Model-based Dose Versus Empirical Dose of Piperacillin/Tazobactam in the Treatment of Late-onset Sepsis in Preterm Neonates: a Multicentre, Randomised, Open-label, Non-inferiority Study.

This study aims to compare the clinical outcomes, safety and PD target attainment of the model-based dose and empirical dose of piperacillin/tazobactam in the treatment of LOS in premature neonates, so as to optimize the piperacillin/tazobactam dose regimen.

开始日期2023-07-31

申办/合作机构

山东大学

[+4]

TCTR20220515001 / CompletedN/AIIT

Population pharmacokinetics and Monte Carlo dosing simulations of intravenous piperacillin/tazobactam in patients on continuous ambulatory peritoneal dialysis with peritonitis

开始日期2021-04-01

申办/合作机构-

NL-OMON46163 / SuspendedN/A

An explorative study determining the hepatic cyst penetration of antibiotics (ciprofloxacin, co-trimoxazole, doxycycline and piperacillin/tazobactam) and factors affecting penetration. - PENTAC 2

开始日期2019-01-01

申办/合作机构

Radboud Universitair Medisch Centrum

100 项与地塞米松/哌拉西林/他唑巴坦相关的临床结果

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100 项与地塞米松/哌拉西林/他唑巴坦相关的转化医学

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100 项与地塞米松/哌拉西林/他唑巴坦相关的专利（医药）

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项与地塞米松/哌拉西林/他唑巴坦相关的文献（医药）

2024-07-19·Alternative therapies in health and medicine

A Promising Candidate in the Treatment of Children with Bronchopneumonia: Erythromycin Plus PIP/TAZ.

Article

作者: Kong, Ting ; Chen, Chunbao ; Wang, Jia

ObjectiveTo investigate the efficacy of piperacillin-tazobactam (PIP/TAZ) versus PIP/TAZ plus erythromycin in the treatment of children with bronchopneumonia, and to evaluate the influence of these treatments on inflammatory factors and intestinal flora. Assessing the impact on these parameters is crucial to provide a comprehensive understanding of the treatment effects.MethodsA total of 120 children with bronchial pneumonia who were treated in Yichang Central People's Hospital from April 2018 to April 2020 were randomized (1:1) either into the control group or the observation group. The control group was given PIP/TAZ treatment. The observation group was additionally treated with erythromycin on the basis of the control group. The clinical efficacy, disappearance time of main symptoms and signs, inflammatory factors, and intestinal flora before and after treatment were compared between the two groups.ResultsThe treatment with PIP/TAZ plus erythromycin led to a significantly higher total clinical effective rate versus PIP/TAZ alone (P < .05). PIP/TAZ plus erythromycin resulted in a shorter time taken for the disappearance of fever, cough, and pulmonary rales versus PIP/TAZ alone (P < .05). These findings suggest that the combination regimen was more effective at resolving the key clinical symptoms of bronchopneumonia in children, which is important for improving patient outcomes and reducing the duration of illness. Patients given PIP/TAZ plus erythromycin experienced lower serum levels of the inflammatory markers CRP, TNF-α, and IL-8 as compared with patients given PIP/TAZ alone (P < .05). The reduction in these inflammatory factors indicates that the addition of erythromycin may have provided greater anti-inflammatory benefits beyond the antimicrobial effects of PIP/TAZ alone. Modulating the inflammatory response is clinically significant, as excessive inflammation can contribute to lung damage and disease severity in pneumonia. Conversely, the observation group showed a higher incidence of gastrointestinal disturbances, including increased stool frequency, watery stools, and elevated stool white blood cell counts after treatment (P < .05), suggesting that the erythromycin component may have disrupted the balance of intestinal flora. Maintaining a healthy gut microbiome is important for overall health, immunity, and preventing further complications. The clinical significance of this finding is that the addition of erythromycin to the treatment regimen may have unintended adverse effects on the gut that should be carefully monitored.ConclusionPIP/TAZ plus erythromycin might be a promising candidate in the treatment of children with bronchopneumonia by significantly improving clinical outcomes, shortening the duration of key symptoms, and regulating the level of inflammatory factors. These findings suggest the combination regimen could provide greater clinical benefits compared to PIP/TAZ alone for managing pediatric bronchopneumonia. However, the addition of erythromycin also appeared to aggravate the imbalance of intestinal flora, as evidenced by the increased incidence of gastrointestinal disturbances. Maintaining a healthy gut microbiome is crucial for overall health and immunity in growing children. Therefore, clinicians must carefully weigh the potential benefits of improved antimicrobial and anti-inflammatory effects against the potential risks of disrupting the delicate gut ecosystem when considering the use of antibiotic combinations for pediatric patients. In conclusion, PIP/TAZ plus erythromycin may be a viable treatment option for children with bronchopneumonia, but clinicians should monitor for any unintended impacts on the gut flora and be prepared to make adjustments to the regimen if necessary. Careful consideration of the balance between therapeutic efficacy and preserving intestinal health is essential when prescribing antibiotic combinations, especially in the pediatric population.

