Trial Outcomes & Findings for Ceftolozane-Tazobactam for Directed Treatment of Pseudomonas Aeruginosa Bacteremia and Pneumonia in Patients With Hematological Malignancies and Hematopoietic Stem Cell Transplantation (NCT NCT04673175)
NCT ID: NCT04673175
Last Updated: 2026-01-21
Results Overview
Clinical success 30 days after collection of the index culture. Clinical success is defined as meeting all of the following criteria at that time point: survival; resolution or near resolution of baseline clinical manifestations, including fever, hypoxia, and signs or symptoms of sepsis; and absence of recurrent infection due to Pseudomonas aeruginosa or persistent infection despite more than 7 days of anti-pseudomonal therapy.
TERMINATED
PHASE4
17 participants
30 days after collection of the index culture
2026-01-21
Participant Flow
Prospective participants for the ceftolozane-tazobactam arm were recruited at a single academic tertiary care hospital among adults with hematologic malignancies or hematopoietic stem cell transplant and documented Pseudomonas aeruginosa bacteremia or pneumonia between January 2023 and February 2025. Historical controls were identified retrospectively from the same institution.
A total of 17 consent events occurred among 16 unique participants. Per protocol, one participant was eligible for re-enrollment after developing a separate Pseudomonas aeruginosa infection and received study treatment during both enrollments. For statistical analyses, this participant was counted once to avoid bias. Analyses therefore summarize outcomes for 16 unique treated participants.
Participant milestones
| Measure |
Ceftolozane-Tazobactam (Prospective Treatment Arm)
Participants prospectively enrolled in the study received ceftolozane-tazobactam intravenously every 8 hours for approximately 10 to 14 days, with treatment extended up to 21 days if infection persisted or recurred. Outcomes for this arm were assessed according to the protocol's primary and secondary endpoints.
|
Historical Control (Standard of Care Prior to Study)
This arm consists of historical control patients with documented Pseudomonas aeruginosa bacteremia and/or pneumonia who received standard-of-care antimicrobial therapy prior to initiation of this study. These patients were included retrospectively for comparative analyses of selected primary and secondary endpoints. No study interventions were administered to this arm.
|
|---|---|---|
|
Overall Study
STARTED
|
16
|
48
|
|
Overall Study
COMPLETED
|
16
|
48
|
|
Overall Study
NOT COMPLETED
|
0
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Ceftolozane-Tazobactam for Directed Treatment of Pseudomonas Aeruginosa Bacteremia and Pneumonia in Patients With Hematological Malignancies and Hematopoietic Stem Cell Transplantation
Baseline characteristics by cohort
| Measure |
Ceftolozane-Tazobactam (Prospective Treatment Arm)
n=16 Participants
Participants prospectively enrolled in the study received ceftolozane-tazobactam intravenously every 8 hours for approximately 10 to 14 days, with treatment extended up to 21 days if infection persisted or recurred. Outcomes for this arm were assessed according to the protocol's primary and secondary endpoints.
|
Historical Control (Standard of Care Prior to Study)
n=48 Participants
This arm consists of historical control patients with documented Pseudomonas aeruginosa bacteremia and/or pneumonia who received standard-of-care antimicrobial therapy prior to initiation of this study. These patients were included retrospectively for comparative analyses of selected primary and secondary endpoints. No study interventions were administered to this arm.
