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

Zurenko G, Bien P, Bensaci M, Patel HN, Thorne G - Ann. Clin. Microbiol. Antimicrob. (2014)

Bottom Line: 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.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%.High 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.

View Article: PubMed Central - PubMed

ABSTRACT

Background: Tedizolid 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.

Methods: Gram-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.

Results: The 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%.

Conclusions: High 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.

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Related in: MedlinePlus

Scatter plot comparing tedizolid and linezolid minimum inhibitory concentration (MIC) values for 91Streptococcus anginosusgroup isolates. Dashed lines represent the US Food and Drug Administration–approved breakpoint for tedizolid for S. anginosus group isolates (≤0.25 μg/ml [susceptible]) and the Clinical and Laboratory Standards Institute–approved breakpoint for linezolid (≤2 μg/ml [susceptible]).
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Fig5: Scatter plot comparing tedizolid and linezolid minimum inhibitory concentration (MIC) values for 91Streptococcus anginosusgroup isolates. Dashed lines represent the US Food and Drug Administration–approved breakpoint for tedizolid for S. anginosus group isolates (≤0.25 μg/ml [susceptible]) and the Clinical and Laboratory Standards Institute–approved breakpoint for linezolid (≤2 μg/ml [susceptible]).

Mentions: The subset of isolates (n = 91) confirmed to be members of the S. anginosus group (ie, S. anginosus, S. constellatus, and S. intermedius) were analyzed separately using the FDA-approved breakpoint for tedizolid of ≤0.25 μg/ml (susceptible) (Figure 5). All isolates were susceptible to tedizolid and linezolid both by these criteria; therefore, there were no interpretive errors.Figure 5


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

Zurenko G, Bien P, Bensaci M, Patel HN, Thorne G - Ann. Clin. Microbiol. Antimicrob. (2014)

Scatter plot comparing tedizolid and linezolid minimum inhibitory concentration (MIC) values for 91Streptococcus anginosusgroup isolates. Dashed lines represent the US Food and Drug Administration–approved breakpoint for tedizolid for S. anginosus group isolates (≤0.25 μg/ml [susceptible]) and the Clinical and Laboratory Standards Institute–approved breakpoint for linezolid (≤2 μg/ml [susceptible]).
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4291835&req=5

Fig5: Scatter plot comparing tedizolid and linezolid minimum inhibitory concentration (MIC) values for 91Streptococcus anginosusgroup isolates. Dashed lines represent the US Food and Drug Administration–approved breakpoint for tedizolid for S. anginosus group isolates (≤0.25 μg/ml [susceptible]) and the Clinical and Laboratory Standards Institute–approved breakpoint for linezolid (≤2 μg/ml [susceptible]).
Mentions: The subset of isolates (n = 91) confirmed to be members of the S. anginosus group (ie, S. anginosus, S. constellatus, and S. intermedius) were analyzed separately using the FDA-approved breakpoint for tedizolid of ≤0.25 μg/ml (susceptible) (Figure 5). All isolates were susceptible to tedizolid and linezolid both by these criteria; therefore, there were no interpretive errors.Figure 5

Bottom Line: 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.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%.High 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.

View Article: PubMed Central - PubMed

ABSTRACT

Background: Tedizolid 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.

Methods: Gram-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.

Results: The 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%.

Conclusions: High 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.

Show MeSH
Related in: MedlinePlus