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Drug Evaluation

Telithromycin: a new ketolide antimicrobial for treatment of respiratory tract infections

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Pages 353-367 | Published online: 24 Feb 2005

Bibliography

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  • •The potency of telithromycin against Haemophilus influenzae was similar to that of azithromycin.
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  • •Telithromycin's activity compared favourably with seven comparator antimicrobials. Erythromycin susceptibility in Streptococcus pneumoniae and r3-haemolytic streptococci and cefuroxime susceptibility in Haemophilus influenzae affected telithromycin MIC values.
  • SCHULIN T, WENNERSTEN CB, FERRARO MJ, MOELLERING RC, JR., ELIOPOULOS GM: Susceptibilities of Legionella spp. to newer antimicrobials in vitro. Antimicrob. Agents Chemother. (1998) 42:1520–1523.
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  • JONES RN, BIEDENBACH DJ: Antimicrobial activity ofRU-66647, a new ketolide. Diagn. Microbial. Infect. Dis. (1997) 27:7–12.
  • •The activity of telithromycin was tested in over 800 clinical isolates of a variety of Gram-positive and Gram-negative bacteria.
  • EDLUND C, SILLERSTROM E, WAHLUND E, NORD CE: In vitro activity of HMR 3647 against anaerobic bacteria. J. Chemother. (1998) 1 0 :280–284.
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  • GOLDSTEIN EJ, CITRON DM, MERRIAM CV, WARREN Y, TYRRELL K: Activities of telithromycin (HMR 3647, RU 66647) compared to those of erythromycin, azithro-mycin, clarithromycin, roxithromycin and other antimicrobial agents against unusual anaerobes. Antimicrob. Agents Chemother. (1999) 43:2801–2805.
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  • RASTOGI N, GOH KS, BERCHEL M, BRYSKIER A: In vitro activities of the ketolides telithromycin (IIIVIR 3647) and3004 compared to those of clarithromycin against slowly growing mycobacteria at pHs 6.8 and 7.4. Antimicrob. Agents Chemother (2000) 44:2848–2852.
  • ARAUJO FG, KHAN AA, SLIFER TL, BRYSKIER A, REMINGTON JS: The ketolide antibiotics IIMR3647 and IIMR 3004 are active against Taxoplasma gondii in vitro and in murine models of infection. Antimicrob. Agents Chemother. (1997) 41:2137–2140.
  • ROLAIN JM, MAURIN M, BRYSKIER A, RAOULT D: In vitro activities of telithromycin (HMR 3647) against Rickettsia rickettsii, Rickettsia conorii, Rickettsia africae, Rickettsia typhi, Rickettsia prowazekii, Coxiella burnetii, Bartonella henselae, Bartonella quintana, Bartonella bacilliforrnis and Ehrlichia chaffeensis. Antimicrob. Agents Chemother. (2000) 44:1391–1393.
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  • PANKUCH GA, HOELLMAN DB, LIN G, BAJAKSOUZIAN S, JACOBS MR, APPELBAUM PC: Activity of HMR 3647 compared to those of five agents against Haemophilus influenzae and Moraxella catarrhalis by MIC determination and time-kill assay. Antimicrob. Agents Chemother. (1998) 42:3032–3034.
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  • DAVIES TA, DEWASSE BE, JACOBS MR, APPELBAUM PC: In vitro development of resistance to telithromycin (HMR 3647), four macrolides, clindamycin and pristi-namycin in Streptococcus pneumoniae. Antimicrob. Agents Chemother. (2000) 44:414–417.
  • VESGA 0, ANDES D, CRAIG WA: Comparative in vivo activity of IIMR 3657, azithromycin (AZ), clarithro-mycin (CL) and roxithromycin (RX) against S. pneumoniae and Staphylococcus aureus. Program and Abstracts of the 37th Interscience Conference on Antimicro-bial Agents and Chemotherapy. Toronto, Canada (1997):Abstract F–258.
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  • •The AUC:MIC ratio was the most important determinant of in vivo efficacy in a murine thigh infection model.
  • PIROTH L, DESBIOLLES N, LEQUEU C, CHARLES PE, PORTIER H, CHAVANET P: HMR 3647 Humanlike treatment of experimental pneumonia caused by penicillin-resistant and erythromycin-resistant Streptococcus pneumoniae. Program and Abstracts of the 39th Interscience Conference on Antimicrobial Agents and Chemotherapy San Francisco, CA, USA (1999):Abstract 2330.
  • MITTEN M, MEULBROEK J, PAIGE L et al.: Efficacies ofABT-773 and HMR-3647 against respiratory pathogens causing acute systemic infections in mice and lung infections in rats. Program and Abstracts of the 39th Interscience Conference on Antimicrobial Agents and Chemotherapy San Francisco, CA, USA (1999):Abstract 2150.
