Study of Cefepime-zidebactam (FEP-ZID) in Complicated Urinary Tract Infection (cUTI) or Acute Pyelonephritis (AP)

NCT ID: NCT04979806

Last Updated: 2025-09-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

530 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-28

Study Completion Date

2024-11-25

Brief Summary

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This is a Phase 3, randomized, double-blind, multicenter, non-inferiority study to evaluate the efficacy, safety, and tolerability of FEP-ZID vs. meropenem in the treatment of hospitalized adults with cUTI or AP.

Approximately 528 hospitalized adult subjects (≥ 18 years of age) diagnosed with cUTI or AP will be enrolled in the study. The diagnosis of cUTI or AP will be based on a combination of clinical symptoms and signs plus the presence of pyuria. The total duration of treatment with study drug is 7 to 10 days. Each subject must remain hospitalized during the study drug treatment period; no outpatient parenteral antibiotic therapy is allowed.

Detailed Description

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Conditions

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Complicated Urinary Tract Infection Acute Pyelonephritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Cefepime-zidebactam (FEP-ZID)

Group Type EXPERIMENTAL

Cefepime-zidebactam (FEP-ZID)

Intervention Type DRUG

3 g (2 g FEP + 1 g ZID) IV q8h

Meropenem

Group Type ACTIVE_COMPARATOR

Meropenem

Intervention Type DRUG

1 g IV q8h

Interventions

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Cefepime-zidebactam (FEP-ZID)

3 g (2 g FEP + 1 g ZID) IV q8h

Intervention Type DRUG

Meropenem

1 g IV q8h

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Male or female ≥ 18 years of age
2. Provide a signed written informed consent prior to any study-specific procedures
3. Meet the clinical criteria for either cUTI or AP
4. Requires hospitalization to manage the cUTI or AP
5. Agrees to use effective methods of contraception

Exclusion Criteria

1. Known or suspected disease that may confound the assessment of efficacy.
2. Receipt of more than 72 hours of prior antibiotic therapy except for those failing prior antibiotic therapy and/or having documented uropathogen resistant to the prior therapy.
3. Rapidly progressive illness such that the subject is unlikely to survive the study period.
4. Pregnant or breastfeeding women
5. History of a seizure disorder requiring current treatment
6. Creatinine clearance \< 15 mL/min or on renal dialysis
7. Neutropenia or elevated liver enzymes
8. Hypersensitivity to beta-lactam antibiotics
9. Unlikely to comply with the protocol or the Investigator considers that study participation may not be optimal for the subject
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medpace, Inc.

INDUSTRY

Sponsor Role collaborator

Wockhardt

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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S&D Clinical Research, LLC

Fort Myers, Florida, United States

Site Status

Santos Research Center

Tampa, Florida, United States

Site Status

MHAT Dobrich AD

Dobrich, , Bulgaria

Site Status

UMHAT Dr. Georgi Stranski

Pleven, , Bulgaria

Site Status

Multiprofile Hospital for Active Treatment - Plovdiv AD, Plovdiv

Plovdiv, , Bulgaria

Site Status

Multiprofile Hospital for Active Treatment - KANEV

Rousse, , Bulgaria

Site Status

Multiprofile Hospital for Active Treatment (MHAT)- Silistra

Silistra, , Bulgaria

Site Status

Acibadem City Clinic University Multiprofile Hospital for Active Treatment Tokuda EAD

Sofia, , Bulgaria

Site Status

Multiprofile Hospital for Active Teatment (MHAT) and Emergency Medicine - Pirogov

Sofia, , Bulgaria

Site Status

UMHAT Aleksandrovska Sofia - Clinic of Urology, Clinic of Anaesthesiology and Intensive Care, Clinic of Clinical Hematology

Sofia, , Bulgaria

Site Status

Multiprofile Hospital for Active Treatment (MHAT) Sveta Anna - Varna

Varna, , Bulgaria

Site Status

Hunan Provincial People's Hospital

Changsha, , China

Site Status

The Second Xiangya Hospital of Central South University

Changsha, , China

Site Status

West China Hospital, Sichuan University

Chengdu, , China

Site Status

The Second Affiliated Hospital of Chongqing Medical University

Chongqing, , China

Site Status

Deyang People's Hospital

Deyang, , China

Site Status

General hospital of the PLA northern theater command

Liaoyang, , China

Site Status

Fudan University Huashan Hospital

Shanghai, , China

Site Status

Shaoxing People's Hospital

Shaoxing, , China

Site Status

Ida-Viru Central Hospital

Kohtla-Järve, , Estonia

Site Status

North Estonia Medical Centre Foundation

Tallinn, , Estonia

Site Status

West Tallinn Central Hospital

Tallinn, , Estonia

Site Status

Tartu University Hospital

Tartu, , Estonia

Site Status

South-Estonian Hospital Ltd.

Võru, , Estonia

Site Status

Super Speciality Hospital Government Medical College and Hospital

Aurangabad, Maharashtra, India

Site Status

Supe Hearth & Diabetes Hospital & Research Centre

Nashik, Maharashtra, India

Site Status

ACE Hospital and Research Centre

Pune, Maharashtra, India

Site Status

Accord Hospitals

Pune, Maharashtra, India

Site Status

Aartham Multi Super Speciality Hospital

Ahmedabad, , India

Site Status

ORIION Citicare Super Speciality Hospital

Aurangabad, , India

Site Status

Klaipedos university hospital

Klaipėda, , Lithuania

Site Status

Republican Vilnius University hospital

Vilnius, , Lithuania

Site Status

Vilnius city clinical hospital

Vilnius, , Lithuania

Site Status

Vilnius University Hospital Santaros Klinikos

Vilnius, , Lithuania

Site Status

Hospital Angeles Chihuahua

Chihuahua City, , Mexico

Site Status

JM Research Cuernavaca

Cuernavaca, , Mexico

Site Status

Centro de Investigacion Clinica de Oaxaca (CICLO)

Oaxaca City, , Mexico

Site Status

Pharmacology & Clinical Research

Querétaro, , Mexico

Site Status

Arke SMO S.A. de C.V.

Veracruz, , Mexico

Site Status

Unidad de Atención Médica e Investigación en Salud (Unamis)

Yucatán, , Mexico

Site Status

Zespol Opieki Zdrowotnej w Boleslawcu

Bolesławiec, , Poland

Site Status

SCM Sp. z o.o.

Krakow, , Poland

Site Status

Uniwersytecki Szpital Kliniczny nr 1 im. Norberta Barlickiego w Lodzi, Oddzial Nefrologii

Lodz, , Poland

Site Status

Wojskowy Instytut Medyczny - Panstwowy Instytut Badawczy, Klinika Chorob Wewnetrznych, Nefrologii i Dializoterapii

Warsaw, , Poland

Site Status

Fakultna nemocnica s poliklinikou F.D. Roosevelta Banska Bystrica

Banská Bystrica, , Slovakia

Site Status

Fakultna nemocnica Nitra

Nitra, , Slovakia

Site Status

Nemocnica Poprad, a.s. Urologicke oddeleni

Poprad, , Slovakia

Site Status

Fakultna nemocnica s poliklinikou Zilina

Žilina, , Slovakia

Site Status

Countries

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United States Bulgaria China Estonia India Lithuania Mexico Poland Slovakia

Other Identifiers

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W-5222-301

Identifier Type: -

Identifier Source: org_study_id

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