|
Total
n=64 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
68.5 years
n=37 Participants
|
66 years
n=44 Participants
|
67 years
n=40 Participants
|
|
Sex: Female, Male
Female
|
1 Participants
n=37 Participants
|
23 Participants
n=44 Participants
|
24 Participants
n=40 Participants
|
|
Sex: Female, Male
Male
|
15 Participants
n=37 Participants
|
25 Participants
n=44 Participants
|
40 Participants
n=40 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
0 Participants
n=37 Participants
|
5 Participants
n=44 Participants
|
5 Participants
n=40 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
15 Participants
n=37 Participants
|
35 Participants
n=44 Participants
|
50 Participants
n=40 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
1 Participants
n=37 Participants
|
8 Participants
n=44 Participants
|
9 Participants
n=40 Participants
|
|
Infection Type at Index Pseudomonas Infection
Bacteremia
|
13 Participants
n=37 Participants
|
39 Participants
n=44 Participants
|
52 Participants
n=40 Participants
|
|
Infection Type at Index Pseudomonas Infection
Pneumonia
|
3 Participants
n=37 Participants
|
9 Participants
n=44 Participants
|
12 Participants
n=40 Participants
|
|
Neutropenia Status at Index Pseudomonas Infection
Neutropenic
|
7 Participants
n=37 Participants
|
21 Participants
n=44 Participants
|
28 Participants
n=40 Participants
|
|
Neutropenia Status at Index Pseudomonas Infection
Not Neutropenic
|
9 Participants
n=37 Participants
|
27 Participants
n=44 Participants
|
36 Participants
n=40 Participants
|
|
Race/Ethnicity, Customized
Race · American Indian or Alaska Native
|
0 Participants
n=37 Participants
|
0 Participants
n=44 Participants
|
0 Participants
n=40 Participants
|
|
Race/Ethnicity, Customized
Race · Asian
|
1 Participants
n=37 Participants
|
3 Participants
n=44 Participants
|
4 Participants
n=40 Participants
|
|
Race/Ethnicity, Customized
Race · Native Hawaiian or Other Pacific Islander
|
0 Participants
n=37 Participants
|
0 Participants
n=44 Participants
|
0 Participants
n=40 Participants
|
|
Race/Ethnicity, Customized
Race · Black or African American
|
1 Participants
n=37 Participants
|
7 Participants
n=44 Participants
|
8 Participants
n=40 Participants
|
|
Race/Ethnicity, Customized
Race · White
|
14 Participants
n=37 Participants
|
27 Participants
n=44 Participants
|
41 Participants
n=40 Participants
|
|
Race/Ethnicity, Customized
Race · Other combinations not described
|
0 Participants
n=37 Participants
|
9 Participants
n=44 Participants
|
9 Participants
n=40 Participants
|
|
Race/Ethnicity, Customized
Race · Decline to answer
|
0 Participants
n=37 Participants
|
2 Participants
n=44 Participants
|
2 Participants
n=40 Participants
|
|
Hematologic Malignancy Type
Acute myeloid leukemia
|
8 Participants
n=37 Participants
|
18 Participants
n=44 Participants
|
26 Participants
n=40 Participants
|
|
Hematologic Malignancy Type
Acute lymphoblastic leukemia
|
1 Participants
n=37 Participants
|
4 Participants
n=44 Participants
|
5 Participants
n=40 Participants
|
|
Hematologic Malignancy Type
Chronic leukemia
|
3 Participants
n=37 Participants
|
3 Participants
n=44 Participants
|
6 Participants
n=40 Participants
|
|
Hematologic Malignancy Type
Non-Hodgkin's lymphoma
|
3 Participants
n=37 Participants
|
14 Participants
n=44 Participants
|
17 Participants
n=40 Participants
|
|
Hematologic Malignancy Type
Multiple myeloma
|
1 Participants
n=37 Participants
|
7 Participants
n=44 Participants
|
8 Participants
n=40 Participants
|
|
Hematologic Malignancy Type
Myelodysplastic Syndromes
|
4 Participants
n=37 Participants
|
5 Participants
n=44 Participants
|
9 Participants
n=40 Participants
|
|
Hematopoietic cell transplant recipient
Yes
|
10 Participants
n=37 Participants
|
18 Participants
n=44 Participants
|
28 Participants
n=40 Participants
|
|
Hematopoietic cell transplant recipient
No
|
6 Participants
n=37 Participants
|
30 Participants
n=44 Participants
|
36 Participants
n=40 Participants
|
|
Pitt Bacteremia Score
|
0.5 score on a scale
n=37 Participants
|
1 score on a scale
n=44 Participants
|
1 score on a scale
n=40 Participants
|
|
Age-adjusted Charlson Comorbidity Index
|
6 score on a scale
n=37 Participants
|
5 score on a scale
n=44 Participants
|
5 score on a scale
n=40 Participants
|
PRIMARY outcome
Timeframe: 30 days after collection of the index culturePopulation: Outcome measures were summarized for 16 unique prospective participants and 48 historical controls, matching the numbers in Participant Flow. The participant who was re-enrolled for a second Pseudomonas aeruginosa infection is counted once for this measure, consistent with the analysis datasets.
Clinical success 30 days after collection of the index culture. Clinical success is defined as meeting all of the following criteria at that time point: survival; resolution or near resolution of baseline clinical manifestations, including fever, hypoxia, and signs or symptoms of sepsis; and absence of recurrent infection due to Pseudomonas aeruginosa or persistent infection despite more than 7 days of anti-pseudomonal therapy.
