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Aztreonam/avibactam

From Wikipedia, the free encyclopedia
Combination antibiotic medication

Pharmaceutical compound
Aztreonam/avibactam
Combination of
AztreonamMonobactam antibacterial
AvibactamBeta-lactamase inhibitor
Clinical data
Trade namesEmblaveo
AHFS/Drugs.comMonograph
MedlinePlusa625054
License data
Routes of
administration
Intravenous
ATC code
  • None
Legal status
Legal status
Identifiers
KEGG

Aztreonam/avibactam, sold under the brand nameEmblaveo, is afixed-dose combination antibacterial medication used for the treatment of aerobicGram-negative infections.[4] It was developed byAbbVie andPfizer,[4][5][6] and is a combination ofaztreonam, amonobactam antibacterial, andavibactam, a non-beta-lactambeta-lactamase inhibitor.[4][7]

The combination was approved for medical use in the European Union in April 2024,[4][8] in the United Kingdom in June 2024,[9] and in the United States in February 2025.[9]

Medical uses

[edit]

In the EU and the UK, aztreonam/avibactam isindicated for the treatment of complicated intra-abdominal infection; hospital-acquired pneumonia, including ventilator-associated pneumonia; or complicated urinary tract infection, including pyelonephritis.[4] It is also indicated for the treatment of infections due to aerobic Gram-negative organisms in adults with limited treatment options.[4]

In the US, aztreonam/avibactam, in combination withmetronidazole, is indicated in people aged 18 years of age and older who have limited or no alternative options for the treatment of complicated intra-abdominal infections including those caused by the following susceptible gram-negative microorganisms:Escherichia coli,Klebsiella pneumoniae,Klebsiella oxytoca,Enterobacter cloacae complex,Citrobacter freundii complex, andSerratia marcescens.[2]

Society and culture

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Legal status

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In March 2024, theCommittee for Medicinal Products for Human Use (CHMP) of theEuropean Medicines Agency (EMA) adopted a positive opinion, recommending the granting of a marketing authorization for the medicinal product Emblaveo, intended for the treatment of complicated intra-abdominal and urinary tract infections, hospital-acquired pneumonia and infections due to aerobic Gram-negative organisms in people with limited treatment options.[3][10] The applicant for this medicinal product is Pfizer Europe MA EEIG.[3] The combination was approved for medical use in the European Union in April 2024.[4]

TheFood and Drug Administration (FDA) approved Emblaveo in February 2025 largely based on the results of thePhase III open-label randomized REVISIT trial.[9][11]

References

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  1. ^"Emblaveo 1.5 g/0.5 g powder for concentrate for solution for infusion".(emc). 21 August 2024. Retrieved11 February 2025.
  2. ^ab"Emblaveo- aztreonam and avibactam powder, for solution".DailyMed. 7 February 2025. Retrieved2 April 2025.
  3. ^abc"Emblaveo EPAR".European Medicines Agency. 21 March 2024.Archived from the original on 23 March 2024. Retrieved23 March 2024. Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
  4. ^abcdefgh"Emblaveo Product information".Union Register of medicinal products. 22 April 2024. Retrieved22 April 2024.
  5. ^Sader, Helio S; Castanheira, Mariana; Kimbrough, John H; Kantro, Valerie; Mendes, Rodrigo E (22 March 2023)."Aztreonam/avibactam activity against a large collection of carbapenem-resistant Enterobacterales (CRE) collected in hospitals from Europe, Asia and Latin America (2019–21)".JAC-Antimicrobial Resistance.5 (2) dlad032.doi:10.1093/jacamr/dlad032.ISSN 2632-1823.PMC 10032302.PMID 36968952.
  6. ^Livermore, David M.; Mushtaq, Shazad; Vickers, Anna; Woodford, Neil (May 2023)."Activity of aztreonam/avibactam against metallo-β-lactamase-producing Enterobacterales from the UK: Impact of penicillin-binding protein-3 inserts and CMY-42 β-lactamase in Escherichia coli".International Journal of Antimicrobial Agents.61 (5) 106776.doi:10.1016/j.ijantimicag.2023.106776.PMID 36893810.S2CID 257428399.
  7. ^Al Musawa, Mohammed; Bleick, Callan R.; Herbin, Shelbye R.; Caniff, Kaylee E.; Van Helden, Sean R.; Rybak, Michael J. (2024)."Aztreonam–avibactam: The dynamic duo against multidrug-resistant gram-negative pathogens".Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy.44 (12):927–938.doi:10.1002/phar.4629.ISSN 1875-9114.PMC 11687205.PMID 39601336.
  8. ^"European Commission Approves Pfizer's Emblaveo for Patients with Multidrug-Resistant Infections and Limited Treatment Options".Pfizer (Press release). 22 April 2024. Retrieved22 April 2024.
  9. ^abc"U.S. FDA Approves Emblaveo (aztreonam and avibactam) for the Treatment of Adults With Complicated Intra-Abdominal Infections With Limited or No Treatment Options" (Press release). AbbVie. 7 February 2025. Retrieved11 February 2025 – via PR Newswire.
  10. ^"Meeting highlights from the Committee for Medicinal Products for Human Use (CHMP) 18-21 March 2024".European Medicines Agency (Press release). 22 March 2024. Retrieved13 June 2024.
  11. ^Carmeli, Yehuda; Cisneros, José Miguel; Paul, Mical; Daikos, George L.; Wang, Minggui; Torre-Cisneros, Julian; et al. (February 2025). "Aztreonam-avibactam versus meropenem for the treatment of serious infections caused by Gram-negative bacteria (REVISIT): a descriptive, multinational, open-label, phase 3, randomised trial". The Lancet Infectious Diseases.25 (2):218–230.doi:10.1016/S1473-3099(24)00499-7.ISSN 1474-4457.PMID 39389071.

External links

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  • Clinical trial numberNCT03329092 for "A Study to Determine the Efficacy, Safety and Tolerability of Aztreonam-Avibactam (ATM-AVI) ± Metronidazole (MTZ) Versus Meropenem (MER) ± Colistin (COL) for the Treatment of Serious Infections Due to Gram Negative Bacteria. (REVISIT)" atClinicalTrials.gov
β-lactams
(inhibit synthesis
of peptidoglycan
layer of bacterial
cell wall by binding
to and inhibiting
PBPs, a group of
D-alanyl-D-alanine
transpeptidases
)
Penicillins (Penams)
Narrow
spectrum
β-lactamase sensitive
(1st generation)
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  • Inhibits PG elongation and crosslinking:Ramoplanin§
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