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  • EDELSTEIN PH, EDELSTEIN MA: In vitro activity of theketolide HMR 3647 (RU 6647) for Legionella spp., its pharmacokinetics in guinea pigs and use of the drug to treat guinea pigs with Legionella pneumophila pneumonia. Antimicrob. Agents Chemother. (1999) 43:90–95.
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  • NAMOUR F, WESSELS D, PASCUAL M, REYNOLDS D, SULTAN E, LENFANT B: Dose proportionality of the pharmacokinetics of telithromycin (I-IMR3647), anew ketolide antimicrobial, in healthy adult males. 5th International Conference on the Macrolides, Azalides, Streptogramins, Ketolides and Oxazolidinones. Seville, Spain (2000):Abstract 9.22.
  • SULTAN E, LENFANT B, WABLE C, PASCUAL M, MERYER B:Pharmacokinetic profile of the ketolide telithromycin (IIMR 3647) 800 mg once daily in elderly volunteers. 5th International Conference on the Macrolides, Azalides, Streptogramins, Ketolides and Oxazolidinones. Seville, Spain (2000):Abstract 9.23.
  • LENFANT B, PERRET C, PASCUAL M: The bioavailabilityof telithromycin (HMR 3647), a new once daily ketolide antimicrobial, is unaffected by food. 5th International Conference on the Macrolides, Azalides, Streptogramins, Ketolides and Oxazolidinones. Seville, Spain (2000):Abstract 9.24.
  • LENFANT B, SULTAN E, WABLE C, PASCUAL M, MERYER B:Pharmacokinetics of 800 mg once daily oral dosing of the ketolide antimicrobial telithromycin (HMR 3647) in healthy young subjects. 5th International Conference on the Macrolides, Azalides, Streptogramins, Ketolides and Oxazolidinones. Seville, Spain (2000):Abstract 9.21.
  • MULLER SERIEYS C, CANTALLOUBE C, SOLER P et al.: Theketolide antimicrobial, telithromycin (IIMR 3647), achieves high and sustained concentrations in bronchopulmonary tissues. 5th International Confer-ence on the Macrolides, Azalides, Streptogramins, Ketolides and Oxazolidinones. Seville, Spain (2000):Abstract 9.26.
  • GIA H, ROEDER V, NAMOUR F, SULTAN E, LENFANT B:Telithromycin (HMR 3647) achieves high and sustained concentrations in white blood cells in man. 5th International Conference on the Macrolides, Azalides, Streptogramins, Ketolides and Oxazolidinones. Seville, Spain (2000):Abstract 9.27.
  • MIOSSEC-BARTOLI C, PILATRE L, PEYRON P et al.: Thenew ketolide 11MR3647 accumulates in the azurophil granules of human polymorphonuclear cells. Antimi-crob. Agents Chemother. (1999) 43:2457–2462.
  • •Telithromycin is highly concentrated in the azurophil granules of mature neutrophils but was poorly internalised by other cell types.
  • SULTAN E, NAMOUR F, MAURIAC C, LENFANT B, SCHOLTZ H: The ketolide antimicrobial, telithromycin (HMR 3647), is metabolized and eliminated predomi-nantly in the faeces in man. 5th International Conference on the Macrolides, Azalides, Streptogramins, Ketolides and Oxazolidinones. Seville, Spain (2000):Abstract 9.31.
  • LABBE G, FLOR M, LENFANT B: cytochrome P-450(CYP-450) activity is not inhibited in vitro by telithro-mycin (HMR 3647), a new ketolide. 5th International Conference on the Macrolides, Azalides, Streptogramins, Ketolides and Oxazolidinones. Seville, Spain (2000):Abstract 9.28.
  • SCHOLTZ H, SULTAN E, WESSELS D, HUNDT A, PASSOT V:Telithromycin (14MR 3647), a new ketolide antimicro-bial, does not affect the reliability of low-dose, triphasic oral contraceptives. 5th International Confer-ence on the Macrolides, Azalides, Streptogramins, Ketolides and Oxazolidinones. Seville, Spain (2000):Abstract 9.29.
  • SCHOLTZ H, PRETORIOUS S, WESSELS D, MOGILNICKA E,VAN NIEKERK N, SULTAN E: telithromycin (11MR3647), a new ketolide antimicrobial, does not affect the pharmacodynamics or pharmacokinetics of warfarin in healthy adult males. 5th International Conference on the Macrolides, Azalides, Streptogramins, Ketolides and Oxazolidinones. Seville, Spain (2000):Abstract 9.30.
  • HAGBERG L, TORRES A, VAN RENSBURG D, LEROY B,MANICKAM R, RUUTH E: Efficacy and tolerability of telithromycin (HMR3547) vs. high-dose amoxicillin in the treatment of community-acquired pneumonia. Program and Abstracts of the 40th Interscience Conference on Antimicrobial Agents and Chemotherapy Toronto, Canada (2000):Abstract 2244.
  • TELLIER G, HASSMAN J, LEROY B, SIDAROUS E,YOUNGBLOOD D: Oral telithromycin (HMR 3647) 800 mg once daily is well tolerated and as effective as oral clarithromycin 500 mg twice daily in community-acquired pneumonia (CAP) in adult. Program and Abstracts of the 40th Interscience Conference on Antimicro-bial Agents and Chemotherapy. Toronto, Canada (2000):Abstract 2227.
