Nabriva Therapeutics GmbH, Vienna, Austria.
Department of Emergency Medicine & Division of Infectious Diseases, Olive View-UCLA Medical Center, Los Angeles, CA, USA.
Future Microbiol. 2022 Apr;17(6):397-410. doi: 10.2217/fmb-2021-0276. Epub 2022 Mar 14.
WHAT IS THIS SUMMARY ABOUT?: Bacterial pneumonia is an infection of the lung caused by bacteria that is potentially deadly, costly, and affects millions of people worldwide every year. Treatment is becoming more challenging-many current treatments no longer work well because some strains of bacteria that cause pneumonia have become resistant to current antibiotics. Many of the antibiotics that do still work have undesirable side effects. Therefore, new antibiotics that work differently are needed to treat bacterial pneumonia. Lefamulin (brand name, Xenleta) is an antibiotic that was approved to treat bacterial pneumonia caught outside a hospital (also called community-acquired bacterial pneumonia, or CABP) based on results of two clinical studies. In both studies, participants started treatment with lefamulin before the type of bacteria causing the infection was known. Lefamulin was well tolerated and worked well in 5 to 7 days to kill the bacteria causing the infection and to improve symptoms in almost all participants with CABP.
WHAT WERE THE RESULTS?: After the studies were completed, the researchers looked back at what kinds of bacteria were identified from the study participants. Lefamulin worked well to kill bacteria and to improve CABP symptoms for most kinds of infecting bacteria, including bacteria resistant to many current antibiotics.
WHAT DO THE RESULTS MEAN?: These results suggest that lefamulin, by itself, provides a much-needed treatment option for CABP that covers most of the key bacteria causing this infection.
这段摘要主要介绍了什么内容?细菌性肺炎是一种由细菌引起的肺部感染,具有潜在致命性、高花费的特点,且每年在全球范围内影响数百万人。治疗变得更具挑战性,因为目前许多治疗方法效果不佳,因为引起肺炎的一些细菌菌株已经对当前的抗生素产生了耐药性。许多仍在使用的抗生素具有不良副作用。因此,需要开发具有不同作用机制的新抗生素来治疗细菌性肺炎。 lefamulin(商品名 Xenleta)是一种抗生素,基于两项临床研究结果,被批准用于治疗医院外(也称为社区获得性细菌性肺炎,或 CABP)的细菌性肺炎。在这两项研究中,参与者在感染的细菌类型已知之前就开始接受 lefamulin 治疗。 lefamulin耐受性良好,在 5 到 7 天内可有效杀灭引起感染的细菌,并使大多数 CABP 参与者的症状得到改善。
研究结果如何?研究完成后,研究人员回顾了从研究参与者中鉴定出的细菌种类。lefamulin对大多数引起感染的细菌(包括对许多当前抗生素耐药的细菌)具有良好的杀菌作用和改善 CABP 症状的作用。
这些结果意味着什么?这些结果表明,lefamulin 本身为 CABP 提供了一种急需的治疗选择,可覆盖引起这种感染的大部分主要细菌。