In vitro pharmacodynamic activities of ABT-492, a novel quinolone, compared to those of levofloxacin against Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis

Antimicrob Agents Chemother. 2004 Jan;48(1):203-8. doi: 10.1128/AAC.48.1.203-208.2004.

Abstract

ABT-492 is a novel quinolone with potent activity against gram-positive, gram-negative, and atypical pathogens, making this compound an ideal candidate for the treatment of community-acquired pneumonia. We therefore compared the in vitro pharmacodynamic activity of ABT-492 to that of levofloxacin, an antibiotic commonly used for the treatment of pneumonia, through MIC determination and time-kill kinetic analysis. ABT-492 demonstrated potent activity against penicillin-sensitive, penicillin-resistant, and levofloxacin-resistant Streptococcus pneumoniae strains (MICs ranging from 0.0078 to 0.125 micro g/ml); beta-lactamase-positive and beta-lactamase-negative Haemophilus influenzae strains (MICs ranging from 0.000313 to 0.00125 micro g/ml); and beta-lactamase-positive and beta-lactamase-negative Moraxella catarrhalis strains (MICs ranging from 0.001 to 0.0025 micro g/ml), with MICs being much lower than those of levofloxacin. Both ABT-492 and levofloxacin demonstrated concentration-dependent bactericidal activities in time-kill kinetics studies at four and eight times the MIC with 10 of 12 bacterial isolates exposed to ABT-492 and with 12 of 12 bacterial isolates exposed to levofloxacin. Sigmoidal maximal-effect models support concentration-dependent bactericidal activity. The model predicts that 50% of maximal activity can be achieved with concentrations ranging from one to two times the MIC for both ABT-492 and levofloxacin and that near-maximal activity (90% effective concentration) can be achieved at concentrations ranging from two to five times the MIC for ABT-492 and one to six times the MIC for levofloxacin.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Infective Agents / pharmacology*
  • Colony Count, Microbial
  • Dose-Response Relationship, Drug
  • Drug Resistance, Bacterial
  • Fluoroquinolones
  • Haemophilus influenzae / drug effects*
  • Kinetics
  • Levofloxacin*
  • Microbial Sensitivity Tests
  • Moraxella catarrhalis / drug effects*
  • Ofloxacin / pharmacology*
  • Penicillin Resistance
  • Quinolones / pharmacology*
  • Streptococcus pneumoniae / drug effects*
  • beta-Lactamases / metabolism

Substances

  • Anti-Infective Agents
  • Fluoroquinolones
  • Quinolones
  • delafloxacin
  • Levofloxacin
  • Ofloxacin
  • beta-Lactamases