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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01624246
Registration number
NCT01624246
Ethics application status
Date submitted
14/06/2012
Date registered
20/06/2012
Date last updated
7/04/2017
Titles & IDs
Public title
Pharmacokinetic Study of Ceftaroline Fosamil/Avibactam in Adults With Augmented Renal Clearance
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Scientific title
A Phase 1, Multicenter, Open-label, Single-dose Study to Assess the Pharmacokinetics of Ceftaroline Fosamil/Avibactam in Adults With Augmented Renal Clearance
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Secondary ID [1]
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CXL-PK-04
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Augmented Renal Clearance (ARC)
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Systemic Inflammatory Response Syndrome (SIRS)
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Condition category
Condition code
Inflammatory and Immune System
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Ceftaroline fosamil/Avibactam (CXL)
Experimental: Ceftaroline fosamil/Avibactam -
Treatment: Drugs: Ceftaroline fosamil/Avibactam (CXL)
IV infusion of CXL (combination of ceftaroline fosamil \[600 mg\] plus avibactam \[600 mg\]) infused over 60 (± 5) minutes.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Plasma Pharmacokinetic Parameters of Ceftaroline and Avibactam: Area under the plasma concentration versus time curve, Cmax, Tmax, T½, , CL, Vz, and Vss.
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Assessment method [1]
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The following PK parameters, if calculable, will be determined for ceftaroline, ceftaroline fosamil, ceftaroline M-1, and avibactam: area under the plasma concentration versus time curve, Cmax, time of maximum plasma drug concentration (Tmax), T½, apparent total body clearance of drug from plasma (CL), apparent volume of distribution during the terminal phase (Vz), and Vss.
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Timepoint [1]
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Up to 3 days
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Secondary outcome [1]
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Safety and Tolerability of a Single Dose of IV Ceftaroline fosamil and Avibactam.
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Assessment method [1]
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Adverse events will be summarized. Vital signs (pulse, blood pressure, respiratory rate, temperature), oxygen saturation and concomitant medications will be summarized. Complete blood count (CBC) and comprehensive metabolic panel results will be summarized.
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Timepoint [1]
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24-36 hours after last study procedure
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Eligibility
Key inclusion criteria
* Male or female adults = 18 and = 55 years old
* Augmented renal clearance, defined as:
* Estimated CrCl = 115 mL/min (calculated using modified Cockcroft-Gault, before the measured 8-hour urine collection)
* Measured CrCl = 140 mL/min (from an 8-hour urine collection)
* Hospitalized and diagnosed with SIRS, defined by at least 2 of the following:
* Temperature (oral, rectal, tympanic, or core) > 38.5°C or < 35.0°C
* Heart rate > 90 beats/min
* Respiratory rate > 20 breaths/min or PaCO2 < 32 mmHg
* Leukocytosis (> 12,000 white blood cells [WBC]/mm3), leukopenia (< 4000 WBC/mm3), or bandemia (> 10% immature neutrophils [bands] regardless of total peripheral WBC)
* Requires indwelling urinary bladder catheter per standard of care (through the end of the 8-hour urine collection)
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Minimum age
18
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Maximum age
55
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* History of any known hypersensitivity or allergic reaction to cephalosporins or any ß-lactam antimicrobial (eg, penicillins)
* History of chronic kidney disease, hemodialysis, or peritoneal dialysis; or history of acute renal replacement therapy (eg, hemodialysis, hemofiltration) associated with current illness
* Suspected rhabdomyolysis or creatine kinase > 10,000 U/L
* Significant anemia defined as hemoglobin < 9 g/dL or hematocrit < 27%
* Transfusion of packed red blood cells (PRBC) or whole blood within 24 hours of study drug infusion or anticipated need for a transfusion before the last PK blood sample is collected
* If female, currently pregnant or breastfeeding
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/05/2012
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/03/2013
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Sample size
Target
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Accrual to date
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Final
12
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
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Investigational Site - Herston
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Recruitment hospital [2]
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Investigational Site - Southport
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Recruitment postcode(s) [1]
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4029 - Herston
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Recruitment postcode(s) [2]
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4215 - Southport
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Recruitment outside Australia
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United States of America
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State/province [1]
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California
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United States of America
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Connecticut
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United States of America
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District of Columbia
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United States of America
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Florida
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United States of America
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Illinois
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Minnesota
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Nebraska
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New Jersey
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United States of America
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North Carolina
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Ohio
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United States of America
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Texas
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Forest Laboratories
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
To evaluate the pharmacokinetic (PK) profiles of ceftaroline and avibactam in adults with augmented renal clearance (ARC).
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Trial website
https://clinicaltrials.gov/study/NCT01624246
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Trial related presentations / publications
Li J, Lovern M, Green ML, Chiu J, Zhou D, Comisar C, Xiong Y, Hing J, MacPherson M, Wright JG, Riccobene T, Carrothers TJ, Das S. Ceftazidime-Avibactam Population Pharmacokinetic Modeling and Pharmacodynamic Target Attainment Across Adult Indications and Patient Subgroups. Clin Transl Sci. 2019 Mar;12(2):151-163. doi: 10.1111/cts.12585. Epub 2018 Sep 28.
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Public notes
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Contacts
Principal investigator
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Medical Monitor
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Address
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Forest Laboratories
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Phone
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Fax
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Email
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Contact person for public queries
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01624246
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