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Comparative Study of Coadministered Ceftaroline Fosamil and NXL104 vs. Intravenous Doripenem in Adult Subjects With Complicated Urinary Tract Infections

Primary Purpose

Urinary Tract Infections

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Ceftaroline fosamil and NXL104 (q8h)
Ceftaroline fosamil and NXL104 (q12h)
Doripenem
Placebo
Sponsored by
Forest Laboratories
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Urinary Tract Infections focused on measuring complicated Urinary Tract Infection, Acute Pyelonephritis

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Subjects must meet the following inclusion criteria:

  • Have pyuria (white blood cells in the urine)
  • Clinical signs and/or symptoms of cUTI (including acute pyelonephritis)
  • Have a pretreatment baseline urine culture specimen
  • The subject's infection would require initial treatment with IV antibiotics
  • The subject must require initial hospitalization to manage the cUTI by the standard of care.

Exclusion Criteria:

Subjects must NOT meet any of the following exclusion criteria:

  • History of any hypersensitivity or allergic reaction to any β-lactam (eg, cephalosporins, penicillins, carbapenems)
  • Confirmed fungal urinary tract infection
  • Intractable UTI anticipated to require more than 10 days of study drug therapy
  • Complete, permanent obstruction of the urinary tract\
  • Permanent indwelling bladder catheter or instrumentation (including nephrostomy) or current urinary catheter that will not be removed during IV study drug administration
  • Suspected or confirmed perinephric or intrarenal abscess
  • Suspected or confirmed prostatitis
  • Ileal loops or vesico-ureteral reflux
  • Impairment of renal function including a calculated CrCl of < 30 mL/min, requirement for peritoneal dialysis, hemodialysis or hemofiltration, or oliguria
  • Renal transplantation
  • Life expectancy less than 3 months
  • Evidence of significant hepatic, hematological, or immunologic disease or dysfunction
  • Past or current history of epilepsy or seizure disorder
  • Women who are pregnant or nursing

Sites / Locations

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Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

Ceftaroline fosamil and NXL104 (q8h)

Ceftaroline fosamil and NXL104 (q12h)

Doripenem

Arm Description

Outcomes

Primary Outcome Measures

Microbiological response of Microbiologically Evaluable (ME) at Test of Cure (TOC)
The number and percentage of subjects in each treatment group recorded as having a favorable microbiological response in the ME Population at Test-of-Cure (TOC)
Evaluate safety
Evaluate the safety of coadministered IV ceftaroline fosamil and NXL104 in subjects with cUTI. Summaries of AEs, SAEs, deaths, laboratory evaluations (hematology and coagulation studies, comprehensive metabolic panel, and urinalysis), vital signs, ECGs, and physical examinations will be provided for each treatment group.

Secondary Outcome Measures

Clinical response in CE at Test of Cure
The number and percentage of subjects in each treatment group classified as clinical cure Clinically Evaluable (CE) Population at TOC

Full Information

First Posted
January 13, 2011
Last Updated
January 2, 2014
Sponsor
Forest Laboratories
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1. Study Identification

Unique Protocol Identification Number
NCT01281462
Brief Title
Comparative Study of Coadministered Ceftaroline Fosamil and NXL104 vs. Intravenous Doripenem in Adult Subjects With Complicated Urinary Tract Infections
Official Title
A Phase 2, Multicenter, Randomized, Double-blind, Comparative Study to Evaluate the Efficacy and Safety of Intravenous Coadministered Ceftaroline Fosamil and NXL104 Versus Intravenous Doripenem in Adult Subjects With Complicated Urinary Tract Infection
Study Type
Interventional

2. Study Status

Record Verification Date
January 2014
Overall Recruitment Status
Completed
Study Start Date
December 2010 (undefined)
Primary Completion Date
March 2012 (Actual)
Study Completion Date
July 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Forest Laboratories

