Effects of EDP-420 on penicillin-resistant and quinolone- and penicillin-resistant pneumococci in the rabbit meningitis model

Objectives To test the efficacy of EDP-420, a new ketolide, in experimental pneumococcal meningitis and to determine its penetration into the CSF. Methods The experimental rabbit model was used in this study and EDP-420 was tested against a penicillin-resistant and a penicillin- and quinolone-resist...

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Veröffentlicht in:Journal of antimicrobial chemotherapy 2008-03, Vol.61 (3), p.665-669
Hauptverfasser: Stucki, Armin, Gerber, Peter, Acosta, Fernando, Cottagnoud, Marianne, Cottagnoud, Philippe, Jiang, Lijiang, Nguyen, Phong, Wachtel, Derek, Wang, Guoqiang, Phan, Ly T.
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container_end_page 669
container_issue 3
container_start_page 665
container_title Journal of antimicrobial chemotherapy
container_volume 61
creator Stucki, Armin
Gerber, Peter
Acosta, Fernando
Cottagnoud, Marianne
Cottagnoud, Philippe
Jiang, Lijiang
Nguyen, Phong
Wachtel, Derek
Wang, Guoqiang
Phan, Ly T.
description Objectives To test the efficacy of EDP-420, a new ketolide, in experimental pneumococcal meningitis and to determine its penetration into the CSF. Methods The experimental rabbit model was used in this study and EDP-420 was tested against a penicillin-resistant and a penicillin- and quinolone-resistant mutant. EDP-420 was also tested against both strains in time-killing assays over 8 h in vitro. Results In experimental meningitis, EDP-420 produced a bactericidal activity comparable to the standard regimen based on a combination of vancomycin with ceftriaxone against a penicillin-resistant Streptococcus pneumoniae and a penicillin- and quinolone-resistant S. pneumoniae isolate. The penetration of EDP-420 into inflamed meninges was 38% after an iv injection of 10 mg/kg. The bactericidal activity of EDP-420 was also confirmed in in vitro time-killing assays. Conclusions EDP-420 is an efficacious alternative treatment in pneumococcal meningitis, especially when resistant strains are suspected.
doi_str_mv 10.1093/jac/dkm505
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Methods The experimental rabbit model was used in this study and EDP-420 was tested against a penicillin-resistant and a penicillin- and quinolone-resistant mutant. EDP-420 was also tested against both strains in time-killing assays over 8 h in vitro. Results In experimental meningitis, EDP-420 produced a bactericidal activity comparable to the standard regimen based on a combination of vancomycin with ceftriaxone against a penicillin-resistant Streptococcus pneumoniae and a penicillin- and quinolone-resistant S. pneumoniae isolate. The penetration of EDP-420 into inflamed meninges was 38% after an iv injection of 10 mg/kg. The bactericidal activity of EDP-420 was also confirmed in in vitro time-killing assays. Conclusions EDP-420 is an efficacious alternative treatment in pneumococcal meningitis, especially when resistant strains are suspected.</description><identifier>ISSN: 0305-7453</identifier><identifier>EISSN: 1460-2091</identifier><identifier>DOI: 10.1093/jac/dkm505</identifier><identifier>PMID: 18222952</identifier><identifier>CODEN: JACHDX</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Animals ; Antibiotics ; Antibiotics. Antiinfectious agents. Antiparasitic agents ; Bacteria ; Bacterial diseases ; Biological and medical sciences ; Bridged-Ring Compounds - pharmacology ; Bridged-Ring Compounds - therapeutic use ; Chemotherapy ; Disease Models, Animal ; Drug resistance ; Human bacterial diseases ; Infectious diseases ; ketolide ; Macrolides - pharmacology ; Macrolides - therapeutic use ; Medical sciences ; Meningitis ; Meningitis, Bacterial - blood ; Meningitis, Bacterial - drug therapy ; Penicillin Resistance - drug effects ; Penicillin Resistance - physiology ; Penicillins - pharmacology ; Penicillins - therapeutic use ; Pharmacology. Drug treatments ; pneumococcal meningitis ; Quinolones - pharmacology ; Quinolones - therapeutic use ; Rabbits ; resistance ; Staphylococcal infections, streptococcal infections, pneumococcal infections ; Streptococcus pneumoniae ; Streptococcus pneumoniae - drug effects ; Streptococcus pneumoniae - physiology</subject><ispartof>Journal of antimicrobial chemotherapy, 2008-03, Vol.61 (3), p.665-669</ispartof><rights>The Author 2008. