OPC-20011, a new parenteral 2-oxaisocephem
antibiotic, has an
oxygen atom at the 2- position of the
cephalosporin frame.
OPC-20011 had the best antibacterial activities against gram-positive bacteria, including methicillin-resistant Staphylococcus aureus (MRSA), Enterococcus faecalis, and
penicillin-resistant Streptococcus pneumoniae: MICs at which 90% of the isolates were inhibited were 6.25, 6.25, and 0.05 microg/ml, respectively. Its activity is due to a high affinity of the
penicillin-binding protein 2' in MRSA, an affinity which was approximately 1,050 times as high as that for
flomoxef. Against gram-negative bacteria,
OPC-20011 also showed antibacterial activities similar to those of
ceftazidime. The in vivo activities of
OPC-20011 were comparable to or greater than those of reference compounds in murine models of systemic
infection caused by gram-positive and -negative pathogens.
OPC-20011 was up to 10 times as effective as
vancomycin against MRSA
infections in mice. This better in vivo efficacy is probably due to the bactericidal activity of
OPC-20011, while
vancomycin showed bacteriostatic activity against MRSA.
OPC-20011 produced a significant decrease of viable counts in lung tissue at a dose of 2.5 mg/kg of
body weight, an efficacy similar to that of
ampicillin at a dose of 10 to 20 mg/kg on an experimental murine model of
respiratory tract infection caused by non-
ampicillin-susceptible S. pneumoniae T-0005. The better therapeutic efficacy of
OPC-20011 was considered to be due to its potent antibacterial activity and low affinity for
serum proteins of experimental animals (29% in mice and 6.4% in rats).