Ceftolozane/Tazobactam for the Treatment of Adults With Cystic Fibrosis: Results From a French Prospective Cohort Study.

carbapenem cystic fibrosis gram-negative bacteria multidrug resistance real-world evidence

Journal

Open forum infectious diseases
ISSN: 2328-8957
Titre abrégé: Open Forum Infect Dis
Pays: United States
ID NLM: 101637045

Informations de publication

Date de publication:
Aug 2024
Historique:
received: 18 04 2024
medline: 7 8 2024
pubmed: 7 8 2024
entrez: 7 8 2024
Statut: epublish

Résumé

People with cystic fibrosis (pwCF) are particularly susceptible to respiratory infections, including those caused by multidrug-resistant (MDR) pathogens. Ceftolozane/tazobactam (C/T) is an antibacterial agent combination active against MDR gram-negative bacteria that has shown promising results in isolates from pwCF. This subanalysis is the first extensive observation of real-world C/T use in pwCF. The multicenter observational CONDUCT study included consecutive patients, some with cystic fibrosis, who received ≥1 dose of C/T at 28 centers throughout France. Patients were treated according to hospital standards and followed up until the end of C/T treatment (EOT). Among 260 patients who had received ≥1 dose of C/T, 63 were pwCF, including 12 with previous lung transplant. The median age was 34 years and 55.6% of patients were female. C/T treatment was well tolerated and effective in pwCF, including those with previous β-lactam hypersensitivity.

Sections du résumé

Background UNASSIGNED
People with cystic fibrosis (pwCF) are particularly susceptible to respiratory infections, including those caused by multidrug-resistant (MDR) pathogens. Ceftolozane/tazobactam (C/T) is an antibacterial agent combination active against MDR gram-negative bacteria that has shown promising results in isolates from pwCF. This subanalysis is the first extensive observation of real-world C/T use in pwCF.
Methods UNASSIGNED
The multicenter observational CONDUCT study included consecutive patients, some with cystic fibrosis, who received ≥1 dose of C/T at 28 centers throughout France. Patients were treated according to hospital standards and followed up until the end of C/T treatment (EOT).
Results UNASSIGNED
Among 260 patients who had received ≥1 dose of C/T, 63 were pwCF, including 12 with previous lung transplant. The median age was 34 years and 55.6% of patients were female.
Conclusions UNASSIGNED
C/T treatment was well tolerated and effective in pwCF, including those with previous β-lactam hypersensitivity.

Identifiants

pubmed: 39108933
doi: 10.1093/ofid/ofae391
pii: ofae391
pmc: PMC11303002
doi:

Types de publication

Journal Article

Langues

eng

Pagination

ofae391

Informations de copyright

© The Author(s) 2024. Published by Oxford University Press on behalf of Infectious Diseases Society of America.

Déclaration de conflit d'intérêts

Potential conflicts of interest. P.-R. B. has received grants (paid to institution) from GSK and Vertex Pharmaceuticals, as well as honoraria for advisory boards/lectures from AstraZeneca, Chiesi, GSK, Insmed, MSD, Vertex Pharmaceuticals, Viatris, and Zambon. X. B. is an employee of Merck Sharp & Dohme LLC, a subsidiary of Merck & Co, Inc, Rahway, New Jersey, USA. All other authors report no potential conflicts.

Auteurs

Pierre-Régis Burgel (PR)

Respiratory Medicine and National Cystic Fibrosis Reference Center, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris, Paris, France.
Université Paris Cité and Institut Cochin, Inserm Paris, France.
ERN-LUNG cystic fibrosis Core Network, Frankfurt, Germany.

Xavier Bourge (X)

MSD France, Puteaux, France.

Carole Mackosso (C)

MSD France, Puteaux, France.

Francois Parquin (F)

Unité de Soins Intensifs Respiratoires Groupe de Transplantation Pulmonaire, Hôpital Foch, Paris, France.

Classifications MeSH