Outcome measures
| Measure |
Ceftolozane-Tazobactam (Prospective Treatment Arm)
n=16 Participants
Participants prospectively enrolled in the study received ceftolozane-tazobactam intravenously every 8 hours for approximately 10 to 14 days, with treatment extended up to 21 days if infection persisted or recurred. Outcomes for this arm were assessed according to the protocol's primary and secondary endpoints.
|
Historical Control (Standard of Care Prior to Study)
n=48 Participants
This arm consists of historical control patients with documented Pseudomonas aeruginosa bacteremia and/or pneumonia who received standard-of-care antimicrobial therapy prior to initiation of this study. These patients were included retrospectively for comparative analyses of selected primary and secondary endpoints. No study interventions were administered to this arm.
|
|---|---|---|
|
Clinical Success at Day 30
Clinical Failure
|
4 Participants
|
18 Participants
|
|
Clinical Success at Day 30
Clinical Success
|
12 Participants
|
30 Participants
|
SECONDARY outcome
Timeframe: 30 days after initiation of anti-pseudomonal therapy for the index infectionPopulation: Outcome measures were summarized for 16 unique prospective participants and 48 historical controls, matching the numbers in Participant Flow. The participant who was re-enrolled for a second Pseudomonas aeruginosa infection is counted once for this measure, consistent with the analysis datasets.
Survival status 30 days after initiation of anti-pseudomonal therapy for the index infection, assessed by chart review or phone contact.
Outcome measures
| Measure |
Ceftolozane-Tazobactam (Prospective Treatment Arm)
n=16 Participants
Participants prospectively enrolled in the study received ceftolozane-tazobactam intravenously every 8 hours for approximately 10 to 14 days, with treatment extended up to 21 days if infection persisted or recurred. Outcomes for this arm were assessed according to the protocol's primary and secondary endpoints.
|
Historical Control (Standard of Care Prior to Study)
n=48 Participants
This arm consists of historical control patients with documented Pseudomonas aeruginosa bacteremia and/or pneumonia who received standard-of-care antimicrobial therapy prior to initiation of this study. These patients were included retrospectively for comparative analyses of selected primary and secondary endpoints. No study interventions were administered to this arm.
|
|---|---|---|
|
Survival at Day 30
Alive
|
15 Participants
|
35 Participants
|
|
Survival at Day 30
Deceased
|
1 Participants
|
13 Participants
|
SECONDARY outcome
Timeframe: 60 days after initiation of anti-pseudomonal therapy for the index infectionPopulation: Outcome measures were summarized for 16 unique prospective participants and 48 historical controls, matching the numbers in Participant Flow. The participant who was re-enrolled for a second Pseudomonas aeruginosa infection is counted once for this measure, consistent with the analysis datasets.
Survival status 60 days after initiation of anti-pseudomonal therapy for the index infection, assessed by chart review or phone contact.
Outcome measures
| Measure |
Ceftolozane-Tazobactam (Prospective Treatment Arm)
n=16 Participants
Participants prospectively enrolled in the study received ceftolozane-tazobactam intravenously every 8 hours for approximately 10 to 14 days, with treatment extended up to 21 days if infection persisted or recurred. Outcomes for this arm were assessed according to the protocol's primary and secondary endpoints.
|
Historical Control (Standard of Care Prior to Study)
n=48 Participants
This arm consists of historical control patients with documented Pseudomonas aeruginosa bacteremia and/or pneumonia who received standard-of-care antimicrobial therapy prior to initiation of this study. These patients were included retrospectively for comparative analyses of selected primary and secondary endpoints. No study interventions were administered to this arm.
|
|---|---|---|
|
Survival at Day 60
Alive
|
13 Participants
|
28 Participants
|
|
Survival at Day 60
Deceased
|
3 Participants
|
20 Participants
|
SECONDARY outcome
Timeframe: From index culture collection up to 60 daysPopulation: Analysis limited to participants with Pseudomonas aeruginosa bacteremia who had follow-up blood cultures after the index culture. Participants without follow-up blood cultures were excluded from this outcome. One participant in the prospective cohort was re-enrolled for a second Pseudomonas aeruginosa infection and is counted once for this measure, consistent with the analysis datasets.
Time (days) from the index positive blood culture for Pseudomonas aeruginosa to bacteremia resolution. Resolution was defined as the date of the first of two consecutive negative blood cultures obtained after the index culture. Participants without follow-up blood cultures were excluded from this analysis.