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a study in adult subjects with complicated urinary tract infection (cUTI) comparing treatment with intravenous (IV) coadministered ceftaroline fosamil and NXL104 versus treatment with IV doripenem.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Urinary Tract Infections
Keywords
complicated Urinary Tract Infection, Acute Pyelonephritis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
217 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Ceftaroline fosamil and NXL104 (q8h)
Arm Type
Experimental
Arm Title
Ceftaroline fosamil and NXL104 (q12h)
Arm Type
Experimental
Arm Title
Doripenem
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
Ceftaroline fosamil and NXL104 (q8h)
Other Intervention Name(s)
Ceftaroline fosamil and Avibactam(NXL104) (q8h)
Intervention Description
600 mg ceftaroline fosamil/600 mg NXL104 IV coadministered every 8 hours (q8h);
Intervention Type
Drug
Intervention Name(s)
Ceftaroline fosamil and NXL104 (q12h)
Other Intervention Name(s)
Ceftaroline fosamil and Avibactam(NXL104) (q12h)
Intervention Description
600 mg ceftaroline fosamil/600 mg NXL104 IV coadministered every 12 hours (q12h);
Intervention Type
Drug
Intervention Name(s)
Doripenem
Intervention Description
500 mg doripenem IV q8h;
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
placebo (saline)
Intervention Description
On CXL-MD-02, there were (3) treatment arms (meaning a subject could be randomized to 1 of 3 possible treatment regimens). Each treatment arm contained 1 or 2 placebo doses of IV saline in order to preserve the blind.
Primary Outcome Measure Information:
Title
Microbiological response of Microbiologically Evaluable (ME) at Test of Cure (TOC)
Description
The number and percentage of subjects in each treatment group recorded as having a favorable microbiological response in the ME Population at Test-of-Cure (TOC)
Time Frame
5 to 11 days after last dose of study drug
Title
Evaluate safety
Description
Evaluate the safety of coadministered IV ceftaroline fosamil and NXL104 in subjects with cUTI. Summaries of AEs, SAEs, deaths, laboratory evaluations (hematology and coagulation studies, comprehensive metabolic panel, and urinalysis), vital signs, ECGs, and physical examinations will be provided for each treatment group.
Time Frame
from administration of first dose of study drug to the Late -Follow -Up (LFU) visit (28 to 42 days after administration of the last dose of study drug)
Secondary Outcome Measure Information:
Title
Clinical response in CE at Test of Cure
Description
The number and percentage of subjects in each treatment group classified as clinical cure Clinically Evaluable (CE) Population at TOC
Time Frame
5 to 11 days after last dose of study drug

