Media Articles Related to Monurol (Fosfomycin)
MSD in the UK launches new antibiotic to treat complicated intra-abdominal and urinary tract infections, and acute pyelonephritis
Source: GastroIntestinal / Gastroenterology News From Medical News Today [2015.11.21]
MSD has announced the availability of Zerbaxa® (ceftolozane/tazobactam) in the UK, a new intravenous antibiotic for the treatment of complicated intra-abdominal infections (cIAI), acute...
Urinary Tract Infection (UTI)
Source: MedicineNet Urine Infection Specialty [2015.10.19]
Title: Urinary Tract Infection (UTI)
Category: Symptoms and Signs
Created: 10/9/2013 12:00:00 AM
Last Editorial Review: 10/19/2015 12:00:00 AM
Urinary Tract Infections (UTIs)
Source: MedicineNet Bedwetting Specialty [2015.02.09]
Title: Urinary Tract Infections (UTIs)
Category: Diseases and Conditions
Created: 12/31/1997 12:00:00 AM
Last Editorial Review: 2/9/2015 12:00:00 AM
Urinary Tract Infections in Children
Source: MedicineNet Bedwetting Specialty [2015.02.05]
Title: Urinary Tract Infections in Children
Category: Diseases and Conditions
Created: 2/1/2010 12:00:00 AM
Last Editorial Review: 2/5/2015 12:00:00 AM
Urinary Tract Infection (UTI) Symptoms
Source: MedicineNet Urine Infection Specialty [2014.12.01]
Title: Urinary Tract Infection (UTI) Symptoms
Category: Doctor's Views
Created: 12/2/2008 12:00:00 AM
Last Editorial Review: 12/1/2014 12:00:00 AM
Published Studies Related to Monurol (Fosfomycin)
A randomized comparative study of single-dose fosfomycin and 5-day ciprofloxacin in female patients with uncomplicated lower urinary tract infections. [2010.12]
Uncomplicated lower urinary tract infections (UTIs) are the most frequent infections in females... It was concluded that the use of FMT as a first-line treatment in the empirical treatment of uncomplicated UTIs might have a positive impact on the problem of resistance to other antibiotics.
Fosfomycin versus other antibiotics for the treatment of cystitis: a
meta-analysis of randomized controlled trials. 
other antibiotics for the treatment of patients with cystitis... CONCLUSIONS: In the era of high drug resistance rates, reported even among
Fosfomycin in a single dose versus a 7-day course of amoxicillin-clavulanate for the treatment of asymptomatic bacteriuria during pregnancy. [2009.12]
The purpose of this paper was to compare the efficacy of a single dose of 3 g of fosfomycin to that of a 7-day regimen of amoxicillin-clavulanate in the treatment of asymptomatic bacteriuria during pregnancy. A randomised, prospective, interventional, analytical, longitudinal study was undertaken, in which the efficacy of two antibiotic regimens (one short and the other long) in the treatment of pregnant women with asymptomatic bacteriuria is compared...
Intravenous and intramuscular pharmacokinetics of a single-daily dose of disodium-fosfomycin in cattle, administered for 3 days. [2007.02]
Pharmacokinetic parameters of fosfomycin in cattle were determined after administration of buffered disodium fosfomycin either intravenously (i.v.) or intramuscularly (i.m.) at a dose of 20 mg/kg/day for 3 days. Calculated concentrations at time zero and maximum serum concentrations were 34.42 and 10.18 mug/mL, respectively.
Prevention of recurrent lower urinary tract infections by long-term administration of fosfomycin trometamol. Double blind, randomized, parallel group, placebo controlled study. 
Three hundred and seventeen non pregnant females, suffering of recurrent lower urinary tract infections (UTIs; at least three episodes in the preceding 12 months) were enrolled in a double blind, randomized placebo (PL) controlled, parallel group clinical study, addressed to evaluate the efficacy and safety of fosfomycin trometamol (CAS 78964-85-9, FT, Monuril) in the prevention of infectious recurrences of lower urinary tract.
Clinical Trials Related to Monurol (Fosfomycin)
Single Dose Monurol for Treatment of Acute Cystitis [Recruiting]
Urinary tract infecton (UTI) is a very common problem in young healthy women, afflicting
approximately one-half of women by their late 20's. One of the most common antibiotics used
to treat UTIs is Trimethoprim-sulfa (TMP-SMX), usually for total of three days. However,
concerns about increased antibiotic resistance have led to increased interest in studying
other antibiotics for UTI.
