Efficacy and Safety of CAZ-AVI in the Treatment of Infections Due to Carbapenem-resistant G- Pathogens in Chinese Adults

NCT ID: NCT04882085

Last Updated: 2024-10-21

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-08-26

Study Completion Date

2023-08-31

Brief Summary

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This is an open-label, randomized, multi-center, interventional, active-controlled Phase 4 study to evaluate the efficacy and safety of CAZ-AVI versus BAT in the treatment of infected participants with selected infection types (Hospital Acquired Pneumonia \[HAP\] (including Ventilator-Associated Pneumonia \[VAP\]); Complicated Urinary-Tract Infection \[cUTI\]; Complicated Intra-Abdominal Infection \[cIAI\]; Bloodstream Infection \[BSI\]) due to carbapenem-resistant Gram-negative pathogens in China.This study will be an estimation study. The statistical inference will be based on point estimate and confidence interval.

Detailed Description

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Conditions

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Urinary Tract Infection Acute Pyelonephritis Hospital Acquired Pneumonia Ventilator-associated Pneumonia Bacteremia Intra-abdominal Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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CAZ-AVI

ceftazidime 2g plus avibactam 0.5g

Group Type EXPERIMENTAL

Zavicefta, Ceftazidime-Avibactam

Intervention Type DRUG

CAZ-AVI 2.5 g (2 g ceftazidime + 0.5 g avibactam) administered IV as a 2 hour infusion every 8 hours. Dose adjustments are available for participants with CrCL ≤50 mL/min.

Best Available Treatment

Based on investigative site practice and local epidemiology and guideline

Group Type ACTIVE_COMPARATOR

Best Available Treatment

Intervention Type DRUG

main treatment expected to be used as either monotherapy or in combination are colistin, tigecycline, fosfomycin, amikacin, and meropenem

Interventions

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Zavicefta, Ceftazidime-Avibactam

CAZ-AVI 2.5 g (2 g ceftazidime + 0.5 g avibactam) administered IV as a 2 hour infusion every 8 hours. Dose adjustments are available for participants with CrCL ≤50 mL/min.

Intervention Type DRUG

Best Available Treatment

main treatment expected to be used as either monotherapy or in combination are colistin, tigecycline, fosfomycin, amikacin, and meropenem

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female \>18 years of age
* Participant must have a diagnosis of an infection (HAP/VAP, cUTI, cIAI, BSI) due to confirmed carbapenem-resistant aerobic Gram-negative pathogens, requiring administration of IV antibacterial therapy
* Participant who had received appropriate prior empiric antibacterial therapy for a carbapenem-resistant pathogen must meet at least 1 of the following criteria: no or no more than 24h; worsening of objective symptoms or signs after at least 48 hours of antibacterial therapy; no change of objective symptoms or signs after at least 72 hours of antibacterial therapy.
* Capable of giving signed informed consent

Exclusion Criteria

* Other medical or psychiatric condition may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study.
* Participant is expected to require more than 21 days of treatment
* Participants who need more than 3 systemic antibiotics as part of best available treatment (BAT)
* Previous administration with an investigational drug within 30 days or 5 half lives preceding the first dose of study intervention used in this study (whichever is longer).
* Participant is pregnant or breastfeeding.
* Acute Physiology and Chronic Health Evaluation (APACHE) II score \>30 or \<10 using the most recent available data.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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The First Affiliated Hospital of Bengbu Medical

Bengbu, Anhui, China

Site Status

The First Affiliated Hospital of Bengbu Medical College

Bengbu, Anhui, China

Site Status

Chizhou People's Hospital

Chizhou, Anhui, China

Site Status

Fuyang People's Hospital

Fuyang, Anhui, China

Site Status

Peking University Third Hospital

Beijing, Beijing Municipality, China

Site Status

Zhongshan Hospital Xiamen University

Xiamen, Fujian, China

Site Status

Guangzhou First People's Hospital

Guangzhou, Guangdong, China

Site Status

Qingyuan People's Hospital

Qingyuan, Guangdong, China

Site Status

Shenzhen People's Hospital

Shenzhen, Guangdong, China

Site Status

The Second People's Hospital of Shenzhen

Shenzhen, Guangdong, China

Site Status

Affiliated Hospital of Guangdong Medical University

Zhanjiang, Guangdong, China

Site Status

Affiliated Hospital of Guilin Medical College

Guilin, Guangxi, China

Site Status

Affiliated Hospital of Zunyi Medical University

Zunyi, Guizhou, China

Site Status

Affiliated Hospital of Hebei University

Baoding, Hebei, China

Site Status

Luoyang Central Hospital

Luoyang, Henan, China

Site Status

NanYang central hospital

Nanyang, Henan, China

Site Status

Henan provincial people's hospital

Zhengzhou, Henan, China

Site Status

Henan provincial people's hospital

Zhengzhou, Henan, China

Site Status

Baotou Central Hospital

Baotou, Inner Mongolia, China

Site Status

Jiangyin People's Hospital

Jiangyin, Jiangsu, China

Site Status

Affiliated Hospital of Xuzhou Medical University

Xuzhou, Jiangsu, China

Site Status

Subei People's Hospital of Jiangsu province

Yangzhou, Jiangsu, China

Site Status

Jiangxi Provincial People's Hospital

Nanchang, Jiangxi, China

Site Status

Huashan Hospital, Fudan University

Shanghai, Shanghai Municipality, China

Site Status

Chengdu Xinhua Hospital

Chengdu, Sichuan, China

Site Status

Tianjin Chest Hospital

Tianjin, Tianjin Municipality, China

Site Status

The First People's Hospital of Kunming (South Hospital)

Kunming, Yunnan, China

Site Status

The First people's Hospital of Kunming

Kunming, Yunnan, China

Site Status

The First People's Hospital of Kunming Ganmei Hospital (North Hospital)

Kunming, Yunnan, China

Site Status

Zhejiang Hospital

Hangzhou, Zhejiang, China

Site Status

Zhejiang Provincial People's Hospital

Hangzhou, Zhejiang, China

Site Status

Lishui People's Hospital

Lishui, Zhejiang, China

Site Status

Taizhou Hospital of Zhejiang Province

Taizhou, Zhejiang, China

Site Status

The 2nd Affiliated Hospital of WMU

Wenzhou, Zhejiang, China

Site Status

Wenzhou Central Hospital

Wenzhou, Zhejiang, China

Site Status

Jiangyin People's Hospital

Jiangyin, , China

Site Status

Shanghai Fifth People's Hospital, Fudan University

Shanghai, , China

Site Status

Countries

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China

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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https://pmiform.com/clinical-trial-info-request?StudyID=C3591033

To obtain contact information for a study center near you, click here.

Other Identifiers

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C3591033

Identifier Type: -

Identifier Source: org_study_id

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