Pope Scott D, Roecker Andrew M
Department of Pharmacy, Carolinas Medical Center, Charlotte, North Carolina 28232, USA.
Pharmacotherapy. 2006 Jul;26(7):908-18. doi: 10.1592/phco.26.7.908.
Dalbavancin is a new lipoglycopeptide antibacterial possessing in vitro activity against a variety of gram-positive pathogens. Against methicillin-susceptible and methicillin-resistant Staphylococcus aureus, it has demonstrated favorable minimum inhibitory concentration ranges compared with those of currently available agents. Dalbavancin is highly protein bound (> 90%), which may contribute to its prolonged half-life of 149-300 hours. Because of this long half-life, once-weekly dosing strategies have been used in clinical trials. Efficacy and tolerability have been demonstrated in a wide variety of animal infection models. Clinical success and safety have been shown in phase II and III trials for skin and soft-tissue infections and a phase II trial for catheter-related bloodstream infections. In these trials with vancomycin, linezolid, and various beta-lactams as comparators, comparable results have been reported. The results of further phase III trials are anxiously awaited and will more clearly define the clinical role of this novel agent.
达巴万星是一种新型脂糖肽类抗菌药物,对多种革兰氏阳性病原体具有体外活性。与现有药物相比,它对甲氧西林敏感和耐甲氧西林金黄色葡萄球菌显示出良好的最低抑菌浓度范围。达巴万星与蛋白高度结合(>90%),这可能是其半衰期长达149 - 300小时的原因。由于半衰期长,临床试验中采用了每周给药一次的策略。在多种动物感染模型中已证明其有效性和耐受性。在皮肤和软组织感染的II期和III期试验以及导管相关血流感染的II期试验中已显示出临床疗效和安全性。在这些以万古霉素、利奈唑胺和各种β-内酰胺类药物作为对照的试验中,已报告了类似的结果。人们急切期待进一步III期试验的结果,这将更清楚地界定这种新型药物的临床作用。