{"id":101,"date":"2023-08-29T13:14:44","date_gmt":"2023-08-29T13:14:44","guid":{"rendered":"https:\/\/www.merckconnect.com\/zerbaxa\/?page_id=101"},"modified":"2026-03-24T09:42:33","modified_gmt":"2026-03-24T09:42:33","slug":"adverse-reactions","status":"publish","type":"page","link":"https:\/\/www.merckconnect.com\/zerbaxa\/adverse-reactions\/","title":{"rendered":"Adverse reactions"},"content":{"rendered":"<link rel='stylesheet' id='vivid360-heading-css-css' href='https:\/\/www.merckconnect.com\/zerbaxa\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/heading\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div class=\"vivid360-heading\" id=\"abe805cc9-2971-4317-a76a-148eb0b3f700\"><h1 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:36px;--tabletFontSize:36px;--mobileFontSize:24px;--desktopLineHeightSize:45px;--tabletLineHeightSize:45px;--mobileLineHeightSize:\" id=\"top\"><strong>Safety<\/strong><\/h1><\/div>\n\n\n<link rel='stylesheet' id='vivid360-spacer-css-css' href='https:\/\/www.merckconnect.com\/zerbaxa\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/spacer\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-tablet-fontsize\" id=\"a83356846-9fb6-446e-9bd1-91688c5b5d67\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:24px;--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:18px;--desktopLineHeightSize:36px;--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>Adverse reactions for ZERBAXA\u00ae (ceftolozane and tazobactam)<\/strong><\/h2><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:24px;--tablet-spacer:24px;--mobile-spacer:24px;height:24px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"a52104e6f-194d-4513-8d1b-e56eacd71e65\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"Dosing-1 \"><strong>Learn about:<\/strong><\/h2><\/div>\n\n\n<link rel='stylesheet' id='vivid360-list-css-css' href='https:\/\/www.merckconnect.com\/zerbaxa\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/list\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div class=\"vivid-block-list content-width  default-list block-4f436725-8b8e-4921-8508-ecff5d067c6b custom-colored-hyperlink\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-4f436725-8b8e-4921-8508-ecff5d067c6b\"><ul class=\"first-level\"><li><em><a href=\"#HABP\">HABP\/VABP clinical trials for adult patients<\/a><\/em><\/li><li><em><a href=\"#cIAI\">cIAI\/cUTI clinical trials for adult patients<\/a><\/em><\/li><li><em><a href=\"#cIAIpediatric\">cIAI\/cUTI clinical trials for pediatric patients<\/a><\/em><\/li><\/ul><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"ac0e725cc-57c8-4046-b4f4-f5497eab2610\"><h3 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h3FontSizeDesktop);--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:var(--h3FontSizeMobile);--desktopLineHeightSize:var(--h3LineHeightDesktop);--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>Clinical trials experience<\/strong><\/h3><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p>Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and also may not reflect rates observed in practice.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"a9bbfe274-1adc-493f-93f4-25bf2a91f813\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"HABP\"><strong>Hospital-acquired bacterial pneumonia and ventilator-associated bacterial pneumonia (HABP\/VABP)<\/strong><\/h2><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p>ZERBAXA was evaluated in a Phase 3 comparator-controlled clinical trial for HABP\/VABP, which included a total of 361 patients treated with ZERBAXA (3 g every 8 hours, adjusted based on renal function where appropriate) and 359 patients treated with comparator (meropenem 1 g every 8 hours) for up to 14 days. The mean age of treated patients was 60 years (range 18 to 98 years), across treatment arms. About 44% of the subjects were 65 years of age or older. Most patients (71%) enrolled in the trial were male. All subjects were mechanically ventilated at randomization and 92% were in an intensive care unit (ICU) at randomization. The median APACHE II score was 17, and 33% of subjects had a baseline APACHE II score of \u226520, indicating a high severity of illness for many patients enrolled in this trial.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p>The table below lists adverse reactions occurring in 2% or greater of patients receiving ZERBAXA in a Phase 3 HABP\/VABP clinical trial.