Use of linezolid susceptibility test results as a surrogate for the susceptibility of Gram-positive pathogens to tedizolid, a novel oxazolidinone

Annals of Clinical Microbiology and Antimicrobials

Research

Paul Bien¹  Mekki Bensaci²  Hina N Patel²  Grace Thorne²  Gary Zurenko³ 

[1] Cubist Pharmaceuticals, 4747 Executive Dr, 92121, San Diego, CA, USA;Cubist Pharmaceuticals, 65 Hayden Ave, 02421, Lexington, MA, USA;ZML Consulting, LLC, 7886 West C Avenue, 49009, Kalamazoo, MI, USA;

关键词: Tedizolid;    Linezolid;    Oxazolidinone;    Staphylococcus aureus;    Antimicrobial susceptibility testing;    Surrogate testing;    Class representative;   

DOI  :  10.1186/s12941-014-0046-0

 received in 2014-06-27, accepted in 2014-09-05,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundTedizolid is a novel oxazolidinone antibacterial with potent activity against a wide range of Gram-positive pathogens, including methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococci. Although tedizolid is approved by the US Food and Drug Administration (FDA) for treatment of patients with acute bacterial skin and skin structure infection, commercial susceptibility testing products for tedizolid are not currently available. This study evaluated the usefulness of applying linezolid susceptibility test results as a surrogate for predicting susceptibility to tedizolid in clinically significant Gram-positive pathogens.MethodsGram-positive isolates (N=10,702) were obtained from annual surveillance programs conducted between 2009 and 2012, from 3 tedizolid clinical trials, and from a preclinical study of the antibacterial activity of tedizolid. Susceptibility testing of linezolid and tedizolid was performed using the reference broth microdilution method in accordance with Clinical and Laboratory Standards Institute methods.ResultsThe minimum inhibitory concentration (MIC) distribution for tedizolid and linezolid against this set of isolates was consistent with that of previous reports. Scatter plot analysis of relevant subsets of organisms was performed and showed high categorical agreement between linezolid and tedizolid MIC results (>99% for staphylococci and streptococci; >98% for enterococci). Very major error rates (ie, tedizolid false-susceptible errors) were very low and within acceptable limits for a surrogate agent: S. aureus and other staphylococcal species, 0%; Enterococcus spp, 0.2%; and Streptococcus spp, 0%.ConclusionsHigh categorical agreement between MIC values for tedizolid and linezolid and low very major error rates were shown for all organism groups tested, supporting the use of linezolid as a reliable surrogate for tedizolid susceptibility testing.

【 授权许可】

CC BY   
© Zurenko et al.; licensee BioMed Central Ltd. 2014