Table 3. In Vivo Efficacies of Five Generics and the Innovator Product of Vancomycin.
Product | R2 | Emax (log10 CFU/g) | p value | Slope (N) | p value | ED50 (mg/kg/day) | p value | BD (mg/kg/day) | p value | 1LKD (mg/kg/day) | p value | p value (CFA) (IP vs. GP) |
---|---|---|---|---|---|---|---|---|---|---|---|---|
S. aureus ATCC 29213 104 inoculum, PDP±SE | ||||||||||||
Vancocin CP | 0.995 | −9.33±0.27 | Reference | 0.69±0.36 | Reference | 1.22±1.61 | Reference | 6.39±0.97 | Reference | 19.97±5.30 | Reference | Reference |
Generic A | 0.996 | IVP | - | IVP | - | IVP | - | IVP | - | IVP | - | - |
Generic B | 0.992 | −9.34±0.35 | 0.994 | 0.69±0.43 | 0.984 | 1.53±2.15 | 0.885 | 7.80±1.17 | 0.037* | 23.95±6.26 | 0.637 | 0.786 |
Generic C | 0.995 | −9.22±0.13 | 0.481 | 1.15±0.39 | 0.228 | 4.32±2.37 | 0.156 | 12.07±1.13 | 0.003* | 24.59±4.19 | 0.509 | 0.599 |
Generic D | 0.995 | −9.18±0.26 | 0.672 | 0.71±0.41 | 0.968 | 1.19±1.76 | 0.983 | 6.58±1.04 | 0.897 | 22.63±6.79 | 0.764 | 0.405 |
Generic E | 0.994 | −9.27±0.17 | 0.743 | 1.04±0.33 | 0.279 | 4.59±2.24 | 0.091 | 14.02±1.43 | 0.001* | 30.17±5.45 | 0.209 | 0.050* |
S. aureus ATCC 29213 108 inoculum, PDP±SE | ||||||||||||
Vancocin CP | 0.989 | −16.34±0.57 | Reference | 0.86±0.22 | Reference | 8.36±1.83 | Reference | 20.46±1.42 | Reference | 29.17±2.31 | Reference | Reference |
Generic A | 0.986 | −16.44±0.62 | 0.855 | 0.87±0.23 | 0.945 | 9.26±1.89 | 0.619 | 21.84±1.47 | 0.513 | 30.80±2.36 | 0.632 | 0.952 |
Generic B | 0.989 | −16.61±0.65 | 0.606 | 0.79±0.18 | 0.718 | 10.12±1.46 | 0.216 | 24.83±1.79 | 0.084 | 35.78±2.9 | 0.105 | 0.156 |
Generic C | 0.991 | −16.25±0.51 | 0.862 | 0.86±0.19 | 0.966 | 8.91±1.59 | 0.719 | 22.09±1.54 | 0.452 | 31.58±2.53 | 0.498 | 0.779 |
Generic D | 0.991 | −16.52±0.59 | 0.707 | 0.81±0.18 | 0.757 | 9.32±1.46 | 0.489 | 23.10±1.66 | 0.254 | 33.32±2.72 | 0.271 | 0.493 |
Generic E | 0.991 | −16.95±0.87 | 0.353 | 0.67±0.16 | 0.222 | 9.19±1.26 | 0.504 | 24.52±2.02 | 0.131 | 37.17±3.41 | 0.081 | 0.029* |
S. aureus Mu3 104 inoculum, PDP±SE | ||||||||||||
Vancocin CP | 0.950 | −9.71±2.59 | Reference | 0.41±1.40 | Reference | 0.19±2.23 | Reference | 3.29±1.34 | Reference | 29.32±16.62 | Reference | Reference |
Generic A | 0.931 | −9.58±1.77 | 0.952 | 0.56±1.11 | 0.899 | 1,22±5.28 | 0.749 | 10.48±3.47 | 0.082 | 59.01±29.82 | 0.404 | 0.653 |
Generic B | 0.958 | −9.29±0.53 | 0.624 | 0.93±0.76 | 0.476 | 4.48±5.44 | 0.180 | 18.03±4.14 | 0.006* | 69.31±31.47 | 0.287 | 0.162 |
Generic C | 0.940 | −9.18±0.55 | 0.642 | 1.01±1.25 | 0.608 | 3.77±7.96 | 0.512 | 14.23±3.14 | 0.009* | 63.21±31.99 | 0.369 | 0.559 |
Generic D | 0.966 | −10.65±7.47 | 0.806 | 0.24±0.79 | 0.831 | 0.16±0.72 | 0.972 | 5.75±2.85 | 0.453 | 60.59±34.47 | 0.432 | 0.614 |
Generic E | 0.947 | −9.36±1.07 | 0.846 | 0.66±1.28 | 0.850 | 1.13±5.53 | 0.810 | 8.08±2.48 | 0.121 | 50.62±27.32 | 0.520 | 0.859 |
S. aureus Mu3 108 inoculum, PDP±SE | ||||||||||||
Vancocin CP | 0.994 | −17.77±0.78 | Reference | 0.66±0.11 | Reference | 12.38±1.09 | Reference | 24.14±1.35 | Reference | 34.99±2.09 | Reference | Reference |
Generic A | 0.995 | −19.89±2.27 | 0.148 | 0.41±0.11 | 0.021* | 15.15±6.97 | 0.546 | 23.14±1.77 | 0.661 | 38.05±3.01 | 0.424 | 0.004* |
Generic B | 0.991 | −19.02±1.87 | 0.346 | 0.49±0.13 | 0.190 | 13.71±3.94 | 0.646 | 23.88±1.61 | 0.903 | 37.14±2.62 | 0.537 | 0.290 |
Generic C | 0.993 | −18.29±1.37 | 0.647 | 0.52±0.12 | 0.222 | 12.05±2.24 | 0.884 | 24.47±1.66 | 0.883 | 38.27±2.76 | 0.367 | 0.016* |
Generic D | 0.995 | −19.70±2.01 | 0.146 | 0.43±0.09 | 0.017* | 15.43±6.14 | 0.425 | 24.47±1.84 | 0.889 | 39.93±3.11 | 0.218 | 0.001* |
Generic E | - | IVP | - | IVP | - | IVP | - | IVP | - | IVP | - |
CFU, colony-forming units; PDP, pharmacodynamic parameters; SE, standard error; Emax, maximum effect; ED50, effective dose to kill 50% of Emax; BD, bacteriostatic dose; 1LKD, one-log kill dose; IVP, invalid parameter: it was not possible input into Hill's equation or the nonlinear regression failed any of the presumptions of normality and homoscedasticity; IP, innovator product; GP, generic product; CFA, curve fitting analysis.
*Statistically significant (p<0.05).