Academic Journal

FOCUS 1: a randomized, double-blinded, multicentre, Phase III trial of the efficacy and safety of ceftaroline fosamil versus ceftriaxone in community-acquired pneumonia

التفاصيل البيبلوغرافية
العنوان: FOCUS 1: a randomized, double-blinded, multicentre, Phase III trial of the efficacy and safety of ceftaroline fosamil versus ceftriaxone in community-acquired pneumonia
المؤلفون: File, Thomas M., Low, Donald E., Eckburg, Paul B., Talbot, George H., Friedland, H. David, Lee, Jon, Llorens, Lily, Critchley, Ian A., Thye, Dirk A., on behalf of the FOCUS 1 investigators, Pullman, John, Giordano, Philip, Welker, James, Manos, Paul, Mehra, Purvi, File, Thomas, De Santo, Joseph, Venkateswaralu, Bhaskar, Gerald Schrock, Christian, Tillis, William, Winetz, Jan Alan, Gonzalez, J. Mario, Ramage, Anthony, Eisenhower, Dwight D., Koegelenberg, Coenie, Engelbrecht, Ingrid, Jurgens, Jaco, Mitha, Ishmail, Breedt, Johannes, Gani, Mashra, Roos, Johannes, Basson, Matthys, Van Zyl, Louis, Meeding, Ronel, Fulat, Muhammed, Le Roux, Marius, Bonvehi, Pablo Eduardo, Ganaha, Maria Cristina, Gurini, Ana Leticia, Daniel Lopardo, Gustavo, Cristina, Lucia, Edwardo Prieto, Sergio, Rodiguez, Claudia Gabriela, Augusto Teijeiro, Ricardo, Carmen Pallone, Elida, Pryluka, Daniel Horacio, da Cunha, Clovis Arns, da Silva, Nilton Brandao, de Faria Freire, Antonio Tarcisio, Ferreira Starling, Carlos Ernesto, Costa Fiterman, Jussara, Góngora Rubio, Fernando, Carlos Losso, Luis, Patelli, Maria, Souza Lima, Juliani, Zimermann Teixeira, Paulo José, Carmo Moreira, Maria Auxiliadora, Abreu de Oliveira, Julio César, Roudas, Vsevolod, Gamal, Evgeny A., Leschenko, Igor, Rudnov, Vladimir A., Yevdokimova, Anna G., Vertkin, Arkadiy L., Ambalov, Yuriy M., Dvoryashina, Irina V., Zilber, Elmira, Khamitov, Rustem F., Galustyan, Anna N., Reshetko, Olga V., Senior, Victoria Arama, Grosan, Mihaela Flavia, Jimborean, Gabriela, Lupse, Mihaela, Aron, Gheorgita, Olteanu, Dan, Puschita, Maria, Gavris, Claudia, Tudorache, Voicu Mircea, Youroukova, Vania, Petkova, Mila, Troshanova, Evelina, Dzhabalyan, Mari, Kavtaradze, George, Makhviladze, Manana, Tabukashvili, Revaz, Pons, Marco, Garbino, Jorge, Genne, Daniel, Rothen, Madeleine, de Saracho, Juan Oriz, Capelastegui, Alberto, Menendez, Rosario, Torres, Antoni, Shum, Conrado, Falco, Vincenç, Bouza, Emilio, Bru, Jean-Pierre, Misset, Benoit, Megarbane, Bruno, Sollet, Jean Pierre, Molina, Jean-Michel, Dalhoff, Klaus, Lorenz, Joachim, Petermann, Wolfgang, Rohde, Gernot, Schumann, Christian, Tasci, Selcuk, Zerbst, Joachim, Auch-Schwelk, Wolfgang, Suttorp, Norbert, Henrich, Rolf, Fertl, Andreas, Grohe, Christian, Jakobeit, Christian, Deppermann, Karl-Matthius, Batura-Gabryel, Halina, Pupek-Musialik, Danuta, Piotrowicz, Pawe, Marcisz, Czeslaw, Czarnobilski, Krzysztof, Jankowska, Renata, Janik, Krzysztof, Gutowska-Jablonska, Malgorzata, Hamankiewicz, Maciej, Kus, Jan, Rydzewski, Andrzej, Dulawa, Jan, Ziolko, Ewa, Baranska, Eliza, Wendland, Marian, Trebas-Pietras, Ewa, Tyszkiewic, Ireneusz, Bonelli, Johannes, Balikó, Zoltán, Bisits, Márta, Losonczy, Gyorgy, Mark, Zsuzsa, Albert, Istvan, Francovszky, Eva, Fonay, Karoly, Tetiana