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org 2008</rights><rights>2008 INIST-CNRS</rights><rights>The Author 2008. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. 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Methods The experimental rabbit model was used in this study and EDP-420 was tested against a penicillin-resistant and a penicillin- and quinolone-resistant mutant. EDP-420 was also tested against both strains in time-killing assays over 8 h in vitro. Results In experimental meningitis, EDP-420 produced a bactericidal activity comparable to the standard regimen based on a combination of vancomycin with ceftriaxone against a penicillin-resistant Streptococcus pneumoniae and a penicillin- and quinolone-resistant S. pneumoniae isolate. The penetration of EDP-420 into inflamed meninges was 38% after an iv injection of 10 mg/kg. The bactericidal activity of EDP-420 was also confirmed in in vitro time-killing assays. Conclusions EDP-420 is an efficacious alternative treatment in pneumococcal meningitis, especially when resistant strains are suspected.</description><subject>Animals</subject><subject>Antibiotics</subject><subject>Antibiotics. Antiinfectious agents. Antiparasitic agents</subject><subject>Bacteria</subject><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Bridged-Ring Compounds - pharmacology</subject><subject>Bridged-Ring Compounds - therapeutic use</subject><subject>Chemotherapy</subject><subject>Disease Models, Animal</subject><subject>Drug resistance</subject><subject>Human bacterial diseases</subject><subject>Infectious diseases</subject><subject>ketolide</subject><subject>Macrolides - pharmacology</subject><subject>Macrolides - therapeutic use</subject><subject>Medical sciences</subject><subject>Meningitis</subject><subject>Meningitis, Bacterial - blood</subject><subject>Meningitis, Bacterial - drug therapy</subject><subject>Penicillin Resistance - drug effects</subject><subject>Penicillin Resistance - physiology</subject><subject>Penicillins - pharmacology</subject><subject>Penicillins - therapeutic use</subject><subject>Pharmacology. 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Methods The experimental rabbit model was used in this study and EDP-420 was tested against a penicillin-resistant and a penicillin- and quinolone-resistant mutant. EDP-420 was also tested against both strains in time-killing assays over 8 h in vitro. Results In experimental meningitis, EDP-420 produced a bactericidal activity comparable to the standard regimen based on a combination of vancomycin with ceftriaxone against a penicillin-resistant Streptococcus pneumoniae and a penicillin- and quinolone-resistant S. pneumoniae isolate. The penetration of EDP-420 into inflamed meninges was 38% after an iv injection of 10 mg/kg. The bactericidal activity of EDP-420 was also confirmed in in vitro time-killing assays. Conclusions EDP-420 is an efficacious alternative treatment in pneumococcal meningitis, especially when resistant strains are suspected.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>18222952</pmid><doi>10.1093/jac/dkm505</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects Animals
Antibiotics
Antibiotics. Antiinfectious agents. Antiparasitic agents
Bacteria
Bacterial diseases
Biological and medical sciences
Bridged-Ring Compounds - pharmacology
Bridged-Ring Compounds - therapeutic use
Chemotherapy
Disease Models, Animal
Drug resistance
Human bacterial diseases
Infectious diseases
ketolide
Macrolides - pharmacology
Macrolides - therapeutic use
Medical sciences
Meningitis
Meningitis, Bacterial - blood
Meningitis, Bacterial - drug therapy
Penicillin Resistance - drug effects
Penicillin Resistance - physiology
Penicillins - pharmacology
Penicillins - therapeutic use
Pharmacology. Drug treatments
pneumococcal meningitis
Quinolones - pharmacology
Quinolones - therapeutic use
Rabbits
resistance
Staphylococcal infections, streptococcal infections, pneumococcal infections
Streptococcus pneumoniae
Streptococcus pneumoniae - drug effects
Streptococcus pneumoniae - physiology
title Effects of EDP-420 on penicillin-resistant and quinolone- and penicillin-resistant pneumococci in the rabbit meningitis model
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