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 | |
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).
The total number of patients in the treatment group was 333.
%S, percent susceptible.
The %S is based on EUCAST breakpoints and includes species with intrinsic resistance to colistin.
The %S is based on EUCAST breakpoints and includes species with reduced susceptibility to tigecycline.
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).