Skip to main content
OpenTrials
Completed

NCT Number: NCT04973826

Study to Assess the Pharmacokinetics, Safety and Tolerability of Aztreonam-Avibactam in Healthy Chinese Participants.

A Phase 1, single center, single arm, open-label study to assess the PK, safety and tolerability of Aztreonam-Avibactam after single and repeated IV infusion of doses in healthy Chinese participants.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Age range

18 year–55 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Huashan Hospital Fudan University

Shanghai, Shanghai Municipality, 201107, China

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Healthy Chinese male and female participants
  • No clinical relevant abnormalities
  • willing and able to comply with all study procedures
  • BMI:17.5-30.5
  • Sign informed consent

Exclusion criteria

  • Any clinical significant illness
  • History of alcohol abuse
  • Use within 14 days prior the first study dose
  • CL>80ml/min
  • Abnormal vital signs, such 12-ECG, blood pressure and pulse rate
  • Blood donation within 60days
  • History of HIV, HBsAg, HBcAb, HCVAb
  • Other medical or psychiatric may inappropriate for the study

Treatment and study plan

Aztreonam-Avibactam

Drug

500/167 mg ATM/AVI loading infusion, followed by 1500/500 mg ATM/AVI extended loading infusion, then 1500/500 mg ATM/AVI maintenance dose infusion every 6 hours

Primary outcomes

  1. Maximum Observed Plasma Concentration (Cmax) on Day 1 & 4 of Aztreonam

    Time frame: Post dose on day 1 and day 4

    Cmax was the maximum observed plasma concentration and was directly observed from data. Concentration values below the lower limit of quantification (LLQ) were set to zero. Geometric Mean analysis was on the log scale. Zero values were not included in geometric mean and geometric coefficient of variation calculation. The geometric coefficient of variation is expressed in percentage.

  2. Maximum Observed Plasma Concentration (Cmax) on Day 1 & 4 of Avibactam

    Time frame: Post dose on day 1 and day 4

    Cmax was the maximum observed plasma concentration and was directly observed from data. Concentration values below the lower limit of quantification (LLQ) were set to zero. Geometric Mean analysis was on the log scale. Zero values were not included in geometric mean and geometric coefficient of variation calculation. The geometric coefficient of variation is expressed in percentage.

  3. Area Under the Plasma Concentration-Time Profile From Time 0 to 6 Hours (AUC6) on Day 1 of Aztreonam

    Time frame: Post dose on day 1

    The area under the plasma drug concentration-time curve (AUC) was estimated from time 0 to 6 hours post dose. AUC6 was computed using the Linear/Log trapezoidal method. The geometric coefficient of variation is expressed in percentage.

  4. Area Under the Plasma Concentration-Time Profile From Time 0 to 6 Hours (AUC6) on Day 1 of Avibactam

    Time frame: Post dose on day 1

    The area under the plasma drug concentration-time curve (AUC) was estimated from time 0 to 6 hours post dose. AUC6 was computed using the Linear/Log trapezoidal method. The geometric coefficient of variation is expressed in percentage.

  5. Area Under the Plasma Concentration-Time Profile From Time Zero to Time of the Last Quantifiable Concentration (AUClast) on Day 1 & 4 of Aztreonam

    Time frame: Post dose on day 1 and day 4

    AUClast is area under the plasma concentration time-curve from zero (pre-dose) to the last measured concentration. The geometric coefficient of variation is expressed in percentage.

  6. Area Under the Plasma Concentration-Time Profile From Time Zero to Time of the Last Quantifiable Concentration (AUClast) on Day 1 & 4 of Avibactam

    Time frame: Post dose on day 1 and day 4

    AUClast is area under the plasma concentration time-curve from zero (pre-dose) to the last measured concentration. The geometric coefficient of variation is expressed in percentage.

  7. Area Under the Plasma Concentration-Time Profile From Time 0 to 24 Hours (AUC24) on Day 1 & 4 of Aztreonam

    Time frame: Post dose on day 1 and day 4

    AUC24 was defined as area under the plasma concentration-time profile from time zero to 24 hours post dose. The geometric coefficient of variation is expressed in percentage.

  8. Area Under the Plasma Concentration-Time Profile From Time 0 to 24 Hours (AUC24) on Day 1 & 4 of Avibactam

    Time frame: Post dose on day 1 and day 4

    AUC24 was defined as area under the plasma concentration-time profile from time zero to 24 hours post dose. The geometric coefficient of variation is expressed in percentage.

  9. Area Under the Plasma Concentration-Time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) on Day 1 & 4 of Aztreonam

    Time frame: Post dose on day 1 and day 4

    AUCinf was defined as area under the plasma concentration-time curve from time zero to infinity. The geometric coefficient of variation is expressed in percentage.

  10. Area Under the Plasma Concentration-Time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) on Day 1 & 4 of Avibactam

    Time frame: Post dose on day 1 and day 4

    AUCinf was defined as area under the plasma concentration-time curve from time zero to infinity. The geometric coefficient of variation is expressed in percentage.