Outcome measures
| Measure |
Ceftolozane-Tazobactam (Prospective Treatment Arm)
n=13 Participants
Participants prospectively enrolled in the study received ceftolozane-tazobactam intravenously every 8 hours for approximately 10 to 14 days, with treatment extended up to 21 days if infection persisted or recurred. Outcomes for this arm were assessed according to the protocol's primary and secondary endpoints.
|
Historical Control (Standard of Care Prior to Study)
n=38 Participants
This arm consists of historical control patients with documented Pseudomonas aeruginosa bacteremia and/or pneumonia who received standard-of-care antimicrobial therapy prior to initiation of this study. These patients were included retrospectively for comparative analyses of selected primary and secondary endpoints. No study interventions were administered to this arm.
|
|---|---|---|
|
Time to Resolution of Bacteremia
|
2 Days
Interval 1.0 to 2.0
|
1 Days
Interval 1.0 to 2.0
|
SECONDARY outcome
Timeframe: From index culture collection through discharge from the hospital admission for the index infection (up to 60 days)Population: Outcome measures were summarized for 16 unique prospective participants and 48 historical controls, matching the numbers in Participant Flow. The participant who was re-enrolled for a second Pseudomonas aeruginosa infection is counted once for this measure, consistent with the analysis datasets.
Total number of days hospitalized for the admission during which the index Pseudomonas aeruginosa infection is treated, measured beginning on the date of index culture collection and obtained from the Hospitalization Status Assessment.
Outcome measures
| Measure |
Ceftolozane-Tazobactam (Prospective Treatment Arm)
n=16 Participants
Participants prospectively enrolled in the study received ceftolozane-tazobactam intravenously every 8 hours for approximately 10 to 14 days, with treatment extended up to 21 days if infection persisted or recurred. Outcomes for this arm were assessed according to the protocol's primary and secondary endpoints.
|
Historical Control (Standard of Care Prior to Study)
n=48 Participants
This arm consists of historical control patients with documented Pseudomonas aeruginosa bacteremia and/or pneumonia who received standard-of-care antimicrobial therapy prior to initiation of this study. These patients were included retrospectively for comparative analyses of selected primary and secondary endpoints. No study interventions were administered to this arm.
|
|---|---|---|
|
Length of Hospital Stay
|
17.5 Days
Interval 12.0 to 38.0
|
17 Days
Interval 12.5 to 25.5
|
SECONDARY outcome
Timeframe: From index culture collection up to 60 daysPopulation: Assessed only among participants who received ceftolozane-tazobactam. Historical controls were not analyzed (0 participants) because they did not receive ceftolozane-tazobactam. One participant in the prospective cohort was re-enrolled for a second Pseudomonas aeruginosa infection and is counted once for this measure, consistent with the analysis datasets.
Occurrence of Pseudomonas aeruginosa isolates that newly demonstrate resistance to ceftolozane-tazobactam on antimicrobial susceptibility testing after initiation of therapy for the index infection.
Outcome measures
| Measure |
Ceftolozane-Tazobactam (Prospective Treatment Arm)
n=16 Participants
Participants prospectively enrolled in the study received ceftolozane-tazobactam intravenously every 8 hours for approximately 10 to 14 days, with treatment extended up to 21 days if infection persisted or recurred. Outcomes for this arm were assessed according to the protocol's primary and secondary endpoints.
|
Historical Control (Standard of Care Prior to Study)
This arm consists of historical control patients with documented Pseudomonas aeruginosa bacteremia and/or pneumonia who received standard-of-care antimicrobial therapy prior to initiation of this study. These patients were included retrospectively for comparative analyses of selected primary and secondary endpoints. No study interventions were administered to this arm.
|
|---|---|---|
|
Emergence of Ceftolozane-tazobactam Resistant Isolates
Emergence of ceftolozane-tazobactam resistant isolate
|
0 Participants
|
—
|
|
Emergence of Ceftolozane-tazobactam Resistant Isolates
No emergence of ceftolozane-tazobactam resistant isolate
|
16 Participants
|
—
|
SECONDARY outcome
Timeframe: From index culture collection up to 60 daysPopulation: Outcome measures were summarized for 16 unique prospective participants and 48 historical controls, matching the numbers in Participant Flow. The participant who was re-enrolled for a second Pseudomonas aeruginosa infection is counted once for this measure, consistent with the analysis datasets.
Time (in hours) from index culture collection for the index Pseudomonas aeruginosa infection to initiation of an anti-pseudomonal agent deemed appropriate based on antimicrobial susceptibility results.
