Table 2.
Regimen | Trough (mg/liter)a |
Outcome | |
---|---|---|---|
CPT | NXL104 | ||
K. pneumoniae 27-908M bearing KPC-2b | |||
NXL104 AUC = 192, q24h | 3.2 | 0.12 | Fail |
NXL104 AUC = 96, q12h | 3.2 | 1.4-1.5 | Fail |
NXL104 AUC = 64, q8h | 3.2 | 2.5-2.9 | Succeed |
K. pneumoniae 24-1318A bearing CTX-M-15c | |||
NXL104 AUC = 32, q8h | 3.2 | 1.1-1.2 | Succeed |
NXL104 AUC = 108, q12h | 2.2 | 1.3-1.4 | Succeedd |
E. cloacae 2-77C bearing stably derepressed AmpCe | |||
NXL104 AUC = 192, q24h | 3.2 | 0.16 | Fail |
NXL104 AUC = 96, q12h | 3.2 | 1.5-1.6 | Fail |
NXL104 AUC = 64, q8h | 3.2 | 2.9-3.4 | Succeed |
The ceftaroline (CPT) trough values indicated are nominal values. The actual values (measured at h 7) were always higher. The NXL104 concentrations were the result of modeling all the data for each regimen and simulating the 8-h NXL104 concentrations for the first 24 h.
The MICs using serial dilutions of CPT and NXL104 fixed at 4 mg/liter were 0.75/4.0 mg/liter; the MICs using serial dilutions of both agents were 0.75/4.0 mg/liter.
The MICs using serial dilutions of CPT and NXL104 fixed at 4 mg/liter were 0.12/4.0 mg/liter; the MICs using serial dilutions of both agents were 1.0/0.5 mg/liter.
This regimen was CPT at 900 mg, q12h, and NXL104 at 900 mg, q12h.
The MICs using serial dilutions of CPT and NXL104 fixed at 4 mg/liter were 0.75/4.0 mg/liter; the MICs using serial dilutions of both agents were 2.0/1.0 mg/liter.