- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04215991
A Study to Assess the Safety, Tolerability, and Pharmacokinetics of Cefiderocol in Hospitalized Pediatric Participants
An Open-label Study With a Nonrandomized Single-dose Phase in Subjects With Suspected or Confirmed Aerobic Gram-negative Bacterial Infections Followed by a Randomized, Multiple-dose, Active-controlled Phase in Subjects With Suspected or Confirmed Complicated Urinary Tract Infection (cUTI), Hospital-acquired Bacterial Pneumonia (HABP) or Ventilator-associated Bacterial Pneumonia (VABP) to Assess the Safety, Tolerability, and Pharmacokinetics of Cefiderocol in Hospitalized Pediatric Subjects 3 Months to < 18 Years of Age
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: Shionogi Clinical Trials Administrator Clinical Support Help Line
- Phone Number: 800-849-9707
- Email: Shionogiclintrials-admin@shionogi.co.jp
Study Locations
-
-
Queensland
-
South Brisbane, Queensland, Australia, 4101
- Recruiting
- Queensland Children's Health Precinct Level 8, Centre for Children's Health Research 62 Graham Street
-
-
-
-
-
Chaidari, Greece, 12462
- Recruiting
- University Hospital "ATTIKON" 3rd Pediatric Clinic of NKUA
-
Thessaloniki, Greece, 54642
- Recruiting
- Hippokration Hospital 3rd Pediatric Clinic of AUTH Konstantinoupoleos 49
-
Thessaloniki, Greece, 56403
- Recruiting
- General Hospital Of Thessaloniki Papageorgiou
-
-
Crete
-
Heraklion, Crete, Greece, 7110
- Terminated
- Heraklion University General Hospital
-
-
Thessaly
-
Larissa, Thessaly, Greece, 41110
- Recruiting
- University General Hospital of Larissa
-
-
-
-
-
Kaunas, Lithuania, LT-50161
- Terminated
- Hospital of Lithuanian University of Health Sciences Kauno klinikos
-
Klaipeda, Lithuania, LT-92140
- Terminated
- Klaipeda Children's Hospital
-
Vilnius, Lithuania, LT-08406
- Recruiting
- Vilnius University hospital Santaros klinikos
-
-
-
-
-
Ciudad de México, Mexico, 4530
- Recruiting
- Instituto Nacional de Pediatría "Laboratorio de la Unidad de Apoyo a la Investigación Clínica", Planta Baja Col. Insurgentes Cuicuilco, Delegacion Coyoacán Av. Insurgentes Sur 3700-C
-
-
Jalisco
-
Guadalajara, Jalisco, Mexico, 44280
- Recruiting
- Hospital Civil de Guadalajara Hospital 278, El retiro, Torre Piso 10, Infectología Ped.
-
-
-
-
-
Ciudad de Panama, Panama, 0801
- Terminated
- Hospital de Especialidades Ped Via España y Calle Zarak
-
Panama City, Panama, 0816-00383
- Recruiting
- Hospital del Niño, Epidemiologia
-
-
-
-
-
Cebu City, Philippines, 6000
- Recruiting
- Chong Hua Hospital
-
Iloilo City, Philippines, 5000
- Recruiting
- Western Visayas and Medical Center
-
Manila, Philippines, 1000
- Terminated
- Manila Doctor's Hospital
-
-
-
-
-
Barcelona, Spain, 08035
- Recruiting
- Hospital Val d'Hebron
-
Barcelona, Spain, 8003
- Terminated
- Hospital del Mar, Passeig Marítim 25-29
-
-
-
-
-
Kharkiv, Ukraine, 61037
- Active, not recruiting
- Municipal Noncommercial Enterprise of Kharkiv Regional Council " V.I.Shapoval Regional Clinical Center of Urology and Nephrology", Department of Children Urology # 7
-
Vinnytsia, Ukraine, 21000
- Active, not recruiting
- Vinnytsia Regional Children's Hospital
-
Zaporizhzhia, Ukraine, 69063
- Active, not recruiting
- Zaporizhzhia Regional Children Clinical Hospital
-
-
-
-
Texas
-
Fort Worth, Texas, United States, 76104
- Terminated
- Cook Children's Medical Center
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Participant's parent(s) or legally authorized representative(s) (LAR) provides written informed consent in accordance with regional- and country-specific laws and regulations
- Participant provides written informed assent, when feasible (age of assent to be determined by institutional review board/independent ethics committee [IRBs/IECs] or be consistent with local legal requirements)
- Hospitalized participant is 3 months to < 18 years of age at the time written informed consent/assent is obtained for the multiple-dose phase. Hospitalized participant is 3 months to < 12 years of age at the time written informed consent/assent is obtained for the single-dose phase.