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"abd216f6e-dcf2-440d-b546-18a8a2482994\"><h3 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h3FontSizeDesktop);--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:var(--h3FontSizeMobile);--desktopLineHeightSize:var(--h3LineHeightDesktop);--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:\" id=\"\">Adverse reactions occurring in 2% or greater of adult patients (18 years and older) receiving ZERBAXA in a Phase 3 HABP\/VABP clinical trial<\/h3><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:70%\">\n<figure class=\"wp-block-flexible-table-block-table is-scroll-on-mobile\"><table class=\"\"><thead><tr><th style=\"background-color:#bf5411;color:#FFF;border-color:#435363 #FFF #435363 #435363;text-align:left\"><strong>Adverse Reactions<\/strong><\/th><th style=\"background-color:#bf5411;color:#FFF;border-color:#435363 #FFF #435363 #435363;text-align:center\"><strong><span class=\"no-wrap-text\">ZERBAXA<sup>a<\/sup><\/span><br>N=361<br>n(%)<\/strong><\/th><th style=\"background-color:#bf5411;color:#FFF;border-color:#435363;text-align:center\"><srong><srong><strong><span class=\"no-wrap-text\">Meropenem<\/span><br>N=359<br>n(%)<\/strong><\/srong><\/srong><\/th><\/tr><\/thead><tbody><tr><td style=\"color:#000;border-color:#435363;text-align:left\">Hepatic <span class=\"no-wrap-text\">transaminase<\/span> increased<sup>b<\/sup><\/td><td style=\"color:#000;border-color:#435363;text-align:center\">43(11.9)<\/td><td style=\"color:#000;border-color:#435363;text-align:center\">26(7.2)<\/td><\/tr><tr><td style=\"color:#000;border-color:#435363;background-color:#e6e7e8;text-align:left\">Renal impairment\/<br>renal failure<sup>c<\/sup><\/td><td style=\"color:#000;border-color:#435363;background-color:#e6e7e8;text-align:center\">32(8.9)<\/td><td style=\"color:#000;border-color:#435363;background-color:#e6e7e8;text-align:center\">22(6.1)<\/td><\/tr><tr><td style=\"color:#000;border-color:#435363;text-align:left\">Diarrhea<\/td><td style=\"color:#000;border-color:#435363;text-align:center\">23(6.4)<\/td><td style=\"color:#000;border-color:#435363;text-align:center\">25(7.0)<\/td><\/tr><tr><td style=\"color:#000;border-color:#435363;background-color:#e6e7e8;text-align:left\">Intracranial <span class=\"no-wrap-text\">hemorrhage<sup>d<\/sup><\/span><\/td><td style=\"color:#000;border-color:#435363;background-color:#e6e7e8;text-align:center\">16(4.4)<\/td><td style=\"color:#000;border-color:#435363;background-color:#e6e7e8;text-align:center\">5(1.4)<\/td><\/tr><tr><td style=\"color:#000;border-color:#435363;text-align:left\">Vomiting<\/td><td style=\"color:#000;border-color:#435363;text-align:center\">12(3.3)<\/td><td style=\"color:#000;border-color:#435363;text-align:center\">10(2.8)<\/td><\/tr><tr><td style=\"color:#000;border-color:#435363;background-color:#e6e7e8;text-align:left\"><em><span class=\"no-wrap-text\">Clostridioides<\/span> difficile<\/em> colitis<sup>e<\/sup><\/td><td style=\"color:#000;border-color:#435363;background-color:#e6e7e8;text-align:center\">10(2.8)<\/td><td style=\"color:#000;border-color:#435363;background-color:#e6e7e8;text-align:center\">2(0.6)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p><sup>a<\/sup>The ZERBAXA for injection dose was 3 g intravenously every 8 hours, adjusted to match renal function where appropriate.<br><sup>b<\/sup>Includes alanine aminotransferase (ALT) increased, aspartate aminotransferase (AST) increased, hepatic enzyme increased, hypertransaminasemia, liver function test abnormal.<br><sup>c<\/sup>Includes acute renal failure, anuria, azotemia, oliguria, prerenal failure, renal failure, renal impairment.<br><sup>d<\/sup>Includes cerebellar hemorrhage, cerebral hematoma, cerebral hemorrhage, hemorrhage intracranial, hemorrhagic stroke, hemorrhagic transformation stroke, intraventricular hemorrhage, subarachnoid hemorrhage, subdural hematoma.<br><sup>e<\/sup>Includes&nbsp;<em>Clostridioides difficile<\/em>&nbsp;colitis, <em>Clostridioides difficile<\/em>&nbsp;infection, <em>Clostridioides<\/em>&nbsp;test positive.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:30%\"><\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"ad0fdcc3d-5e8f-4db9-af5d-00f73b0f9cf6\"><h4 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h4FontSizeDesktop);--tabletFontSize:var(--h4FontSizeDesktop);--mobileFontSize:var(--h4FontSizeMobile);--desktopLineHeightSize:var(--h4LineHeightDesktop);--tabletLineHeightSize:var(--h4LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><em><strong>Treatment discontinuation rates<\/strong><\/em><\/h4><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p>Treatment discontinuation due to adverse reactions occurred in 1.1% (4\/361) of patients receiving ZERBAXA and 1.4% (5\/359) of patients receiving meropenem.