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A fifth-generation cephalosporin with coverage against key causative pathogens in children with cSSTI, including MRSA, and CAP, including penicillin susceptible strains of S. pneumoniae1,2
Zinforo has relatively low protein binding (<20%), and using data comparing protein binding with rate of penetration to the site of infection, is predicted to have a rapid penetration rate3,4
A safety and tolerability profile consistent with comparator therapies in clinical studies‡§5-8 and a similar safety profile in the paediatric population to that observed in adults.II
Approved to treat neonates and infants <2 months of age with a proven clinical response in paediatric patients with cSSTI and CAP.9,10
‡ Zinforo is contraindicated in patients with hypersensitivity to any active substance or excipient and should not be used in patients with a history of hypersensitivity to other cephalosporin-class antibiotics or who have had an immediate and severe hypersensitivity reaction (e.g., anaphylaxis to other ß-lactam antibacterial agents). Fatal hypersensitivity reactions are possible. Antibacterial-associated colitis and pseudomembranous colitis (Clostridium difficile) have been reported, including cases that were life-threatening. Patients with a pre-existing seizure disorder should use Zinforo with caution as seizures occurred in toxicology studies at doses higher than typical human exposures. DAGT (Coombs test) became positive in 11.2% of patients from five pooled pivotal studies in patients who received Zinforo every 12 hours and in 32.3% of patients who received Zinforo every 8 hours.1
§Comparator therapies: cSSTI, ceftriaxone; CAP, vancomycin or cefazolin, plus optional aztreonam.
IIBased on two clinical trials in 227 paediatric patients aged from 2 months to 17 years. The most common adverse reactions occurring in ≥3% of patients treated with Zinforo were diarrhoea, rash and vomiting, and were generally mild or moderate in severity.9,10
**Zinforo is not active against Pseudomonas aeruginosa. Like other cephalosporins, Zinforo is not active against ESBL-producing strains. In vitro activity does not always correlate with clinical efficacy.1
Abbreviations
CAP, community-acquired pneumonia; cSSTI, complicated skin and soft tissue infections; MRSA, methicillin-resistant Staphylococcus aureus.
Prescribing Information
Zinforo® (ceftaroline fosamil)
Great Britain
Zinforo 600 mg powder for concentrate for solution for infusion
Northern Ireland
Zinforo 600 mg powder for concentrate for solution for infusion
References
Explore the outcomes of the Zinforo Phase III clinical trials in adult patients with CAP and cSSTI
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PP-PFE-GBR-3863. November 2021