The incidence and patient outcomes of ABSSSI by iclaprim MIC values in the phase 3 REVIVE trials for treatment of acute bacterial skin and skin structure infections

J Med Microbiol. 2019 Jun;68(6):898-902. doi: 10.1099/jmm.0.000989. Epub 2019 May 3.

Abstract

The incidence and patient outcomes of Staphylococcus aureus isolates by iclaprim MIC was determined among patients from two phase 3 studies for the treatment of acute bacterial skin and skin structure infections (ABSSSI), REVIVE-1 and -2. Iclaprim MIC90 values were 0.12 µg ml-1 for S. aureus (0.12 µg ml-1 against methicillin-sensitive and 0.25 µg ml-1 against methicillin-resistant S. aureus). The incidence of culture confirmed S. aureus isolates among patients with ABSSSI with an iclaprim MIC > 8 µg ml-1 was 2.0 % (16/790). The clinical outcomes varied by MICs for early clinical response (63-100 %), end of therapy response (81-100 %) and the test of cure response (75-100 %). For microbiological outcomes of these infections, the end of therapy response was 80-100 % and the test of cure response was 88-100 %.

Keywords: Staphylococcus aureus; iclaprim; incidence; resistance; skin infections.

Publication types

  • Clinical Trial, Phase III
  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Acute Disease
  • Anti-Bacterial Agents / pharmacology*
  • Double-Blind Method
  • Humans
  • Incidence
  • Methicillin / pharmacology
  • Methicillin-Resistant Staphylococcus aureus / drug effects
  • Microbial Sensitivity Tests
  • Pyrimidines / pharmacology*
  • Skin / microbiology
  • Staphylococcal Skin Infections / drug therapy*
  • Staphylococcal Skin Infections / epidemiology
  • Staphylococcal Skin Infections / microbiology
  • Staphylococcus aureus / drug effects*
  • Vancomycin / pharmacology

Substances

  • Anti-Bacterial Agents
  • Pyrimidines
  • iclaprim
  • Vancomycin
  • Methicillin