TABLE 4.
Efficacy of dalbavancin against S. pneumoniae and S. aureus
Regimen and organism | MIC (mg/liter) | MIC/MBC (mg/liter) | Static effect
|
1-log killing
|
2-log killing
|
||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Dose (mg/kg/24 h or mg/kg/72 h) | Free-drug 24-h AUC/MIC | Free-drug 24-h AUC/MBC | Dose (mg/kg/24 h or mg/kh/72 h) | Free-drug 24-h AUC/MIC | Free-drug 24-h AUC/MBC | Dose (mg/kg/24 h or mg/kh/72 h) | Free-drug 24-h AUC/MIC | Free-drug 24-h AUC/MBC | |||
q24h regimen | |||||||||||
S. pneumoniae | |||||||||||
1199 | 0.004 | 0.40 | 16.0 | 0.49 | 19.4 | 0.57 | 22.7 | ||||
1293 | 0.004 | 0.44 | 17.4 | 0.55 | 21.7 | 0.65 | 25.9 | ||||
1325 | 0.008 | 1.46 | 29.0 | 1.6 | 31.8 | 1.73 | 34.5 | ||||
1329 | 0.008 | 0.90 | 18.0 | 1.18 | 23.5 | 1.45 | 26.7 | ||||
ATCC 10813 | 0.03 | 1.34 | 7.5 | 1.54 | 8.7 | 1.75 | 9.9 | ||||
Mean ± SD | 0.91 ± 0.44 | 17.6 ± 6.9 | 1.1 ± 0.47 | 21 ± 7.4 | 1.23 ± 0.52 | 24.3 ± 8.2 | |||||
S. aureus | |||||||||||
ATCC 25923 | 0.12/0.50 | 42.7 | 216 | 52 | 51.2 | 250 | 60 | 60 | 289 | 69.3 | |
33591 | 0.12/0.25 | 22.3 | 96.2 | 46 | 27.7 | 121 | 58.3 | 33.5 | 157 | 74.3 | |
31005 | 0.06/0.12 | 49.3 | 483 | 242 | |||||||
MRSA | 0.06/0.25 | 37.7 | 374 | 93 | 45.3 | 452 | 109 | 53.5 | 519 | 125 | |
Smith | 0.12/0.25 | 33.5 | 156 | 75 | 50.7 | 248 | 119 | 73.5 | 361 | 173 | |
Mean ± SD | 37.1 ± 9.1 | 265 ± 143 | 101 ± 72 | 43.7 ± 9.5 | 268 ± 119 | 86.6 ± 27.6 | 55 ± 14 | 332 ± 131 | 110 ± 42 | ||
q72h regimen | |||||||||||
S. pneumoniae | |||||||||||
1325 | 0.008 | 0.83 | 6.0 | 0.99 | 8.8 | 1.16 | 17.6 | ||||
1293 | 0.004 | 1.01 | 14.1 | 1.28 | 18 | 1.68 | 23.8 | ||||
1199 | 0.004 | 0.72 | 10.3 | 0.85 | 12.1 | 0.99 | 35.3 | ||||
1396 | 0.008 | 0.52 | 4.0 | 0.61 | 4.3 | 0.69 | 4.8 | ||||
ATCC 10813 | 0.03 | 0.71 | 1.4 | 0.77 | 1.6 | 0.82 | 1.6 | ||||
Mean ± SD | 0.77 ± 0.18 | 7.2 ± 4.5 | 0.93 ± 0.24 | 9.0 ± 5.8 | 1.13 ± 0.36 | 16.6 ± 12.3 | |||||
S. aureus | |||||||||||
ATCC 25923 | 0.12/0.50 | 160 | 274 | 66 | 185 | 317 | 76.1 | 214 | 367 | 88.1 | |
33591 | 0.12/0.25 | 74 | 123 | 59 | 93 | 160 | 76.6 | 114 | 195 | 94 | |
MRSA | 0.06/0.25 | 43 | 147 | 35.3 | 62 | 202 | 48.8 | 85 | 292 | 70 | |
Smith | 0.12/0.25 | 59 | 96 | 46.1 | 95 | 163 | 78.0 | 148 | 254 | 22 | |
307109 | 0.06/0.50 | 31 | 94 | 11.3 | 34 | 108 | 12.9 | 37 | 121 | 14.6 | |
31005 | 0.06/0.12 | 67.7 | 223 | 112 | 94.6 | 325 | 163 | 127 | 364 | 217 | |
Mean ± SD | 72 ± 41 | 160 ± 67 | 55 ± 31 | 94 ± 46 | 213 ± 81.4 | 75.9 ± 45.2 | 120 ± 54 | 266 ± 88 | 101 ± 61 |