An alternative antibiotic which is also FDA approved for the treatment of UTIs is fosfomycin
(Monurol). The effectiveness of fosfomycin in curing UTIs when given as a single dose is not
well studied. The purpose of this research study is to determine what the cure rates are
with a single dose of fosfomycin versus the more standard 3-day course of TMP-SMX.
Aerosolized Amikacin and Fosfomycin in Mechanically Ventilated Patients With Gram-negative and / or Gram-positive Bacterial Colonization [Active, not recruiting]
To demonstrate the safety and efficacy of adjunctive therapy with the Amikacin Fosfomycin
Inhalation System (AFIS) versus aerosolized placebo in mechanically ventilated patients with
Gram-negative and / or Gram-positive bacterial colonization.
Safety, Tolerability and PK 3-Period Crossover Study Comparing 2 Single Doses of ZTI-01 and Monurol« in Healthy Subjects [Completed]
The objective is to determine the safety, tolerability and pharmacokinetics (PK) of 2 single
doses of ZTI-01 (1g and 8g infused over 1-hr) and a single dose of the Reference Label Drug,
Monurol« (oral sachet, 3g). Subjects will be randomized to a treatment sequence prior to
dosing on Day 1 of Period 1 prior to study screening.
Study Comparing Nitrofurantoin to Fosfomycin for Acute Urinary Tract Infection in Women [Recruiting]
Developed before the establishment of a structured process for drug assessment,
nitrofurantoin is now being prescribed frequently given the rise in multi-resistant
gram-negative pathogens. Doubts remain regarding fosfomycin's long-term clinical
effectiveness. A randomized, controlled trial is needed to explore the clinical
effectiveness and better define the side effect profiles of both nitrofurantoin and
fosfomycin. This multi-center open trial will randomize 600 non-pregnant women at three
international sites (200 each in Poland, Switzerland, and Israel) at increased risk for
carriage of resistant uropathogens and with suspicion of uncomplicated lower urinary tract
infection to receive either oral nitrofurantoin 100 mg three times daily for 5 days or a
single 3g dose of oral fosfomycin. Patients will be followed for clinical and bacteriologic
response at days 14 and 28 post therapy completion. The study hypothesis holds that
nitrofurantoin will be superior to fosfomycin in clinical efficacy at final follow-up.
Fosfomycin Versus Meropenem or Ceftriaxone in Bacteriemic Infections Caused by Multidrug Resistance in E.Coli [Recruiting]
Enterobacterieaceae (and specially Escherichia coli) showing resistance due to
multidrug-resistant Escherichia coli, plasmid mediated AmpC or quinolone resistance caused
by chromosomal mechanisms have spread worldwide during the last decades. This is important
because many of these isolates are also resistant to other first-line agents such as
fluoroquinolones or aminoglycosides, leaving few available options for therapy, and this
condition is associated with increased morbidity- mortality and length of hospital stay.
While carbapenems are considered the drugs of choice for multidrug-resistant Escherichia
coli and AmpC producers, recent data suggests that certain alternatives may be suitable for
some types of infections.
At the present time, finding therapeutic alternatives to carbapenems and cephalosporins for
the treatment of invasive infections due to multidrug-resistant Escherichia coli is
critical. Fosfomycin was discovered more than 40 years ago but was not investigated
according to present standards, and thus is not used in clinical practice except in
desperate situations. It is one of the so-considered neglected antibiotics with high
potential interest for the future.
With the aim of demonstrate the clinical non-inferiority of intravenous fosfomycin compared
to meropenem or ceftriaxone in the treatment of bacteraemic urinary tract infections caused
by multidrug-resistant Escherichia coli . The investigators propose a "real practise"
randomised, controlled, multicentre phase III clinical trial to compare the clinical and
microbiological efficacy and safety of intravenous fosfomycin (4 grammes every 6 hours) with
meropenem (1 gramme every 8 hours) or ceftriaxone (1 gramme every 24 hours) as targeted
therapy of the previously specified infection; change to oral therapy according to
predefined options is allowed in both arms after 5 days. Follow-up for the study is planned
up to 60 days.