July 9, 2026 · Lancet (London, England) · DOI: 10.1016/S0140-6736(26)00760-9

Temocillin versus carbapenems for bacteraemia due to third-generation cephalosporin-resistant Enterobacterales in Spain (ASTARTÉ): a multicentre, phase 3, open-label, non-inferiority, randomised clinical trial

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The study aimed to determine whether temocillin is non-inferior to carbapenems for treating bacteraemia caused by third-generation cephalosporin-resistant Enterobacterales (3GCR-E). The results indicated that temocillin achieved similar clinical success rates compared to carbapenems, supporting its use as an effective and safe alternative in this patient population.

Francesco Cogliati Dezza, Lydia Barrera Pulido, Irene Borreguero Borreguero, Fernando Docobo Pérez, Virginia Palomo Jiménez, Sandra de la Rosa Riestra, José María Bravo-Ferrer, Zaira Raquel Palacios-Baena, Miguel Ángel López Zuñiga, Fernando Cobo, Joan Gómez-Junyent, Juan P Horcajada, Esperanza Merino, Mónica Parra, Joaquín López-Contreras, Alba Rivera, Dolores Sousa Regueiro, Martín Pampín Garcia, Salvador López Cardenas, María Carmen Gómez Sánchez, Inés Pérez Camacho, Sergio Manuel Martín Ramos, Eva León Jiménez, Ana Isabel Aller García, M Teresa Pérez-Rodríguez, Adrián Sousa, Maria Siller Ruiz, Francisco Arnaiz de Las Revillas Almajano, Laura Gisbert Pérez, Josune Goikoetxea Agirre, Ángela Cano, Francisco Javier Martínez-Marcos, María José García País, Rosa Escudero Sánchez, Sofía de la Villa, José Ramón Yuste Ara, María Ángeles Esteban-Moreno, Andrés Ruiz-Sancho, Marc Pedrosa Aragón, Jorge Alba Fernández, Ana María Barrios Blandino, Helem Haydeé Vilchez-Rueda, Rocío Álvarez-Marín, Alberto Romero Palacios, Elisa García Vázquez, Enrique Nuño Álvarez, Clara Rosso-Fernández, Belén Gutiérrez-Gutiérrez, Álvaro Pascual, Lorena López-Cerero, Jesús Rodríguez-Baño, ASTARTÉ-GEIRAS study group

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