Flamm Robert K, Rhomberg Paul R, Kaplan Nachum, Jones Ronald N, Farrell David J
JMI Laboratories, North Liberty, Iowa, USA
JMI Laboratories, North Liberty, Iowa, USA.
Antimicrob Agents Chemother. 2015 May;59(5):2583-7. doi: 10.1128/AAC.05119-14. Epub 2015 Feb 17.
Staphylococcus aureus and coagulase-negative staphylococci (CoNS) are responsible for a wide variety of human infections. The investigational antibacterial Debio1450 (previously AFN-1720), a prodrug of Debio1452 (previously AFN-1252), specifically targets staphylococci without significant activity against other Gram-positive or Gram-negative species. Debio1452 inhibits FabI, an enzyme critical to fatty acid biosynthesis in staphylococci. The activity of Debio1452 against CoNS, methicillin-susceptible S. aureus (MSSA), and methicillin-resistant S. aureus (MRSA), including significant clones, was determined. A globally diverse collection of 574 patient isolates from 35 countries was tested that included CoNS (6 species, 103 strains), MSSA (154 strains), MRSA (163 strains), and molecularly characterized strains (including spa-typed MRSA clones; 154 strains). The isolates were tested for susceptibility by CLSI broth microdilution methods against Debio1452 and 10 comparators. The susceptibility rates for the comparators were determined using CLSI and EUCAST breakpoint criteria. All S. aureus and CoNS strains were inhibited by Debio1452 concentrations of ≤ 0.12 and ≤ 0.5 μg/ml, respectively. The MIC50s for MSSA, MRSA, and molecularly characterized MRSA strains were 0.004 μg/ml, and the MIC90s ranged from 0.008 to 0.03 μg/ml. The MICs were higher for the CoNS isolates (MIC50/90, 0.015/0.12 μg/ml). Among S. aureus strains, resistance was common for erythromycin (61.6%), levofloxacin (49.0%), clindamycin (27.6%), tetracycline (15.7%), and trimethoprim-sulfamethoxazole (7.0%). Debio1452 demonstrated potent activity against MSSA, MRSA, and CoNS. Debio1452 showed significantly greater activity overall (MIC50, 0.004 μg/ml) than the other agents tested against these staphylococcal species, which included dominant MRSA clones and strains resistant to currently utilized antimicrobial agents.
金黄色葡萄球菌和凝固酶阴性葡萄球菌(CoNS)可引发多种人类感染。研究性抗菌药物Debio1450(先前称为AFN - 1720)是Debio1452(先前称为AFN - 1252)的前体药物,它特异性靶向葡萄球菌,对其他革兰氏阳性或革兰氏阴性菌无显著活性。Debio1452抑制FabI,这是一种对葡萄球菌脂肪酸生物合成至关重要的酶。测定了Debio1452对CoNS、甲氧西林敏感金黄色葡萄球菌(MSSA)和甲氧西林耐药金黄色葡萄球菌(MRSA)(包括重要克隆株)的活性。测试了来自35个国家的574株全球多样性患者分离株,包括CoNS(6种,103株)、MSSA(154株)、MRSA(163株)以及经过分子特征鉴定的菌株(包括spa分型的MRSA克隆株;154株)。采用CLSI肉汤微量稀释法检测这些分离株对Debio1452和10种对照药物的敏感性。使用CLSI和EUCAST折点标准确定对照药物的敏感率。所有金黄色葡萄球菌和CoNS菌株分别在Debio1452浓度≤0.12和≤0.5μg/ml时受到抑制。MSSA、MRSA以及经过分子特征鉴定的MRSA菌株的MIC50均为0.004μg/ml,MIC90范围为0.008至0.03μg/ml。CoNS分离株的MIC值更高(MIC50/90为0.015/0.12μg/ml)。在金黄色葡萄球菌菌株中,对红霉素(61.6%)、左氧氟沙星(49.0%)、克林霉素(27.6%)、四环素(15.7%)和甲氧苄啶 - 磺胺甲恶唑(7.0%)耐药较为常见。Debio1452对MSSA、MRSA和CoNS显示出强效活性。总体而言,Debio1452(MIC50为0.004μg/ml)比测试的其他针对这些葡萄球菌种类的药物表现出显著更强的活性,这些葡萄球菌种类包括主要的MRSA克隆株和对当前使用的抗菌药物耐药的菌株。