Single-dose phase: Participant has a suspected or confirmed infection type (including but not limited to cUTI, complicated intra-abdominal infections [cIAI], pneumonia, HABP/VABP, and sepsis or bloodstream infections [BSI]) that requires hospitalization for treatment with IV antibiotics.
Multiple-dose phase: Participant has a suspected or confirmed cUTI, HABP, or VABP that requires hospitalization for treatment with IV antibiotics
- If participant is a sexually active female of childbearing potential and has reached menarche or Tanner stage 3, participant agrees to use barrier contraception (including condom, diaphragm, or cervical cap) with spermicide or agrees to use a highly effective method of contraception (including contraceptive implant, injectable contraceptive, combination oral contraceptive, or an intrauterine [IUD] contraceptive device) from Screening up to 28 days after administration of the last dose of cefiderocol.
Exclusion Criteria:
- Participant has a documented history of any hypersensitivity or allergic reaction to any β-lactam antibiotic (Note: for β-lactams, a history of a mild rash followed by uneventful re-exposure is not a contraindication to enrollment.)
- Multiple-dose only: Participant has an infection caused only by a confirmed Gram-positive pathogen.
- Participant has a suspected or confirmed central nervous system (CNS) infection (for example, meningitis, brain abscess, shunt infection) or osteomyelitis (which would require prolonged antibiotic therapy).
- Participant has cystic fibrosis.
Single-dose phase: Participant has moderate or severe renal impairment based on estimated glomerular filtration rate (eGFR) (based on the Schwartz equation if ≥ 3 months to < 1 year of age and modified Bedside Schwartz equation if ≥ 1 to < 18 years of age) of < 60 milliliter (mL)/ minute (min)/1.73 square meters (m^2)² at Screening .
Multiple-dose phase: Participant has an eGFR (based on the Schwartz equation if ≥ 3 months to < 1 year of age and modified Bedside Schwartz equation if ≥ 1 to < 18 years of age) of < 15 mL/min/1.73 m² at Screening.
- Participant has end-stage renal disease (ESRD), is on hemodialysis (HD), or receiving continuous venovenous hemofiltration (CVVH).
- Participant has experienced shock in the prior month or is in shock at the time of Screening.
- Participant has severe neutropenia or is severely immunocompromised.
- Participant has multiorgan failure .
- Participant with a life expectancy of < 30 days due to severity of a concurrent illness.
- Participant is a female who has a positive pregnancy test at Screening.
- Participant is a female who is breastfeeding.
- Participant has received any other investigational medicinal product (IMP) within 30 days.
- Participant has any condition or circumstance that, in the opinion of the investigator, would compromise the safety of the participant or the quality of the study data, including acute trauma to the pelvis or urinary tract.
- Participant is receiving vasopressor therapy at Screening.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Single Dose Phase: Cefiderocol
Participants will receive a single dose of cefiderocol administered intravenously (IV) on Day 1, in addition to standard of care.
