How combining beta-lactam antibiotics with enzyme blockers affects resistant bacteria

Evolutionary dynamics of combinational antimicrobial treatments

NIH-funded research Duke University · NIH-11145256

This work looks at how pairing common beta-lactam antibiotics with drugs that block bacterial beta-lactamase enzymes changes which bacteria survive and spread.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionDuke University NIH-funded
Lab location1 site (Durham, United States)
Project IDNIH-11145256 on NIH RePORTER

What this research studies

Researchers will grow different bacterial strains that vary in how much beta-lactamase enzyme they produce and test combinations of beta-lactam antibiotics plus beta-lactamase inhibitors in the lab. They will measure which strains survive, how much enzyme production helps bacteria, and how strongly inhibitors reduce that benefit. The team will use these results to understand evolutionary patterns that could make resistance more or less likely under combination treatment. Findings aim to reveal when combining drugs helps preserve antibiotic effectiveness and when it might unintentionally favor resistant strains.

Who could benefit from this research

Good fit: People with infections caused by beta-lactam-resistant bacteria, or patients willing to provide bacterial samples for research on antibiotic resistance, would be most relevant to this work.

Not a fit: Patients without bacterial infections or those with infections not involving beta-lactamase-producing organisms are unlikely to gain direct benefit from this research.

Why it matters

Potential benefit: If successful, this work could help doctors choose drug combinations that keep existing antibiotics working longer against resistant infections.

How similar studies have performed: Clinically, pairing beta-lactams with beta-lactamase inhibitors is already used to restore antibiotic activity, but using evolutionary lab experiments to predict long-term resistance patterns is a newer approach.

Where this research is happening

Durham, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.