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Cefepime/AAI101 Phase 2 Study in Hospitalized Adults With cUTI

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Status and phase

Completed
Phase 2

Conditions

Urinary Tract Infections

Treatments

Drug: Cefepime 1G - 2G / AAI101 0.5G - 0.75G
Drug: cefepime 1 g or cefepime 2 g

Study type

Interventional

Funder types

Industry

Identifiers

Details and patient eligibility

About

Phase 2, randomised, double-blind, 2-cohort study in hospitalised adults with complicated urinary tract infection (cUTI), including acute pyelonephritis. All study cohorts were randomised in a 2:1 ratio. Treatment duration for each cohort was 7 to 10 days. Patients were not permitted to switch to oral therapy.

Cohort 1: 15 patients treated with cefepime 1 g/AAI101 500 mg intravenous (i.v.) infusion over 2 hours once every 8 hours (q8h), and 7 patients treated with cefepime 1 g i.v. infusion over 2 hours q8h.

Cohort 2: 15 patients treated with cefepime 2 g/AAI101 750 mg i.v. infusion over 2 hours q8h, and 8 patients treated with cefepime 2 g i.v. infusion over 2 hours q8h.

Enrollment

45 patients

Sex

All

Ages

18 to 90 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

• Male or female patients with clinical signs and/or symptoms of cUTI or acute pyelonephritis that were expected to require hospitalization and initial treatment with at least 7 days of i.v.

antibiotics.

Exclusion criteria

  • Patients with concurrent infection that would interfere with evaluation of response to the study antibiotics;
  • Patients needing concomitant systemic antimicrobial agents in addition to those designated in the various study treatment groups;
  • Patients receiving effective antibacterial drug therapy for any indication for a continuous duration of >24 hours during the previous 72 hours before the study-qualifying baseline urine was obtained or receiving any amount of potentially therapeutic antibacterial therapy after collection of the pre-treatment baseline urine culture and before administration of the first dose of study drug;
  • Patients likely to require the use of an antibiotic for cUTI or acute pyelonephritis prophylaxis during participation in the study;
  • Patients with confirmed fungal urinary tract infection at the screening visit (with ≥103 fungal colony forming units [CFU]/mL); or
  • Patients with intractable urinary infection at baseline that the Investigator anticipated would require >10 days of study drug therapy were excluded from participation

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Quadruple Blind

45 participants in 2 patient groups

Cefepime 1G - 2G / AAI101 0.5G - 0.75G
Experimental group
Description:
cefepime 1 g or cefepime 2 g in combination with AAI101 500 mg or 750 mg
Treatment:
Drug: Cefepime 1G - 2G / AAI101 0.5G - 0.75G
cefepime monotherapy
Active Comparator group
Description:
cefepime 1 g or cefepime 2 g
Treatment:
Drug: cefepime 1 g or cefepime 2 g

Trial contacts and locations

5

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Data sourced from clinicaltrials.gov

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