β-Lactam/β-Lactamase Inhibitor Combination Antibiotics Under Development

Antimicrobial resistance remains a public health problem of global concern with a great health and financial burden. Its recognition as a threat by political leadership has boosted the research and development of new antibiotics and particularly novel combinations of β-lactams/β-lactamase inhibitors...

Full description

Saved in:
Bibliographic Details
Main Authors: Angeliki Katsarou, Panagiotis Stathopoulos, Iva D. Tzvetanova, Christina-Maria Asimotou, Matthew E. Falagas
Format: Article
Language:English
Published: MDPI AG 2025-02-01
Series:Pathogens
Subjects:
Online Access:https://www.mdpi.com/2076-0817/14/2/168
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850229886673747968
author Angeliki Katsarou
Panagiotis Stathopoulos
Iva D. Tzvetanova
Christina-Maria Asimotou
Matthew E. Falagas
author_facet Angeliki Katsarou
Panagiotis Stathopoulos
Iva D. Tzvetanova
Christina-Maria Asimotou
Matthew E. Falagas
author_sort Angeliki Katsarou
collection DOAJ
description Antimicrobial resistance remains a public health problem of global concern with a great health and financial burden. Its recognition as a threat by political leadership has boosted the research and development of new antibiotics and particularly novel combinations of β-lactams/β-lactamase inhibitors against multidrug-resistant (MDR) Gram-negative pathogens, which remain the major concern in clinical practice. The incorporation of ceftolozane/tazobactam, ceftazidime/avibactam, meropenem/vaborbactam, and imipenem/cilastatin/relebactam has provided new therapeutic options in the treatment of patients with infections due to MDR pathogens. Cefiderocol along with cefepime/enmetazobactam, avibactam/aztreonam, and sulbactam/durlobactam have been recently added to these agents as therapeutic choices, particularly for metallo-β-lactamase producing Gram-negative bacteria. Currently, many combinations are being studied for their in vitro activity against both serine- and metallo-β-lactamases. However, only a few have advanced through phase 1, 2, and 3 clinical trials. Among them, in this article, we focus on the most promising combinations of cefepime/zidebactam, cefepime/taniborbactam, and imipenem/cilastatin/funobactam, which are currently under investigation in phase 3 trials.
format Article
id doaj-art-6e0d1feda55040f396e59632f0990656
institution OA Journals
issn 2076-0817
language English
publishDate 2025-02-01
publisher MDPI AG
record_format Article
series Pathogens
spelling doaj-art-6e0d1feda55040f396e59632f09906562025-08-20T02:04:02ZengMDPI AGPathogens2076-08172025-02-0114216810.3390/pathogens14020168β-Lactam/β-Lactamase Inhibitor Combination Antibiotics Under DevelopmentAngeliki Katsarou0Panagiotis Stathopoulos1Iva D. Tzvetanova2Christina-Maria Asimotou3Matthew E. Falagas4Alfa Institute of Biomedical Sciences (AIBS), 9 Neapoleos Street, 151 23 Athens, GreeceAlfa Institute of Biomedical Sciences (AIBS), 9 Neapoleos Street, 151 23 Athens, GreeceSchool of Medicine, European University Cyprus, 6 Diogenous Street, 2404 Nicosia, CyprusAlfa Institute of Biomedical Sciences (AIBS), 9 Neapoleos Street, 151 23 Athens, GreeceAlfa Institute of Biomedical Sciences (AIBS), 9 Neapoleos Street, 151 23 Athens, GreeceAntimicrobial resistance remains a public health problem of global concern with a great health and financial burden. Its recognition as a threat by political leadership has boosted the research and development of new antibiotics and particularly novel combinations of β-lactams/β-lactamase inhibitors against multidrug-resistant (MDR) Gram-negative pathogens, which remain the major concern in clinical practice. The incorporation of ceftolozane/tazobactam, ceftazidime/avibactam, meropenem/vaborbactam, and imipenem/cilastatin/relebactam has provided new therapeutic options in the treatment of patients with infections due to MDR pathogens. Cefiderocol along with cefepime/enmetazobactam, avibactam/aztreonam, and sulbactam/durlobactam have been recently added to these agents as therapeutic choices, particularly for metallo-β-lactamase producing Gram-negative bacteria. Currently, many combinations are being studied for their in vitro activity against both serine- and metallo-β-lactamases. However, only a few have advanced through phase 1, 2, and 3 clinical trials. Among them, in this article, we focus on the most promising combinations of cefepime/zidebactam, cefepime/taniborbactam, and imipenem/cilastatin/funobactam, which are currently under investigation in phase 3 trials.https://www.mdpi.com/2076-0817/14/2/168antimicrobial resistancemetallo-β-lactamasesβ-lactams/β-lactamase inhibitorscefepime/zidebactamcefepime/taniborbactamimipenem/cilastatin/funobactam
spellingShingle Angeliki Katsarou
Panagiotis Stathopoulos
Iva D. Tzvetanova
Christina-Maria Asimotou
Matthew E. Falagas
β-Lactam/β-Lactamase Inhibitor Combination Antibiotics Under Development
Pathogens
antimicrobial resistance
metallo-β-lactamases
β-lactams/β-lactamase inhibitors
cefepime/zidebactam
cefepime/taniborbactam
imipenem/cilastatin/funobactam
title β-Lactam/β-Lactamase Inhibitor Combination Antibiotics Under Development
title_full β-Lactam/β-Lactamase Inhibitor Combination Antibiotics Under Development
title_fullStr β-Lactam/β-Lactamase Inhibitor Combination Antibiotics Under Development
title_full_unstemmed β-Lactam/β-Lactamase Inhibitor Combination Antibiotics Under Development
title_short β-Lactam/β-Lactamase Inhibitor Combination Antibiotics Under Development
title_sort β lactam β lactamase inhibitor combination antibiotics under development
topic antimicrobial resistance
metallo-β-lactamases
β-lactams/β-lactamase inhibitors
cefepime/zidebactam
cefepime/taniborbactam
imipenem/cilastatin/funobactam
url https://www.mdpi.com/2076-0817/14/2/168
work_keys_str_mv AT angelikikatsarou blactamblactamaseinhibitorcombinationantibioticsunderdevelopment
AT panagiotisstathopoulos blactamblactamaseinhibitorcombinationantibioticsunderdevelopment
AT ivadtzvetanova blactamblactamaseinhibitorcombinationantibioticsunderdevelopment
AT christinamariaasimotou blactamblactamaseinhibitorcombinationantibioticsunderdevelopment
AT matthewefalagas blactamblactamaseinhibitorcombinationantibioticsunderdevelopment