2014-12-01·BMC Infectious Diseases3区 · 医学

Polymerase chain reaction ribotyping of Clostridium difficileisolates in Qatar: a hospital-based study

3区 · 医学

ArticleOA

作者: Wedad S Hamdi ; Sanjay H Doiphode ; Asma A Al-Thani ; Godwin Justus Wilson ; Naser A Al-Ansari

BACKGROUNDClostridium difficile infection (CDI) is not generally reported to public health authorities in the Middle East and its true prevalence remains largely unknown. The aims of this study were to determine the prevalence of CDI and its associated ribotypes among C. difficile isolates in Qatar. Influence of age and correlation with other risk factors e.g. proton pump inhibitor use, antibiotic use, existence of chronic conditions, etc was also investigated for CDI positive patients.METHODSA total of 1,532 patients with suspected CDI were recruited from two hospitals between 2011 and 2012. C. difficile was identified using glutamate dehydrogenase (GDH) lateral flow assay and toxins A and B Enzyme Immunoassay (EIA). The C. difficile positive samples were then cultured for PCR-ribotyping.RESULTS122 of the 1,532 (7.9%) samples from individual patients were identified as C.difficile positive; and 79 of these were viably cultured (~65%). From these, 36 different PCR ribotypes were isolated, of which strains 258 (6 [7.6%]), 01/014/046 (5 [6.3%]), and 011/053/056/107 (4 [5%]) were the most prevalent. The prevalence of PCR-ribotype 027 was 1.3% (n = 1). An age of ≥65 years and treatment with proton pump inhibitors correlated with higher frequency of CDI. Treatment with third generation cephalosporins (50 [41%]) and piperacillin/tazobactam antibiotics (55 [45.1%]) was most frequently associated with CDI.CONCLUSIONThe most common C. difficile ribotype identified in Qatar was 258, which is different from those found in North America, Europe and Asia. The prevalence of CDI was higher in Qatar than Europe; though comparable to other Middle Eastern countries. These findings underscore the importance of local surveillance to detect and control C. difficile infection.

Revista Española de Quimioterapia4区 · 医学

New evidence in severe pneumonia: imipenem/ cilastatin/relebactam

4区 · 医学

Review

作者: Girón, R M ; Ibáñez, A ; Alarcón, T ; Gómez-Punter, R M

Imipenem combined with beta-lactamase inhibitor relebactam (IMI/REL) has an extensive bactericidal activity against Gram-negative pathogens producing class A or class C beta-lactamases, not active against class B and class D. The phase 3 clinical trial (RESTORE-IMI-2), double-blind, randomized, evaluated IMI/REL vs. piperacillin-tazobactam (PIP/TAZ) for treatment of hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP), demonstrated non-inferiority at all-cause mortality at 28 days (15.9% vs 21.3%), favorable clinical response at 7-14 days end of treatment (61% vs 59.8%) and with minor serious adverse effects (26.7% vs 32%). IMI/REL is a therapeutic option in HAP and VAP at approved dosage imipenem 500 mg, cilastatin 500 mg and relebactam 250 mg once every 6h, by an IV infusion over 30 min.

