新型药物正在开发中,用于治疗耐药格拉姆阴性感染
Matteo Bassetti1,2, Barbara Larosa1, Antonio Vena1,2
1Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy.
Expert review of anti-infective therapy
|September 18, 2024
概括
新型药物显示出治疗耐药格拉姆阴性细菌 (GNB) 的前景. 虽然在体外对抗卡巴因耐药的GNB有效,但临床试验主要评估卡巴因敏感感染的疗效.
科学领域:
- 微生物学 微生物学
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
背景情况:
- 格拉姆阴性细菌 (GNB) 构成日益严重的威胁,因为它们对现有的抗生素,包括类菌素和卡巴类药物的耐药性越来越强.
- 对于多药耐药GNB引起的感染,有效的治疗选择有限.
研究的目的:
- 审查临床开发后期阶段的新型抗微生物药物,用于治疗耐药格拉姆阴性细菌 (GNB).
- 评估这些药物的有效性的现有证据,特别是对抗抗卡巴胺耐药的GNB.
主要方法:
- 专注于第三阶段临床试验中的药物,并进行文献搜索,直到2024年5月31日.
- 包括对随机对照试验 (RCT) 和真实世界的观察性研究的审查.
主要成果:
- 新型药物,主要是β-乳酸或β-乳酸/β-乳酸酶抑制剂组合,根据β-乳酸酶表达,对GNB表现出不同的活性.
- 许多药物在体外对抗抗卡巴胺的GNB表现出活性,但3期RCT主要评估了对卡巴胺敏感的GNB感染的疗效.
结论:
- 现实世界的数据可能对指导使用新药治疗抗卡巴胺GNB感染的治疗至关重要,特别是当专门的RCT缺乏时.
- 需要进一步的研究和现实世界的证据来优化新型药物的使用来对抗具有挑战性的格兰氏阴性病原体.
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