Comparative Study of Coadministered Ceftaroline Fosamil and NXL104 vs. Intravenous Doripenem in Adult Subjects With Complicated Urinary Tract Infections

NCT ID: NCT01281462

Last Updated: 2014-02-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

217 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-12-31

Study Completion Date

2012-07-31

Brief Summary

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This is a study in adult subjects with complicated urinary tract infection (cUTI) comparing treatment with intravenous (IV) coadministered ceftaroline fosamil and NXL104 versus treatment with IV doripenem.

Detailed Description

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Conditions

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Urinary Tract Infections

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Ceftaroline fosamil and NXL104 (q8h)

Group Type EXPERIMENTAL

Ceftaroline fosamil and NXL104 (q8h)

Intervention Type DRUG

600 mg ceftaroline fosamil/600 mg NXL104 IV coadministered every 8 hours (q8h);

Placebo

Intervention Type DRUG

On CXL-MD-02, there were (3) treatment arms (meaning a subject could be randomized to 1 of 3 possible treatment regimens). Each treatment arm contained 1 or 2 placebo doses of IV saline in order to preserve the blind.

Ceftaroline fosamil and NXL104 (q12h)

Group Type EXPERIMENTAL

Ceftaroline fosamil and NXL104 (q12h)

Intervention Type DRUG

600 mg ceftaroline fosamil/600 mg NXL104 IV coadministered every 12 hours (q12h);

Placebo

Intervention Type DRUG

On CXL-MD-02, there were (3) treatment arms (meaning a subject could be randomized to 1 of 3 possible treatment regimens). Each treatment arm contained 1 or 2 placebo doses of IV saline in order to preserve the blind.

Doripenem

Group Type ACTIVE_COMPARATOR

Doripenem

Intervention Type DRUG

500 mg doripenem IV q8h;

Placebo

Intervention Type DRUG

On CXL-MD-02, there were (3) treatment arms (meaning a subject could be randomized to 1 of 3 possible treatment regimens). Each treatment arm contained 1 or 2 placebo doses of IV saline in order to preserve the blind.

Interventions

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Ceftaroline fosamil and NXL104 (q8h)

600 mg ceftaroline fosamil/600 mg NXL104 IV coadministered every 8 hours (q8h);

Intervention Type DRUG

Ceftaroline fosamil and NXL104 (q12h)

600 mg ceftaroline fosamil/600 mg NXL104 IV coadministered every 12 hours (q12h);

Intervention Type DRUG

Doripenem

500 mg doripenem IV q8h;

Intervention Type DRUG

Placebo

On CXL-MD-02, there were (3) treatment arms (meaning a subject could be randomized to 1 of 3 possible treatment regimens). Each treatment arm contained 1 or 2 placebo doses of IV saline in order to preserve the blind.

Intervention Type DRUG

Other Intervention Names

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Ceftaroline fosamil and Avibactam(NXL104) (q8h) Ceftaroline fosamil and Avibactam(NXL104) (q12h) placebo (saline)

Eligibility Criteria

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Inclusion Criteria

* Have pyuria (white blood cells in the urine)
* Clinical signs and/or symptoms of cUTI (including acute pyelonephritis)
* Have a pretreatment baseline urine culture specimen
* The subject's infection would require initial treatment with IV antibiotics
* The subject must require initial hospitalization to manage the cUTI by the standard of care.

Exclusion Criteria

* History of any hypersensitivity or allergic reaction to any β-lactam (eg, cephalosporins, penicillins, carbapenems)
* Confirmed fungal urinary tract infection
* Intractable UTI anticipated to require more than 10 days of study drug therapy
* Complete, permanent obstruction of the urinary tract\\
* Permanent indwelling bladder catheter or instrumentation (including nephrostomy) or current urinary catheter that will not be removed during IV study drug administration
* Suspected or confirmed perinephric or intrarenal abscess
* Suspected or confirmed prostatitis
* Ileal loops or vesico-ureteral reflux
* Impairment of renal function including a calculated CrCl of \< 30 mL/min, requirement for peritoneal dialysis, hemodialysis or hemofiltration, or oliguria
* Renal transplantation
* Life expectancy less than 3 months
* Evidence of significant hepatic, hematological, or immunologic disease or dysfunction
* Past or current history of epilepsy or seizure disorder
* Women who are pregnant or nursing
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Forest Laboratories

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Monitor

Role: STUDY_DIRECTOR

Forest Laboratories

Locations

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Investigational Site

La Mesa, California, United States

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San Diego, California, United States

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Pensacola, Florida, United States

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Baltimore, Maryland, United States

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Detroit, Michigan, United States

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Plovdiv, , Bulgaria

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Rousse, , Bulgaria

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Sofia, , Bulgaria

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Sofia, , Bulgaria

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Sofia, , Bulgaria

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Varna, , Bulgaria

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Berlin, , Germany

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Freiburg im Breisgau, , Germany

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Giessen, , Germany

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Kassel, , Germany

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Minden, , Germany

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Müllheim, , Germany

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Paderborn, , Germany

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Planegg, , Germany

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Beirut, , Lebanon

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Bialystok, , Poland

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Bielsko-Biala, , Poland

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Częstochowa, , Poland

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Katowice, , Poland

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Katowice, , Poland

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Lodz, , Poland

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Tychy, , Poland

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Warsaw, , Poland

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Wołomin, , Poland

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Wroclaw, , Poland

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Zamość, , Poland

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Moscow, , Russia

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Moscow, , Russia

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Moscow, , Russia

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Moscow, , Russia

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Moscow, , Russia

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Rostov-on-Don, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Smolensk, , Russia

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Diyarbakır, , Turkey (Türkiye)

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Eskişehir, , Turkey (Türkiye)

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Izmir, , Turkey (Türkiye)

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Investigational Site

Izmir, , Turkey (Türkiye)

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Countries

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United States Bulgaria Germany Lebanon Poland Russia Turkey (Türkiye)

Other Identifiers

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CXL-MD-02

Identifier Type: -

Identifier Source: org_study_id

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