PMID- 15150186 OWN - NLM STAT- MEDLINE DCOM- 20040831 LR - 20181130 IS - 0305-7453 (Print) IS - 0305-7453 (Linking) VI - 53 Suppl 2 DP - 2004 Jun TI - Safety and tolerability of ertapenem. PG - ii75-81 AB - Ertapenem is a Group 1 carbapenem that was licensed in the USA in November 2001 and in Europe in April 2002. Its safety profile has been assessed in 240 healthy volunteers participating in 12 clinical pharmacology studies and in 2046 patients enrolled in five Phase IIa and eight Phase IIb/III clinical trials. The most common drug-related adverse events (AEs) reported in trials comparing ertapenem and piperacillin-tazobactam and in trials comparing ertapenem and ceftriaxone were: diarrhoea (ertapenem versus piperacillin-tazobactam 5.0% versus 7.0%; ertapenem versus ceftriaxone 5.6% versus 5.9%); infused vein complications (ertapenem versus piperacillin-tazobactam 4.5% versus 7.9%; ertapenem versus ceftriaxone 3.2% versus 4.6%); nausea (ertapenem versus piperacillin-tazobactam 2.5% versus 3.4%; ertapenem versus ceftriaxone 3.4% versus 3.3%); and elevations in alanine aminotransferase levels (ertapenem versus piperacillin-tazobactam 8.8% versus 7.3%; ertapenem versus ceftriaxone 8.3% versus 6.9%). Most ertapenem-related AEs were reported as mild-to-moderate in intensity. Ertapenem was not associated with prolongation of the QTc interval. Local reactions of moderate-to-severe intensity at the infusion site were infrequent and occurred with similar frequency in the ertapenem and comparator treatment groups. No overall differences in safety were observed between elderly (aged > or = 65 years and > or = 75 years) and younger patients. Ertapenem, 1 g once a day given by intravenous infusion or intramuscular injection, was generally well tolerated and had overall safety and tolerability profiles similar to those of piperacillin-tazobactam and ceftriaxone. FAU - Teppler, Hedy AU - Teppler H AD - Merck Research Laboratories, West Point, PA 19486, USA. FAU - Gesser, Richard M AU - Gesser RM FAU - Friedland, Ian R AU - Friedland IR FAU - Woods, Gail L AU - Woods GL FAU - Meibohm, Anne AU - Meibohm A FAU - Herman, Gary AU - Herman G FAU - Mistry, Goutam AU - Mistry G FAU - Isaacs, Robin AU - Isaacs R LA - eng PT - Journal Article PT - Review PL - England TA - J Antimicrob Chemother JT - The Journal of antimicrobial chemotherapy JID - 7513617 RN - 0 (Anti-Bacterial Agents) RN - 0 (Lactams) RN - 0 (beta-Lactams) RN - 157044-21-8 (Piperacillin, Tazobactam Drug Combination) RN - 75J73V1629 (Ceftriaxone) RN - 87-53-6 (Penicillanic Acid) RN - G32F6EID2H (Ertapenem) RN - X00B0D5O0E (Piperacillin) SB - IM MH - Adult MH - Aged MH - Anti-Bacterial Agents/administration & dosage/*adverse effects/therapeutic use MH - Bacteria, Aerobic/drug effects MH - Bacteria, Anaerobic/drug effects MH - Bacterial Infections/*drug therapy/microbiology MH - Ceftriaxone/administration & dosage/adverse effects/therapeutic use MH - *Clinical Trials as Topic MH - Community-Acquired Infections/*drug therapy/microbiology MH - Ertapenem MH - Female MH - Humans MH - Lactams/administration & dosage/*adverse effects/therapeutic use MH - Male MH - Middle Aged MH - Penicillanic Acid/administration & dosage/adverse effects/analogs & derivatives/therapeutic use MH - Piperacillin/administration & dosage/adverse effects/therapeutic use MH - Piperacillin, Tazobactam Drug Combination MH - Randomized Controlled Trials as Topic MH - beta-Lactams RF - 20 EDAT- 2004/05/20 05:00 MHDA- 2004/09/01 05:00 CRDT- 2004/05/20 05:00 PHST- 2004/05/20 05:00 [pubmed] PHST- 2004/09/01 05:00 [medline] PHST- 2004/05/20 05:00 [entrez] AID - 53/suppl_2/ii75 [pii] AID - 10.1093/jac/dkh209 [doi] PST - ppublish SO - J Antimicrob Chemother. 2004 Jun;53 Suppl 2:ii75-81. doi: 10.1093/jac/dkh209.