Trial Outcomes & Findings for Pharmacokinetics and Safety of Ceftobiprole in Neonates and Infants up to 3 Months Treated With Systemic Antibiotics (NCT NCT02527681)

NCT ID: NCT02527681

Last Updated: 2023-06-05

Results Overview

The maximum observed plasma concentration (Cmax)

Recruitment status

TERMINATED

Study phase

PHASE1

Target enrollment

15 participants

Primary outcome timeframe

Blood samples for pharmacokinetic (PK) analysis were obtained pre-dose, and at 2, 4, 6, 8, and 12 hours after the start of dosing.

Results posted on

2023-06-05

Participant Flow

Subjects with documented or presumed bacterial infection receiving standard-of-care antibiotic treatment were screened.

Participant milestones

Participant milestones
Measure
Ceftobiprole ITT/Safety Population
All subjects who received any quantity of study drug.
Overall Study
STARTED
15
Overall Study
COMPLETED
15
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Pharmacokinetics and Safety of Ceftobiprole in Neonates and Infants up to 3 Months Treated With Systemic Antibiotics

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ceftobiprole ITT/Safety Population
n=15 Participants
All subjects who received any quantity of study drug.
Age, Categorical
<=18 years
15 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Age, Continuous
13 days
n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
Race (NIH/OMB)
White
13 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Blood samples for pharmacokinetic (PK) analysis were obtained pre-dose, and at 2, 4, 6, 8, and 12 hours after the start of dosing.

The maximum observed plasma concentration (Cmax)

Outcome measures

Outcome measures
Measure
Ceftobiprole PK Population
n=13 Participants
All subjects who received study drug and had adequate samples for determination of time-plasma concentration profiles of ceftobiprole.
Cmax
11.2 μg/mL
Interval 8.68 to 32.6

PRIMARY outcome

Timeframe: Blood samples for PK analysis were obtained pre-dose, and at 2, 4, 6, 8, and 12 hours after the start of dosing.

The time of maximum observed plasma concentration (Tmax)

Outcome measures

Outcome measures
Measure
Ceftobiprole PK Population
n=13 Participants
All subjects who received study drug and had adequate samples for determination of time-plasma concentration profiles of ceftobiprole.
Tmax
4.00 hours
Interval 4.0 to 4.0

PRIMARY outcome

Timeframe: Blood samples for PK analysis were obtained pre-dose, and at 2, 4, 6, 8, and 12 hours after the start of dosing.

The area under the plasma concentration-time curve from time zero to the time of the last measurable concentration (AUC0-last)

Outcome measures

Outcome measures
Measure
Ceftobiprole PK Population
n=13 Participants
All subjects who received study drug and had adequate samples for determination of time-plasma concentration profiles of ceftobiprole.
AUC0-last
60.6 μg•hours/mL
Interval 49.1 to 126.0

PRIMARY outcome

Timeframe: Blood samples for PK analysis were obtained pre-dose, and at 2, 4, 6, 8, and 12 hours after the start of dosing.

The duration of time after dose for which free-drug concentrations remained above a value of 4 mg/L (T\>MIC of 4 mg/L)

Outcome measures

Outcome measures
Measure
Ceftobiprole PK Population
n=13 Participants
All subjects who received study drug and had adequate samples for determination of time-plasma concentration profiles of ceftobiprole.
T>MIC of 4 mg/L
5.40 hours
Interval 3.77 to 8.13

Adverse Events

Ceftobiprole ITT/Safety Population

Serious events: 2 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Ceftobiprole ITT/Safety Population
n=15 participants at risk
All subjects who received any quantity of study drug.
Gastrointestinal disorders
Diaphragmatic hernia
6.7%
1/15 • Number of events 1 • After start of study drug administration through the follow-up visit at study Day 7±3, relevant worsening of a subject's status was to be recorded as an adverse event (AE).
Once an AE was detected, it was proactively followed up at each visit (or more frequently if necessary) for any changes in severity, relationship to the study drug, interventions required for treatment, and the event's outcome. Serious adverse events (SAEs) were to be additionally reported and recorded on SAE report forms.
Nervous system disorders
Cerebral infarction
6.7%
1/15 • Number of events 1 • After start of study drug administration through the follow-up visit at study Day 7±3, relevant worsening of a subject's status was to be recorded as an adverse event (AE).
Once an AE was detected, it was proactively followed up at each visit (or more frequently if necessary) for any changes in severity, relationship to the study drug, interventions required for treatment, and the event's outcome. Serious adverse events (SAEs) were to be additionally reported and recorded on SAE report forms.

Other adverse events

Other adverse events
Measure
Ceftobiprole ITT/Safety Population
n=15 participants at risk
All subjects who received any quantity of study drug.
Psychiatric disorders
Drug Dependence
6.7%
1/15 • Number of events 1 • After start of study drug administration through the follow-up visit at study Day 7±3, relevant worsening of a subject's status was to be recorded as an adverse event (AE).
Once an AE was detected, it was proactively followed up at each visit (or more frequently if necessary) for any changes in severity, relationship to the study drug, interventions required for treatment, and the event's outcome. Serious adverse events (SAEs) were to be additionally reported and recorded on SAE report forms.
Skin and subcutaneous tissue disorders
Dermatitis diaper
13.3%
2/15 • Number of events 2 • After start of study drug administration through the follow-up visit at study Day 7±3, relevant worsening of a subject's status was to be recorded as an adverse event (AE).
Once an AE was detected, it was proactively followed up at each visit (or more frequently if necessary) for any changes in severity, relationship to the study drug, interventions required for treatment, and the event's outcome. Serious adverse events (SAEs) were to be additionally reported and recorded on SAE report forms.
Skin and subcutaneous tissue disorders
Erythema
6.7%
1/15 • Number of events 1 • After start of study drug administration through the follow-up visit at study Day 7±3, relevant worsening of a subject's status was to be recorded as an adverse event (AE).
Once an AE was detected, it was proactively followed up at each visit (or more frequently if necessary) for any changes in severity, relationship to the study drug, interventions required for treatment, and the event's outcome. Serious adverse events (SAEs) were to be additionally reported and recorded on SAE report forms.

Additional Information

Project Physician

Basilea Pharmaceutica International Ltd.

Phone: +41 79 701 0551

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60