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. 2017 Jan 24;61(2):e01820-16. doi: 10.1128/AAC.01820-16

TABLE 1.

In vitro activity of ceftazidime-avibactam and other agents against Gram-negative isolates from patients enrolled in the phase 3 clinical trial (all randomized patients)a

Baseline pathogen(s) Agent(s) No. of pathogens tested MIC datab
Range (μg/ml) MIC50 (μg/ml) MIC90 (μg/ml) %Sc
Enterobacteriaceae
    All pathogens Ceftazidime-avibactam 314 ≤0.008–>256 0.25 1 98.7
Ceftazidime 314 0.06–>64 64 >64 9.9
Amikacin 314 0.25–>64 4 >64 86.6
Ciprofloxacin 314 0.015–>4 >4 >4 10.8
Colistin 314 0.12–>128 1 2 91.4d
Gentamicin 314 ≤0.12–>16 >16 >16 40.1
Imipenem 314 0.06–64 0.12 0.5 93.9
Meropenem 314 0.015–>8 0.03 0.25 95.9
Piperacillin-tazobactam 314 0.12–>128 16 >128 52.5
Tigecycline 314 0.12–8 0.5 2 81.8e
Trimethoprim-sulfamethoxazole 314 ≤0.25–>8 >8 >8 34.7
    Enterobacter cloacae Ceftazidime-avibactam 17 0.25–>256 0.5 4 94.1
Ceftazidime 17 16–>64 64 >64 0
Amikacin 17 1–>64 2 >64 76.5
Ciprofloxacin 17 0.015–>4 >4 >4 41.2
Colistin 17 0.5–>128 1 2 94.1
Gentamicin 17 0.25–>16 >16 >16 41.2
Imipenem 17 0.12–16 0.25 0.5 94.1
Meropenem 17 0.03–>8 0.06 0.25 94.1
Piperacillin-tazobactam 17 2–>128 128 >128 23.5
Tigecycline 17 0.25–8 1 4 58.8
Trimethoprim-sulfamethoxazole 17 ≤0.25–>8 ≤0.25 >8 70.6
    Escherichia coli Ceftazidime-avibactam 139 ≤0.008–8 0.12 1 100
Ceftazidime 139 0.12–>64 32 >64 13.7
Amikacin 139 0.5–>64 4 8 95.7
Ciprofloxacin 139 0.015–>4 >4 >4 7.2
Colistin 139 0.12–4 1 2 97.1
Gentamicin 139 0.25–>16 16 >16 48.2
Imipenem 139 0.06–1 0.12 0.25 100
Meropenem 139 0.015–1 0.03 0.06 100
Piperacillin-tazobactam 139 1–>128 8 >128 75.5
Tigecycline 139 0.12–1 0.25 0.5 100
Trimethoprim-sulfamethoxazole 139 ≤0.25–>8 >8 >8 62.6
    Klebsiella pneumoniae Ceftazidime-avibactam 131 0.06–>256 0.5 1 98.5
Ceftazidime 131 0.06–>64 >64 >64 5.3
Amikacin 131 0.25–>64 4 >64 81.0
Ciprofloxacin 131 0.03–>4 >4 >4 3.8
Colistin 131 0.25–64 1 2 94.0
Gentamicin 131 ≤0.12–>16 >16 >16 32.1
Imipenem 131 0.06–64 0.12 1 90.8
Meropenem 131 0.015–>8 0.06 1 91.6
Piperacillin-tazobactam 131 1–>128 128 >128 31.3
Tigecycline 131 0.25–8 1 2 74.0
Trimethoprim-sulfamethoxazole 131 ≤0.25–>8 >8 >8 27.5
    Other Enterobacteriaceaef Ceftazidime-avibactam 27 0.03–256 0.5 2 96.3
Ceftazidime 27 0.12–>64 64 >64 18.5
Amikacin 27 0.5–>64 4 >64 74.1
Ciprofloxacin 27 0.015–>4 >4 >4 18.5
Colistin 27 0.5–>128 >128 >128 48.1d
Gentamicin 27 0.25–>16 >16 >16 37.0
Imipenem 27 0.12–16 0.5 4 77.8
Meropenem 27 0.015–>8 0.06 0.25 96.3
Piperacillin-tazobactam 27 0.12–>128 16 >128 55.6
Tigecycline 27 0.25–8 2 8 40.7e
Trimethoprim-sulfamethoxazole 27 ≤0.25–>8 >8 >8 33.3
Nonfermenters
    Pseudomonas aeruginosa Ceftazidime-avibactam 27 1–256 8 64 55.6
Ceftazidime 27 1–>64 64 >64 29.6
Amikacin 27 0.5–>64 16 64 55.6
Cefepime 27 1–>16 16 >16 29.6
Ciprofloxacin 27 0.06–>4 >4 >4 18.5
Colistin 27 0.5–4 2 4 100
Gentamicin 27 1–>16 >16 >16 33.3
Imipenem 27 0.5–>64 2 16 55.6
Meropenem 27 0.06–>8 1 >8 59.3
Piperacillin-tazobactam 27 0.5–>128 64 >128 33.3
a

MIC50 and MIC90 values were not calculated for pathogens with <10 patients. A patient can have more than one pathogen. Multiple isolates of the same species from the same patient are counted only once using the isolate with the highest MIC to the study drug received. For bacteremic patients, multiple isolates of the same species from the same patient are counted only once using the isolate with the highest MIC to the study drug received across the culture source (urine or blood).

b

The total number of patients in the treatment group was 333.

c

%S, percent susceptible.

d

The %S is based on EUCAST breakpoints and includes species with intrinsic resistance to colistin.

e

The %S is based on EUCAST breakpoints and includes species with reduced susceptibility to tigecycline.

f

Other Enterobacteriaceae include Citrobacter freundii (7), Enterobacter aerogenes (2), Klebsiella oxytoca (1), Morganella morganii (15), Proteus mirabilis (16), Providencia rettgeri (15), Providencia stuartii (15), Raoultella terrigena (15), and Serratia marcescens (1).