Imipenem/Cilastatin-XNW4107 Versus Imipenem/Cilastatin/Relebactam for Treatment of Participants With Bacterial Pneumonia (XNW4107-302, REITAB-2)

NCT ID: NCT05204563

Last Updated: 2025-11-06

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

450 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-07-31

Study Completion Date

2024-09-29

Brief Summary

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This study aims to compare treatment with Imipenem/Cilastatin-XNW4107 (IMI-XNW4107) with imipenem/cilastatin/relebactam (IMI/REL) in participants with hospital-acquired or ventilator-associated bacterial pneumonia (HABP or VAPB, respectively). The primary hypothesis is that IMI-XNW4107 is non-inferior to IMI/REL in all-cause mortality.

Detailed Description

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Conditions

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Hospital Acquired Bacterial Pneumonia or Ventilator-Associated Bacterial Pneumonia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Imipenem/Cilastatin/XNW4107

Imipenem/Cilastatin 500mg/500mg in combination with XNW4107 250mg, Q6h (0.5h Infusion)

Group Type EXPERIMENTAL

Combination of Imipenem/Cilastatin and XNW4107

Intervention Type DRUG

Imipenem/Cilastatin 500mg/500mg and XNW4107 250mg for Injection

Imipenem/Cilastatin/Relebactam

Imipenem/Cilastatin/Relebactam 1.25g Q6h (0.5h Infusion)

Group Type ACTIVE_COMPARATOR

Imipenem/Cilastatin/Relebactam

Intervention Type DRUG

Imipenem/Cilastatin/Relebactam 1.25 g for Injection

Interventions

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Combination of Imipenem/Cilastatin and XNW4107

Imipenem/Cilastatin 500mg/500mg and XNW4107 250mg for Injection

Intervention Type DRUG

Imipenem/Cilastatin/Relebactam

Imipenem/Cilastatin/Relebactam 1.25 g for Injection

Intervention Type DRUG

Other Intervention Names

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Recarbrio

Eligibility Criteria

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Inclusion Criteria

1. Has HABP or VABP as defined below and requires treatment with IV antibiotic therapy. Fulfills clinical criteria, with onset of criteria occurring after more than 48 hours of hospitalization or within 7 days after discharge from a hospital (for HABP); or at least 48 hours after mechanical ventilation (for VABP)
2. Fulfills clinical criteria with symptoms or signs of cough, expectorated sputum production, dyspnea, worsening oxygenation, increase in respiratory secretions, fever/ hypothermia..
3. Fulfills laboratory test criteria with Leukocytosis/ Leukocytosis/ increase in immature neutrophils
4. Fulfill radiograph criteria with presence of new or progressive infiltrate(s) suggestive of bacterial pneumonia in X-ray/ Chest CT.
5. Female subjects of childbearing potential, who are willing to birth control during the study and for at least 30 days following the last dose of study medication. Male subjects with female sexual partners of childbearing potential are eligible for inclusion if they agree to use birth control for 90 days following the last dose of study medication. Male subjects must agree not to donate sperm

Exclusion Criteria

1. Gram stain from a respiratory sample shows only Gram-positive cocci.
2. Have known or suspected community-acquired bacterial pneumonia, atypical pneumonia, viral pneumonia including Coronavirus disease, or chemical pneumonia.
3. Have HABP/VABP caused by an obstructive process, including lung cancer or other known obstruction.
4. Have received effective antibacterial drug therapy for the index infection of HABP/VABP for more than 24 hours during the previous 72 hours .
5. Have central nervous system infection.
6. Documented presence of immunodeficiency or an immunocompromised condition
7. Documented or severe hypersensitivity or previous severe adverse drug reaction, especially to any beta-lactam antibiotics, or any of the excipients used in the study drug formulations.
8. History of a seizure disorder requiring ongoing treatment with anti-convulsive therapy or prior treatment with anti-convulsive therapy within the last 3 years.
9. eGFR \<15 mL/min/1.73㎡.
10. Patient is receiving hemodialysis or peritoneal dialysis.
11. Anticipated to be treated with any of Valproic acid or divalproex sodium, concomitant systemic Gram-negative antibacterial agents, or concomitant systemic antifungal or antiviral therapy for the index infection of HABP/VABP.
12. Life expectancy is \<3 days.
13. Patients in refractory septic shock
14. Patients with 1 or more of laboratory abnormalities in baseline specimens.
15. History of active liver disease or cirrhosis.
16. APACHE II score of \>30.
17. A female who is pregnant or breastfeeding or has a positive pregnancy test at Screening.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Evopoint Biosciences Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jason Le

Role: STUDY_CHAIR

Evopoint Biosciences USA, Inc.)

Locations

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Denver Health and Hospital Authority

Denver, Colorado, United States

Site Status

Hartford Hospital

Hartford, Connecticut, United States

Site Status

Jackson Memorial Hospital (JMH) - Ryder Trauma Center

Miami, Florida, United States

Site Status

USF-TGH

Tampa, Florida, United States

Site Status

University of Maryland Medical Center

Baltimore, Maryland, United States

Site Status

Cox Health

Springfield, Missouri, United States

Site Status

VA medical center

Buffalo, New York, United States

Site Status

Carolinas Medical Center

Charlotte, North Carolina, United States

Site Status

University Hospitals Cleveland Medical Center

Cleveland, Ohio, United States

Site Status

The University of Tennessee Medical Center

Knoxville, Tennessee, United States

Site Status

CHU de Nice

Nice, Alpes Maritimes, France

Site Status

Hôpitaux Universitaires de Strasbourg

Strasbourg, Alsace, France

Site Status

Nouvel Hopital CIVIL/ Medecine Intensive Reanimation

Strasbourg, Bas-Rhin, France

Site Status

Chu Nimes

Nîmes, GARD, France

Site Status

Chu Reims- Medical Icu

Reims, Grand Est, France

Site Status

Cochin

Paris, Paris, France

Site Status

Groupe Hospitalier Paris Saint-Joseph

Paris, Paris, France

Site Status

APHP

Paris, Paris, France

Site Status

intensive Unit Care CHU Amiens Picardie

Amiens, Picardie, France

Site Status

CH victor dupouy

Argenteuil, , France

Site Status

Hôpital Foch

Suresnes, Île-de-France Region, France

Site Status

Sheba Medical Center

Ramat Gan, Center, Israel

Site Status

Wolfson Medical Center

H̱olon, Central District, Israel

Site Status

Bnei-Zion Medical Center

Haifa, Haifa District, Israel

Site Status

Shamir Medical Center

Be’er Ya‘aqov, HaMercaz, Israel

Site Status

Hillel Yaffe Medical Center

Hadera, Israel, Israel

Site Status

Rambam Critical Care division

Haifa, Israel, Israel

Site Status

Tel Aviv Medical Center

Tel Aviv, Israel, Israel

Site Status

Galilee Medical Center / Department int med A

Nahariya, Western Galilee, Israel

Site Status

Hospital del Mar

Barcelona, Barcelona, Spain

Site Status

Hospital Universitari Vall Hebron

Barcelona, Barcelona, Spain

Site Status

Hospital Clínic of Barcelona

Barcelona, Barcelona, Spain

Site Status

Hospital de la Santa Creu i Sant Pau

Barcelona, Barcelona, Spain

Site Status

Bellvitge University Hospital

L'Hospitalet de Llobregat, Barcelona, Spain

Site Status

Hospital Universitario de Tarragona Joan XXIII

Tarragona, Tarragona, Spain

Site Status

Countries

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United States France Israel Spain

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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XNW4107-302

Identifier Type: -

Identifier Source: org_study_id