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"aa922e9ab-5257-49ef-8c7e-ecb0e033cb8b\"><h4 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h4FontSizeDesktop);--tabletFontSize:var(--h4FontSizeDesktop);--mobileFontSize:var(--h4FontSizeMobile);--desktopLineHeightSize:var(--h4LineHeightDesktop);--tabletLineHeightSize:var(--h4LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><em><strong>Less common adverse reactions in a Phase 3 HABP\/VABP clinical trial<\/strong><\/em><\/h4><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p>The following selected adverse reactions were reported in ZERBAXA-treated subjects at a rate of less than 2%:<\/p>\n\n\n\n<div class=\"vivid-block-list content-width  default-list block-8ea054ae-f4ec-421c-bfbf-827de7a1e3e9\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-8ea054ae-f4ec-421c-bfbf-827de7a1e3e9\"><ul class=\"first-level\"><li><em>Investigations:<\/em>&nbsp;blood alkaline phosphatase increased, gamma-glutamyltransferase increased, Coombs direct test positive<\/li><\/ul><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"vivid-block-list content-width  use-image-all block-63815b0a-1c8b-4c9e-8c51-bf1594469de0 custom-colored-hyperlink\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-63815b0a-1c8b-4c9e-8c51-bf1594469de0\"><ul class=\"first-level\"><li><em><a href=\"#top\">Back to top<\/a><\/em><\/li><li><em><a href=\"#HABP\">HABP\/VABP clinical trials for adult patients<\/a><\/em><\/li><li><em><a href=\"#cIAI\">cIAI\/cUTI clinical trials for adult patients<\/a><\/em><\/li><li><em><a href=\"#cIAIpediatric\">cIAI\/cUTI clinical trials for pediatric patients<\/a><\/em><\/li><\/ul><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"a93004bef-2c0d-4c7f-b780-91342961a86f\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"cIAI\"><strong>Complicated intra-abdominal infections and complicated urinary tract infections for adult patients, including pyelonephritis<\/strong><\/h2><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p>ZERBAXA was evaluated in Phase 3 comparator-controlled clinical trials of cIAI and cUTI, which included a total of 1015 patients treated with ZERBAXA (1.5 g every 8 hours, adjusted based on renal function where appropriate) and 1032 patients treated with comparator (levofloxacin <span class=\"no-wrap-text\">750 mg<\/span><span class=\"no-wrap-text\"> <\/span>daily in cUTI or meropenem 1 g every 8 hours in cIAI) for up to 14 days. The mean age of treated patients was 48 to 50 years (range 18 to 92 years), across treatment arms and indications. In both indications, about 25% of the subjects were 65 years of age or older. Most patients (75%) enrolled in the cUTI trial were female, and most patients (58%) enrolled in the cIAI trial were male. Most patients (&gt;70%) in both trials were enrolled in Eastern Europe and were White.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p>The most common adverse reactions (5% or greater in either indication) occurring in patients receiving ZERBAXA were nausea, diarrhea, headache, and pyrexia. The table below lists adverse reactions occurring in 1% or greater of patients receiving ZERBAXA in Phase 3 cIAI and cUTI clinical trials.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"aba5903ec-78c6-4353-be88-d05491fbca8b\"><h3 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h3FontSizeDesktop);--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:var(--h3FontSizeMobile);--desktopLineHeightSize:var(--h3LineHeightDesktop);--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>Adverse reactions occurring in 1% or greater of adult patients (18 years and older) receiving ZERBAXA in Phase 3 cIAI and cUTI clinical trials<\/strong><\/h3><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"wp-block-columns mb-0 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:65%\">\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<figure class=\"wp-block-flexible-table-block-table is-content-justification-left is-scroll-on-mobile ml-0 mr-0\"><table class=\"\"><tbody><tr><td rowspan=\"2\" style=\"vertical-align:middle;background-color:#bf5411;color:#FFF;text-align:center;border-color:#435363 #fff #435363 #435363\"><strong>Adverse Reaction<\/strong><\/td><td colspan=\"2\" style=\"text-align:center;background-color:#bf5411;color:#FFF;border-color:#435363 #fff #fff\"><strong>Complicated intra-<br>abdominal infections<\/strong><\/td><td colspan=\"2\" style=\"text-align:center;background-color:#bf5411;color:#FFF;border-color:#435363 #435363 #fff #fff\"><strong>Complicated urinary tract infections, including pyelonephritis<\/strong><\/td><\/tr><tr><td style=\"background-color:#bf5411;color:#FFF;text-align:center;border-color:#435363 #FFF #435363 #435363\"><span class=\"no-wrap-text\">ZERBAXA<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-white-color\"><sup>a<\/sup><\/mark><\/strong><\/span><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-white-color\">&nbsp;<\/mark><\/strong> (N=482) <br>n (%)<\/td><td style=\"background-color:#bf5411;color:#FFF;text-align:center;border-color:#435363 #FFF #435363 #435363\"><span class=\"no-wrap-text\">Meropenem<\/span> (N=497) <br>n (%)<\/td><td