Outcome measures
| Measure |
Ceftolozane-Tazobactam (Prospective Treatment Arm)
n=16 Participants
Participants prospectively enrolled in the study received ceftolozane-tazobactam intravenously every 8 hours for approximately 10 to 14 days, with treatment extended up to 21 days if infection persisted or recurred. Outcomes for this arm were assessed according to the protocol's primary and secondary endpoints.
|
Historical Control (Standard of Care Prior to Study)
n=48 Participants
This arm consists of historical control patients with documented Pseudomonas aeruginosa bacteremia and/or pneumonia who received standard-of-care antimicrobial therapy prior to initiation of this study. These patients were included retrospectively for comparative analyses of selected primary and secondary endpoints. No study interventions were administered to this arm.
|
|---|---|---|
|
Time to Appropriate Therapy
|
1 Hours
Interval 0.0 to 5.5
|
3 Hours
Interval 0.0 to 22.0
|
SECONDARY outcome
Timeframe: 30 days after collection of the index culturePopulation: Outcome measures were summarized for 16 unique prospective participants and 48 historical controls, matching the numbers in Participant Flow. The participant who was re-enrolled for a second Pseudomonas aeruginosa infection is counted once for this measure, consistent with the analysis datasets.
Resolution or near resolution of baseline fever, hypoxia, or signs and symptoms of sepsis related to the index infection at 30 days after index culture collection, as assessed by physical examination findings and clinical documentation.
Outcome measures
| Measure |
Ceftolozane-Tazobactam (Prospective Treatment Arm)
n=16 Participants
Participants prospectively enrolled in the study received ceftolozane-tazobactam intravenously every 8 hours for approximately 10 to 14 days, with treatment extended up to 21 days if infection persisted or recurred. Outcomes for this arm were assessed according to the protocol's primary and secondary endpoints.
|
Historical Control (Standard of Care Prior to Study)
n=48 Participants
This arm consists of historical control patients with documented Pseudomonas aeruginosa bacteremia and/or pneumonia who received standard-of-care antimicrobial therapy prior to initiation of this study. These patients were included retrospectively for comparative analyses of selected primary and secondary endpoints. No study interventions were administered to this arm.
|
|---|---|---|
|
Resolution of Baseline Clinical Manifestations
Resolution or near resolution achieved
|
14 Participants
|
33 Participants
|
|
Resolution of Baseline Clinical Manifestations
Resolution or near resolution not achieved
|
2 Participants
|
15 Participants
|
SECONDARY outcome
Timeframe: From initiation of study ceftolozane-tazobactam therapy through end of study-directed anti-pseudomonal treatment (up to 21 days)Population: Assessed only among participants who received study-directed ceftolozane-tazobactam. Historical controls were not analyzed (0 participants) because they did not receive ceftolozane-tazobactam. One participant in the prospective cohort was re-enrolled for a second Pseudomonas aeruginosa infection and is counted once for this measure, consistent with the analysis datasets.
Number of participants with any modification to the initial study-directed anti-pseudomonal regimen for the index infection, defined as either (1) discontinuation of ceftolozane-tazobactam with switch to another anti-pseudomonal agent or (2) addition of another anti-pseudomonal antibiotic during the treatment course. Outpatient levofloxacin was not considered a modification.
Outcome measures
| Measure |
Ceftolozane-Tazobactam (Prospective Treatment Arm)
n=16 Participants
Participants prospectively enrolled in the study received ceftolozane-tazobactam intravenously every 8 hours for approximately 10 to 14 days, with treatment extended up to 21 days if infection persisted or recurred. Outcomes for this arm were assessed according to the protocol's primary and secondary endpoints.
|
Historical Control (Standard of Care Prior to Study)
This arm consists of historical control patients with documented Pseudomonas aeruginosa bacteremia and/or pneumonia who received standard-of-care antimicrobial therapy prior to initiation of this study. These patients were included retrospectively for comparative analyses of selected primary and secondary endpoints. No study interventions were administered to this arm.
|
|---|---|---|
|
Modifications to Initial Antimicrobial Therapy
Modification to initial regimen
|
3 Participants
|
—
|
|
Modifications to Initial Antimicrobial Therapy
No modification to initial regimen
|
13 Participants
|
—
|
SECONDARY outcome
Timeframe: From initiation of study ceftolozane-tazobactam therapy through end of ceftolozane-tazobactam treatment (up to 21 days)Population: Assessed only among participants who received ceftolozane-tazobactam. Historical controls were not analyzed (0 participants) because they did not receive ceftolozane-tazobactam. One participant in the prospective cohort was re-enrolled for a second Pseudomonas aeruginosa infection and is counted once for this measure, consistent with the analysis datasets.
Identification of new bacterial pathogens identified in blood cultures during study-directed ceftolozane-tazobactam treatment for the index infection.
