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Clinical Trials/NCT06527677
NCT06527677
Completed
Phase 1

Phase 1, Open-Label, Non-Randomized, Single-Center, Single-Dose Study to Assess the Pharmacokinetics & Safety of ANT3310 Combined With Meropenem Administered as a Single Intravenous Infusion to Adult Subjects With Renal Function Impairment

Antabio1 site in 1 country41 target enrollmentJuly 19, 2024

Overview

Phase
Phase 1
Intervention
ANT3310
Conditions
Renal Impairment
Sponsor
Antabio
Enrollment
41
Locations
1
Primary Endpoint
Area under the curve from time 0 to 48h (AUC0-48h) of ANT3310 and Meropenem after a single i.v. infusion of the combination ANT3310-Meropenem
Status
Completed
Last Updated
9 months ago

Overview

Brief Summary

This is an open-label, non-randomized, single-center, single i.v. dose Phase 1 trial to evaluate the pharmacokinetics and safety of a combination of ANT3310 and meropenem in participants with different degrees of renal function impairment, including participants with End-Stage Renal Disease (ESRD), compared with matching control participants with normal renal function.

Detailed Description

The participants will receive 1 single dose of the combination of ANT3310 and meropenem (2 times a single dose in participants with ESRD).

Registry
clinicaltrials.gov
Start Date
July 19, 2024
End Date
July 10, 2025
Last Updated
9 months ago
Study Type
Interventional
Study Design
Single Group
Sex
All

Investigators

Sponsor
Antabio
Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Participant must be 18 to 80 years of age (both inclusive) at the time of signing the informed consent.
  • BMI within the range of 18.0 to 36.0 kg/m2 (both inclusive) with a body weight ≥ 50 kg.
  • Contraceptive use by women or men should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
  • Capable of giving signed informed consent in compliance with the requirements and restrictions listed in the ICF and in the protocol.
  • Ability to cooperate with the investigator and to comply with the requirements of the trial.
  • Sufficient venous access for i.v. infusion and PK samplings.
  • For participants with renal function impairment: Individualized eGFR \<90 mL/min at screening, estimated according to the individualized CKD-EPI equation and stable renal function.
  • For participants with ESRD requiring dialysis: Chronic intermittent hemodialysis for ≥3 months prior to dosing.
  • For participants with normal renal function: Individualized eGFR ≥90 mL/min at screening, estimated based on serum creatinine measured within 10 days prior to Day -1 according to the CKD-EPI equation.

Exclusion Criteria

  • Febrile illness within 1 week before admission to the study center.
  • Known hypersensitivity to meropenem and or ANT3310 or any of the excipients of the infusion solution.
  • Known severe allergies, non-allergic drug reactions, or multiple drug allergies requiring intranasal or systemic corticosteroids during any time of the year or history of any anaphylactic reaction.
  • Medical disorder, condition, or history of such that would - in the opinion of the investigator - compromise the participant's ability to participate in this study.
  • History of epilepsy (or known seizure disorder), brain lesions or other significant neurological disorders.
  • Known history of clinically significant hypersensitivity or urticaria, or severe allergic reaction to β-lactam antibiotics (e.g., penicillin, cephalosporin, carbapenem, or monobactam).
  • History of Gilbert syndrome.
  • History of any severe antibiotic-associated superinfections like Clostridium difficile colitis and/or frequent fungal vaginal infections.
  • Therapies (e.g., physiotherapy, acupuncture, etc.) within 1 week before study drug administration.
  • Positive results for HBsAg, anti-HCV, HIV antibodies (anti-HIV 1+2).

Arms & Interventions

ANT3310 and Meropenem

Participants with mild, moderate, or severe renal function impairment (Panel A, B, and D) and participants with normal renal function (Panel C and F) will receive 1 single dose of a combination of ANT3310 and meropenem. Participants with End Stage Renal Disease (Panel E) will receive 2 times a single dose of a combination of ANT3310 and meropenem: one single dose during dialysis-free interval ("off- dialysis") and one single dose on the day of dialysis ("on-dialysis"). The same dose will be given in both periods with a washout interval of at least 7 days between administrations.

Intervention: ANT3310

ANT3310 and Meropenem

Participants with mild, moderate, or severe renal function impairment (Panel A, B, and D) and participants with normal renal function (Panel C and F) will receive 1 single dose of a combination of ANT3310 and meropenem. Participants with End Stage Renal Disease (Panel E) will receive 2 times a single dose of a combination of ANT3310 and meropenem: one single dose during dialysis-free interval ("off- dialysis") and one single dose on the day of dialysis ("on-dialysis"). The same dose will be given in both periods with a washout interval of at least 7 days between administrations.

Intervention: Meropenem

Outcomes

Primary Outcomes

Area under the curve from time 0 to 48h (AUC0-48h) of ANT3310 and Meropenem after a single i.v. infusion of the combination ANT3310-Meropenem

Time Frame: From pre-dose to Day 3

Pharmacokinetic parameter of ANT3310 and Meropenem in plasma.

Percentage of AUC0-inf obtained by extrapolation (AUCext) of ANT3310 and Meropenem after a single i.v. infusion of the combination ANT3310-Meropenem

Time Frame: From pre-dose to Day 3

Pharmacokinetic parameter of ANT3310 and Meropenem in plasma.

