Compositions and methods of use of antibacterial drug combinations
The present disclosure encompasses antibacterial compositions and methods of treating bacterial infections caused by resistant bacteria.
1. A composition useful for the treatment of an infection caused by a methicillin-resistant Staphylococcus aureus (MRSA), wherein the resistance is due to a penicillin-binding protein 2a (PBP2a)-driven mechanism, the composition comprising:
i) at least one carbapenem or another β-lactam capable of binding the allosteric site of PBP2a;
ii) at least one β-lactamase inhibitor; and
iii) at least one β-lactam that binds the open configuration of the active site of PBP2a;
wherein the composition is selected from the group consisting of
a) meropenem/piperacillin/tazobactam (ME/PI/TZ);
b) cefepime/piperacillin/tazobactam (CP/PI/TZ);
c) aztreonam/piperacillin/tazobactam (AZ/PI/TZ);
d) meropenem/amoxicillin/tazobactam (ME/AX/TZ);
e) meropenem/amoxicillin/clavulanate (ME/AX/CV); and
f) imipenem/piperacillin/clavulanate (IM/PI/CV).
2. The composition of claim 1 , wherein the ratio of the carbapenem or another β-lactam to the β-lactamase inhibitor is in the range of 64:1 to 1:64.
3. The composition of claim 1 , wherein the ratio of the carbapenem or another β-lactam to the PBP2a binding β-lactam is in the range of 64:1 to 1:64.
4. The composition of claim 1 , wherein the ratio of the β-lactamase inhibitor to the PBP2a binding β-lactam is in the range of 64:1 to 1:64.
5. The composition of claim 1 , wherein the ratio of the antibiotics in the combination may range from 64:1:1, 1:64:1, and 1:1:64 to 1:1:1.
6. A pharmaceutical composition comprising a composition of claim 1 and at least one pharmaceutically acceptable excipient.
7. A method for treating an infection caused by a methicillin-resistant Staphylococcus aureus (MRSA) in a subject, wherein the resistance is due to a penicillin-binding protein 2a (PBP2a)-driven mechanism, the method comprising administering to the subject an effective amount of a composition of claim 1 .
8. A method for treating an infection caused by methicillin-resistant Staphylococcus aureus (MRSA), the method comprising administering to the subject an effective amount of a composition of claim 1 .