Outcome measures
| Measure |
Ceftolozane-Tazobactam (Prospective Treatment Arm)
n=16 Participants
Participants prospectively enrolled in the study received ceftolozane-tazobactam intravenously every 8 hours for approximately 10 to 14 days, with treatment extended up to 21 days if infection persisted or recurred. Outcomes for this arm were assessed according to the protocol's primary and secondary endpoints.
|
Historical Control (Standard of Care Prior to Study)
This arm consists of historical control patients with documented Pseudomonas aeruginosa bacteremia and/or pneumonia who received standard-of-care antimicrobial therapy prior to initiation of this study. These patients were included retrospectively for comparative analyses of selected primary and secondary endpoints. No study interventions were administered to this arm.
|
|---|---|---|
|
Emergence of Other Bacteria During Therapy
New bacterial pathogen identified
|
0 Participants
|
—
|
|
Emergence of Other Bacteria During Therapy
No new bacterial pathogen identified
|
16 Participants
|
—
|
SECONDARY outcome
Timeframe: From index culture collection through discharge from the hospital admission for the index infection (up to 60 days)Population: Outcome measures were summarized for 16 unique prospective participants and 48 historical controls, matching the numbers in Participant Flow. The participant who was re-enrolled for a second Pseudomonas aeruginosa infection is counted once for this measure, consistent with the analysis datasets.
Total number of days requiring invasive mechanical ventilation during the index admission, measured beginning on the date of index culture collection and abstracted from the medical record.
Outcome measures
| Measure |
Ceftolozane-Tazobactam (Prospective Treatment Arm)
n=16 Participants
Participants prospectively enrolled in the study received ceftolozane-tazobactam intravenously every 8 hours for approximately 10 to 14 days, with treatment extended up to 21 days if infection persisted or recurred. Outcomes for this arm were assessed according to the protocol's primary and secondary endpoints.
|
Historical Control (Standard of Care Prior to Study)
n=48 Participants
This arm consists of historical control patients with documented Pseudomonas aeruginosa bacteremia and/or pneumonia who received standard-of-care antimicrobial therapy prior to initiation of this study. These patients were included retrospectively for comparative analyses of selected primary and secondary endpoints. No study interventions were administered to this arm.
|
|---|---|---|
|
Number of Days on Ventilator
|
0 Days
Interval 0.0 to 0.0
|
0 Days
Interval 0.0 to 0.0
|
SECONDARY outcome
Timeframe: From index culture collection through discharge from the hospital admission for the index infection (up to 60 days)Population: Outcome measures were summarized for 16 unique prospective participants and 48 historical controls, matching the numbers in Participant Flow. The participant who was re-enrolled for a second Pseudomonas aeruginosa infection is counted once for this measure, consistent with the analysis datasets.
Total number of days spent in an intensive care unit during the index admission, measured beginning on the date of index culture collection and obtained from the Hospitalization Status Assessment.
Outcome measures
| Measure |
Ceftolozane-Tazobactam (Prospective Treatment Arm)
n=16 Participants
Participants prospectively enrolled in the study received ceftolozane-tazobactam intravenously every 8 hours for approximately 10 to 14 days, with treatment extended up to 21 days if infection persisted or recurred. Outcomes for this arm were assessed according to the protocol's primary and secondary endpoints.
|
Historical Control (Standard of Care Prior to Study)
n=48 Participants
This arm consists of historical control patients with documented Pseudomonas aeruginosa bacteremia and/or pneumonia who received standard-of-care antimicrobial therapy prior to initiation of this study. These patients were included retrospectively for comparative analyses of selected primary and secondary endpoints. No study interventions were administered to this arm.
|
|---|---|---|
|
ICU Length of Stay
|
0 Days
Interval 0.0 to 1.0
|
0 Days
Interval 0.0 to 2.5
|
Adverse Events
Ceftolozane-Tazobactam (Prospective Treatment Arm)
Historical Control (Standard of Care Prior to Study)
Serious adverse events
| Measure |
Ceftolozane-Tazobactam (Prospective Treatment Arm)
n=16 participants at risk
Participants prospectively enrolled in the study received ceftolozane-tazobactam intravenously every 8 hours for approximately 10 to 14 days, with treatment extended up to 21 days if infection persisted or recurred. Outcomes for this arm were assessed according to the protocol's primary and secondary endpoints.
|
Historical Control (Standard of Care Prior to Study)
This arm consists of historical control patients with documented Pseudomonas aeruginosa bacteremia and/or pneumonia who received standard-of-care antimicrobial therapy prior to initiation of this study. These patients were included retrospectively for comparative analyses of selected primary and secondary endpoints. No study interventions were administered to this arm.