Area under the curve from 0 to infinity (AUC0-inf) of ANT3310 and Meropenem after a single i.v. infusion of the combination ANT3310-Meropenem

Time Frame: From pre-dose to Day 3

Pharmacokinetic parameter of ANT3310 and Meropenem in plasma.

Maximum Plasma Concentrations (Cmax) of ANT3310 and Meropenem after a single i.v. infusion of the combination ANT3310-Meropenem

Time Frame: From pre-dose to Day 3

Pharmacokinetic parameter of ANT3310 and Meropenem in plasma.

Time from dosing to maximum observed concentration (tmax) of ANT3310 and Meropenem after a single i.v. infusion of the combination ANT3310-Meropenem

Time Frame: From pre-dose to Day 3

Pharmacokinetic parameter of ANT3310 and Meropenem in plasma.

Apparent terminal elimination half-life (t1/2λz) of ANT3310 and Meropenem after a single i.v. infusion of the combination ANT3310-Meropenem

Time Frame: From pre-dose to Day 3

Pharmacokinetic parameter of ANT3310 and Meropenem in plasma.

Area under the curve from time 0 to time of last measurable concentration (AUC0-last) of ANT3310 and Meropenem after a single i.v. infusion of the combination ANT3310-Meropenem

Time Frame: From pre-dose to Day 3

Pharmacokinetic parameter of ANT3310 and Meropenem in plasma.

Total body clearance (CL) of ANT3310 and Meropenem after a single i.v. infusion of the combination ANT3310-Meropenem

Time Frame: From pre-dose to Day 3

Pharmacokinetic parameter of ANT3310 and Meropenem in plasma.

Apparent volume of distribution during the terminal phase after administration (Vz) of ANT3310 and Meropenem after a single i.v. infusion of the combination ANT3310-Meropenem

Time Frame: From pre-dose to Day 3

Pharmacokinetic parameter of ANT3310 and Meropenem in plasma.

Fraction of dose recovered in urine (fe) of ANT3310 and Meropenem after a single i.v. infusion of the combination ANT3310-Meropenem

Time Frame: From pre-dose to Day 3

Pharmacokinetic parameter of ANT3310 and Meropenem in urine.

Renal clearance from 0 to 48 hours (CLR[0-48h]) of ANT3310 and Meropenem after a single i.v. infusion of the combination ANT3310-Meropenem

Time Frame: From pre-dose to Day 3

Pharmacokinetic parameter of ANT3310 and Meropenem in urine.

Non-renal clearance (CLNonR) of ANT3310 and Meropenem after a single i.v. infusion of the combination ANT3310-Meropenem

Time Frame: From pre-dose to Day 3

Pharmacokinetic parameter of ANT3310 and Meropenem in plasma and urine.

Amount of ANT3310 and Meropenem that is eliminated in urine from 0 to infinity (Ae0-inf) after a single i.v. infusion of the combination ANT3310-Meropenem

Time Frame: From pre-dose to Day 3

Pharmacokinetic parameter of ANT3310 and Meropenem in urine.

Renal clearance (CLR) of ANT3310 and Meropenem after a single i.v. infusion of the combination ANT3310-Meropenem

Time Frame: From pre-dose to Day 3

Pharmacokinetic parameter of ANT3310 and Meropenem in urine.

Mean residence time (MRT) of ANT3310 and Meropenem after a single i.v. infusion of the combination ANT3310-Meropenem

Time Frame: From pre-dose to Day 3

Pharmacokinetic parameter of ANT3310 and Meropenem in plasma.

Amount of ANT3310 and Meropenem that is eliminated in urine from 0 to 48h (Ae0-48h) after a single i.v. infusion of the combination ANT3310-Meropenem

Time Frame: From pre-dose to Day 3

Pharmacokinetic parameter of ANT3310 and Meropenem in urine.

Dialysis clearance (CLD) of ANT3310 and Meropenem after a single i.v. infusion of the combination ANT3310-Meropenem in dialysed subjects

Time Frame: during dialysis

Pharmacokinetic parameter of ANT3310 and Meropenem in dialysate and plasma.

Fraction of dose recovered in urine from 0 to 48 hours (fe0-48h) of ANT3310 and Meropenem after a single i.v. infusion of the combination ANT3310-Meropenem

Time Frame: From pre-dose to Day 3

Pharmacokinetic parameter of ANT3310 and Meropenem in urine.

Secondary Outcomes

  • Number and severity of treatment-emergent adverse event (TEAE) to evaluate the safety and tolerability of ANT3310 and meropenem after a single i.v. infusion of a combination of ANT3310 and meropenem.(0 hours to Day 9)
  • Number of participants who discontinue due to a TEAE.(0 hours to Day 9)
  • Number of participants who meet the clinically significant abnormal criteria for safety laboratory tests at least once after start of dosing.(0 hours to Day 9)
  • Number of participants meeting the clinically significant abnormal criteria for vital signs measurements at least once after start of dosing.(0 hours to Day 9)
  • Number of participants who meet the clinically significant abnormal criteria for ECG (Electrocardiogram) parameters.(Day-1 to Day 9)
  • Number of infusion site reactions to assess local venous tolerability(From pre-dose on Day 1 to Day 3)

Study Sites (1)

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