Participants weighing less than 34 kilograms (kg) will receive 60 milligrams (mg)/kg cefiderocol and participants ≥34 kg will receive 2000 mg.
|
Administered intravenously over 3 hours
Other Names:
Standard of care administered will be selected by the investigator based on the suspected or confirmed pathogen(s) for the infection in accordance with local standards.
|
Experimental: Multiple Dose Phase: Cefiderocol
Participants will receive cefiderocol administered via IV every 8 hours for an expected 5 to 14 days in addition to standard of care.
Participants weighing less than 34 kg will receive 60 mg/kg cefiderocol and participants ≥ 34 kg will receive 2000 mg.
Dosage may be adjusted based on renal function.
|
Administered intravenously over 3 hours
Other Names:
Standard of care administered will be selected by the investigator based on the suspected or confirmed pathogen(s) for the infection in accordance with local standards.
|
Active Comparator: Multiple Dose Phase: Standard of Care Alone
Participants will receive standard of care treatment according to local standards.
|
Standard of care administered will be selected by the investigator based on the suspected or confirmed pathogen(s) for the infection in accordance with local standards.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Number of Participants with Adverse Events in the Single Dose Phase
Time Frame: 28 days
|
28 days
|
Number of Participants with Adverse Events in the Multiple Dose Phase
Time Frame: Up to 28 days after last dose (33 to 42 days depending on treatment duration)
|
Up to 28 days after last dose (33 to 42 days depending on treatment duration)
|
Maximum Observed Plasma Concentration (Cmax) of Cefiderocol in the Single Dose Phase
Time Frame: Day 1, 1 (cohort 2 only), 3, 3.5 (cohort 2 only), 5, and 8 hours after the start of infusion
|
Day 1, 1 (cohort 2 only), 3, 3.5 (cohort 2 only), 5, and 8 hours after the start of infusion
|
Area Under the Plasma Concentration Time Curve Extrapolated from Time 0 to Infinity (AUCinf) of Cefiderocol in the Single Dose Phase
Time Frame: Day 1, 1 (cohort 2 only), 3, 3.5 (cohort 2 only), 5, and 8 hours after the start of infusion
|
Day 1, 1 (cohort 2 only), 3, 3.5 (cohort 2 only), 5, and 8 hours after the start of infusion
|
Apparent Terminal Elimination Half-life of Cefiderocol in the Single Dose Phase
Time Frame: Day 1, 1 (cohort 2 only), 3, 3.5 (cohort 2 only), 5, and 8 hours after the start of infusion
|
Day 1, 1 (cohort 2 only), 3, 3.5 (cohort 2 only), 5, and 8 hours after the start of infusion
|
Maximum Observed Plasma Concentration of Cefiderocol in the Multiple Dose Phase
Time Frame: During one of the dosing intervals from Day 5-14, 1 (cohort 2 1 and 2 only), 3, 3.5 (cohorts 1 and 2 only), 5, and 8 hours after the start of infusion
|
During one of the dosing intervals from Day 5-14, 1 (cohort 2 1 and 2 only), 3, 3.5 (cohorts 1 and 2 only), 5, and 8 hours after the start of infusion
|
Area Under the Plasma Concentration Time Curve Over the Dosing Interval τ (AUC0-τ) of Cefiderocol in the Multiple Dose Phase
Time Frame: During one of the dosing intervals from Day 5-14, 1 (cohort 2 1 and 2 only), 3, 3.5 (cohorts 1 and 2 only), 5, and 8 hours after the start of infusion
|
During one of the dosing intervals from Day 5-14, 1 (cohort 2 1 and 2 only), 3, 3.5 (cohorts 1 and 2 only), 5, and 8 hours after the start of infusion
|
Apparent Terminal Elimination Half-life of Cefiderocol in the Multiple Dose Phase
