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Eravacycline, in development to address the urgent need for new antimicrobial agents, is a synthetic tetracycline analogue designed to be resistant to antibiotic efflux pumps and active against microorganisms with ribosomally mediated tetracycline resistance. Now, in a manufacturer-supported, international, multicenter, phase III trial, researchers show that eravacycline is noninferior to ertapenem for complicated intra-abdominal infections.
In all, 541 patients were enrolled, with 270 receiving eravacycline (1 mg/kg every 12 hours intravenously) and 271 receiving ertapenem (1 g every 24 hours intravenously). The most common infections were intra-abdominal abscess (42%) and peritonitis (33%); complicated appendicitis occurred in 31% of parti…