  • PULLMAN J, CHAMPLIN J, LEROY B, SIDAROUS E: Oraltelithromycin (14MR 3647) 800 mg once daily for 7–10 days is well tolerated and as effective as oral trovafloxacin 200 mg once daily for 7–10 days in community-acquired pneumonia. Program and Abstracts of the 40th Interscience Conference on Antimicrobial Agents and Chemotherapy Toronto, Canada (2000):Abstract 2230.
  • AUBIER M, ALDONS PM, LEAK A et al.: Efficacy andtolerability of a 5-day course of a new ketolide antimi-crobial, telithromycin (HMR 3647), for the treatment of acute exacerbations of chronic bronchitis (AECB) in patients with COPD. Program and Abstracts of the 40th Interscience Conference on Antimicrobial Agents and Chemotherapy Toronto, Canada (2000):Abstract 2241.
  • DEABATE CA, HEYDER A, LEROY B, SIDAROUS E, BACKSTORM J: Oral telithromycin (11MR 3647) 800mg once daily for 5 days is well tolerated and as effective as cefuroxime axetil 500 mg twice daily for 10 days in adults with acute exacerbations of chronic bronchitis (AECB). 40th Interscience Conference on Antimicrobial Agents and Chemotherapy Toronto, Canada (2000):Abstract 2228.
  • ROOS K, BRUNSWIG-PITSCHNER C, KOSTRICA R et al.:Efficacy and tolerability of a 5-day course of a new ketolide antimicrobial, telithromycin (HMR 3647), for the treatment of acute sinusitis. Program and Abstracts of the 40th Interscience Conference on Antimicrobial Agents and Chemotherapy Toronto, Canada (2000):Abstract 2243.
  • TELLIER G, LASKO B, LEROY B, SIDAROUS E, ANDRADE C:Oral telithromycin (HMR3647) 800 mg once daily for 5 days and 10 days is well tolerated and as effective as amoxicillin/clavulanic acid 500/125 mg three times daily for 10 days in acute maxillary sinusitis (AMS) in adults. Program and Abstracts of the 40th Interscience Conference on Antimicrobial Agents and Chemotherapy Toronto, Canada (2000):Abstract 2226.
  • NORRBY SR, RABIE WJ, BACART PA et al.: Efficacy of 5days' telithromycin ( IIMR3647) vs.10 days' penicillin V in the treatment of pharyngitis in adults. Program and Abstracts of the 40th Interscience Conference on Antimicrobial Agents and Chemotherapy Toronto, Canada (2000):Abstract 2242.
  • QUINN J, ZITER P, LEROY B, SIDAROUS E, BELKER M: Oraltelithromycin (HMR 3647) 800 mg once daily for 5 days is well tolerated and as effective as clarithro-mycin 250 mg twice daily for 10 days in Group A 3-hemolytic streptococcal pharyngitis/tonsillitis. Program and Abstracts of the 40th Interscience Conference on Antimicrobial Agents and Chemotherapy. Toronto, Canada (2000):Abstract 2229.
  • LEROY B, MANICKAM R: I-ligh in vitro susceptibility ofthe ketolide telithromycin (HMR 3647) in clinical isolates of key respiratory pathogens. Program and Abstracts of the 40th Interscience Conference on Antimicro-bial Agents and Chemotherapy. Toronto, Canada (2000):Abstract 2224.
  • •Clinical cure and bacteriological eradication rates were 80% or greater for bacterial respiratory pathogens in ten multicentre clinical trials of community-acquired respiratory infections.
  • LEROY B, MANICKAM R: Efficacy of the Ketolide telithromycin (HMR 3647) in the treatment of bacteremia associated with community-acquired pneumonia. Program and Abstracts of the 40th Interscience Conference on Antimicrobial Agents and Chemotherapy Toronto, Canada (2000) :Abstract 2223.
  • LEROY B, MANICKAM R: Efficacy of telithromycin (IIMR 3647), a new ketolide antimicrobial, in community-acquired pneumonia caused by atypical pathogens. Program and Abstracts of the 40th Interscience Conference on Antimicrobial Agents and Chemotherapy Toronto, Canada (2000) :Abstract 2225.
  • •The clinical cure rate for telithromycin was 80% or greater for subjects with pneumonia due to atypical pathogens.
  • CARBON C, MOOLA S, VELANCSICS I, LEROY B, MANICKAM R, DECOSTA P: Efficacy of telithromycin (HMR 3647), a new once-daily antimicrobial, in the treatment of community-acquired pneumonia. Program and Abstracts of the 40th Interscience Conference on Antimicrobial Agents and Chemotherapy Toronto, Canada (2000) :Abstract 2245.
  • FINE MJ, AUBLE TE, YEALY DM et al.: A prediction rule to identify low-risk patients with community-acquired pneumonia. N. Engl. J. Med. (1997) 336:243–250.

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