Bezlotoxumab (MK-6072) Versus Placebo in Children With Clostridium Difficile Infection (CDI) (MK-6072-001) (MODIFY III)
Clostridium Difficile Infection
About this trial
This is an interventional prevention trial for Clostridium Difficile Infection
Eligibility Criteria
Inclusion Criteria:
- At screening has suspected or confirmed CDI, and is receiving or is planning to receive a 10- to 21-day course of antibacterial drug treatment for CDI
- At study infusion has a diagnosis of CDI confirmed by a diagnostic assay which detects the presence of C. difficile toxin in stool, and is still receiving antibacterial drug treatment for CDI.
- Female is not pregnant, and not breastfeeding; but if of childbearing potential agrees to follow contraceptive guidance during the treatment period and for at least 12 weeks after the last dose of study treatment
- Participant and/or parent or caregiver must be able to read, understand, and complete the daily diary
Exclusion Criteria:
- Has an uncontrolled chronic diarrheal illness
- Has a known hypersensitivity to bezlotoxumab, its active substance and/or any of its excipients
- At randomization, their planned course of antibacterial drug treatment for CDI is longer than 21 days
- At screening has received any listed prohibited prior and concomitant treatments and procedures
- Has previously participated in this study, has previously received bezlotoxumab, has received an experimental monoclonal antibody against C. difficile toxin B, or has received a vaccine directed against C. difficile or its toxins.
- Has received an investigational study agent within the previous 30 days, or is currently participating in or scheduled to participate in any other clinical study with an investigational agent during the 12-week study period
Sites / Locations
- Children's Hospital - Los Angeles ( Site 0021)
- UCSF Medical Center ( Site 0049)
- Children's Hospital - Colorado ( Site 0013)
- Children's Center for Digestive Healthcare ( Site 0052)
- University of Chicago ( Site 0019)
- Our Lady of the Lake Hospital ( Site 0007)
- The Johns Hopkins Rubenstein Child Health Building ( Site 0034)
- Tufts Medical Center-Floating Hospital for Children ( Site 0046)
- Mayo Clinic - Rochester ( Site 0004)
- Washington University ( Site 0037)
- Montefiore Einstein Center ( Site 0041)
- Columbia University Medical Center/ MSCHONY ( Site 0042)
- SUNY Upstate Medical Center, University Hospital ( Site 0027)
- Duke University Health System ( Site 0025)
- Cincinnati Children's Hospital Medical Center ( Site 0024)
- University Hospitals Cleveland Medical Center ( Site 0029)
- St. Jude Children's Research Hospital ( Site 0050)
- Vanderbilt University Medical Center ( Site 0022)
- The Children's Hospital of San Antonio ( Site 0009)
- Primary Children's Hospital ( Site 0001)
- Seattle Childrens Hospital ( Site 0028)
- Hospital Italiano de Buenos Aires. ( Site 2103)
- Hospital Privado de Cordoba ( Site 2102)
- Santa Casa de Misericordia de Belo Horizonte ( Site 0208)
- Hospital de Clinicas da Universidade Federal do Parana ( Site 0203)
- Hospital Pequeno Principe ( Site 0200)
- Hospital Universitario da Universidade Federal de Santa Maria ( Site 0209)
- Instituto de Oncologia Pediatrica - GRAACC - Unifesp ( Site 0205)
- Hospital Pablo Tobon Uribe-Infectology pediatric ( Site 2166)
- Fundacion Cardioinfantil Instituto de Cardiologia ( Site 2163)
- Fundacion Santa Fe de Bogota ( Site 2167)
- Fundacion Valle del Lili ( Site 2161)
- Centro Medico Imbanaco ( Site 2160)
- Fakultni Nemocnice Brno Bohunice ( Site 2000)
- Fakultni nemocnice Plzen ( Site 2001)
- 2. LF UK a FN Motol ( Site 2003)
- Universitaetsklinikum Muenster ( Site 1400)
- Universitaetsklinikum Hamburg Eppendorf ( Site 1402)
- SZTE Szent-Gyorgyi Albert Klinikai Kozpont ( Site 2200)
- Semmelweis University-II.sz. Gyermekgyógyászati Klinika ( Site 2201)
- Del-pesti Centrumkorhaz Orszagos Hematologiai es Infektologiai Intezet ( Site 2202)
- Sabah Womens & Childrens Hospital ( Site 3101)
- Hospital Kuala Lumpur ( Site 3100)
- Hospital Universitario "Dr. Jose Eleuterio Gonzalez" ( Site 0508)
- Instituto Tecnologico y de Estudios Superiores de Monterrey ( Site 0502)
- Instituto Nacional de Pediatria ( Site 0503)
- Hospital Infantil de Mexico Federico Gomez ( Site 0501)
- Haukeland universitetssykehus ( Site 1501)
- Oslo universitetssykehus ( Site 1500)
- Wojewodzki Szpital Obserwacyjno Zakazny ( Site 2404)
- Wojewodzki Specjalistyczny Szpital im. dr W. Bieganskiego w Lodzi ( Site 2400)
- SPZOZ im. Dzieci Warszawy w Dziekanowie Lesnym ( Site 2405)
- Instytut Pomnik Centrum Zdrowia Dziecka ( Site 2406)
- Wojewodzki Specjalistyczny Szpital Dzieciecy ( Site 2410)
- Hospital de Braga ( Site 1600)
- Inst. Portugues de Oncologia de Lisboa Francisco Gentil EPE ( Site 1605)
- Centro Hospitalar de Lisboa Central EPE. Hospital D. Estefania ( Site 1601)
- Instituto Portugues de Oncologia Do Porto Francisco Gentil E.P.E. ( Site 1603)
- Spitalul Clinic de Boli Infectioase Cluj-Napoca ( Site 2502)
- Institutul National de Boli Infectioase Prof. Dr. Matei Bals ( Site 2501)
- Spitalul Clinic de Boli Infectioase si Tropicale Dr. Victor Babes ( Site 2500)
- Spitalul Clinic de Boli Infectioase Constanta ( Site 2504)
- Phoenix Pharma Pty Ltd ( Site 2607)
- Johese Clinical Research ( Site 2605)
- Chris Hani Baragwanath Academic Hospital ( Site 2602)
- Molotlegi Street ( Site 2603)
- Red Cross War Memorial Children's Hospital ( Site 2601)
- Hospital Universitario Sant Joan de Deu ( Site 1704)
- Hospital Infantil Universitario Nino Jesus ( Site 1701)
- Hospital Universitario La Paz ( Site 1703)
- Hospital Universitario Virgen del Rocio ( Site 1705)
- ITCC Barnokologen Astrid Lindgrens Barnsjukhus NKS ( Site 1800)
- Barncancercentrum ( Site 1801)
- Southampton General Hospital ( Site 1900)
- Leeds Teaching Hospitals NHS Trust ( Site 1901)
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Bezlotoxumab
Placebo
Participants receive 10 mg of bezlotoxumab per kg body weight via a single 60-minute (±10 minutes) intravenous (IV) infusion on Day 1. Additionally, participants receive background antibacterial drug treatment (ABD) for 10-21 days per institutional guidelines, at the investigator's discretion. Dose may then be changed based on results from initial 12 participants.
Participants receive placebo for bezlotoxumab consisting of either 0.9% sodium chloride or 5% dextrose via a single 60-minute (±10 minutes) IV infusion on Day 1. Additionally, participants receive background ABD for 10-21 days per institutional guidelines, at the investigator's discretion.