Safety and Efficacy Study of Cefepime/VNRX-5133 in Patients With Complicated Urinary Tract Infections

NCT ID: NCT03840148

Last Updated: 2025-06-06

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

661 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-08-07

Study Completion Date

2021-12-14

Brief Summary

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This study will assess the safety and efficacy of cefepime/VNRX-5133 compared with meropenem in both eradication of bacteria and in symptomatic response in patients with cUTIs.

Detailed Description

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Conditions

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Urinary Tract Infections Acute Pyelonephritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Cefepime/VNRX-5133 (taniborbactam)

Cefepime/VNRX-5133 administered q8h intravenously (IV) over a 2-hour period.

Group Type EXPERIMENTAL

Cefepime/VNRX-5133 (taniborbactam)

Intervention Type DRUG

Cefepime/VNRX-5133 administered q8h intravenously (IV) over a 2-hour period for 7 days (up to 14 days for patients with bacteremia). Patients will also receive meropenem placebo administered via IV over 30 minutes.

Meropenem

Meropenem will be administered q8h IV over 30 minutes.

Group Type ACTIVE_COMPARATOR

Meropenem

Intervention Type DRUG

Meropenem will be administered q8h IV over 30 minutes for 7 days (up to 14 days for patients with bacteremia). Patients will also receive cefepime/VNRX-5133 placebo administered via IV over a 2-hour period.

Interventions

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Cefepime/VNRX-5133 (taniborbactam)

Cefepime/VNRX-5133 administered q8h intravenously (IV) over a 2-hour period for 7 days (up to 14 days for patients with bacteremia). Patients will also receive meropenem placebo administered via IV over 30 minutes.

Intervention Type DRUG

Meropenem

Meropenem will be administered q8h IV over 30 minutes for 7 days (up to 14 days for patients with bacteremia). Patients will also receive cefepime/VNRX-5133 placebo administered via IV over a 2-hour period.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adult male and female
* Documented diagnosis of pyuria
* Documented diagnosis of cUTI or Acute Pyelonephritis (AP)

Exclusion Criteria

* Receipt of effective antibacterial drug therapy for cUTI for more than 24 hours during the previous 72 hours prior to randomization
* A urine culture result is resistant to meropenem or a gram negative pathogen is not identified or more than 2 microorganisms are isolated or a confirmed fungal UTI is identified
* Required use of nonstudy systemic bacterial therapy
* Suspected or confirmed prostatitis or urinary tract symptoms attributable to sexually transmitted disease
* Patients with perinephric or renal abscess
* Patients with renal transplantation or receiving hemodialysis or peritoneal dialysis
* Abnormal labs
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Venatorx Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Site 184003

Buena Park, California, United States

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Site 184002

Chula Vista, California, United States

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Site 184001

La Mesa, California, United States

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184012

Northridge, California, United States

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Site 103203

Córdoba, , Argentina

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Site 107601

Belo Horizonte, , Brazil

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Site 107608

São Paulo, , Brazil

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Site 110009

Gabrovo, , Bulgaria

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Site 110002

Pleven, , Bulgaria

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Site 110007

Plovdiv, , Bulgaria

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Site 110003

Rousse, , Bulgaria

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Site 110010

Sofia, , Bulgaria

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Site 110004

Sofia, , Bulgaria

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Site 110005

Sofia, , Bulgaria

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Site 110008

Sofia, , Bulgaria

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Site 110001

Veliko Tarnovo, , Bulgaria

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Site 156022

Baotou, , China

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Site 156002

Beijing, , China

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Site 156006

Beijing, , China

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Site 156015

Chendu, , China

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Site 156011

Chongqing, , China

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Site 156012

Chongqing, , China

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Site 156004

Dalian, , China

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Site 156030

Fujian, , China

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Site 156014

Guangdong, , China

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Site 156027

Guangdong, , China

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Site 156025

Guangzhou, , China

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Site 156018

Guiyang, , China

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Site 156003

Nanchang, , China

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Site 156005

Nanjing, , China

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Site 156008

Nanjing, , China

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Site 156007

Nanjing, , China

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Site 156013

Ningbo, , China

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Site 156028

Shandong, , China

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Site 156017

Shanghai, , China

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Site 156016

Shijiazhuang, , China

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Site 156020

Tianjin, , China

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Site 156029

Ürümqi, , China

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Site 156010

Xiamen, , China

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Site 119103

Split, , Croatia

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Site 119101

Zagreb, , Croatia

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Site 119106

Zagreb, , Croatia

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Site 134801

Budapest, , Hungary

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Site 134803

Nyíregyháza, , Hungary

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Site 134804

Szeged, , Hungary

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Site 142803

Daugavpils, , Latvia

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Site 142804

Riga, , Latvia

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Site 142801

Riga, , Latvia

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Site 148402

Colima, , Mexico

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Site 148401

Guadalajara, , Mexico

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Site 160403

Cuzco, , Peru

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Site 160410

Lima, , Peru

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Site 160406

Lima, , Peru

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Site 160404

Trujillo, , Peru

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Site 164206

Bucharest, , Romania

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Site 164205

Bucharest, , Romania

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Site 164204

Bucharest, , Romania

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Site 164201

Craiova, , Romania

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Site 164307

Moscow, , Russia

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Site 164301

Penza, , Russia

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Site 164308

Pyatigorsk, , Russia

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Site 164311

Rostov-on-Don, , Russia

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Site 164303

Saint Petersburg, , Russia

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Site 164302

Saratov, , Russia

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Site 189001

Belgrade, , Serbia

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Site 189002

Belgrade, , Serbia

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Site 179207

Adapazarı, , Turkey (Türkiye)

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Site 179203

Bornova, , Turkey (Türkiye)

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Site 179202

Bostancı, , Turkey (Türkiye)

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Site 179205

Çankaya, , Turkey (Türkiye)

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Site 179204

Diyarbakır, , Turkey (Türkiye)

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Site 180404

Dnipro, , Ukraine

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Site 180408

Ivano-Frankivsk, , Ukraine

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Site 180402

Kharkiv, , Ukraine

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Site 180406

Kyiv, , Ukraine

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Site 180401

Lutsk, , Ukraine

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Site 180403

Vinnytsia, , Ukraine

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Site 180407

Zaporizhzhya, , Ukraine

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Countries

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United States Argentina Brazil Bulgaria China Croatia Hungary Latvia Mexico Peru Romania Russia Serbia Turkey (Türkiye) Ukraine

References

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Moeck G, Gasink LB, Mendes RE, Woosley LN, Dorr M, Chen H, Wagenlehner FM, Henkel T, McGovern PC. Patient outcomes by baseline pathogen resistance phenotype and genotype in CERTAIN-1, a Phase 3 study of cefepime-taniborbactam versus meropenem in adults with complicated urinary tract infection. Antimicrob Agents Chemother. 2024 Jul 9;68(7):e0023624. doi: 10.1128/aac.00236-24. Epub 2024 May 23.

Reference Type DERIVED
PMID: 38780262 (View on PubMed)

Wagenlehner FM, Gasink LB, McGovern PC, Moeck G, McLeroth P, Dorr M, Dane A, Henkel T; CERTAIN-1 Study Team. Cefepime-Taniborbactam in Complicated Urinary Tract Infection. N Engl J Med. 2024 Feb 15;390(7):611-622. doi: 10.1056/NEJMoa2304748.

Reference Type DERIVED
PMID: 38354140 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2018-001451-13

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

VNRX-5133-201

Identifier Type: -

Identifier Source: org_study_id

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