Time Frame: During one of the dosing intervals from Day 5-14, 1 (cohort 2 1 and 2 only), 3, 3.5 (cohorts 1 and 2 only), 5, and 8 hours after the start of infusion
|
During one of the dosing intervals from Day 5-14, 1 (cohort 2 1 and 2 only), 3, 3.5 (cohorts 1 and 2 only), 5, and 8 hours after the start of infusion
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: Shionogi Clinical Trials Administrator Clinical Support Help Line, Shionogi
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Respiratory Tract Infections
- Respiratory Tract Diseases
- Lung Diseases
- Urologic Diseases
- Disease Attributes
- Bacterial Infections and Mycoses
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Urogenital Diseases
- Male Urogenital Diseases
- Infections
- Communicable Diseases
- Pneumonia
- Urinary Tract Infections
- Pneumonia, Bacterial
- Bacterial Infections
- Gram-Negative Bacterial Infections
Other Study ID Numbers
- 1704R2133
- 2019-002121-30 (EudraCT Number)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Gram-negative Bacterial Infections
-
Seoul National University HospitalCompletedMultidrug-resistant Gram-negative Bacteria InfectionKorea, Republic of
-
University of PittsburghMerck Sharp & Dohme LLCWithdrawnSurveillance Study - Incidence of Antibiotic Resistance in Serial Gram-negative Bloodstream IsolatesGram-negative Bacterial InfectionsUnited States
-
Hoffmann-La RocheCompletedGram-negative Bacterial InfectionsUnited States
-
University of PittsburghCelgene CorporationCompletedGram-negative Bacterial InfectionsUnited States
-
Hospital Barros Luco TrudeauFondo Nacional de Desarrollo Científico y Tecnológico, ChileUnknownGram Negative Bacterial InfectionsChile
-
PfizerAllerganTerminatedGram-negative Bacterial InfectionUnited States, Hungary, Slovakia, Taiwan, India, Estonia, Greece, Italy
-
PfizerCompletedGram-negative Bacterial InfectionAustralia
-
Singapore General HospitalNational Medical Research Council (NMRC), SingaporeRecruitingAntibiotic TherapySingapore
-
PfizerRecruitingGram-negative Bacterial InfectionsSpain, Taiwan, United States, Hungary, India, China, Turkey, Greece, Czechia
-
Parc de Salut MarCompletedMultidrug Resistant Gram Negative Bacterial InfectionsSpain
Clinical Trials on Cefiderocol
-
Hartford HospitalShionogi Inc.Active, not recruitingPharmacokineticsUnited States
-
Hartford HospitalUniversity of Texas; Shionogi Inc.; University of Pittsburgh Medical Center; Indiana... and other collaboratorsRecruitingPneumonia, Bacterial | Cystic FibrosisUnited States
-
ShionogiApproved for marketing
-
ShionogiCompletedGram-Negative InfectionSpain
-
Joseph L. Kuti, PharmDShionogi Inc.Recruiting
-
The University of QueenslandShionogiCompletedBloodstream InfectionsTaiwan, Thailand, Singapore, Australia, Malaysia, Turkey
-
ShionogiCompletedSepsis | Bloodstream Infections (BSI) | Hospital Acquired Pneumonia (HAP) | Complicated Urinary Tract Infection (cUTI) | Healthcare-associated Pneumonia (HCAP) | Ventilator Associated Pneumonia (VAP)United States, Brazil, Croatia, France, Germany, Greece, Guatemala, Israel, Italy, Japan, Korea, Republic of, Spain, Taiwan, Thailand, Turkey, United Kingdom
-
ShionogiCompletedSepsis | Gram-negative Bacterial Infections | Bloodstream Infections (BSI) | Complicated Intra-abdominal Infection (cIAI) | Hospital Acquired Pneumonia (HAP) | Ventilator-acquired Pneumonia | Complicated Urinary Tract Infection (cUTI)Spain, Belgium, Latvia, Russian Federation, Estonia, Georgia, Hungary, Thailand, Ukraine
-
ShionogiTerminatedBacterial PneumoniaUnited States
-
ShionogiCompleted