  11. Area Under the Plasma Concentration-Time Profile From Time 0 to the Time of the End of the Dosing Interval (τ), Where τ=6 Hours (AUCtau) on Day 4 of Aztreonam

    Time frame: Post dose on day 4

    AUCtau was defined as area under the concentration-time profile from time 0 to time tau. The geometric coefficient of variation is expressed in percentage.

  12. Area Under the Plasma Concentration-Time Profile From Time 0 to the Time of the End of the Dosing Interval (τ), Where τ=6 Hours (AUCtau) on Day 4 of Avibactam

    Time frame: Post dose on day 4

    AUCtau was defined as area under the concentration-time profile from time 0 to time tau. The geometric coefficient of variation is expressed in percentage.

  13. Total Daily Area Under the Plasma Concentration-Time Profile From Time 0 to 24 Hours at Steady-State (AUC24,ss) on Day 4 of Aztreonam

    Time frame: Post dose on day 4

    AUC24,ss was defined as total daily area under the plasma concentration-time profile from time 0 to 24 hours at steady-state. The geometric coefficient of variation is expressed in percentage.

  14. Total Daily Area Under the Plasma Concentration-Time Profile From Time 0 to 24 Hours at Steady-State (AUC24,ss) on Day 4 of Avibactam

    Time frame: Post dose on day 4

    AUC24,ss was defined as total daily area under the plasma concentration-time profile from time 0 to 24 hours at steady-state. The geometric coefficient of variation is expressed in percentage.

  15. Renal Clearance (CLr) on Day 1 & 4 of Aztreonam

    Time frame: Post dose on day 1 and day 4

    CLr was calculated as cumulative amount of drug recovered unchanged in urine during the dosing interval (Ae) divided by area under the plasma concentration time-curve from time zero to end of dosing interval (AUCtau). AUCtau was defined as area under the concentration-time profile from time 0 to time tau. The geometric coefficient of variation is expressed in percentage.

  16. Renal Clearance (CLr) on Day 1 & 4 of Avibactam

    Time frame: Post dose on day 1 and day 4

    CLr was calculated as cumulative amount of drug recovered unchanged in urine during the dosing interval (Ae) divided by area under the plasma concentration time-curve from time zero to end of dosing interval (AUCtau). AUCtau was defined as area under the concentration-time profile from time 0 to time tau. The geometric coefficient of variation is expressed in percentage.

Secondary outcomes

  1. Terminal Elimination Half-Life (T1/2) on Day 1 & 4 of Aztreonam

    Time frame: Post dose on day 1 and day 4

    Plasma terminal elimination half-life (T1/2) is the time measured for the plasma concentration to decrease by one half at the terminal phase.

  2. Terminal Elimination Half-Life (T1/2) on Day 1 & 4 of Avibactam

    Time frame: Post dose on day 1 and day 4

    Plasma terminal elimination half-life (T1/2) is the time measured for the plasma concentration to decrease by one half at the terminal phase.

  3. Apparent Volume of Distribution at Steady-State (Vss) on Day 1 & 4 of Aztreonam

    Time frame: Post dose on day 1 and day 4

    Apparent volume of distribution (Vz) was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. Vss was the Vz at steady-state. The geometric coefficient of variation is expressed in percentage.

  4. Apparent Volume of Distribution at Steady-State (Vss) on Day 1 & 4 of Avibactam

    Time frame: Post dose on day 1 and day 4

    Vz was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. Vss was the Vz at steady-state. The geometric coefficient of variation is expressed in percentage.

  5. Apparent Volume of Distribution During Terminal Phase (Vz) on Day 1 & 4 of Aztreonam

    Time frame: Post dose on day 1 and day 4

    Vz was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. The geometric coefficient of variation is expressed in percentage.

  6. Apparent Volume of Distribution During Terminal Phase (Vz) on Day 1 & 4 of Avibactam

    Time frame: Post dose on day 1 and day 4

    Vz was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. The geometric coefficient of variation is expressed in percentage.

  7. Clearance (CL) on Day 1 & 4 of Aztreonam

    Time frame: Post dose on day 1 and day 4

    CL was a quantitative measure of the rate at which a drug substance was removed from the body. The geometric coefficient of variation is expressed in percentage.

  8. Clearance (CL) on Day 1 & 4 of Avibactam

    Time frame: Post dose on day 1 and day 4

    CL was a quantitative measure of the rate at which a drug substance was removed from the body. The geometric coefficient of variation is expressed in percentage.

  9. Time of Observed Maximum Plasma Concentration (Tmax) on Day 1 & 4 of Aztreonam

    Time frame: Post dose on day 1 and day 4

    Tmax was defined as time to reach maximum observed plasma concentration.

  10. Time of Observed Maximum Plasma Concentration (Tmax) on Day 1 & 4 of Avibactam

    Time frame: Post dose on day 1 and day 4

    Tmax was defined as time to reach maximum observed plasma concentration.

