefore, updated meta-analyses on this topic is necessary.

methodsWe conducted a network meta-analysis (NMA) of randomized controlled trials (RCTs) to compare omadacycline with other anti-MRSA antibiotics. A systematic search of seven databases was undertaken to identify eligible RCTs enrolling adults with ABSSSI. Two reviewers independently assessed the quality of the included studies and three reviewers independently extracted data from all manuscripts. All meta-analyses were performed using R software.

resultsOur NMA included 39 RCTs with a total of 20,862 patients with ABSSSI. Eighteen anti-MRSA antibiotics were analyzed in the NMA. In terms of early clinical response, omadacycline was comparable to oxazolidinones like linezolid, tedizolid, and contezolid. Across various populations, including the intention-to-treat (ITT), modified ITT, and clinically evaluable populations, omadacycline showed higher or comparable clinical success rates, although these results were of borderline statistical significance. The results showed that omadacycline ranked first in efficacy among 18 antibiotics, based on surface under the cumulative ranking curve values. Additionally, omadacycline had significantly fewer serious adverse events than telavancin and demonstrated a safety profile comparable to other antibiotics.

conclusionsOur findings indicate that omadacycline is a promising treatment option for ABSSSI, demonstrating efficacy that is comparable to or potentially superior to many other anti-MRSA agents, along with a favorable safety profile. However, these results should be interpreted with caution due to the study's inherent limitations.

Indexed as

Anti-Bacterial AgentsSkin Diseases, BacterialTetracyclinesHumansMethicillin-Resistant Staphylococcus aureusRandomized Controlled Trials as TopicTreatment OutcomeAnti-Bacterial AgentsomadacyclineTetracyclinesAcute bacterial skin and skin structure infectionsEfficacyNetwork meta-analysisOmadacyclineSafety

Identifiers

PMID41174563
PMCPMC12577339

What OpenQuestion holds

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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.