TABLE 1.
Summary of case series of patients with bloodstream infections or bone and joint infections treated with oritavancina
| Reference | n | Infection(s) | Bacterium or bacteria (n) | Most frequent dosage(s) | Duration/no. of doses | Success, n (%)b | Adverse event(s) (n) |
|---|---|---|---|---|---|---|---|
| Bloodstream infections | |||||||
| Bhavnani et al., 2006 (73) | 55 | Bacteremia | S. aureus (55) | 5–10 mg/kg/day | 10–14 days | 45 (78) | N/R |
| Johnson et al., 2015 (109) | 1 | PVE | VR E. faecium (1) | 1,200 mg every 48 h × 3 doses, then 1,200 mg weekly × 6 wk, then 1,200 mg biweekly × 10 wk | 14 doses | 1 (100)c | Anorexia, nausea, elevated LFTs (1) |
| Stewart et al., 2017 (82) | 6 | Bacteremiad | MSSA (4), CoNS (1), Enterococcus spp. (1) | 1,200 mg | 1 dose | 4 (66.7) | None |
| Stewart et al., 2017 (82) | 1 | NVE | S. agalactiae (1) | 1,200 mg | 1 dose | 0 (0) | None |
| Datta et al., 2018 (74) | 3 | Bacteremia | MRSA (1), S. gallolyticus (1), Granulicatella adiacens (1) | 1,200 mg | 1 dose | 3 (100) | N/R |
| Brownell et al., 2020 (76) | 4 | Endocarditis | Not specifiede | 1,200 mg then 800–1,200 mg weekly | N/Re | 4 (100) | None |
| Redell et al., 2019 (77) | 7 | Bacteremia | MRSA (2), MSSA (1), S. epidermidis (2), other (2) | 1,200 mg once | 1 dose | 7 (100) | Not specified (29)f |
| Schulz et al., 2018 (80) | 1 | Bacteremia | VR E. faecium (1) | 1,200 mg then 800 mg weekly | 4 doses | 0 (0) | None |
| Total | 78 | 64 (82) | |||||
| Bone and joint infections | |||||||
| Van Hise et al., 2020 (75) | 134 | Acute osteomyelitis | MSSA (35), MRSA (108), VISA (2), VRE (7) | 1,200 mg once then 800 mg weekly | 4–5 doses | 118 (88.1) | Hypoglycemia (3), tachycardia (2) |
| Brownell et al., 2020 (76) | 16 | Osteomyelitis, diabetic foot, IAI | Not specifiedg | 1,200 mg then 800–1,200 mg weekly | N/Rg | 16 (100) | Not specified (3)f |
| Redell et al., 2019 (77) | 25 | Acute osteomyelitis, septic arthritis, IAI | Not specifiedg | 1,200 mg once or 1,200 mg every 6–14 days | 1–10 doses | 19 (76) | Not specified (29)f |
| Chastain and Davis, 2019 (78) | 9 | Chronic osteomyelitis | MRSA (5), other (4)i | 1,200 mg LD then 1,200 mg every 13–52 days | 2–6 doses | 9 (100) | None |
| Dahesh et al., 2019 (66) | 1 | IAI | VR E. faecium (1) | 1,200 mg weekly × 2 wk then 800 mg weekly | 10 doses | 1 (100) | N/R |
| Ruggero et al., 2018 (79) | 1 | Acute osteomyelitis | MRSA (1) | 1,200 mg every 2–4 wk | 5 doses | 1 (100) | N/R |
| Schulz et al., 2018 (80) | 4 | Acute and chronic osteomyelitis, septic arthritis, diskitis | MSSA (1), other (3)i | 1,200 mg then 800 mg weekly | 2–8 doses | 2 (50)h | Anemia and leukopenia (1) |
| Foster et al., 2017 (110) | 1 | IAI | Daptomycin-nonsusceptible VR E. faecium (1) | 1,200 mg weekly | 6 doses | 1 (100) | None |
| Delaportas et al., 2017 (81) | 1 | Acute osteomyelitis | MSSA (1) | 1,200 mg weekly | 7 doses | 1 (100) | None |
| Stewart et al., 2017 (82) | 1 | Bursitis | MRSA (1) | 1,200 mg once | 1 dose | 1 (100) | Hearing loss (1) |
| Total | 193 | 169 (87.6) | |||||
VRE, vancomycin-resistant Enterococcus; CoNS, coagulase-negative staphylococci; MRSA, methicillin-resistant S. aureus; MSSA, methicillin-susceptible S. aureus; N/R, not reported; VISA, vancomycin-intermediate S. aureus; NVE, native valve endocarditis; PVE, prosthetic valve endocarditis; IAI, implant-associated infection; LD, loading dose.
Definitions of clinical success were heterogeneous across the studies. For details, refer to the individual publication.
Clinical improvement—partial resolution of clinical signs and symptoms.
Includes bacteremia with wound infection, bacteremia with abscesses with and without osteomyelitis, and bacteremia with endocarditis.
Not reported for infective endocarditis.
Corresponds to the total cohort in studies that included cases with different sources of infection.
Not specified for bone and joint infections.
Cure, 2 (50%); improvement, 2 (50%).
Includes sterile cultures or unavailable cultures.