A clinical trial of the newly developed CS-1170 was carried out at our department.
1. Intravenous administration of 15 mg/kg either by one-shot injection (2 cases) or by drip infusion (2 cases) and 50 mg/kg by one-shot injection (1 case) resulted in the following findings:
a. Serum concentration of the drug was as favorable as the conventional cephalosporins.
b. In the single case of purulent meningitis, the drug was detected in the cerebrospinal fluid. However, further study will be required to substantiate this finding.
c. The high urinary concentration observed up to 6 hours after administration suggests the clinical usefulness of the drug against urinary tract infections.
d. Urinary recovery rates in 2 patients were lower as compared with the cephalosporins, but this may be partly due to the small quantities of the urine excreted in these patients.
2. The daily intravenous administration of average 133 mg/kg of CS-1170, either by injection or by drip infusion (divided into 4 doses a day), to 21 patients with various infections resulted in the clinical efficacy rate of 79%; bacteriologically, CS-1170 produced excellent results in the six cases from which bacteria was isolated, yielding a favorable overall response rate of 81%.
3. Side effects: One patient complained of vascular pain, 2 patients developed rash and another developed glycosuria, while elevation of LDH was seen in another patient. However, GOT, GPT, Al-P, BUN and creatinine in the patients were not altered by the administration of CS-1170.
View full abstract