style=\"background-color:#bf5411;color:#FFF;text-align:center;border-color:#435363 #FFF #435363 #435363\"><span class=\"no-wrap-text\">ZERBAXA<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-white-color\"><sup>a<\/sup><\/mark><\/strong><\/span><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-white-color\">&nbsp;<\/mark><\/strong> (N=533) <br>n (%)<\/td><td style=\"background-color:#bf5411;color:#FFF;text-align:center;border-color:#435363\"><span class=\"no-wrap-text\">Levofloxacin<\/span> (N=535) <br>n (%)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\">Nausea<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">38 (7.9)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">29 (5.8)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">15 (2.8)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">9 (1.7)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\">Headache<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">12 (2.5)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">9 (1.8)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">31 (5.8)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">26 (4.9)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\">Diarrhea<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">30 (6.2)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">25 (5)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">10 (1.9)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">23 (4.3)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\">Pyrexia<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">27 (5.6)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">20 (4)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">9 (1.7<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">5 (0.9)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\">Constipation<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">9 (1.9)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">6 (1.2)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">21 (3.9)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">17 (3.2)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\">Insomnia<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">17 (3.5)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">11 (2.2)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">7 (1.3)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">14 (2.6)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\">Vomiting<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">16 (3.3)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">20 (4)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">6 (1.1)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">6(1.1)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\">Hypokalemia<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">16 (3.3)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">10 (2)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">4 (0.8)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">2 (0.4)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\">ALT increased<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">7 (1.5)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">5 (1)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">9 (1.7)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">5 (0.9)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\">AST increased<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">5 (1)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">3 (0.6)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">9 (1.7)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">5 (0.9)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\">Anemia<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">7 (1.5)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">5 (1)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">2 (0.4)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">5 (0.9)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\"><span class=\"no-wrap-text\">Thrombocytosis<\/span><\/td><td style=\"text-align:center;border-color:#435363;color:#000\">9 (1.9)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">5 (1)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">2 (0.4)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">2 (0.4)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\">Abdominal pain<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">6 (1.2)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">2 (0.4)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">4 (0.8)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">2 (0.4)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\">Anxiety<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">9 (1.9)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">7 (1.4)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">1 (0.2)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">4 (0.7)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\">Dizziness<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">4 (0.8)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">5 (1)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">6 1.1)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">1 (0.2)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\">Hypotension<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">8 (1.7)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">4 (0.8)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">2 (0.4)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">1 (0.2)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\">Atrial fibrillation<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">6 (1.2)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">3 (0.6)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">1 (0.2)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">0<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\">Rash<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">8 (1.7)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">7 (1.4)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">5 (0.9)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">2 (0.4)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<div class=\"paragraph-wrapper\"><div class=\"_69b79ae2-c2e0-4b00-8172-93636d411f88 has-small-font-size\" id=\"\"><p><sup>a<\/sup>The ZERBAXA for injection dose was 1.5 g intravenously every 8 hours, adjusted to match renal function where appropriate. In the cIAI trials, ZERBAXA was given in conjunction with metronidazole.<\/p><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:35%\"><\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a4446b271-a7d2-4fcd-aa82-537ea7a68d1a\"><h4 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h4FontSizeDesktop);--tabletFontSize:var(--h4FontSizeDesktop);--mobileFontSize:var(--h4FontSizeMobile);--desktopLineHeightSize:var(--h4LineHeightDesktop);--tabletLineHeightSize:var(--h4LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><em><strong>Treatment discontinuation rates<\/strong><\/em><\/h4><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p>Treatment discontinuation due to adverse events occurred in 2.0% (20\/1015) of patients receiving ZERBAXA and 1.9% (20\/1032) of patients receiving comparator drugs. Renal impairment (including the terms renal impairment, renal failure, and renal failure acute) led to discontinuation of treatment in 5\/1015 (0.5%) subjects receiving ZERBAXA and none in the comparator arms.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a5e94ca1b-6f96-4e70-8bcc-c7f73d3c460b\"><h4 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h4FontSizeDesktop);--tabletFontSize:var(--h4FontSizeDesktop);--mobileFontSize:var(--h4FontSizeMobile);--desktopLineHeightSize:var(--h4LineHeightDesktop);--tabletLineHeightSize:var(--h4LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><em><strong>Increased mortality<\/strong><\/em><\/h4><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p>In the cIAI trials (Phase 2 and 3), death occurred in 2.5% (14\/564) of patients receiving ZERBAXA and in 1.5% (8\/536) of patients receiving meropenem. The causes of death varied and included worsening and\/or complications of infection, surgery and underlying conditions.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"ae256737d-3e81-4153-98ea-6682e6dd99b1\"><h4 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h4FontSizeDesktop);--tabletFontSize:var(--h4FontSizeDesktop);--mobileFontSize:var(--h4FontSizeMobile);--desktopLineHeightSize:var(--h4LineHeightDesktop);--tabletLineHeightSize:var(--h4LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><em><strong>Less common adverse reactions in Phase 3 cIAI and cUTI clinical trials<\/strong><\/em><\/h4><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p>The following selected adverse reactions were reported in ZERBAXA-treated subjects at a rate of less than 1%:<\/p>\n\n\n\n<div class=\"vivid-block-list content-width  default-list block-e4ee6946-9b50-47df-869e-0faed8e372b7\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-e4ee6946-9b50-47df-869e-0faed8e372b7\"><ul class=\"first-level\"><li><em>Cardiac disorders:<\/em>&nbsp;tachycardia, angina pectoris<\/li><li><em>Gastrointestinal disorders:<\/em>&nbsp;gastritis, abdominal distension, dyspepsia, flatulence, ileus paralytic<\/li><li><em>General disorders and administration site conditions:<\/em>&nbsp;infusion site reactions<\/li><li><em>Infections and infestations:<\/em>&nbsp;candidiasis including oropharyngeal and vulvovaginal, fungal urinary tract infection<\/li><li><em>Investigations:<\/em>&nbsp;increased