Efficacy and safety of doripenem for sepsis with neutropenia in Japanese patients with hematologic diseases

Jpn J Antibiot. 2012 Aug;65(4):251-62.

Abstract

Doripenem (DRPM) is one of the carbapenems which has a broad-spectrum and strong activity against Pseudomonas aeruginosa. This observational study was conducted between April 2006 and March 2007 in Japan to evaluate the efficacy and safety of DRPM 0.5 g three times a day for sepsis with neutropenia in patients with hematologic diseases. One hundred-nineteen patients were enrolled from 34 medical institutes, comprising 117 patients for safety evaluation and 104 for efficacy evaluation. Monotherapy of DRPM 0.5 g three times a day (DRPM monotherapy) was evaluated in 73 patients. The response rates of DRPM monotherapy at 72 hours and at Day 7 were 31.5% (23/73) and 67.1% (49/73), respectively. The incidence of adverse reactions including abnormal changes in laboratory values was 23.1%, and hepatic toxicity was most common. All of these adverse events were judged by the investigators as non-serious and tolerable. These results suggest that DRPM is useful for sepsis with neutropenia, though further study may be warranted.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Anti-Bacterial Agents / therapeutic use*
  • Carbapenems / adverse effects
  • Carbapenems / therapeutic use*
  • Doripenem
  • Female
  • Humans
  • Liver / drug effects
  • Male
  • Middle Aged
  • Neutropenia / drug therapy*
  • Prospective Studies
  • Sepsis / drug therapy*

Substances

  • Anti-Bacterial Agents
  • Carbapenems
  • Doripenem