Why some carbapenem-resistant bacteria stop responding to the antibiotic cefiderocol

Mechanisms of cefiderocol nonsusceptibility and resistance evolution in carbapenem-resistant pathogens

NIH-funded research Ohio State University · NIH-11459867

Researchers are looking at how carbapenem-resistant bacteria develop resistance to the antibiotic cefiderocol to help people with hard-to-treat infections.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionOhio State University NIH-funded
Lab location1 site (Columbus, UNITED STATES)
Project IDNIH-11459867 on NIH RePORTER

What this research studies

From a patient's point of view, scientists will study bacteria collected from infections to see how they respond to cefiderocol and whether small subgroups can survive treatment (heteroresistance). They will grow bacterial samples in the lab, measure antibiotic susceptibilities, and read the bacteria's genetic code to find changes linked to reduced drug response. The team will also perform experiments that mimic treatment to watch how resistance can emerge and spread over time. Findings will be used to explain unexpected treatment failures and guide better use of cefiderocol.

Who could benefit from this research

Good fit: People with infections caused by carbapenem-resistant Enterobacterales or carbapenem-resistant Acinetobacter who can provide bacterial samples or are treated at participating hospitals would be most relevant to this work.

Not a fit: Patients without carbapenem-resistant infections or those whose infections are already controlled by other effective antibiotics are unlikely to benefit directly from this project.

Why it matters

Potential benefit: If successful, this work could help doctors choose antibiotics more wisely and reduce unexpected treatment failures by revealing how cefiderocol resistance arises.

How similar studies have performed: Laboratory studies have previously uncovered resistance mechanisms and heteroresistance for other antibiotics, and while cefiderocol is FDA-approved, reports of non-susceptible isolates mean this specific area is relatively new and important to study.

Where this research is happening

Columbus, 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.