serum gamma-glutamyl transpeptidase (GGT), increased serum alkaline phosphatase, positive Coombs test<\/li><li><em>Metabolism and nutrition disorders:<\/em>&nbsp;hyperglycemia, hypomagnesemia, hypophosphatemia<\/li><li><em>Nervous system disorders:<\/em>&nbsp;ischemic stroke<\/li><li><em>Renal and urinary system:<\/em>&nbsp;renal impairment, renal failure<\/li><li><em>Respiratory, thoracic and mediastinal disorders:<\/em>&nbsp;dyspnea<\/li><li><em>Skin and subcutaneous tissue disorders:<\/em>&nbsp;urticaria<\/li><li><em>Vascular disorders:<\/em>&nbsp;venous thrombosis<\/li><\/ul><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"vivid-block-list content-width  use-image-all block-334fc811-d8e8-4a30-8a1a-0fbb2e27e0fa custom-colored-hyperlink\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-334fc811-d8e8-4a30-8a1a-0fbb2e27e0fa\"><ul class=\"first-level\"><li><em><a href=\"#top\">Back to top<\/a><\/em><\/li><li><em><a href=\"#HABP\">HABP\/VABP clinical trials for adult patients<\/a><\/em><\/li><li><em><a href=\"#cIAI\">cIAI\/cUTI clinical trials for adult patients<\/a><\/em><\/li><li><em><a href=\"#cIAIpediatric\">cIAI\/cUTI clinical trials for pediatric patients<\/a><\/em><\/li><\/ul><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"a302c36b9-b6bb-4abb-b25c-63b27d358a47\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"cIAIpediatric\"><strong>Complicated intra-abdominal infections and complicated urinary tract infections for pediatric patients, including pyelonephritis<\/strong><\/h2><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p>ZERBAXA was evaluated in two blinded, randomized, active-controlled clinical studies in pediatric patients from birth to less than 18 years of age, one in cIAI and the other in cUTI, which included a total of 170 pediatric patients treated with ZERBAXA and 54 pediatric patients treated with the comparator. The ZERBAXA dosing regimen was the same in each trial. Patients were randomized 3:1 to receive ZERBAXA plus metronidazole or meropenem plus placebo in the cIAI study and ZERBAXA or meropenem in the cUTI study. In these pediatric patients, the type of adverse reactions were generally comparable to those observed in adults.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"aa1ab130c-fce8-4c48-ae8a-00a8cb1fd636\"><h3 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h3FontSizeDesktop);--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:var(--h3FontSizeMobile);--desktopLineHeightSize:var(--h3LineHeightDesktop);--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>Adverse reactions occurring in 4% or greater of pediatric patients (birth to less than 18 years of age) receiving ZERBAXA in either the cIAI or cUTI clinical trial<\/strong><\/h3><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"wp-block-columns mb-0 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:65%\">\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<figure class=\"wp-block-flexible-table-block-table is-scroll-on-mobile ml-0 mr-0 mb-0\"><table class=\"\"><tbody><tr><td rowspan=\"2\" style=\"background-color:#bf5411;border-color:#435363 #FFF #435363 #435363;color:#FFF;vertical-align:middle;text-align:center\"><strong>Adverse Reaction<\/strong><\/td><td colspan=\"2\" style=\"background-color:#bf5411;border-top-color:#435363;border-right-color:#FFF;border-bottom-color:#FFF;color:#FFF;text-align:center\"><strong>Complicated intra- abdominal infections<\/strong><\/td><td colspan=\"2\" style=\"background-color:#bf5411;border-color:#435363 #435363 #FFF #000;color:#FFF;text-align:center\"><strong>Complicated urinary tract infections, including pyelonephritis<\/strong><\/td><\/tr><tr><td style=\"background-color:#bf5411;color:#FFF;text-align:center;border-color:#435363 #FFF #435363 #435363\"><span class=\"no-wrap-text\">ZERBAXA<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-white-color\"><sup>a<\/sup><\/mark><\/strong><\/span><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-white-color\">&nbsp;<\/mark><\/strong> (N=70) <br>n (%)<\/td><td style=\"background-color:#bf5411;color:#FFF;text-align:center;border-color:#435363 #FFF #435363 #435363\"><span class=\"no-wrap-text\">Meropenem<\/span><br>(N=21) <br>n (%)<\/td><td style=\"background-color:#bf5411;color:#FFF;text-align:center;border-color:#435363 #FFF #435363 #435363\"><span class=\"no-wrap-text\">ZERBAXA<\/span><br>(N=100) <br>n (%)<\/td><td style=\"background-color:#bf5411;color:#FFF;text-align:center;border-color:#435363\"><span class=\"no-wrap-text\">Meropenem<\/span> <br>(N=33) <br>n (%)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\"><span class=\"no-wrap-text\">Thrombocytosis<sup>b<\/sup><\/span><\/td><td style=\"text-align:center;border-color:#435363;color:#000\">11 (16)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">3 (14)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">9 (9)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">3 (9)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\"><span class=\"no-wrap-text\">Diarrhea<\/span><\/td><td style=\"text-align:center;border-color:#435363;color:#000\">12 (17)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">5 (24)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">7 (7)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">3 (9)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\"><span class=\"no-wrap-text\">Pyrexia<sup>c<\/sup><\/span><\/td><td style=\"text-align:center;border-color:#435363;color:#000\">9 (13)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">3 (14)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">7 (7)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">1 (3)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\"><span class=\"no-wrap-text\">Leukopenia<sup>d<\/sup><\/span><\/td><td style=\"text-align:center;border-color:#435363;color:#000\">3 (4)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">0 (0)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">8 (8)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">0 (0)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\"><span class=\"no-wrap-text\">Abdominal<\/span> <span class=\"no-wrap-text\">pain<sup>e<\/sup><\/span><\/td><td style=\"text-align:center;border-color:#435363;color:#000\">8 (11)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">0 (0)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">2 (2)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">1 (3)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\"><span class=\"no-wrap-text\">AST<\/span> <span class=\"no-wrap-text\">increased<\/span><\/td><td style=\"text-align:center;border-color:#435363;color:#000\">5 (7)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">1 (5)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">4 (4)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">2 (6)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\"><span class=\"no-wrap-text\">Vomiting<\/span><\/td><td style=\"text-align:center;border-color:#435363;color:#000\">7 (10)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">1 (5)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">1 (1)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">1 (3)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\"><span class=\"no-wrap-text\">ALT<\/span> <span class=\"no-wrap-text\">increased<\/span><\/td><td style=\"text-align:center;border-color:#435363;color:#000\">4 (6)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">1 (5)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">4 (4)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">2 (6)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\"><span class=\"no-wrap-text\">Anemia<\/span><\/td><td style=\"text-align:center;border-color:#435363;color:#000\">5 (7)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">0 (0)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">2 (2)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">0 (0)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\"><span class=\"no-wrap-text\">Phlebitis<sup>f<\/sup><\/span><\/td><td style=\"text-align:center;border-color:#435363;color:#000\">4 (6)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">0 (0)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">1 (1)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">1 (3)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\"><span class=\"no-wrap-text\">Hypertension<\/span><\/td><td style=\"text-align:center;border-color:#435363;color:#000\">3 (4)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">0 (0)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">0 (0)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">1 (3)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\"><span class=\"no-wrap-text\">Gastritis<\/span><\/td><td style=\"text-align:center;border-color:#435363;color:#000\">3 (4)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">0 (0)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">0 (0)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">0 (0)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\"><span class=\"no-wrap-text\">Hypokalemia<sup>g<\/sup><\/span><\/td><td style=\"text-align:center;border-color:#435363;color:#000\">3 (4)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">0 (0)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">0 (0)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">0 (0)<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363;color:#000\"><span class=\"no-wrap-text\">Bradypnea<sup>h<\/sup><\/span><\/td><td style=\"text-align:center;border-color:#435363;color:#000\">3 (4)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">0 (0)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">0 (0)<\/td><td style=\"text-align:center;border-color:#435363;color:#000\">0 (0)<\/td><\/tr><\/tbody><\/table><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:35%\"><\/div>\n<\/div>\n\n\n\n<div class=\"paragraph-wrapper\"><div class=\"_57034c63-c967-47fc-b9b6-f0dc6a6bc552 has-small-font-size padding-left-right15\" id=\"\"><p><sup>a<\/sup>In the cIAI trials, ZERBAXA was given in conjunction with metronidazole. <\/p><\/div><\/div>\n\n\n\n<div class=\"paragraph-wrapper\"><div class=\"_0c8849dd-461b-484f-8175-6aa9b77ca243 has-small-font-size padding-left-right15\" id=\"\"><p><sup>b<\/sup>Includes platelet count increased. <\/p><\/div><\/div>\n\n\n\n<div class=\"paragraph-wrapper\"><div class=\"_c900715a-09ae-4290-b95d-6f906be66213 has-small-font-size padding-left-right15\" id=\"\"><p><sup>c<\/sup>Includes hyperthermia. <\/p><\/div><\/div>\n\n\n\n<div class=\"paragraph-wrapper\"><div class=\"_e8b7e34c-78d0-456a-aa57-c97ee320fc5c has-small-font-size padding-left-right15\" id=\"\"><p><sup>d<\/sup>Includes neutropenia and neutrophil count decreased. <\/p><\/div><\/div>\n\n\n\n<div class=\"paragraph-wrapper\"><div class=\"_761bccae-4bb5-4bd3-b07f-a44ae60ddf65 has-small-font-size padding-left-right15\" id=\"\"><p><sup>e<\/sup>Includes upper abdominal pain. <\/p><\/div><\/div>\n\n\n\n<div class=\"paragraph-wrapper\"><div class=\"_03fcad38-8354-4c24-b5ad-773d9999507e has-small-font-size padding-left-right15\" id=\"\"><p><sup>f<\/sup>Includes superficial phlebitis. <\/p><\/div><\/div>\n\n\n\n<div class=\"paragraph-wrapper\"><div class=\"_09207ea3-75e0-4124-96ac-6fb786820191 has-small-font-size padding-left-right15\" id=\"\"><p><sup>g<\/sup>Includes blood potassium decreased. <\/p><\/div><\/div>\n\n\n\n<div class=\"paragraph-wrapper\"><div class=\"_3e0175b2-802f-46ff-949a-50cbf0cf6ae2 has-small-font-size padding-left-right15\" id=\"\"><p><sup>h<\/sup>Includes respiratory rate decreased.<\/p><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"a284d5e26-e5a6-4881-b708-2714870f1892\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>Laboratory values<\/strong><\/h2><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p>The development of a positive direct Coombs test may occur during treatment with ZERBAXA. The incidence of seroconversion to a positive direct Coombs test was 0.2% in patients receiving ZERBAXA and 0% in patients receiving the comparator in the adult cUTI and cIAI clinical trials. The incidence of seroconversion to a positive direct Coombs test was 31.2% in patients receiving ZERBAXA and 3.6% in patients receiving meropenem in the adult HABP\/VABP clinical trial. The incidence of seroconversion to a positive direct Coombs test was 45.3% in patients receiving ZERBAXA and 33.3% in patients receiving meropenem in the pediatric cIAI clinical trial. The incidence of seroconversion to a positive direct Coombs test was 29.7% in patients receiving ZERBAXA and 8.7% in patients receiving meropenem in the pediatric cUTI clinical trial. In clinical trials, there was no evidence of hemolysis in patients who developed a positive direct Coombs test in any treatment group.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"vivid-block-list content-width  use-image-all block-2dc88a9e-5c06-41d7-8212-fcd610be69d3 custom-colored-hyperlink\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-2dc88a9e-5c06-41d7-8212-fcd610be69d3\"><ul class=\"first-level\"><li><em><a href=\"#top\">Back to top<\/a><\/em><\/li><li><em><a href=\"#HABP\">HABP\/VABP clinical trials for adult patients<\/a><\/em><\/li><li><em><a href=\"#cIAI\">cIAI\/cUTI clinical trials for adult patients<\/a><\/em><\/li><li><em><a href=\"#cIAIpediatric\">cIAI\/cUTI clinical trials for pediatric patients<\/a><\/em><\/li><\/ul><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:24px;--tablet-spacer:24px;--mobile-spacer:24px;height:24px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be&#8230;<\/p>\n","protected":false},"author":750,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_trash_the_other_posts":false,"editor_notices":[],"footnotes":""},"ga4_page_audience":[],"ga4_page_birn_id":[],"ga4_page_branding":[267],"ga4_page_businessunit":[],"ga4_page_campaign":[],"ga4_page_content_purpose":[278],"ga4_page_customer_journey_stage":[333],"ga4_page_customer_specialty":[358],"ga4_page_experience":[],"ga4_page_indication":[],"ga4_page_material_intent":[522],"ga4_page_product":[706],"ga4_page_region":[749],"ga4_page_therapeuticarea":[],"user_role":[],"mhh-area-of-interest":[],"access":[],"user_status":[],"class_list":["post-101","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Adverse Reactions for ZERBAXA\u00ae (ceftolozane and tazobactam)<\/title>\n<meta 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