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Cefzil

Clinical Pharmacology
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Clinical Pharmacology

The incidences of adverse events, primarily diarrhea and rash*, were clinically and statistically significantly higher in the control arm versus the cefprozil arm.


Age Group Cefprozil Control
6 months-2 years 21% 41%
3-12 years 10% 19%
*The majority of these involved the diaper area in young children.
Study Two

In a controlled clinical study of acute otitis media performed in Europe, cefprozil was compared to an oral antimicrobial agent that contained a specific β-lactamase inhibitor. As expected in a European population, this study population had a lower incidence of β-lactamase-producing organisms than usually seen in U.S. trials. In this study, using very strict evaluability criteria and microbiologic and clinical response criteria at the 10 to 16 days post-therapy follow-up, the following presumptive bacterial eradication/clinical cure outcomes (ie, clinical success) were obtained:

European Acute Otitis Media Study Cefprozil vs β-lactamase inhibitor-containing control drug


EFFICACY
Pathogen % of Cases with Pathogen (n=47) Outcome
S. pneumoniae 51.0% cefprozil equivalent to control
H. influenzae 29.8% cefprozil equivalent to control
M. catarrhalis 6.4% cefprozil equivalent to control
S. pyogenes 12.8% cefprozil equivalent to control
Overall 100.0% cefprozil equivalent to control
Safety

The incidence of adverse events in the cefprozil arm was comparable to the incidence of adverse events in the control arm (agent that contained a specific β-lactamase inhibitor).

REFERENCES

1. National Committee for Clinical Laboratory Standards. Methods for Dilution Antimicrobial Susceptibility Tests for Bacteria that Grow Aerobically-Third Edition. Approved Standard NCCLS Document M7-A3, Vol. 13, No. 25, NCCLS, Villanova, PA, December 1993.

2. National Committee for Clinical Laboratory Standards. Methods for Antimicrobial Susceptibility Testing of Anaerobic Bacteria-Third Edition. Approved Standard NCCLS Document M11-A3, Vol. 13, No. 26, NCCLS, Villanova, PA, December 1993.

3. National Committee for Clinical Laboratory Standards. Performance Standards for Antimicrobial Disk Susceptibility Tests-Fifth Edition. Approved Standard NCCLS Document M2-A5, Vol. 13, No. 24, NCCLS, Villanova, PA, December 1993.

Brand Name: Cefzil
Generic Name: Cefprozil

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