Doribax

Pyelonephritis, Urinary Tract Infection (UTI), Urinary tract infection + 2 more

Treatment

8 FDA approvals

7 Active Studies for Doribax

What is Doribax

Doripenem

The Generic name of this drug

Treatment Summary

Doripenem is an antibiotic used to treat complicated urinary tract and abdominal infections. It was approved by the FDA in 2007 under the brand name Doribax. In 2014, the FDA revised the label for Doripenem to include a warning against its use in ventilator-associated pneumonia due to an increased risk of death and lower clinical cure rates. Doripenem is safe and effective for its approved indications.

Doribax

is the brand name

image of different drug pills on a surface

Doribax Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Doribax

Doripenem

2007

7

Approved as Treatment by the FDA

Doripenem, also known as Doribax, is approved by the FDA for 8 uses like Complicated Intra-Abdominal Infections (cIAIs) and Complicated Urinary Tract Infection .

Complicated Intra-Abdominal Infections (cIAIs)

Complicated Urinary Tract Infection

Pyelonephritis

Bacterial Infections

Abdominal Infection

Pyelonephritis

Urinary tract infection

Urinary Tract Infection (UTI)

Effectiveness

How Doribax Affects Patients

Doripenem is an antibiotic that works similarly to other beta-lactam antibiotics. Studies show that the most effective way for it to fight infection is to have a certain amount of unbound drug in the blood for a certain amount of time.

How Doribax works in the body

Doripenem is a type of antibiotic that works to kill bacteria. It works by targeting certain enzymes, called penicillin-binding proteins, that are responsible for forming the bacterial cell wall. By blocking these proteins, doripenem is able to cause the bacteria to break apart, killing it. Doripenem is better at this task than other antibiotics due to its 1-beta-methyl side chain, which makes it resistant to dehydration, and its trans-alpha-1-hydroxyethyl group at position 6, which provides extra protection from beta-lactamase enzymes.

When to interrupt dosage

The amount of Doribax is contingent upon the determined malady, including Urinary tract infection, Pyelonephritis and Urinary Tract Infection (UTI). The dose can be found in the table below, reliant upon the technique of application.

Condition

Dosage

Administration

Abdominal Infection

500.0 mg, , 250.0 mg, 25.0 mg/mL, 50.0 mg/mL

Intravenous, , Powder, for solution, Powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, for solution - Intravenous

Pyelonephritis

500.0 mg, , 250.0 mg, 25.0 mg/mL, 50.0 mg/mL

Intravenous, , Powder, for solution, Powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, for solution - Intravenous

Urinary Tract Infection (UTI)

500.0 mg, , 250.0 mg, 25.0 mg/mL, 50.0 mg/mL

Intravenous, , Powder, for solution, Powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, for solution - Intravenous

Urinary tract infection

500.0 mg, , 250.0 mg, 25.0 mg/mL, 50.0 mg/mL

Intravenous, , Powder, for solution, Powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, for solution - Intravenous

catheter device

500.0 mg, , 250.0 mg, 25.0 mg/mL, 50.0 mg/mL

Intravenous, , Powder, for solution, Powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, for solution - Intravenous

Warnings

Doribax Contraindications

Condition

Risk Level

Notes

Pulse Frequency

Do Not Combine

There are 20 known major drug interactions with Doribax.

Common Doribax Drug Interactions

Drug Name

Risk Level

Description

Vibrio cholerae CVD 103-HgR strain live antigen

Major

The therapeutic efficacy of Vibrio cholerae CVD 103-HgR strain live antigen can be decreased when used in combination with Doripenem.

Aclidinium

Minor

Doripenem may decrease the excretion rate of Aclidinium which could result in a higher serum level.

Acrivastine

Minor

Doripenem may decrease the excretion rate of Acrivastine which could result in a higher serum level.

Albutrepenonacog alfa

Minor

Doripenem may decrease the excretion rate of Albutrepenonacog alfa which could result in a higher serum level.

Almasilate

Minor

Doripenem may decrease the excretion rate of Almasilate which could result in a higher serum level.

Doribax Toxicity & Overdose Risk

Due to decreased kidney function, doripenem dosage may need to be adjusted in patients with moderate or severe renal impairment. In a clinical trial, those who received doripenem for ventilator-associated bacterial pneumonia had higher death rates and lower clinical response rates than those who received imipenem. Seizures have been reported with the drug, especially in people with pre-existing conditions of the central nervous system, compromised renal function, or those taking doses greater than 500mg every 8 hours. Doripenem may reduce the effectiveness of valproic acid in patients taking it for seizure disorders. The drug

Doribax Novel Uses: Which Conditions Have a Clinical Trial Featuring Doribax?