Pertseva, Tetiana, Yefimov, Volodymyr, Havrysyuk, Volodymyr, Melnyk, Vasyl, Yashyna, Lyudmyla, Monogarova, Nadiya, Kolchyn, Yuriy, Dutka, Roman, Smolyanyi, Oleksandr, Tryshchuk, Nadiya, Kaydashev, Igor, Rodionova, Victoria, Neyko, Vasyl, Chopey, Ivan, Alekniene, Birute, Kramilius, Ginataras, Naudziunas, Stanislovas, Miliauskas, Skaidrius, Nausediene, Vitalija, Valavicius, Arvydas, Mitic-Milikic, Marija, Celeketic, Dusica, Lazic, Zorica, Milinic, Nikola, Pejcic, Tatjana, Sukles, Kai, Jaanus, Martti, Meriste, Sulev, Ahmad Mahayiddin, Datin Hjh Aziah, Bin Abdul Muttalif, Abdul Pazak, Kuang Kiat, Kiew, Binte, Roslina, Manap, Abdul, bt Md Tarekh, Noor Aliza, Anekthananon, Thanomsak, Mootsikapun, Piroon, Intalapaporn, Poj, Pothirat, Chaicharn, Horsin, Pinyo, Churchottaworn, Charoen, Wattanathum, Anan, Dukat, Andrej, Plutinsky, Jan
بيانات النشر: Oxford University Press
سنة النشر: 2011
المجموعة: HighWire Press (Stanford University)
مصطلحات موضوعية: Articles
الوصف: Objectives Ceftaroline, the active form of the prodrug ceftaroline fosamil, is a novel cephalosporin with bactericidal activity against important pathogens associated with community-acquired pneumonia (CAP), including Streptococcus pneumoniae and common Gram-negative pathogens. FOCUS 1 is a randomized, double-blinded, Phase III study that was conducted to evaluate the efficacy and safety of ceftaroline fosamil in treating patients with CAP. The primary objective was to determine non-inferiority [lower limit of 95% confidence interval (CI) ≥ −10%] in clinical cure rates achieved with ceftaroline fosamil compared with those achieved with ceftriaxone in the clinically evaluable (CE) and modified intent-to-treat efficacy (MITTE) populations. Methods Patients hospitalized in a non-intensive care unit setting with CAP of Pneumonia Outcomes Research Team (PORT) risk class III or IV requiring intravenous (iv) therapy were randomized (1:1) to receive 600 mg of ceftaroline fosamil iv every 12 h or 1 g of ceftriaxone iv every 24 h. Patients also received two 500 mg doses of oral clarithromycin every 12 h administered on day 1. Clinical cure, microbiological response, adverse events (AEs) and laboratory tests were assessed. FOCUS 1 registration number NCT00621504 ( http://clinicaltrials.gov/ct2/show/NCT00621504 ). Results Of 613 enrolled patients, 298 received ceftaroline fosamil and 308 received ceftriaxone. Baseline characteristics between treatment groups were comparable. Clinical cure rates were as follows: CE population, 86.6% (194/224) for ceftaroline fosamil and 78.2% (183/234) for ceftriaxone [difference (95% CI), 8.4% (1.4, 15.4)]; and MITTE population, 83.8% (244/291) for ceftaroline fosamil and 77.7% (233/300) for ceftriaxone [difference (95% CI), 6.2% (−0.2, 12.6)]. Clinical cure rates for CAP caused by S. pneumoniae in the microbiological MITTE population were 88.9% (24/27) and 66.7% (20/30) for ceftaroline fosamil and ceftriaxone, respectively. Both agents were well tolerated, with similar rates of AEs, ...
نوع الوثيقة: text
وصف الملف: text/html
اللغة: English
Relation: http://jac.oxfordjournals.org/cgi/content/short/66/suppl_3/iii19; http://dx.doi.org/10.1093/jac/dkr096
DOI: 10.1093/jac/dkr096
الاتاحة: http://jac.oxfordjournals.org/cgi/content/short/66/suppl_3/iii19
https://doi.org/10.1093/jac/dkr096
Rights: Copyright (C) 2011, The British Society for Antimicrobial Chemotherapy
رقم الانضمام: edsbas.1F3F0AC
قاعدة البيانات: BASE