项与地塞米松/哌拉西林/他唑巴坦相关的新闻（医药）

2024-02-02

·药明康德

2月4款创新药有望获FDA批准

根据PDUFA的预期目标日期，预计2月，美国FDA将对4款创新药物的批准做出监管决定，本文将对这些疗法进行相关介绍。活性成分：Taniborbactam 适应症：复杂性尿路感染公司名称：Venatorx Pharmaceuticals Venatorx Pharmaceuticals公司开发的taniborbactam是一种β-内酰胺酶抑制剂（BLI），与第四代头孢菌素头孢吡肟联用，可降低细菌对头孢吡肟的耐药性。头孢吡肟/taniborbactam已被美国FDA授予合格传染病产品（QIDP）和快速通道资格。值得一提的是，中国的云顶新耀公司已与Venatorx达成研发合作，共同开发头孢吡肟/taniborbactam。去年8月，该公司宣布，美国FDA已接受为由头孢吡肟和taniborbactam构成的组合疗法递交的新药申请（NDA），用于治疗复杂性尿路感染（包括急性肾盂肾炎）成人患者。FDA同时授予这一申请优先审评资格，预计在今年2月22日之前给出审评结果。这一NDA得到关键性3期临床试验CERTAIN-1结果的支持。试验结果显示，头孢吡肟/taniborbactam达到了试验的主要终点，与活性对照组相比，达到统计学非劣效性标准。头孢吡肟/taniborbactam组70.0%的患者达到临床和微生物学应答（细菌根除）的复合终点，活性对照组这一数值为58%。在达到非劣效性主要终点后的预定优效性分析显示头孢吡肟/taniborbactam组合表现出统计学优效性。活性成分：Lifileucel 适应症：黑色素瘤公司名称：Iovance Biotherapeutics Lifileucel是基于患者自身的肿瘤浸润淋巴细胞（TIL）构建的细胞疗法，这些TIL在癌症发生时会迁移到肿瘤处并且对肿瘤发起攻击。然而，通常患者体内的TIL数目不足以消灭肿瘤，而且肿瘤微环境会抑制TIL的功能。这款疗法通过从患者体内获取肿瘤组织并且提取TIL，然后在体外使用IL-2细胞因子以刺激TIL的扩增。这一体外刺激手段不但增加了TIL的数量，还能激活TIL的抗肿瘤能力。然后这些TIL被注回患者体内，更有效地杀伤肿瘤细胞。去年5月，Iovance Biotherapeutics公司宣布，FDA已接受lifileucel用于治疗晚期黑色素瘤患者的生物制品许可申请（BLA），并授予其优先审评资格。此次BLA申请得到了C-144-01临床试验积极结果的支持，该试验针对先前在抗PD-1/L1治疗和靶向治疗（如适用）期间或之后出现疾病进展的晚期黑色素瘤患者。试验结果表明，一次性注射lifileucel，能够在接受过PD-1抑制剂和BRAF/MEK靶向疗法的难治性患者中，达到34.3%的总缓解率。如果lifileucel获得加速批准，那么3期临床试验TILVANCE-301可作为支持完全批准的验证性研究。Iovance预计在FDA批准之时，TILVANCE-301试验已经顺利开展。活性成分：Roluperidone 适应症：精神分裂症公司名称：Minerva Neurosciences Roluperidone是一种在研小分子拮抗剂，开发用以治疗精神分裂症的阴性症状。该疗法已被证明可以阻断血清素、sigma和α-肾上腺素能受体，这些受体都参与调节重要的大脑功能，包括情绪、认知、睡眠和焦虑。Roluperidone旨在避免直接阻断多巴胺能受体（第一代和第二代抗精神病药的关键药理学靶点），同时保持对血清素受体的特定亚型5-HT2A（第二代抗精神病药的另一个关键靶点）以及其他药理学靶点（sigma2和肾上腺素-α1A）的阻断。去年5月，Minerva Neurosciences公司宣布美国FDA已接受为roluperidone递交的NDA，用于治疗精神分裂症患者的症状（包括难以享受生活、脱离人群等）。预计在今年2月26日之前做出审评决定。活性成分：Enmetazobactam 适应症：复杂性尿路感染公司名称：Allecra Therapeutics Enmetazobacta是Allecra公司开发的β-内酰胺酶抑制剂。与头孢吡肟联用，旨在对抗革兰氏阴性菌的耐药性，尤其是由β-内酰胺酶介导的超广谱耐药性。Enmetazobacta/头孢吡肟组合已经获得美国FDA授予的合格传染病产品资格（QIDP）。去年6月，Allecra公司宣布已经向美国FDA递交头孢吡肟/enmetazobactam组合的新药申请，用于治疗复杂性尿路感染。此次NDA的提交得到了一项随机双盲、含活性对照的3期试验ALLIUM结果的支持，该试验在复杂性尿路感染患者中研究了头孢吡肟/enmetazobacta与哌拉西林/他唑巴坦（当前标准治疗）相比的疗效。在临床治愈和微生物学根除的主要复合终点方面，与哌拉西林/他唑巴坦相比，头孢吡肟/enmetazobacta达到非劣效性和优效性标准。今年1月，Allecra Therapeutics的合作伙伴Advanz Pharma宣布，欧洲药品管理局（EMA）人用药品委员会（CHMP）已发表了积极意见，推荐批准这款抗生素组合在欧盟上市。参考资料： [1] Venatorx Pharmaceuticals Announces FDA Acceptance and Priority Review of New Drug Application for Cefepime-Taniborbactam to Treat Complicated Urinary Tract Infections (cUTI), including Pyelonephritis, in Adults. Retrieved January 31, 2024, from https://venatorx.com/press-releases/venatorx-pharmaceuticals-announces-fda-acceptance-and-priority-review-of-new-drug-application-for-cefepime-taniborbactam-to-treat-complicated-urinary-tract-infections-cuti-including-pyelonephritis/ [2] Minerva Neurosciences Announces Update on its New Drug Application (NDA) for Roluperidone for the Treatment of Negative Symptoms in Schizophrenia. Retrieved January 31, 2024, from https://ir.minervaneurosciences.com/news-releases/news-release-details/minerva-neurosciences-announces-update-its-new-drug-0 内容来源于网络，如有侵权，请联系删除。

