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Comparative Study of NXL104/Ceftazidime Versus Comparator in Adults With Complicated Urinary Tract Infections

Phase 2
Completed
Conditions
Complicated Urinary Tract Infection
Interventions
Drug: NXL104/ceftazidime
Drug: Imipenem/Cilastatin
Registration Number
NCT00690378
Lead Sponsor
Pfizer
Brief Summary

The purpose of this study is to determine whether NXL104 plus ceftazidime is effective in the treatment of complicated urinary tract infections as compared to a comparator group.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
137
Inclusion Criteria
  • Acute pyelonephritis or other complicated urinary tract infection due to gram negative pathogens
Read More
Exclusion Criteria
  • ileal loops or vesicoureteral reflux
  • complete obstruction of any portion of urinary tract, perinephric or intrarenal abscess.
  • fungal urinary tract infection
  • permanent indirect catheter or nephrostomy unless removed within 48 hours of study entry
  • history hypersensitivity to study medication
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1NXL104/ceftazidimeNXL/104 ceftazidime
2Imipenem/Cilastatincomparator 4 x daily
Primary Outcome Measures
NameTimeMethod
Number of Participants With Microbiological Outcome at the Test of Cure (TOC) Visit5 to 9 days post-therapy

Eradication: a uropathogen found at entry at \>10\^5 CFU/mL was reduced to \<10\^4 CFU/mL

Secondary Outcome Measures
NameTimeMethod
Microbiological Outcome for the Urine Pathogen E. Cloacae in ME Patients at the End of IV Therapy VisitEnd of IV therapy (4 to 14 days)

Eradication: a uropathogen found at entry at \>10\^5 CFU/mL was reduced to \<10\^4 CFU/mL

Clinical Outcome in CE Patients at the Late Follow-up (LFU) Visit4 to 6 weeks post-therapy

Cure: all or most pre-therapy signs and symptoms of the index infection showed no evidence of resurgence and no additional antibiotic was required

Clinical Outcome in CE Patients at the TOC Visit5 to 9 days post-therapy

Cure: all or most pre-therapy signs and symptoms of the index infection had resolved and no additional antibiotic was required

Microbiological Outcome for the Urine Pathogen P. Aeruginosa in ME Patients at the LFU Visit4 to 6 weeks post-therapy

Sustained eradication: a uropathogen found at entry at \>10\^5 CFU/mL remained \<10\^4 CFU/mL

Microbiological Outcome for the Urine Pathogen P. Mirabilis in ME Patients at the End of IV Therapy VisitEnd of IV therapy (4 to 14 days)

Eradication: a uropathogen found at entry at \>10\^5 CFU/mL was reduced to \<10\^4 CFU/mL

Microbiological Outcome in ME Patients at the LFU Visit4 to 6 weeks post-therapy

Sustained eradication: a uropathogen found at entry at \>10\^5 CFU/mL remained \<10\^4 CFU/mL

Microbiological Outcome for the Urine Pathogen P. Aeruginosa in ME Patients at the End of IV Therapy VisitEnd of IV therapy (4 to 14 days)

Eradication: a uropathogen found at entry at \>10\^5 CFU/mL was reduced to \<10\^4 CFU/mL

Microbiological Outcome for the Urine Pathogen P. Aeruginosa in ME Patients at the TOC Visit5 to 9 days post-therapy

Eradication: a uropathogen found at entry at \>10\^5 CFU/mL was reduced to \<10\^4 CFU/mL

Microbiological Outcome for the Urine Pathogen P. Mirabilis in ME Patients at the LFU Visit4 to 6 weeks post-therapy

Sustained eradication: a uropathogen found at entry at \>10\^5 CFU/mL remained \<10\^4 CFU/mL

Clinical Outcome in Clinically Evaluable (CE) Patients at the End of Intravenous (IV) Therapy VisitEnd of IV therapy (4 to 14 days)

Cure: all or most pre-therapy signs and symptoms of the index infection had resolved and no additional antibiotic was required

Microbiological Outcome in ME Patients at the End of IV Therapy VisitEnd of IV therapy (4 to 14 days)

Eradication: a uropathogen found at entry at \>10\^5 CFU/mL was reduced to \<10\^4 CFU/mL

Microbiological Outcome for the Urine Pathogen C. Koseri in ME Patients at the End of IV Therapy VisitEnd of IV therapy (4 to 14 days)

Eradication: a uropathogen found at entry at \>10\^5 CFU/mL was reduced to \<10\^4 CFU/mL

Microbiological Outcome for the Urine Pathogen E. Coli in ME Patients at the End of IV Therapy VisitEnd of IV therapy (4 to 14 days)

Eradication: a uropathogen found at entry at \>10\^5 CFU/mL was reduced to \<10\^4 CFU/mL

Microbiological Outcome for the Urine Pathogen P. Mirabilis in ME Patients at the TOC Visit5 to 9 days post-therapy

Eradication: a uropathogen found at entry at \>10\^5 CFU/mL was reduced to \<10\^4 CFU/mL

Microbiological Outcome for the Urine Pathogen C. Koseri in ME Patients at the LFU Visit4 to 6 weeks post-therapy

Sustained eradication: a uropathogen found at entry at \>10\^5 CFU/mL remained \<10\^4 CFU/mL

Microbiological Outcome for the Urine Pathogen C. Koseri in ME Patients at the TOC Visit5 to 9 days post-therapy

Eradication: a uropathogen found at entry at \>10\^5 CFU/mL was reduced to \<10\^4 CFU/mL