|
|---|---|---|
|
Respiratory, thoracic and mediastinal disorders
Suspected Aspiration
|
6.2%
1/16 • Number of events 1 • From index culture collection through 60 days after initiation of anti-pseudomonal therapy (up to 60 days)
SAEs were collected prospectively for participants receiving ceftolozane-tazobactam and classified per CTCAE v5.0. Only SAEs and deaths were systematically assessed; non-serious AEs were not collected. The participant who was re-enrolled for a second Pseudomonas aeruginosa infection episode is counted once for adverse event reporting purposes, consistent with the analysis datasets. AEs and SAEs for historical controls were not systematically collected, except for all-cause mortality.
|
—
0/0 • From index culture collection through 60 days after initiation of anti-pseudomonal therapy (up to 60 days)
SAEs were collected prospectively for participants receiving ceftolozane-tazobactam and classified per CTCAE v5.0. Only SAEs and deaths were systematically assessed; non-serious AEs were not collected. The participant who was re-enrolled for a second Pseudomonas aeruginosa infection episode is counted once for adverse event reporting purposes, consistent with the analysis datasets. AEs and SAEs for historical controls were not systematically collected, except for all-cause mortality.
|
|
Immune system disorders
Graft-versus-host disease exacerbation
|
6.2%
1/16 • Number of events 1 • From index culture collection through 60 days after initiation of anti-pseudomonal therapy (up to 60 days)
SAEs were collected prospectively for participants receiving ceftolozane-tazobactam and classified per CTCAE v5.0. Only SAEs and deaths were systematically assessed; non-serious AEs were not collected. The participant who was re-enrolled for a second Pseudomonas aeruginosa infection episode is counted once for adverse event reporting purposes, consistent with the analysis datasets. AEs and SAEs for historical controls were not systematically collected, except for all-cause mortality.
|
—
0/0 • From index culture collection through 60 days after initiation of anti-pseudomonal therapy (up to 60 days)
SAEs were collected prospectively for participants receiving ceftolozane-tazobactam and classified per CTCAE v5.0. Only SAEs and deaths were systematically assessed; non-serious AEs were not collected. The participant who was re-enrolled for a second Pseudomonas aeruginosa infection episode is counted once for adverse event reporting purposes, consistent with the analysis datasets. AEs and SAEs for historical controls were not systematically collected, except for all-cause mortality.
|
|
Infections and infestations
Pseudomonas aeruginosa bacteremia
|
6.2%
1/16 • Number of events 1 • From index culture collection through 60 days after initiation of anti-pseudomonal therapy (up to 60 days)
SAEs were collected prospectively for participants receiving ceftolozane-tazobactam and classified per CTCAE v5.0. Only SAEs and deaths were systematically assessed; non-serious AEs were not collected. The participant who was re-enrolled for a second Pseudomonas aeruginosa infection episode is counted once for adverse event reporting purposes, consistent with the analysis datasets. AEs and SAEs for historical controls were not systematically collected, except for all-cause mortality.
|
—
0/0 • From index culture collection through 60 days after initiation of anti-pseudomonal therapy (up to 60 days)
SAEs were collected prospectively for participants receiving ceftolozane-tazobactam and classified per CTCAE v5.0. Only SAEs and deaths were systematically assessed; non-serious AEs were not collected. The participant who was re-enrolled for a second Pseudomonas aeruginosa infection episode is counted once for adverse event reporting purposes, consistent with the analysis datasets. AEs and SAEs for historical controls were not systematically collected, except for all-cause mortality.
|
|
Respiratory, thoracic and mediastinal disorders
Acute Respiratory Failure
|
6.2%
1/16 • Number of events 1 • From index culture collection through 60 days after initiation of anti-pseudomonal therapy (up to 60 days)
SAEs were collected prospectively for participants receiving ceftolozane-tazobactam and classified per CTCAE v5.0. Only SAEs and deaths were systematically assessed; non-serious AEs were not collected. The participant who was re-enrolled for a second Pseudomonas aeruginosa infection episode is counted once for adverse event reporting purposes, consistent with the analysis datasets. AEs and SAEs for historical controls were not systematically collected, except for all-cause mortality.
|
—
0/0 • From index culture collection through 60 days after initiation of anti-pseudomonal therapy (up to 60 days)
SAEs were collected prospectively for participants receiving ceftolozane-tazobactam and classified per CTCAE v5.0. Only SAEs and deaths were systematically assessed; non-serious AEs were not collected. The participant who was re-enrolled for a second Pseudomonas aeruginosa infection episode is counted once for adverse event reporting purposes, consistent with the analysis datasets. AEs and SAEs for historical controls were not systematically collected, except for all-cause mortality.
