Table 10.

Studies evaluating daptomycin in combination with fosfomycin

StrainYear and countryNumber of isolatesResistance (%)In vitro (methods)/in vivo (animal and site of infection)Synergistic effect (%)Additive effect (%)Indifferent effect (%)Antagonistic effect (%)CommentsReference
SA2011, Austria1MRSA (100)in vivo (rat, acute osteomyelitis)1 (100)High inoculum tested. Equivalent human dosage of DAP 6 mg/kg was tested.94
SA2012, Spain14MRSA (35.7); GISA (14.3)in vitro (TK)11 (79)3 (21)95
SA2013, Spain1MRSA (100)in vitro (TK); in vivo (rat, foreign body infection)in vivo: 1 (100)TK: 1 (100)In the in vivo study, equivalent human dosages of DAP 6 and 10 mg/kg were administered.85
E. faecium2013, USA4VRE (100)in vitro (TK)4 (100)96
SA2014, Switzerland1MRSA (100)in vivo (Guinea pig, foreign body infection model)1 (100)Equivalent human dosage of DAP 10 mg/kg was administered.88
SA2015, Austria1MRSA (100)in vivo (rat, implant-associated osteomyelitis)1 (100)High inoculum tested. Equivalent human dosage of DAP 6 mg/kg was administered.97
E. faecalis2016, USA2VRE (100)in vitro (PK/PD model)2 (100)High inoculum tested.98
E. faecium21 (50)1 (50)High inoculum tested. Isogenic pair of DAP-susceptible and DNS isolates.
SA2017, Turkey25MRSA (100)in vitro (CB)25 (100)68
SA2018, Spain5MRSA (100)in vitro (TK); in vivo (rabbit, IE, 1 isolate)TK: 5 (100)in vivo: 1 (100)Synergism was confirmed also when high inoculum was tested. In the in vivo study, equivalent human dosages of DAP 6 and 10 mg/kg were administered.29
E. faecalis2019, China4in vitro (TK)4 (100)92
SA2019, Taiwan100MRSA (100)in vitro (CB)37 (37)44 (44)19 (19)No distinction between indifferent and antagonistic effect.30
SA2020, Spain5in vitro (TK), in vivo (rabbit, IE, 1 isolate)TK: 5 (100); in vivo: 1 (100)Standard and high inoculum tested. In the in vivo study, equivalent human dosage of DAP 6 mg/kg was administered.32
E. faecalis2020, China6in vitro (TK)2 (33.3)1 (16.7)3 (50)5 linezolid-resistant isolates.99
E. faecalis2021, USA2VRE (100)in vitro (TK)1 (50)1 (50)33
E. faecium21 (50)1 (50)
StrainYear and countryNumber of isolatesResistance (%)In vitro (methods)/in vivo (animal and site of infection)Synergistic effect (%)Additive effect (%)Indifferent effect (%)Antagonistic effect (%)CommentsReference
SA2011, Austria1MRSA (100)in vivo (rat, acute osteomyelitis)1 (100)High inoculum tested. Equivalent human dosage of DAP 6 mg/kg was tested.94
SA2012, Spain14MRSA (35.7); GISA (14.3)in vitro (TK)11 (79)3 (21)95
SA2013, Spain1MRSA (100)in vitro (TK); in vivo (rat, foreign body infection)in vivo: 1 (100)TK: 1 (100)In the in vivo study, equivalent human dosages of DAP 6 and 10 mg/kg were administered.85
E. faecium2013, USA4VRE (100)in vitro (TK)4 (100)96
SA2014, Switzerland1MRSA (100)in vivo (Guinea pig, foreign body infection model)1 (100)Equivalent human dosage of DAP 10 mg/kg was administered.88
SA2015, Austria1MRSA (100)in vivo (rat, implant-associated osteomyelitis)1 (100)High inoculum tested. Equivalent human dosage of DAP 6 mg/kg was administered.97
E. faecalis2016, USA2VRE (100)in vitro (PK/PD model)2 (100)High inoculum tested.98
E. faecium21 (50)1 (50)High inoculum tested. Isogenic pair of DAP-susceptible and DNS isolates.
SA2017, Turkey25MRSA (100)in vitro (CB)25 (100)68
SA2018, Spain5MRSA (100)in vitro (TK); in vivo (rabbit, IE, 1 isolate)TK: 5 (100)in vivo: 1 (100)Synergism was confirmed also when high inoculum was tested. In the in vivo study, equivalent human dosages of DAP 6 and 10 mg/kg were administered.29
E. faecalis2019, China4in vitro (TK)4 (100)92
SA2019, Taiwan100MRSA (100)in vitro (CB)37 (37)44 (44)19 (19)No distinction between indifferent and antagonistic effect.30
SA2020, Spain5in vitro (TK), in vivo (rabbit, IE, 1 isolate)TK: 5 (100); in vivo: 1 (100)Standard and high inoculum tested. In the in vivo study, equivalent human dosage of DAP 6 mg/kg was administered.32
E. faecalis2020, China6in vitro (TK)2 (33.3)1 (16.7)3 (50)5 linezolid-resistant isolates.99
E. faecalis2021, USA2VRE (100)in vitro (TK)1 (50)1 (50)33
E. faecium21 (50)1 (50)

CB, chequerboard; IE, infective endocarditis; DAP, daptomycin; DNS, daptomycin non-susceptible; SA, S. aureus; TK, time–kill assay.

