Evidence map›Paper›PMID 40126766›Full record

Observational studyEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2025

Cefiderocol treatment for patients infected by Stenotrophomonas maltophilia, Burkholderia cepacia complex and Achromobacter spp.: subgroup analysis from the PERSEUS study.

Julian Torre-Cisneros, Ricard Ferrer, Carmen De La Fuente Martos, Jessica Sarda, A Javier Gonzalez Calvo, Stefano Verardi, Andreas Karas, Alex Soriano

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05789199 (Retrospective Analysis of Real-World Use of Cefiderocol in the Management of Gram-Negative Infections as Part of the Early Access Program), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05789199 completednot on this map

Retrospective Analysis of Real-World Use of Cefiderocol in the Management of Gram-Negative Infections as Part of the Early Access Program (PERSEUS Study)

TypeobservationalSponsorShionogiRan2022 to 2023Enrolled314ConditionsGram-Negative InfectionArmsCefiderocol
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Biomedical reports · 2026
    Review
  2. Review
  3. Sulbactam-durlobactam and cefiderocol combination treatment ofAntimicrobial agents and chemotherapy · 2026
    Article
  4. ASP-COMPLEX: redefining antimicrobial stewardship to improve outcomes in high-risk patients with severe infections.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2026
    Review
  5. Article
  6. Predictive value ofFrontiers in medicine · 2026
    Article
  7. Review
  8. [Beta-lactams and beta-lactamase inhibitors-current developments].Innere Medizin (Heidelberg, Germany) · 2025
    Review
  9. Therapeutic optimization against bacteria carrying metalloenzymes: the battle for class B.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2025
    Review
  10. Article
  11. Effectiveness and safety of cefiderocol treatment in patients with Gram-negative bacterial infections in Spain in the early access programme: results of the PERSEUS study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Julian Torre-CisnerosMaimonides Institute for Biomedical Research, Córdoba, Spain.
Ricard FerrerIntensive Care Department, Hospital Universitari Vall d'Hebrón, SODIR Research Group, Vall d'Hebron Institut de Recerca, Universitat Autònoma de Barcelona, Barcelona, Spain.
Carmen De La Fuente MartosMaimonides Institute for Biomedical Research, Córdoba, Spain.
Jessica SardaShionogi S.L.U, Calle de Serrano 45, Madrid, 28001, Spain. jessica.sarda@shionogi.eu.
A Javier Gonzalez CalvoShionogi S.L.U, Calle de Serrano 45, Madrid, 28001, Spain.
Stefano VerardiShionogi BV, London, UK.
Andreas KarasShionogi BV, London, UK.
Alex SorianoCentro de Investigación Biomédica en Red de Enfermedades Infecciosas, Instituto de Salud Carlos III, Madrid, Spain.

Funding

Shionogi NA
6 · The paper itself

Abstract

purposeThis subgroup analysis of the PERSEUS study aimed to describe the effectiveness of cefiderocol treatment in the early access programme in Spain in patients infected by Stenotrophomonas maltophilia, Burkholderia cepacia complex (Bcc) or Achromobacter species.

methodsIn the retrospective, observational, multicentre PERSEUS study in Spain, the effectiveness and safety of cefiderocol treatment administered for at least 72 h up to 28 days in patients infected by Gram-negative bacteria, except Acinetobacter spp., in the early access programme was investigated. Patient demographics and baseline clinical characteristics, cefiderocol use, clinical cure at end of treatment, all-cause mortality at Day 28 were the main outcomes.

resultsA total of 20 patients had S. maltophilia infections, and 14 patients had other rare glucose non-fermenters (Bcc 8, Achromobacter spp. 5, Ralstonia mannitolilytica 1). The median (interquartile range [IQR]) age was 60.5 (48.0-65.5) years and 49.5 (33.0-59.0) years for patients with S. maltophilia and other rare non-fermenters, respectively. The majority of patients had respiratory tract infections (S. maltophilia 55%; other rare non-fermenters 71.4%), and median (IQR) duration of cefiderocol treatment was 10.0 (6.5-13.5) days and 8.0 (6-14) days, respectively. Clinical cure rates were 70%, 62.5% and 80.0% for patients with S. maltophilia, Bcc and Achromobacter spp., respectively. Corresponding 28-day all-cause mortality rates were 30.0%, 37.5% and 40.0%, respectively. One patient with R. mannitolilytica had clinical cure and survived to Day 28.

conclusionsCefiderocol is an important addition to the limited treatment options for patients infected by these rare glucose non-fermenting Gram-negative bacteria.

trial registrationClinicalTrials.gov: NCT05789199 (Registration date: 16 February 2023).

Indexed as

Anti-Bacterial AgentsCefiderocolCephalosporinsGram-Negative Bacterial InfectionsAchromobacterAdultAgedBurkholderia cepacia complexBurkholderia InfectionsFemaleHumansMaleMiddle AgedRetrospective StudiesSpainStenotrophomonas maltophiliaAnti-Bacterial AgentsCefiderocolCephalosporinsAchromobacter sppBurkholderia cepacia complexCefiderocolNon-fermenting Gram-negative bacteriaStenotrophomonas maltophilia

Identifiers

PMID40126766
PMCPMC12116654

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.