  11. Accumulation Ratio for Cmax (Rac,Cmax) on Day 4 of Aztreonam

    Time frame: Post dose on day 4

    Accumulation ratio based on maximum plasma concentration (Rac,cmax) was calculated as: Rac,Cmax = Cmax at steady state (Day 4) divided by Cmax at first dose (Day 1). The geometric coefficient of variation is expressed in percentage.

  12. Accumulation Ratio for Cmax (Rac,Cmax) on Day 4 of Avibactam

    Time frame: Post dose on day 4

    Accumulation ratio based on maximum plasma concentration (Rac,cmax) was calculated as: Rac,Cmax = Cmax at steady state (Day 4) divided by Cmax at first dose (Day 1). The geometric coefficient of variation is expressed in percentage.

  13. Accumulation Ratio for AUCτ Following Multiple Dosing (Rac) on Day 4 of Aztreonam

    Time frame: Post dose on day 4

    Rac was obtained from AUCtau at steady state (Day 4) divided by AUCtau after single dose (Day 1). AUCtau was defined as area under the concentration-time profile from time 0 to time tau. The geometric coefficient of variation is expressed in percentage.

  14. Accumulation Ratio for AUCτ Following Multiple Dosing (Rac) on Day 4 of Avibactam

    Time frame: Post dose on day 4

    Rac was obtained from AUCtau at steady state (Day 4) divided by AUCtau after single dose (Day 1). AUCtau was defined as area under the concentration-time profile from time 0 to time tau. The geometric coefficient of variation is expressed in percentage.

  15. Number of Participants With an Adverse Event (AE)

    Time frame: From the first dose of study treatment to the last dose of study treatment date +28 +7 days (up to 2 months)

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Treatment-emergent adverse event (TEAE) means event between first dose of study treatment and up to 30 days after last dose that were absent before treatment or that worsened relative to pretreatment state. An SAE was an AE resulting in any of death; inpatient hospitalization; life-threatening experience; disability; congenital anomaly or deemed significant for any other reason. Symptoms of infusion-related reactions (IRRs) may include, but were not limited to, fever, chills, flushing, hypotension, dyspnea, wheezing, back pain, abdominal pain, and urticaria. Grade 3: severe or medically significant but not immediately life-threatening, hospitalization or prolongation of existing hospitalization indicated, disabling, limiting self-care ADL; Grade 4: life-threatening consequence, urgent intervention indicated; Grade 5: death related to AE.

  16. Number of Participants With Abnormal Vital Signs

    Time frame: From the first dose of study treatment to the last dose of study treatment date +28 +7 days (up to 2 months)

    Criteria for vital signs abnormalities: increase or decrease from baseline in supine Systolic Blood Pressure (SBP) >=30 mm Hg and increase or decrease from baseline in supine Diastolic Blood Pressure (DBP) >=20 mm Hg.

  17. Number of Participants With Abnormal Electrocardiograms (ECGs)

    Time frame: From the first dose of study treatment to the last dose of study treatment date +28 +7 days (up to 2 months)

    ECG categorical summarization criteria: 1. PR interval (the interval between the start of the P wave and the start of the QRS complex, corresponding to the time between the onset of the atrial depolarization and onset of ventricular depolarization): a) greater than or equal to (>=) 300 millisecond (msec), b) >=25% increase when baseline is > 200 msec or >=50% increase when baseline is less than or equal to (<=) 200 msec.

    • QRS duration (time from ECG Q wave to the end of the S wave corresponding to ventricle depolarization): a) >=140 msec, b) >=50% increase from baseline.
    • QTcF interval (QT corrected using the Fridericia formula): a) >450 msec and <=480 msec, b) >480 msec and <=500 msec, c) >500 msec, d) >30 msec and <=60 msec increase from baseline, e) >60 msec increase from baseline.
  18. Number of Participants With Abnormal Laboratory Assessments

    Time frame: From the first dose of study treatment to the last dose of study treatment date +28 +7 days (up to 2 months)

    Following laboratory parameters were assessed against pre-defined abnormality criteria: hematology (basophils); clinical chemistry (urate); urinalysis (urine hemoglobin, nitrite, urine erythrocytes).

Sponsors and collaborators

Lead sponsor

Pfizer

Industry

Registry information

Official study title

A PHASE I, SINGLE CENTER, OPEN-LABEL STUDY TO ASSESS THE PHARMACOKINETICS, SAFETY AND TOLERABILITY OF AZTREONAM-AVIBACTAM ADMINISTERED AS SINGLE AND REPEATED INTRAVENOUS DOSES IN HEALTHY CHINESE PARTICIPANTS

Important dates

Study start
2021
Primary completion
2021
Study completion
2021
First posted
Jul 22, 2021
Registry last updated
Jul 28, 2023

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.

Published trials that share one or more normalized conditions with this study.