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100 项与地塞米松/哌拉西林/他唑巴坦相关的药物交易

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研发状态

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适应症	最高研发状态	国家/地区	公司	日期
中耳炎	临床2期	-	Yuhan Corp.	-

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研究	分期	人群特征	评价人数	分组	结果	评价	发布日期


ERS2019	N/A	肺炎	43	Cefepime with Ciprofloxacin	製積繭鹽築範鏇窪淵淵(壓鏇積鹹襯廠廠鏇艱鏇) = 衊餘糧積鑰獵艱顧範遞選襯壓餘憲築蓋鹽齋鹹 (願選範憲鹹鹽廠範廠鏇 ) 更多	-	2019-09-28
				Piperacillin/tazobactam with Ciprofloxacin	製積繭鹽築範鏇窪淵淵(壓鏇積鹹襯廠廠鏇艱鏇) = 簾遞構醖艱壓製製壓淵選襯壓餘憲築蓋鹽齋鹹 (願選範憲鹹鹽廠範廠鏇 ) 更多
ASN2018	N/A	-	6	Meropenem	憲蓋築壓製艱積糧範鏇(遞壓糧蓋齋鏇憲鏇網範) = 鹽鹹範襯遞顧蓋鹹選獵齋壓廠醖鑰廠願鹽顧廠 (網糧廠憲膚鏇壓壓獵製 ) 更多	-	2018-10-23
				Piperacillin/Tazobactam	憲蓋築壓製艱積糧範鏇(遞壓糧蓋齋鏇憲鏇網範) = 範窪網淵餘醖襯淵鏇餘齋壓廠醖鑰廠願鹽顧廠 (網糧廠憲膚鏇壓壓獵製 ) 更多
Pubmed \| Pharmacotherapy	N/A	危重病	367	Extended-infusion (EI) piperacillin/tazobactam	(選鑰選網鏇簾鑰壓製顧) = 壓選築餘製鏇繭廠鏇願糧淵簾築顧餘鹹鹽鹹繭 (膚顧製製齋齋憲願憲齋 ) 更多	-	2017-01-01
				Non-extended infusion (NEI) piperacillin/tazobactam	(選鑰選網鏇簾鑰壓製顧) = 廠築醖顧齋艱憲簾憲構糧淵簾築顧餘鹹鹽鹹繭 (膚顧製製齋齋憲願憲齋 ) 更多
ASN2016	N/A	急性肾损伤	5,370	Vancomycin/Cefepime	鹽醖製餘壓憲製繭糧醖(廠鑰鑰鬱鏇鹽壓艱憲構) = 鹽鹹窪繭餘窪積構襯鏇顧簾廠壓淵積簾鬱網齋 (夢膚餘繭廠網鹹範艱廠 )	不佳	2016-11-15
				Vancomycin/Piperacillin-Tazobactam	鹽醖製餘壓憲製繭糧醖(廠鑰鑰鬱鏇鹽壓艱憲構) = 遞觸窪網積範願艱顧夢顧簾廠壓淵積簾鬱網齋 (夢膚餘繭廠網鹹範艱廠 )