Microbiological Outcome for the Urine Pathogen E. Cloacae in ME Patients at the TOC Visit5 to 9 days post-therapy

Eradication: a uropathogen found at entry at \>10\^5 CFU/mL was reduced to \<10\^4 CFU/mL

Microbiological Outcome for the Urine Pathogen E. Coli in ME Patients at the TOC Visit5 to 9 days post-therapy

Eradication: a uropathogen found at entry at \>10\^5 CFU/mL was reduced to \<10\^4 CFU/mL

Microbiological Outcome for the Urine Pathogen E. Coli in ME Patients at the LFU Visit4 to 6 weeks post-therapy

Sustained eradication: a uropathogen found at entry at \>10\^5 CFU/mL remained \<10\^4 CFU/mL

Trial Locations

Locations (58)

Four Rivers Clinical Research Inc

🇺🇸

Paducah, Kentucky, United States

Summa Health System Hospitals

🇺🇸

Akron, Ohio, United States

Remington-Davis

🇺🇸

Columbus, Ohio, United States

Southeast Alabama Medical Center

🇺🇸

Dothan, Alabama, United States

Providence Hospital

🇺🇸

Mobile, Alabama, United States

Sharp Chula Vista Medical Center

🇺🇸

Chula Vista, California, United States

Modesto Clinical Research

🇺🇸

Modesto, California, United States

Novellus Research Sites

🇺🇸

Long Beach, California, United States

Tri City Medical Center

🇺🇸

Oceanside, California, United States

Olive View UCLA Medical Center

🇺🇸

Sylmar, California, United States

Louisiana State University Health Services Ctr Shreveport

🇺🇸

Shreveport, Louisiana, United States

Saint Louis University Hospital

🇺🇸

Saint Louis, Missouri, United States

St. James Healthcare

🇺🇸

Butte, Montana, United States

Newark Beth Israel Medical Center

🇺🇸

Newark, New Jersey, United States

Albany Medical Center

🇺🇸

Albany, New York, United States

Vassar Brothers Medical Center

🇺🇸

Poughkeepsie, New York, United States

Brookdale University Hospital

🇺🇸

Brooklyn, New York, United States

Staten Island University Hospital

🇺🇸

Staten Island, New York, United States

Mission Hospital

🇺🇸

Asheville, North Carolina, United States

Regional Infectious Disease-Infusion Center

🇺🇸

Lima, Ohio, United States

St Vincent's Mercy Medical Center

🇺🇸

Toledo, Ohio, United States

Thomas Jefferson Univ Hospital

🇺🇸

Philadelphia, Pennsylvania, United States

Reading Hospital and Medical Center

🇺🇸

West Reading, Pennsylvania, United States

Harris Methodist

🇺🇸

Azle, Texas, United States

Sentara Norfold General Hospital

🇺🇸

Norfolk, Virginia, United States

Al-Essra hospital

🇯🇴

Amman, Jordan

Jordan University Hospital

🇯🇴

Amman, Jordan

Clinique due Levant Hospital

🇱🇧

Beirut, Lebanon

St. Joseph Hospital

🇱🇧

Dora, Lebanon

Hammoud Hospital University Medical Center

🇱🇧

Saida, Lebanon

University Hospital UMDNJ

🇺🇸

Newark, New Jersey, United States

University of Florida

🇺🇸

Jacksonville, Florida, United States

Century Clinical Research, Inc

🇺🇸

Daytona Beach, Florida, United States

Christiana Care Health Services

🇺🇸

Newark, Delaware, United States

R. Adams Cowley Shock Trauma Center

🇺🇸

Baltimore, Maryland, United States

Jersey Shore University Medical Center

🇺🇸

Neptune, New Jersey, United States

Al-Islami Hospital

🇯🇴

Amman, Jordan

King Abdullah University Hospital

🇯🇴

Irbid, Jordan

Dr. Rizk Clinic

🇱🇧

Beirut, Lebanon

Sahel General Hospital

🇱🇧

Beirut, Lebanon

Mount Lebanon Hospital

🇱🇧

Hazmieh, Lebanon

Makassed General Hospital

🇱🇧

Beirut, Lebanon

Nabatyeh Governmental Hospital

🇱🇧

Nabatyeh, Lebanon

Rafik Hariri University Hospital

🇱🇧

Beirut, Lebanon

Notre Dame Des Secours Hospital

🇱🇧

Byblos, Lebanon

Ain Wazein Hospital

🇱🇧

Chouf, Lebanon

Labib Medical Center

🇱🇧

Saida, Lebanon

Saida Governmental Hospital

🇱🇧

Saida, Lebanon

St. Joseph's/Candler Health System

🇺🇸

Savannah, Georgia, United States

Southeast Regional Research Group

🇺🇸

Columbus, Georgia, United States

Synergy Clinical Research Center

🇺🇸

Escondido, California, United States

EStudy Site

🇺🇸

San Jose, California, United States

University of Texas MD Anderson

🇺🇸

Houston, Texas, United States

North Memorial Medical Center

🇺🇸

Minneapolis, Minnesota, United States

Arizona Pulmonary Specialists LTD

🇺🇸

Phoenix, Arizona, United States

Alabama Research Center

🇺🇸

Birmingham, Alabama, United States

Henry Ford Hospital

🇺🇸

Detroit, Michigan, United States

Clinical Trials of America Inc.

🇺🇸

Winston-Salem, North Carolina, United States

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