Evidence map›Paper›PMID 42181878›Full record

ArticleFrontiers in pharmacology2026

Clinical experience with eravacycline-based combination therapy for carbapenem-resistant

Ying Xiao, Yu Cheng, Xiaohong Xu, Hongqiang Qiu, Xuanxi Huang, Zhiqiang Xue, Meili Cai, Qing Wang, Yanmei Guo, Hui Zhang

Abstract read
In one paragraph

Article in Frontiers in pharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Ying Xiao *Department of Critical Care Medicine, Fujian Medical University Union Hospital, Fuzhou, China.
Yu Cheng *Department of Pharmacy, Fujian Medical University Union Hospital, Fuzhou, China.
Xiaohong Xu *Department of Laboratory Medicine, Fujian Medical University Union Hospital, Fuzhou, China.
Hongqiang QiuDepartment of Pharmacy, Fujian Medical University Union Hospital, Fuzhou, China.
Xuanxi HuangDepartment of Critical Care Medicine, Fujian Medical University Union Hospital, Fuzhou, China.
Zhiqiang XueDepartment of Critical Care Medicine, Fujian Medical University Union Hospital, Fuzhou, China.
Meili CaiDepartment of Laboratory Medicine, Fujian Medical University Union Hospital, Fuzhou, China.
Qing WangDepartment of Critical Care Medicine, Fujian Medical University Union Hospital, Fuzhou, China.
Yanmei GuoDepartment of Critical Care Medicine, Fujian Medical University Union Hospital, Fuzhou, China.
Hui ZhangDepartment of Critical Care Medicine, Fujian Medical University Union Hospital, Fuzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study was conducted to investigate the clinical response, safety, and pharmacokinetic (PK) profile of eravacycline-based combination therapies in patients with pulmonary infections caused by carbapenem-resistant Methods: A prospective observational case series was conducted on patients with CRAB pneumonia treated at Fujian Medical University Union Hospital between February 2024 and August 2025. Prior to treatment, eravacycline minimum inhibitory concentration were determined. Patients received eravacycline-based combination therapy according to their susceptibility results. Data on clinical responses, microbiological clearance, adverse events, and 28-day all-cause mortality were collected. Eravacycline blood concentrations were measured in a subset of patients. Results: Twenty-two patients with CRAB pneumonia (21 with ventilator-associated pneumonia) were enrolled; all had a Clinical Pulmonary Infection Score >6. The mean Acute Physiology and Chronic Health Evaluation II (APACHE II) scores and the Sequential Organ Failure Assessment (SOFA) scores were 13.77 and 6.23, respectively. All CRAB isolates were susceptible to eravacycline (ChiCAST breakpoint ≤1 mg/L). The clinical response rate, microbiological clearance rate, and 28-day mortality were 72.7%, 86.4%, and 13.6%, respectively. Two patients exhibited hypofibrinogenemia, considered an adverse drug reaction related to eravacycline. No associated bleeding events or other adverse events were observed. Nonresponders had significantly higher SOFA and APACHE II scores than clinical responders. Eravacycline PK was assessed in 14 patients and showed considerable interindividual variability. Among the PK parameters, C Conclusion: The preliminary findings of this prospective observational case series indicate that individualized eravacycline-based combination regimens are associated with promising clinical outcomes and microbiological clearance, with good tolerability and a low incidence of adverse events. Additionally, initial blood concentration data provide a reference for future exploration of PK/PD targets in CRAB pneumonia. However, due to the small sample size and limited statistical power, these findings should be considered preliminary and require validation in larger prospective cohorts.

Indexed as

Acinetobacter baumanniicarbapenem resistanceclinical outcomescombination therapyeravacyclinepharmacokinetics

Identifiers

PMID42181878
PMCPMC13189935

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