coli. Extended-spectrum-beta-lactamases

(ESBLs) and metallo-beta-lactamases GDC-0941 in vivo (MBLs) are the main factors for antibiotic resistance. Till date, CTX-M, TEM, SHV, KPC are the most common ESBL genes. In MBL category VIM, IMP, and NDM-1 are the most spread ones in Asian region. Recently there have been reports of failure of β-lactam and β-lactamase inhibitors (BL + BLI) combinations and even penems to these MBL producing microbes. 4 This indicates the need to develop new antimicrobial agents. Elores (ceftriaxone + disodium edtate + sulbactam) is a unique novel antibiotic adjuvant entity which has been engineered to take care of multiple mechanisms adopted by bacteria such as overexpression of efflux pump, membrane impermeability, biofilm etc. The in vitro, preclinical and microbiological studies on this product proved it to be more effective than pencillins, cephalosporins, BL + BLI combinations and provide a strong rationale for the study.6, 7, 8 and 9 Current study is approved by Drug Controller General of India (DCGI) and has been performed in accordance with Good Clinical Practice (GCP) guidelines. Therefore, present study was planned to observe randomized, open-label, prospective, multicenter

TGF-beta inhibitor comparison of Elores versus ceftriaxone in the treatment of LRTIs and UTIs. The study was conducted in accordance with International conference on harmonization of technical requirements for registration of pharmaceuticals for human use (EC-6).10 Adult patients >18 and <65 years old with signs of LRTIs and UTIs were screened for enrollment. Approximately

306 patients were enrolled with clinical evidence of LRTIs and UTIs infection in the 9 centers across India of which 297 completed the study and 9 were dropped out. This was a multicenter, prospective, randomized, open-label study. Patients were randomly assigned into two groups: those receiving Elores (3.0 g twice daily) and those administered ceftriaxone (2.0 g twice daily). Both of the drugs were administered intravenous infusion for 3–10 days. LRTI subjects no included by the presence of signs and symptoms of an acute respiratory infection (cough, nasal discharge, oropharyngeal hyperemia, with or without fever), and lower respiratory signs (tachypnea, retractions, prolonged expiratory time, or crackles/wheezing on auscultation). Subjects with diagnosis of pneumonia (either mild to severe community-acquired pneumonia (CAP) or mild to severe hospital-acquired pneumonia (HAP)), bacterial pneumonia were included. All the subjects have undergone X-ray chest. Subjects in which culture report was negative were enrolled based on radiological examination results and clinical findings of related symptoms.