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects must meet the following inclusion criteria: Have pyuria (white blood cells in the urine) Clinical signs and/or symptoms of cUTI (including acute pyelonephritis) Have a pretreatment baseline urine culture specimen The subject's infection would require initial treatment with IV antibiotics The subject must require initial hospitalization to manage the cUTI by the standard of care. Exclusion Criteria: Subjects must NOT meet any of the following exclusion criteria: History of any hypersensitivity or allergic reaction to any β-lactam (eg, cephalosporins, penicillins, carbapenems) Confirmed fungal urinary tract infection Intractable UTI anticipated to require more than 10 days of study drug therapy Complete, permanent obstruction of the urinary tract\ Permanent indwelling bladder catheter or instrumentation (including nephrostomy) or current urinary catheter that will not be removed during IV study drug administration Suspected or confirmed perinephric or intrarenal abscess Suspected or confirmed prostatitis Ileal loops or vesico-ureteral reflux Impairment of renal function including a calculated CrCl of < 30 mL/min, requirement for peritoneal dialysis, hemodialysis or hemofiltration, or oliguria Renal transplantation Life expectancy less than 3 months Evidence of significant hepatic, hematological, or immunologic disease or dysfunction Past or current history of epilepsy or seizure disorder Women who are pregnant or nursing
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Monitor
Organizational Affiliation
Forest Laboratories
Official's Role
Study Director
Facility Information:
Facility Name
Investigational Site
City
La Mesa
State/Province
California
ZIP/Postal Code
91942
Country
United States
Facility Name
Investigational Site
City
San Diego
State/Province
California
ZIP/Postal Code
92120
Country
United States
Facility Name
Investigational Site
City
Pensacola
State/Province
Florida
ZIP/Postal Code
32504
Country
United States
Facility Name
Investigational Site
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21287
Country
United States
Facility Name
Investigational Site
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48202
Country
United States
Facility Name
Investigational Site
City
Plovdiv
ZIP/Postal Code
4002
Country
Bulgaria
Facility Name
Investigational Site
City
Ruse
ZIP/Postal Code
7002
Country
Bulgaria
Facility Name
Investigational Site
City
Sofia
ZIP/Postal Code
1407
Country
Bulgaria
Facility Name
Investigational Site
City
Sofia
ZIP/Postal Code
1431
Country
Bulgaria
Facility Name
Investigational Site
City
Sofia
ZIP/Postal Code
1606
Country
Bulgaria
Facility Name
Investigational Site
City
Varna
ZIP/Postal Code
9002
Country
Bulgaria
Facility Name
Investigational Site
City
Berlin
ZIP/Postal Code
10117
Country
Germany
Facility Name
Investigational Site
City
Freiburg
ZIP/Postal Code
79106
Country
Germany
Facility Name
Investigational Site
City
Gießen
ZIP/Postal Code
35385
Country
Germany
Facility Name
Investigational Site
City
Kassel
ZIP/Postal Code
34125
Country
Germany
Facility Name
Investigational Site
City
Minden
ZIP/Postal Code
32429
Country
Germany
Facility Name
Investigational Site
City
Muellheim
ZIP/Postal Code
79379
Country
Germany
Facility Name
Investigational Site
City
Paderborn
ZIP/Postal Code
33098
Country
Germany
Facility Name
Investigational Site
City
Planegg
ZIP/Postal Code
82152
Country
Germany
Facility Name
Investigational Site
City
Beirut
Country
Lebanon
Facility Name
Investigational Site
City
Bialystok
ZIP/Postal Code
15-950
Country
Poland
Facility Name
Investigational Site
City
Bielsko-Biala
ZIP/Postal Code
43-316
Country
Poland
Facility Name
Investigational Site
City
Częstochowa
ZIP/Postal Code
42-200
Country
Poland
Facility Name
Investigational Site
City
Katowice
ZIP/Postal Code
40-073
Country
Poland
Facility Name
Investigational Site
City
Katowice
ZIP/Postal Code
40-752
Country
Poland
Facility Name
Investigational Site
City
Lodz
ZIP/Postal Code
90-153
Country
Poland
Facility Name
Investigational Site
City
Tychy
ZIP/Postal Code
43-100
Country
Poland
Facility Name
Investigational Site
City
Warszawa
ZIP/Postal Code
03-401
Country
Poland
Facility Name
Investigational Site
City
Wolomin
ZIP/Postal Code
05-200
Country
Poland
Facility Name
Investigational Site
City
Wrocław
ZIP/Postal Code
50-349
Country
Poland
Facility Name
Investigational Site
City
Zamosc
ZIP/Postal Code
22-400
Country
Poland
Facility Name
Investigational Site
City
Moscow
ZIP/Postal Code
105077
Country
Russian Federation
Facility Name
Investigational Site
City
Moscow
ZIP/Postal Code
105425
Country
Russian Federation
Facility Name
Investigational Site
City
Moscow
ZIP/Postal Code
111123
Country
Russian Federation
Facility Name
Investigational Site
City
Moscow
ZIP/Postal Code
119049
Country
Russian Federation
Facility Name
Investigational Site
City
Moscow
ZIP/Postal Code
119992-119435
Country
Russian Federation
Facility Name
Investigational Site
City
Rostov-on-Don
ZIP/Postal Code
344022
Country
Russian Federation
Facility Name
Investigational Site
City
Smolensk
ZIP/Postal Code
214018
Country
Russian Federation
Facility Name
Investigational Site
City
St. Petersburg
ZIP/Postal Code
193312
Country
Russian Federation
Facility Name
Investigational Site
City
St. Petersburg
ZIP/Postal Code
194044
Country
Russian Federation
Facility Name
Investigational Site
City
St. Petersburg
ZIP/Postal Code
194291
Country
Russian Federation
Facility Name
Investigational Site
City
St. Petersburg
ZIP/Postal Code
194354
Country
Russian Federation
Facility Name
Investigational Site
City
St. Petersburg
ZIP/Postal Code
195067
Country
Russian Federation
Facility Name
Investigational Site
City
St. Petersburg
ZIP/Postal Code
196247
Country
Russian Federation
Facility Name
Investigational Site
City
St. Petersburg
ZIP/Postal Code
198205
Country
Russian Federation
Facility Name
Investigational Site
City
St. Petersburg
ZIP/Postal Code
199178
Country
Russian Federation
Facility Name
Investigational Site
City
Diyarbakir
ZIP/Postal Code
21280
Country
Turkey
Facility Name
Investigational Site
City
Eskisehir
ZIP/Postal Code
26480
Country
Turkey
Facility Name
Investigational Site
City
Izmir
ZIP/Postal Code
35040
Country
Turkey
Facility Name
Investigational Site
City
Izmir
ZIP/Postal Code
35340
Country
Turkey

12. IPD Sharing Statement

Learn more about this trial

Comparative Study of Coadministered Ceftaroline Fosamil and NXL104 vs. Intravenous Doripenem in Adult Subjects With Complicated Urinary Tract Infections

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