In vitro activity of the new multivalent glycopeptide-cephalosporin antibiotic TD-1792 against

Kimberly D Leuthner1, Celine Vidaillac, Chrissy M Cheung

  • 1Anti-Infective Research Laboratory, Department of Pharmacy Practice-4148, Eugene Applebaum College of Pharmacy and Health Sciences, Detroit, MI 48201, USA.

Insights

TD-1792 shows potent in vitro activity against challenging Gram-positive pathogens, including vancomycin-resistant strains. This novel antibiotic demonstrates rapid bactericidal effects, offering a promising new option for treating multidrug-resistant Staphylococcus infections.

Area of Science:

  • Microbiology
  • Pharmacology
  • Infectious Diseases

Background:

  • Gram-positive bacterial infections, particularly those caused by multidrug-resistant strains like methicillin-resistant Staphylococcus aureus (MRSA), pose a significant global health threat.
  • Existing antibiotics, including vancomycin, face challenges due to emerging resistance mechanisms such as vancomycin-intermediate Staphylococcus spp. (VISS), heteroresistant VISS (hVISS), and vancomycin-resistant S. aureus (VRSA).
  • Novel therapeutic agents with broad-spectrum activity and efficacy against resistant strains are urgently needed.

Purpose of the Study:

  • To evaluate the in vitro antimicrobial activity of TD-1792, a novel glycopeptide-cephalosporin heterodimer antibiotic.
  • To assess TD-1792's efficacy against clinical isolates of vancomycin-intermediate and vancomycin-resistant Staphylococcus species.
  • To compare TD-1792's activity with established antibiotics like vancomycin, daptomycin, linezolid, and quinupristin-dalfopristin.

Main Methods:

  • Determination of minimum inhibitory concentrations (MICs) and minimum bactericidal concentrations (MBCs) for TD-1792 and comparator agents against VISS, hVISS, and VRSA isolates.
  • Conducting 24-hour time-kill experiments (TKs) with selected strains to assess bactericidal and bacteriostatic activity.
  • Evaluating the impact of 50% human serum on the activity of TD-1792 and daptomycin in vitro.

Main Results:

  • TD-1792 demonstrated the lowest MIC values (MIC(90) = 0.125 µg/mL) against VISS/hVISS isolates, indicating potent activity.
  • Both TD-1792 and daptomycin exhibited rapid bactericidal activity in time-kill experiments against all tested Staphylococcus isolates.
  • The presence of human serum had a minimal impact on TD-1792's activity in time-kill assays, unlike daptomycin.

Conclusions:

  • TD-1792 exhibits significant in vitro activity against multidrug-resistant Staphylococcus isolates, including strains with vancomycin resistance.
  • TD-1792 represents a promising candidate for treating infections caused by Gram-positive organisms, particularly those resistant to current therapies.
  • Its robust activity and minimal susceptibility to serum protein binding suggest potential for effective clinical application.

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