|
|
Blood and lymphatic system disorders
Febrile neutropenia
|
6.2%
1/16 • Number of events 1 • From index culture collection through 60 days after initiation of anti-pseudomonal therapy (up to 60 days)
SAEs were collected prospectively for participants receiving ceftolozane-tazobactam and classified per CTCAE v5.0. Only SAEs and deaths were systematically assessed; non-serious AEs were not collected. The participant who was re-enrolled for a second Pseudomonas aeruginosa infection episode is counted once for adverse event reporting purposes, consistent with the analysis datasets. AEs and SAEs for historical controls were not systematically collected, except for all-cause mortality.
|
—
0/0 • From index culture collection through 60 days after initiation of anti-pseudomonal therapy (up to 60 days)
SAEs were collected prospectively for participants receiving ceftolozane-tazobactam and classified per CTCAE v5.0. Only SAEs and deaths were systematically assessed; non-serious AEs were not collected. The participant who was re-enrolled for a second Pseudomonas aeruginosa infection episode is counted once for adverse event reporting purposes, consistent with the analysis datasets. AEs and SAEs for historical controls were not systematically collected, except for all-cause mortality.
|
|
Respiratory, thoracic and mediastinal disorders
Respiratory failure
|
6.2%
1/16 • Number of events 1 • From index culture collection through 60 days after initiation of anti-pseudomonal therapy (up to 60 days)
SAEs were collected prospectively for participants receiving ceftolozane-tazobactam and classified per CTCAE v5.0. Only SAEs and deaths were systematically assessed; non-serious AEs were not collected. The participant who was re-enrolled for a second Pseudomonas aeruginosa infection episode is counted once for adverse event reporting purposes, consistent with the analysis datasets. AEs and SAEs for historical controls were not systematically collected, except for all-cause mortality.
|
—
0/0 • From index culture collection through 60 days after initiation of anti-pseudomonal therapy (up to 60 days)
SAEs were collected prospectively for participants receiving ceftolozane-tazobactam and classified per CTCAE v5.0. Only SAEs and deaths were systematically assessed; non-serious AEs were not collected. The participant who was re-enrolled for a second Pseudomonas aeruginosa infection episode is counted once for adverse event reporting purposes, consistent with the analysis datasets. AEs and SAEs for historical controls were not systematically collected, except for all-cause mortality.
|
|
Infections and infestations
Cytomegalovirus viremia
|
6.2%
1/16 • Number of events 1 • From index culture collection through 60 days after initiation of anti-pseudomonal therapy (up to 60 days)
SAEs were collected prospectively for participants receiving ceftolozane-tazobactam and classified per CTCAE v5.0. Only SAEs and deaths were systematically assessed; non-serious AEs were not collected. The participant who was re-enrolled for a second Pseudomonas aeruginosa infection episode is counted once for adverse event reporting purposes, consistent with the analysis datasets. AEs and SAEs for historical controls were not systematically collected, except for all-cause mortality.
|
—
0/0 • From index culture collection through 60 days after initiation of anti-pseudomonal therapy (up to 60 days)
SAEs were collected prospectively for participants receiving ceftolozane-tazobactam and classified per CTCAE v5.0. Only SAEs and deaths were systematically assessed; non-serious AEs were not collected. The participant who was re-enrolled for a second Pseudomonas aeruginosa infection episode is counted once for adverse event reporting purposes, consistent with the analysis datasets. AEs and SAEs for historical controls were not systematically collected, except for all-cause mortality.
|
|
General disorders
Death
|
6.2%
1/16 • Number of events 1 • From index culture collection through 60 days after initiation of anti-pseudomonal therapy (up to 60 days)
SAEs were collected prospectively for participants receiving ceftolozane-tazobactam and classified per CTCAE v5.0. Only SAEs and deaths were systematically assessed; non-serious AEs were not collected. The participant who was re-enrolled for a second Pseudomonas aeruginosa infection episode is counted once for adverse event reporting purposes, consistent with the analysis datasets. AEs and SAEs for historical controls were not systematically collected, except for all-cause mortality.
|
—
0/0 • From index culture collection through 60 days after initiation of anti-pseudomonal therapy (up to 60 days)
SAEs were collected prospectively for participants receiving ceftolozane-tazobactam and classified per CTCAE v5.0. Only SAEs and deaths were systematically assessed; non-serious AEs were not collected. The participant who was re-enrolled for a second Pseudomonas aeruginosa infection episode is counted once for adverse event reporting purposes, consistent with the analysis datasets. AEs and SAEs for historical controls were not systematically collected, except for all-cause mortality.
|
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place