Steady-state Pharmacokinetics of Ceftazidime/Avibactam in Cystic Fibrosis

NCT ID: NCT02504827

Last Updated: 2018-11-27

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

12 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-09-30

Study Completion Date

2016-10-31

Brief Summary

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The purpose of this research study is to characterize the pharmacokinetics of intravenous ceftazidime/avibactam in patients with Cystic Fibrosis.

Detailed Description

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Cystic fibrosis is a genetic disorder characterized by a chronic cycle of airway infection, obstruction, and inflammation leading to progressive loss of lung function and eventual respiratory failure. The principal pathogen is Pseudomonas aeruginosa which is present in the airways of 70% of adult patients with CF. Of particular concern is the increasing resistance observed to existing agents.

While ceftazidime has been the mainstay of treatment for many years, its efficacy is limited by reduced susceptibility. Ceftazidime/avibactam offers a potential advancement in the management of infections involving P. aeruginosa in CF due to its excellent activity, penetration into pulmonary secretions, and reduced potential for development of resistance.

Conditions

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Cystic Fibrosis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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IV Ceftazidime/Avibactam

Ceftazidime/avibactam 2.5gm IV q8h for 3 doses

Group Type EXPERIMENTAL

Ceftazidime/avibactam

Intervention Type DRUG

Ceftazidime/avibactam 2.5gm iv q8h for 3 doses

Interventions

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Ceftazidime/avibactam

Ceftazidime/avibactam 2.5gm iv q8h for 3 doses

Intervention Type DRUG

Other Intervention Names

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Avycaz

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of CF based on positive sweat chloride or know CF mutation
* Age \> 17 years
* Able to spontaneously expectorate sputum

Exclusion Criteria

* Any clinically significant laboratory abnormality
* Presence of an ongoing acute pulmonary exacerbation
* Pregnancy
* Serious past allergy to a beta-lactam antibiotic
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Southern California

OTHER

Sponsor Role lead

Responsible Party

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Paul Beringer

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Paul Beringer, PharmD

Role: PRINCIPAL_INVESTIGATOR

University of Southern California

Locations

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University of Southern California

Los Angeles, California, United States

Site Status

Countries

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United States

References

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Bensman TJ, Wang J, Jayne J, Fukushima L, Rao AP, D'Argenio DZ, Beringer PM. Pharmacokinetic-Pharmacodynamic Target Attainment Analyses To Determine Optimal Dosing of Ceftazidime-Avibactam for the Treatment of Acute Pulmonary Exacerbations in Patients with Cystic Fibrosis. Antimicrob Agents Chemother. 2017 Sep 22;61(10):e00988-17. doi: 10.1128/AAC.00988-17. Print 2017 Oct.

Reference Type DERIVED
PMID: 28784670 (View on PubMed)

Other Identifiers

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APP-15-01273

Identifier Type: -

Identifier Source: org_study_id

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