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A Single- and Multiple-dose Study of Tedizolid Phosphate in Pediatric Subjects Aged <2 Years

Phase 1
Conditions
Treatment or prophylaxis against Gram-positive infections
MedDRA version: 20.1Level: PTClassification code 10052891Term: Skin bacterial infectionSystem Organ Class: 10021881 - Infections and infestations
Therapeutic area: Diseases [C] - Skin and Connective Tissue Diseases [C17]
Registration Number
EUCTR2017-000953-38-NO
Lead Sponsor
Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc.
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
42
Inclusion Criteria

1. Be a male or female aged birth to <24 months
2. Be hospitalized and receiving prophylaxis for or have a confirmed or suspected infection with gram-positive bacteria and receiving concurrent antibiotic treatment with gram-positive antibacterial activity. The most recent dose of concurrent antibiotic treatment should be administered within 24 hours prior to randomization,
except for concurrent long-acting antibiotics that are administered once (eg, dalbavancin, oritavancin).
3. Be at least 1 kg in weight.
4. Be in stable condition as determined from medical history, physical examination, electrocardiogram (ECG [minimally 5-lead]; ECG not required for neonates), vital signs, and clinical laboratory evaluations.
5. Have no cardiac or electrocardiogram (ECG) finding which in the opinion of the investigator would limit the subject’s ability to complete and/or participate in this clinical study. For neonates, an ECG is not required, but ECG data will be collected if available.
6. Have serum creatinine within 1.5 × upper limit of the reference range based on age.
7. Have parents willing to adhere to the prohibitions and restrictions specified in this protocol.
8. Have sufficient vascular access to receive trial drug (for subjects enrolled in Part A) and allow for blood draws required by the protocol.
9. Have consent: Parents or subjects’ legally acceptable representative(s) provide documented informed consent indicating that they understand the purpose of and procedures required for the study and are willing to have their child participate in the study.
10. Be able to receive medication by mouth, for subjects to be dosed with oral suspension; dose administration via feeding tube is acceptable.
Are the trial subjects under 18? yes
Number of subjects for this age range: 42
F.1.2 Adults (18-64 years) no
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

1. Has a history of seizures, other than febrile seizures, clinically significant cardiac arrhythmia or condition, moderate or severe renal impairment, or any physical
condition that could interfere with the interpretation of the study results, as determined by the investigator.
2. Has any acute or chronic condition that, in the opinion of the investigator, would limit the subject’s ability to complete and/or participate in this clinical study.
3. Has used rifampin within 14 days prior to dosing.
4. Has used or will be using proton pump inhibitors, H2 blockers, or antacids (for subjects in Part B, ie, oral suspension dose) at any time from 24 hours prior to dosing through 24 hours after dosing.
5. Recent (3-month) history or current infection with viral hepatitis or other significant hepatic disease.
6. Has a history of drug allergy or hypersensitivity to oxazolidinones.
7. Has had significant blood loss (=5% of total blood volume) for Groups 2, 3, 5, and 6 and significant blood loss within 4 weeks for Groups 1 and 4 before the Screening Visit. Total blood volume can be estimated as 80 mL per kg of body weight.
8. Need for oral administration of methotrexate, topotecan, irinotecan or rosuvastatin, during administration of oral study drug. (Administration during the follow-up period is allowed, as is administration during treatment with IV study drug.)
9. Use of MAOIs or serotonergic agents including tricyclic antidepressants, selective serotonin reuptake inhibitors (SSRIs), and serotonin 5-hydroxytryptamine receptor agonists (triptans), meperidine, or buspirone within 14 days prior to study, or planned use while on study.
10. Has received another investigational product within the 30 days prior to enrollment.
11. Is or has an immediate family member (e.g., spouse, parent/legal guardian, sibling or child) who is investigational site or sponsor staff directly involved with this trial.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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