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. 2020 Mar 25;61(4):301–309. doi: 10.3349/ymj.2020.61.4.301

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).