A prospective, observational study of fidaxomicin use for Clostridioides difficile infection in France - Université de Reims Champagne-Ardenne Access content directly
Journal Articles Journal of International Medical Research Year : 2021

A prospective, observational study of fidaxomicin use for Clostridioides difficile infection in France

Abstract

Objective To describe the characteristics, management and outcomes of hospitalised patients with Clostridioides difficile infection (CDI) treated with and without fidaxomicin. Methods This prospective, multicentre, observational study (DAFNE) enrolled hospitalised patients with CDI, including 294 patients treated with fidaxomicin (outcomes recorded over a 3-month period) and 150 patients treated with other CDI therapies during three 1-month periods. The primary endpoint was baseline and CDI characteristics of fidaxomicin-treated patients. Results At baseline, the fidaxomicin-treated population included immunocompromised patients (39.1%) and patients with severe (59.2%) and recurrent (36.4%) CDI. Fidaxomicin was associated with a high rate of clinical cure (92.2%) and low CDI recurrence (16.3% within 3 months). Clinical cure rates were ≥90% in patients aged ≥65 years, those receiving concomitant antibiotics and those with prior or severe CDI. There were 121/296 (40.9%) patients with adverse events (AEs), 5.4% with fidaxomicin-related AEs and 1.0% with serious fidaxomicin-related AEs. No fidaxomicin-related deaths were reported. Conclusions Fidaxomicin is an effective and well-tolerated CDI treatment in a real-world setting in France, which included patients at high risk of adverse outcomes. Trial registration: Description of the use of fidaxomicin in hospitalised patients with documented Clostridium difficile infection and the management of these patients (DAFNE), NCT02214771, www.ClinicalTrials.gov.
Fichier principal
Vignette du fichier
BenoitGuery_JIntMedRes_2021.pdf (468.25 Ko) Télécharger le fichier
Origin Publisher files allowed on an open archive

Dates and versions

hal-03330662 , version 1 (01-09-2021)

Identifiers

Cite

Benoit Guery, Pierre Berger, Remy Gauzit, Magali Gourdon, Frédéric Barbut. A prospective, observational study of fidaxomicin use for Clostridioides difficile infection in France. Journal of International Medical Research, 2021, 49 (6), pp.030006052110212. ⟨10.1177/03000605211021278⟩. ⟨hal-03330662⟩
102 View
73 Download

Altmetric

Share

Gmail Mastodon Facebook X LinkedIn More