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Completed

NCT Number: NCT03680612

Cefepime/AAI101 Phase 2 Study in Hospitalized Adults With cUTI

Phase 2, randomised, double-blind, 2-cohort study in hospitalised adults with complicated urinary tract infection (cUTI), including acute pyelonephritis. All study cohorts were randomised in a 2:1 ratio. Treatment duration for each cohort was 7 to 10 days. Patients were not permitted to switch to oral therapy.

Cohort 1: 15 patients treated with cefepime 1 g/AAI101 500 mg intravenous (i.v.) infusion over 2 hours once every 8 hours (q8h), and 7 patients treated with cefepime 1 g i.v. infusion over 2 hours q8h.

Cohort 2: 15 patients treated with cefepime 2 g/AAI101 750 mg i.v. infusion over 2 hours q8h, and 8 patients treated with cefepime 2 g i.v. infusion over 2 hours q8h.

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Key information

Age range

18 year–90 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Kromerizska nemocnice, Kroměříž, Czechia

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male or female patients with clinical signs and/or symptoms of cUTI or acute pyelonephritis that were expected to require hospitalization and initial treatment with at least 7 days of i.v.

antibiotics.

Exclusion criteria

  • Patients with concurrent infection that would interfere with evaluation of response to the study antibiotics;
  • Patients needing concomitant systemic antimicrobial agents in addition to those designated in the various study treatment groups;
  • Patients receiving effective antibacterial drug therapy for any indication for a continuous duration of >24 hours during the previous 72 hours before the study-qualifying baseline urine was obtained or receiving any amount of potentially therapeutic antibacterial therapy after collection of the pre-treatment baseline urine culture and before administration of the first dose of study drug;
  • Patients likely to require the use of an antibiotic for cUTI or acute pyelonephritis prophylaxis during participation in the study;
  • Patients with confirmed fungal urinary tract infection at the screening visit (with ≥103 fungal colony forming units [CFU]/mL); or
  • Patients with intractable urinary infection at baseline that the Investigator anticipated would require >10 days of study drug therapy were excluded from participation

Treatment and study plan

Cefepime 1G - 2G / AAI101 0.5G - 0.75G

Drug

Experimental drug

Other names: cefepime/AAI101 combination

cefepime 1 g or cefepime 2 g

Drug

cefepime monotherapy

Other names: cefepime alone

Primary outcomes

  1. Microbiological Response at the Test of Cure (TOC) Visit in the Microbiological Modified Intent-to-Treat (mMITT) Population

    Time frame: 6 to 9 days post-End of Treatment

    Microbiological response is eradication for each baseline pathogen

Secondary outcomes

  1. Microbiological Response at the TOC Visit in the Microbiologically Evaluable (ME) Population.

    Time frame: 6 to 9 days post-End of Treatment

    Microbiological response is eradication for each baseline pathogen

Sponsors and collaborators

Lead sponsor

Allecra

Industry

Collaborators

  • Medpace, Inc.

Registry information

Official study title

Randomized, Double-Blind, Multi-Center Study of Cefepime/AAI101 in Hospitalized Adults With Complicated Urinary Tract Infections, Including Acute Pyelonephritis

Important dates

Study start
2017
Primary completion
2018
Study completion
2018
First posted
Sep 21, 2018
Registry last updated
Sep 21, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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