EUCTR2014-000545-78-SI进行中(未招募)1 期
A PHASE 3, MULTI-CENTER, RANDOMIZED, DOUBLE-BLIND, DOUBLE-DUMMY STUDY TO EVALUATE THE EFFICACY, SAFETY, AND TOLERABILITY OF CARBAVANCE™ (MEROPENEM/RPX7009) COMPARED TO PIPERACILLIN/TAZOBACTAM IN THE TREATMENT OF COMPLICATED URINARY TRACT INFECTIONS, INCLUDING ACUTE PYELONEPHRITIS, IN ADULTS - Tango I
适应症
相关药物
试验速览
- 阶段
- 1 期
- 状态
- 进行中(未招募)
- 入组人数
- 500
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional clinical trial of medicinal product
入排标准
- 性别
- All
入选标准
- •1. A signed informed consent form, the ability to understand the study
- •conduct and tasks that are required for study participation, and a
- •willingness to cooperate with all tasks, tests, and examinations as
- •required by the protocol.
- •2. Male or female >=18 years of age.
- •3. Weight <=185 kg.
- •4. Expectation, in the judgment of the Investigator, that the subject's
- •cUTI or AP requires initial treatment with at least 5 days of IV
- •antibiotics.
- •5. Documented or suspected cUTI or AP as defined in the protocol.
- •6. Expectation, in the judgment of the Investigator, that any indwelling
- •urinary catheter or instrumentation (including nephrostomy tubes
- •and/or indwelling stents) will be removed or replaced (if removal is not clinically acceptable) before or as soon as possible, but not longer than
- •12 hours, after randomization.
- •7. Expectation, in the judgment of the Investigator, that the subject will
- •survive with effective antibiotic therapy and appropriate supportive care
- •for the anticipated duration of the study.
- •8. Women of childbearing potential must have a negative pregnancy test
- •before randomization, and be willing to use a highly effective method of
- •contraception between randomization and for 7 days after the
- •completion of the study. A highly effective method of contraception
- •includes two of the following: hormonal implants/patch, injectable
- •hormones, oral hormonal contraceptives, prior bilateral oophorectomy,
- •prior hysterectomy, prior bilateral tubal ligation, intra-uterine device,
- •approved cervical ring, condom, true abstinence (if approved by the
- •Investigator), or a vasectomized partner.
- •9. Willingness to comply with all the study procedures, whether in the
- •hospital or after discharge, for the duration of the study.
- •Are the trial subjects under 18? no
- •Number of subjects for this age range:
- •F.1.2 Adults (18-64 years) yes
- •F.1.2.1 Number of subjects for this age range 300
- •F.1.3 Elderly (>=65 years) yes
- •F.1.3.1 Number of subjects for this age range 200
排除标准
- •1.Presence of any of the following conditions:
- •a.Perinephric abscess;
- •b.Renal corticomedullary abscess;
- •c.Uncomplicated UTI;
- •d.Polycystic kidney disease;
- •e.Chronic vesicoureteral reflux;
- •f.Previous or planned renal transplantation;
- •g.Subjects receiving hemodialysis;
- •h.Previous or planned cystectomy or ileal loop surgery; or
- •i.Known candiduria.
- •2.Presence of suspected or confirmed acute bacterial prostatitis, orchitis, epididymitis, or chronic bacterial prostatitis as determined by history and/or physical examination.
- •3.Gross hematuria requiring intervention other than administration of study drug.
- •4.Urinary tract surgery within 7 days prior to randomization or urinary tract surgery planned during the study period (except surgery required to relieve an obstruction or place a stent or nephrostomy).
- •5.Renal function at screening as estimated by creatinine clearance <30
- •mL/min using the Cockcroft-Gault formula
- •6.Known non-renal source of infection such as endocarditis, osteomyelitis, abscess, meningitis, or pneumonia diagnosed within 7 days prior to randomization
- •7.Any of the following signs of severe sepsis:
- •a.Shock or profound hypotension defined as systolic blood pressure <90 mmHg or a decrease of >40 mmHg from baseline (if known) that is not responsive to fluid challenge;
- •b.Hypothermia (oral or tympanic temperature <35.6°C [<96.1°F] or rectal/core temperature <35.9°C [<96.6°F]); or
- •c.Disseminated intravascular coagulation as evidenced by prothrombin
- •time or partial thromboplastin time >=2 × the upper limit of normal (ULN)
- •or platelets <50% of the lower limit of normal
- •8.Pregnant or breastfeeding women
- •9.History of epilepsy or known seizure disorder requiring current treatment with anti-seizure medication
- •10.Treatment within 30 days prior to enrollment with valproic acid
- •11.Treatment within 30 days prior to enrollment with probenecid
- •12.Treatment within 30 days prior to enrollment with any cancer
- •chemotherapy, immunosuppressive medications for transplantation, or medications for rejection of transplantation
- •13.Evidence of significant hepatic disease or dysfunction, including known acute viral hepatitis or hepatic encephalopathy
- •14.Aspartate aminotransferase (AST) or alanine aminotransferase (ALT)
- •>3 × ULN, or total bilirubin > 1.5 × ULN
- •15.Receipt of any investigational medication or investigational device
- •during the last 30 days prior to randomization
- •16.Prior exposure to RPX7009 alone or in combination with another
- •17.Receipt of any potentially therapeutic antibiotic agent within 48
- •hours before randomization. EXCEPTIONS:
- •Subjects who received a single dose of a short-acting oral or IV antibiotic (no more than 25% of subjects)
- •Subjects who received >48 hours of prior systemic AB therapy for the current episode of cUTI with unequivocal clinical evidence of treatment failure (i.e., worsening signs and symptoms)
- •Subjects who develop signs and symptoms of cUTI or AP while on antibiotics for another indication
- •18.Requirement at time of enrollment for any reason for additional systemic antibiotic therapy (other than study drug) or antifungal therapy. Topical antifungal or a single oral dose of any antifungal treatment for vaginal candidiasis will be allowed
- •19.Likely to require the use of an antibiotic for cUTI prophylaxis during the subject's participation in the study (from enrollment through the LFU visit)
- •20.Known history of HIV infection with a CD4 count <200/mm3
- •21.Presence of i
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