Table 10.

Studies evaluating daptomycin in combination with fosfomycin

StrainYear and countryNumber of isolatesResistance (%)In vitro (methods)/in vivo (animal and site of infection)Synergistic effect (%)Additive effect (%)Indifferent effect (%)Antagonistic effect (%)CommentsReference
SA2011, Austria1MRSA (100)in vivo (rat, acute osteomyelitis)1 (100)High inoculum tested. Equivalent human dosage of DAP 6 mg/kg was tested.94
SA2012, Spain14MRSA (35.7); GISA (14.3)in vitro (TK)11 (79)3 (21)95
SA2013, Spain1MRSA (100)in vitro (TK); in vivo (rat, foreign body infection)in vivo: 1 (100)TK: 1 (100)In the in vivo study, equivalent human dosages of DAP 6 and 10 mg/kg were administered.85
E. faecium2013, USA4VRE (100)in vitro (TK)4 (100)96
SA2014, Switzerland1MRSA (100)in vivo (Guinea pig, foreign body infection model)1 (100)Equivalent human dosage of DAP 10 mg/kg was administered.88
SA2015, Austria1MRSA (100)in vivo (rat, implant-associated osteomyelitis)1 (100)High inoculum tested. Equivalent human dosage of DAP 6 mg/kg was administered.97
E. faecalis2016, USA2VRE (100)in vitro (PK/PD model)2 (100)High inoculum tested.98
E. faecium21 (50)1 (50)High inoculum tested. Isogenic pair of DAP-susceptible and DNS isolates.
SA2017, Turkey25MRSA (100)in vitro (CB)25 (100)68
SA2018, Spain5MRSA (100)in vitro (TK); in vivo (rabbit, IE, 1 isolate)TK: 5 (100)in vivo: 1 (100)Synergism was confirmed also when high inoculum was tested. In the in vivo study, equivalent human dosages of DAP 6 and 10 mg/kg were administered.29
E. faecalis2019, China4in vitro (TK)4 (100)92
SA2019, Taiwan100MRSA (100)in vitro (CB)37 (37)44 (44)19 (19)No distinction between indifferent and antagonistic effect.30
SA2020, Spain5in vitro (TK), in vivo (rabbit, IE, 1 isolate)TK: 5 (100); in vivo: 1 (100)Standard and high inoculum tested. In the in vivo study, equivalent human dosage of DAP 6 mg/kg was administered.32
E. faecalis2020, China6in vitro (TK)2 (33.3)1 (16.7)3 (50)5 linezolid-resistant isolates.99
E. faecalis2021, USA2VRE (100)in vitro (TK)1 (50)1 (50)33
E. faecium21 (50)1 (50)
StrainYear and countryNumber of isolatesResistance (%)In vitro (methods)/in vivo (animal and site of infection)Synergistic effect (%)Additive effect (%)Indifferent effect (%)Antagonistic effect (%)CommentsReference
SA2011, Austria1MRSA (100)in vivo (rat, acute osteomyelitis)1 (100)High inoculum tested. Equivalent human dosage of DAP 6 mg/kg was tested.94
SA2012, Spain14MRSA (35.7); GISA (14.3)in vitro (TK)11 (79)3 (21)95
SA2013, Spain1MRSA (100)in vitro (TK); in vivo (rat, foreign body infection)in vivo: 1 (100)TK: 1 (100)In the in vivo study, equivalent human dosages of DAP 6 and 10 mg/kg were administered.85
E. faecium2013, USA4VRE (100)in vitro (TK)4 (100)96
SA2014, Switzerland1MRSA (100)in vivo (Guinea pig, foreign body infection model)1 (100)Equivalent human dosage of DAP 10 mg/kg was administered.88
SA2015, Austria1MRSA (100)in vivo (rat, implant-associated osteomyelitis)1 (100)High inoculum tested. Equivalent human dosage of DAP 6 mg/kg was administered.97
E. faecalis2016, USA2VRE (100)in vitro (PK/PD model)2 (100)High inoculum tested.98
E. faecium21 (50)1 (50)High inoculum tested. Isogenic pair of DAP-susceptible and DNS isolates.
SA2017, Turkey25MRSA (100)in vitro (CB)25 (100)68
SA2018, Spain5MRSA (100)in vitro (TK); in vivo (rabbit, IE, 1 isolate)TK: 5 (100)in vivo: 1 (100)Synergism was confirmed also when high inoculum was tested. In the in vivo study, equivalent human dosages of DAP 6 and 10 mg/kg were administered.29
E. faecalis2019, China4in vitro (TK)4 (100)92
SA2019, Taiwan100MRSA (100)in vitro (CB)37 (37)44 (44)19 (19)No distinction between indifferent and antagonistic effect.30
SA2020, Spain5in vitro (TK), in vivo (rabbit, IE, 1 isolate)TK: 5 (100); in vivo: 1 (100)Standard and high inoculum tested. In the in vivo study, equivalent human dosage of DAP 6 mg/kg was administered.32
E. faecalis2020, China6in vitro (TK)2 (33.3)1 (16.7)3 (50)5 linezolid-resistant isolates.99
E. faecalis2021, USA2VRE (100)in vitro (TK)1 (50)1 (50)33
E. faecium21 (50)1 (50)

CB, chequerboard; IE, infective endocarditis; DAP, daptomycin; DNS, daptomycin non-susceptible; SA, S. aureus; TK, time–kill assay.

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