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阿斯利康复方抗生素Zavicefta达医院获得性肺炎III期临床主要终点

2016-07-27 佚名 生物谷

近日,阿斯利康抗生素研发管线收获一则好消息,其复方抗生素Zavicefta(ceftazidime-avibactam,CAZ-AVI,头孢他啶-阿维巴坦,2g/0.5g,粉剂)在临床试验中已被证明对医院获得性肺炎,包括呼吸机相关肺炎具有显著效果。 这项名为REPROVE的头对头III期临床试验表明,Zavicefta与抗菌药美罗培南相比,在随机分组治疗21天的疗程中,其治疗医院获得性肺炎的有效

近日,阿斯利康抗生素研发管线收获一则好消息,其复方抗生素Zavicefta(ceftazidime-avibactam,CAZ-AVI,头孢他啶-阿维巴坦,2g/0.5g,粉剂)在临床试验中已被证明对医院获得性肺炎,包括呼吸机相关肺炎具有显著效果。

这项名为REPROVE的头对头III期临床试验表明,Zavicefta与抗菌药美罗培南相比,在随机分组治疗21天的疗程中,其治疗医院获得性肺炎的有效性不劣于美罗培南,达到了临床试验的主要终点。并且阿斯利康还表示,两组的全因死亡率没有差异,临床试验中也没有新报告的安全性数据。

上个月,Zavicefta获得欧盟委员会批准,用于静脉输注治疗复杂性腹腔内感染(cIAI)、复杂性尿路感染(cUTI,包括肾盂肾炎)、医院获得性肺炎(HAP,包括呼吸机相关肺炎VAP)成人患者,以及由好氧革兰氏阴性菌所致感染但缺乏治疗选择的成人患者。

Zavicefta(ceftazidime-avibactam,CAZ-AVI,头孢他啶-阿维巴坦)是由一种广谱头孢菌素ceftazidime(头孢他啶)和一种新一代非β-内酰胺类β内酰胺酶抑制剂avibactam(阿维巴坦)组成的复方产品,开发用于治疗广泛的革兰氏阴性菌感染,包括多重耐药铜绿假单胞菌、碳青霉烯类抗生素耐药的革兰氏阴性菌,产ESBL肠杆菌科细菌。ceftazidime(头孢他啶)是第三代头孢菌素,这是一种常用于治疗严重革兰氏阴性菌感染的抗生素产品。Zavicefta产品中所添加的avibactam成分,将保护ceftazidime免于被这些耐药阴性菌所产生的β-内酰胺酶的分解。目前抗生素的耐药问题已经愈发严重,细菌对于头孢菌素的抗性越来越强,尤其是细菌对β内酰胺酶的抑制作用,是细菌产生耐药的主要机制,而Zavicefta能够有效克服这一问题,维持头孢他啶的活性。

阿斯利康抗生素业务单元负责人Hans Sijbesma表示,这一积极III期临床试验数据表明了Zavicefta在治疗医院获得性肺炎方面的有效性,从而为医生和患者提供新的用药选择。Zavicefta是由阿斯利康和艾尔建共同研发的,阿斯利康持有该药物除北美地区之外的全球商业化权利,北美的专营权属于艾尔建。

原始出处:

Study data back efficacy of AZ novel antibiotic

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    2017-01-07 juliusluan78
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    2016-09-19 ylzr123

    赞了!深度好文,深入学习。

    0

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为了更好地管理抗生素的使用、提高抗生素的治疗效果、减少抗生素相关耐药性、减少院内感染的发生率,新的指南建议,治疗院内肺炎(HAP)与机械通气相关肺炎(VAP)使用的抗生素时长最好不要超过7日。这一新指南由美国传染病学会(IDSA)和美国胸科学会联合颁布,指南还建议,每个医院应开发抗菌谱,同时制定出根据效果选择适合且有效的相应抗生素的治疗规范。内布拉斯加大学医学中心的Andre C. Kalil博士

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提及抗生素,大家并不陌生,我们对抗生素的第一反应往往是其可以帮助杀菌,抵御感染性疾病的发生,的确,抗生素最初设计的目的就是帮助人类抵御感染性疾病的发生;1928年英国细菌学家弗莱明就首先发现了世界上第一种抗生素—青霉素,自此人类在抗生素的发现及相关领域的研究逐渐开展开来。 近年来,大量研究都发现抗生素其实是一把双刃剑:其既可以杀灭感染性细菌,又会影响机体的正常功能,而抗生素的

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抗生素的出现,拯救了无数生命。但是细菌对于抗生素产生的耐药性问题也逐年加重,新药研发的速度远跟不上细菌耐药出现的速度。多年来,由于抗生素的滥用,多种耐药性基因开始在全球蔓延。一旦大肠杆菌、肺炎克雷伯菌、鲍曼不动杆菌和其它类似的肠道栖息生物产生耐药性,那么对革兰氏阴性菌有很强杀菌作用的多粘菌素(polymyxin)和具有广谱抗菌作用的碳青霉烯类抗生素就是我们仅剩的为数不多的选择。但是令人讽刺的是,在

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导读:停止大医院门诊输液的风波才刚开始,就开始不断传来有人在诊所打着点滴当场不治而亡的新闻,难免不让人遐想联翩……近日,据中国萍乡网报道,在江西省湘东砚田的一个诊所里发生了一起医疗事故。一年轻人因高温引起头晕中暑到诊所就医,输液途中出现异常反应未得到及时抢救身亡。据悉,该患者就医时,诊所医生简单了解段某症状后,开了两瓶点滴,随后未带手机便离开了诊所,不久患者就出现身体难受、头痛现象,却无法联系

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