31 active studies are currently in progress to assess the potential of Doribax in providing relief from Pyelonephritis, Abdominal Infections and catheter-related issues.

Condition

Clinical Trials

Trial Phases

Pyelonephritis

1 Actively Recruiting

Not Applicable

Abdominal Infection

0 Actively Recruiting

Urinary Tract Infection (UTI)

6 Actively Recruiting

Phase 1, Phase 3, Phase 4, Phase 2

Urinary tract infection

0 Actively Recruiting

catheter device

0 Actively Recruiting

Patient Q&A Section about doribax

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Why was Doribax discontinued?

"Doribax was discontinued because of adverse drug reactions in a very small percentage of patients. The adverse drug reactions that led to Doribax discontinuation were nausea, diarrhoea, itching, vulvomycotic infection, increased liver enzymes, and rash."

Answered by AI

Is doripenem FDA approved?

"The FDA approved the drug doripenem in October 2007. This drug is the most recent addition to the carbapenem class."

Answered by AI

What is Doribax used for?

"Doribax is a prescription medication used to treat the symptoms of complicated intra-abdominal infection and to complicate urinary tract infection (UTI). Doribax may be used alone or with other medications. Doribax belongs to a class of drugs called carbapenems."

Answered by AI

How do you give doripenem?

"Doripenem injection is a liquid that is injected into a vein. It is usually given every 8 hours. The length of treatment depends on the type of infection being treated."

Answered by AI

Clinical Trials for Doribax

Image of Harbor UCLA Medical Center - Medicine - Infectious Diseases in Torrance, United States.

Optimized Beta-lactam Dosing for Bacterial Infections

18+
All Sexes
Torrance, CA

The purpose of this study is to evaluate the abilities of Cystatin C (CysC) and CysC-based estimated Glomerular Filtration Rate (eGFR) equations to characterize the pharmacokinetics (PK) profiles of meropenem and cefepime relative to Serum Creatinine (SCR), Serum Creatinine based Equation (SCRE)and iohexol at the population and individual levels in critically ill adult patients with suspected or documented AMR Gram-negative infections. We hypothesize that CysC and CysC-based eGFR equations will characterize the PK profiles of meropenem and cefepime at the population and individual levels with greater accuracy and precision than SCR and SCREs. Iohexol will be administered to patients enrolled in the study and serve as the reference indicator of measured Glomerular Filtration Rate (mGFR), which is the gold standard assessment of kidney function. We hypothesize that the predictive performances of CysC and CysC-based eGFR equations in estimating the PK profiles of meropenem and cefepime at the population and individual levels will be comparable to iohexol. The information obtained in this study will be used to develop PK/pharmacodynamics (PD) optimized meropenem and cefepime dosing schemes based on the renal function biomarker population PK (PopPK) model with the best predictive performance for clinical use in the treatment of critically ill adult patients with suspected or documented AMR Gram-negative infections and varying degrees of renal function. The primary objective of this study is to compare the abilities of renal function biomarkers (CysC, CysC-based eGFR equations, SCR, SCREs) relative to iohexol to characterize the PK profiles of meropenem and cefepime in critically ill adult patients with suspected or documented AMR Gram-negative infections.

Phase 4
Recruiting

Harbor UCLA Medical Center - Medicine - Infectious Diseases (+9 Sites)

Image of Ronald Reagan UCLA Medical Center in Los Angeles, United States.

Next Day Clinic for Patient Care

18+
All Sexes
Los Angeles, CA

The Next Day Clinic (NDC) is a quality improvement initiative that will be launched and operated by UCLA Health starting July 22, 2024. Its goals are to improve patient care and safety and to maximize cost effectiveness. The way it does this is by identifying patients in the ED who would normally be admitted for low-acuity conditions, and diverting them to a high-acuity clinic the following day called the NDC. This will help decompress the ED and the hospital, and allow for overall higher quality care. The Health System has partnered with UCLA's Healthcare Value Analytics and Solutions \[UVAS\] group which specializes in these types of program evaluations. The analysis conducted by the study team will be used to directly inform NDC operations, scaling, and future plans.

Recruiting
Has No Placebo

Ronald Reagan UCLA Medical Center

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