TABLE 5.
Summary of results from patients with unfavorable response at the TOC assessment among the ME patients enrolled in the cUTI and cIAI phase 2 trials for ceftazidime-avibactam
| Triala | Armb | Patient no. | Age (yr) | Pathogen | MIC (μg/ml) |
Molecular characterization | ||
|---|---|---|---|---|---|---|---|---|
| CAZ | CAZ-AVI | MER/IMI | ||||||
| cUTI | CAZ-AVI | 1 | 28 | E. coli | 1 | 0.12 | 0.12 | CTX-M-14 + TEM-1 |
| 2 | 36 | E. coli | >32 | 0.25 | 0.12 | CTX-M-15 + OXA-1 + TEM-1 | ||
| 3 | 57 | E. coli | 8 | 0.12 | 0.12 | CTX-M-15 + OXA-1 | ||
| 4 | 36 | P. aeruginosa | 4 | 4 | 0.5 | Screen negativec | ||
| IMI | 5 | 76 | E. coli | 32 | 0.12 | 0.06 | CTX-M-15 + TEM-1 | |
| 6 | 34 | E. coli | >32 | 0.12 | 0.12 | CTX-M-15 + TEM-1 | ||
| 7 | 45 | E. coli | 8 | 0.12 | 0.12 | CTX-M-15 + TEM-1 | ||
| 8 | 45 | E. coli | 0.5 | 0.12 | 0.12 | Screen negative | ||
| 9 | 50 | E. coli | 16 | 0.12 | 0.12 | CTX-M-15 + TEM-1 | ||
| P. mirabilis | ≤0.03 | ≤0.03 | 0.25 | Screen negative | ||||
| 10 | 68 | E. coli | 0.12 | 0.06 | 0.12 | Screen negative | ||
| 11 | 71 | E. cloacae | >32 | 2 | 0.25 | Upregulated AmpC + TEM-1 | ||
| cIAI | CAZ-AVI/MTZ | 1 | 52 | E. coli | 16 | ≤0.03 | ≤0.004 | CTX-M-15 + OXA-1 + SHV-2 |
| 2 | 40 | E. coli | >32 | 2 | 0.015 | CTX-M-15 + OXA-1 + CMY-42 | ||
| 3 | 49 | E. coli | 0.25 | 0.12 | 0.015 | Screen negative | ||
| 4 | 30 | E. coli | 0.06 | ≤0.03 | 0.008 | Screen negative | ||
| 5 | 33 | E. coli | 0.12 | 0.12 | 0.015 | Screen negative | ||
| MER | 6 | 20 | E. coli | >32 | 0.12 | 0.015 | CTX-M-15 + OXA-1 + SHV-12 + TEM-1 | |
| 7 | 82 | E. aerogenes | 0.12 | 0.12 | 0.03 | Screen negative | ||
| 8 | 39 | E. coli | 0.12 | 0.06 | 0.015 | Screen negative | ||
| 9 | 69 | E. coli | 0.12 | 0.06 | 0.015 | Screen negative | ||
| 10 | 26 | E. coli | 0.12 | 0.06 | 0.015 | Screen negative | ||
cUTI, complicated urinary tract infection; cIAI, complicated intra-abdominal infection.
CAZ, ceftazidime; CAZ-AVI, ceftazidime-avibactam; MER, meropenem; IMI, imipenem.
Screen negative, isolates that did not meet the MIC-based screening criteria.
d Patient with polymicrobial infections (E. coli-P. mirabilis) at baseline. A molecularly unrelated (PFGE) E. coli isolate (CTX-M-15 + OXA-1) was recovered at visit 5.
e A CTX-M-15-producing E. coli isolate was recovered at visit 5.
f A molecularly unrelated (by PFGE) E. coli isolate (NDM-1 + CTX-M-15 + OXA-1 + CMY-2) was recovered at the follow-up visit.