Table 1.
Author, yr [Reference] | Country | Design | No. of Centers | Study Period | Sample Size | MRSA Associated Endocarditis | Group | Primary Endpoints 1 | Mortality | Clinical Failure (Composite Outcome) | Relapse | Persistent BSI | Safety Assessment 2 | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Daptomycin (Daily Dose, Treatment Duration, Combination Therapy [%, Drug]) | Vancomycin (Trough Concentration or Daily Dose, Treatment Duration, Combination Therapy [%, Drug]) | |||||||||||||
Arshad S et al. 2017 [27] | USA | Retrospective matched cohort study | 1 | Nov 2009–Dec 2013 | 102 (46 DAP vs. 56 VAN) |
DAP: 19/46 VAN: 13/56 |
N/A 4–8 weeks N/A |
N/A 4–8 weeks N/A |
1–3, 5 | DAP: 11/46 VAN: 6/56 |
DAP: 15/46 10/56 |
DAP: 1/46 1/56 |
N/A | N/A |
Claeys C et al. 2016 [33] | USA | Retrospective matched cohort study | 3 | Jan 2010–Mar 2015 | 262 (131 VAN vs. 131 DAP) |
DAP: 25/131 VAN: 25/131 |
8.2 mg/kg (IQR, 6.4–10.0) N/A 24.4% (13% ceftaroline, 6.9% rifampin) |
17.7 mg/L (IQR, 13–222.0) N/A 20.6% (10.7% ceftaroline, 4.6% rifampin) |
1–6 | DAP: 8/131 VAN: 20/131 |
DAP: 38/131 VAN: 59/131 |
DAP: 0/131 VAN: 0/131 |
DAP: 20/131 VAN: 37/131 |
DAP: 2 (3/131) VAN: 1 (12/131) |
Moise PA et al. 2016 [32] | USA | Retrospective matched cohort study | 11 | 2005–2012 | 170 (85 DAP vs. 85 VAN) |
31/170 (no group subdivision) | 6 mg/kg (IQR 6–8) 16 days (IQR, 10–35) 74% (13% gentamicin, 15% rifampin, 46% β-lactam) |
17.5 mg/L (IQR,14.0–22.0) 16 days (IQR, 9–31) 98% (16% gentamicin, 11% rifampin, 71% β-lactam) |
1–4, 6 | DAP: 15/85 VAN: 18/85 |
DAP: 9/85 VAN: 20/85 |
DAP: 0/85 VAN: 0/85 |
DAP: 8/72 VAN: 6/66 |
DAP: 1 (6/64) VAN: 1 (14/62) |
Moore CL et al. 2012 [29] | USA | Retrospective case–control study | 1 | 2005–2009 | 177 (59 DAP vs. 118 VAN) |
DAP: 17/59 VAN: 34/118 |
6 mg/kg (dose adjustment if GFR ≤30 mL/min) 12 days (IQR, 8–18) 3 days) |
10-20 mg/L 15 days (IQR, 10–24) 3 days) |
1–4, 6 | DAP: 5/59 VAN: 24/118 |
DAP: 10/59 VAN: 37/118 |
DAP: 2/59 VAN: 6/118 |
N/A | DAP: 1 (1/59) VAN: 1 (13/63) |
Weston A et al. 2014 [31] | USA | Retrospective case–control study | 1 | Jan 2001–Aug 2011 | 267 (50 DAP vs. 100 VAN) |
DAP: 13/50 VAN: 11/100 |
6.8 mg/kg (range, 5.1–10.8) (dose adjustment if GFR ≤30 mL/min) Average 28 days N/A |
15.3 μg/mL (range, 8.2–25.6) Average 21 days N/A |
1–4 | DAP: 8/50 VAN: 35/100 |
DAP: 17/50 VAN: 51/100 |
DAP: 6/50 VAN: 5/100 |
DAP: 7/50 VAN: 21/100 |
DAP: 2 (2/50) VAN: N/A |
Murray KP et al. 2013 [30] | USA | Retrospective matched cohort study | 4 | Jan 2005–Mar 2012 | 170 (85 DAP vs. 85 VAN) |
DAP: 20/85 VAN: 20/85 |
8.4 mg/kg (IQR, 6.3–9.9) 10 days (IQR, 8–17) 30.6% (14.1% aminoglycoside, 16.5% rifampin) |
17.6 µg/mL (IQR, 14.9–21.2) 9 days (IQR, 6-16) 47.1% (25.9% aminoglycoside, 21.2% rifampin) |
1–4 | DAP: 3/85 VAN: 11/85 |
DAP: 17/85 VAN: 41/85 |
DAP: 0/85 VAN: 3/85 |
DAP: 16/85 VAN: 36/85 |
DAP: 2 (1/85) VAN: 1 (22/85) |
Usery JB et al. 2015 [28] | USA | Retrospective cohort study | 1 | Jun 2008–Nov 2010 | 122 (53 DAP vs. 54 VAN) |
DAP: 6/53 VAN: 6/54 |
6.7 mg/kg (range, 4.9–8.5) 16.4 days (range, 6.8–26) N/A |
13.6 mg/kg (range, 9.6–17.6) 13.6 days (range, 6.5–20.7) N/A |
1–3, 7 | DAP: 10/53 VAN: 5/54 |
DAP: 11/53 VAN: 9/54 |
DAP: 4/42 VAN: 8/49 |
DAP: 19/53 VAN: 11/54 |
N/A |
Rehm SJ et al. 2008 [26] | International | Subset analysis of an open-label randomized trial |
Multicentre | Aug 2002–Mar 2005 | 88 (45 DAP vs. 43 VAN plus gentamicin) |
DAP: 13/45 VAN: 10/43 |
6 mg/kg 10-14 days for uncomplicated bacteraemia; at least 28 days for complicated bacteraemia and endocarditis N/A |
14.9 μg/mL 10-14 days for uncomplicated bacteraemia; at least 28 days for complicated bacteraemia and endocarditis 100% (gentamicin 1 mg/kg every 8 hours for the first 4 days of treatment) |
1–4, 6, 7 | DAP: 12/45 VAN: 8/43 |
DAP: 25/45 VAN: 29/43 |
DAP: 12/45 VAN: 9/43 |
DAP: 3/45 VAN: 7/43 |
DAP: 1, 3 (3/45) VAN: 1, 3 (7/43) |
1 Endpoints include the following: (1) mortality (including all-cause mortality, in-hospital mortality, 30-day mortality, 60-day mortality); (2) clinical failure (composite endpoint); (3) relapse (including 30/42-day relapse, 60-day MRSA BSI-related re-admission); (4) persistent BSI (including bacteraemia persistent 5/7 days, microbiologic failure); (5) duration of hospitalization and therapy; (6) safety; (7) success (including clinical cure, negative blood cultures after 42 days since end of therapy). 2 Safety assessment includes the following adverse events: (1) nephrotoxicity; (2) CK elevation; (3) all AEs.