Trial Outcomes & Findings for Safety Study of Intravenous Ertapenem in Combination With Zidebactam (WCK 6777) (NCT NCT05645757)

NCT ID: NCT05645757

Last Updated: 2025-01-20

Results Overview

Adverse events (AEs) are defined as any untoward medical occurrence in a participant or clinical investigation participant who was administered a pharmaceutical product, regardless of its causal relationship to the product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with use of the product, and are described as treatment-emergent AEs (TEAEs). Number of participants with a TEAE are summarized by dose group and by MedDRA System Organ Class (SOC).

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

54 participants

Primary outcome timeframe

Day 1 through Day 11

Results posted on

2025-01-20

Participant Flow

Participants were recruited between 19APR2023 and 24OCT2023 by the clinical trials unit (CTU) utilizing the CTU subject database and IRB-approved advertisements and social media.

Participant milestones

Participant milestones
Measure
Cohort 1 - WCK 6777 2 g
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days. Ertapenem: A 1-ß methyl-carbapenem that is structurally related to ß-lactam antibiotics Zidebactam: A ß-lactamase inhibitor and ß-lactam enhancer from the diazabicyclooctane (DBO) class WCK 6777: A combination of ertapenem (ERT) and zidebactam (ZID)
Cohort 2 - ERT 2 g
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days. Ertapenem: A 1-ß methyl-carbapenem that is structurally related to ß-lactam antibiotics
Cohort 3 - ZID 2 g
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days. Zidebactam: A ß-lactamase inhibitor and ß-lactam enhancer from the diazabicyclooctane (DBO) class
Cohort 4 - WCK 6777 4 g
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days. Ertapenem: A 1-ß methyl-carbapenem that is structurally related to ß-lactam antibiotics Zidebactam: A ß-lactamase inhibitor and ß-lactam enhancer from the diazabicyclooctane (DBO) class WCK 6777: A combination of ertapenem (ERT) and zidebactam (ZID)
Cohort 5 - ERT 3 g
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days. Ertapenem: A 1-ß methyl-carbapenem that is structurally related to ß-lactam antibiotics
Cohort 6 - ZID 3 g
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days. Zidebactam: A ß-lactamase inhibitor and ß-lactam enhancer from the diazabicyclooctane (DBO) class
Cohort 7 - WCK 6777 6 g
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days. Ertapenem: A 1-ß methyl-carbapenem that is structurally related to ß-lactam antibiotics Zidebactam: A ß-lactamase inhibitor and ß-lactam enhancer from the diazabicyclooctane (DBO) class WCK 6777: A combination of ertapenem (ERT) and zidebactam (ZID)
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Overall Study
STARTED
6
6
6
6
7
7
6
10
Overall Study
COMPLETED
6
6
6
6
6
6
6
10
Overall Study
NOT COMPLETED
0
0
0
0
1
1
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Cohort 1 - WCK 6777 2 g
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days. Ertapenem: A 1-ß methyl-carbapenem that is structurally related to ß-lactam antibiotics Zidebactam: A ß-lactamase inhibitor and ß-lactam enhancer from the diazabicyclooctane (DBO) class WCK 6777: A combination of ertapenem (ERT) and zidebactam (ZID)
Cohort 2 - ERT 2 g
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days. Ertapenem: A 1-ß methyl-carbapenem that is structurally related to ß-lactam antibiotics
Cohort 3 - ZID 2 g
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days. Zidebactam: A ß-lactamase inhibitor and ß-lactam enhancer from the diazabicyclooctane (DBO) class
Cohort 4 - WCK 6777 4 g
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days. Ertapenem: A 1-ß methyl-carbapenem that is structurally related to ß-lactam antibiotics Zidebactam: A ß-lactamase inhibitor and ß-lactam enhancer from the diazabicyclooctane (DBO) class WCK 6777: A combination of ertapenem (ERT) and zidebactam (ZID)
Cohort 5 - ERT 3 g
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days. Ertapenem: A 1-ß methyl-carbapenem that is structurally related to ß-lactam antibiotics
Cohort 6 - ZID 3 g
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days. Zidebactam: A ß-lactamase inhibitor and ß-lactam enhancer from the diazabicyclooctane (DBO) class
Cohort 7 - WCK 6777 6 g
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days. Ertapenem: A 1-ß methyl-carbapenem that is structurally related to ß-lactam antibiotics Zidebactam: A ß-lactamase inhibitor and ß-lactam enhancer from the diazabicyclooctane (DBO) class WCK 6777: A combination of ertapenem (ERT) and zidebactam (ZID)
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Overall Study
Enrolled but treatment not administered
0
0
0
0
1
1
0
0

Baseline Characteristics

Safety Study of Intravenous Ertapenem in Combination With Zidebactam (WCK 6777)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days. Ertapenem: A 1-ß methyl-carbapenem that is structurally related to ß-lactam antibiotics Zidebactam: A ß-lactamase inhibitor and ß-lactam enhancer from the diazabicyclooctane (DBO) class WCK 6777: A combination of ertapenem (ERT) and zidebactam (ZID)
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days. Ertapenem: A 1-ß methyl-carbapenem that is structurally related to ß-lactam antibiotics
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days. Zidebactam: A ß-lactamase inhibitor and ß-lactam enhancer from the diazabicyclooctane (DBO) class
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days. Ertapenem: A 1-ß methyl-carbapenem that is structurally related to ß-lactam antibiotics Zidebactam: A ß-lactamase inhibitor and ß-lactam enhancer from the diazabicyclooctane (DBO) class WCK 6777: A combination of ertapenem (ERT) and zidebactam (ZID)
Cohort 5 - ERT 3 g
n=7 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days. Ertapenem: A 1-ß methyl-carbapenem that is structurally related to ß-lactam antibiotics
Cohort 6 - ZID 3 g
n=7 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days. Zidebactam: A ß-lactamase inhibitor and ß-lactam enhancer from the diazabicyclooctane (DBO) class
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days. Ertapenem: A 1-ß methyl-carbapenem that is structurally related to ß-lactam antibiotics Zidebactam: A ß-lactamase inhibitor and ß-lactam enhancer from the diazabicyclooctane (DBO) class WCK 6777: A combination of ertapenem (ERT) and zidebactam (ZID)
Placebo
n=10 Participants
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Total
n=54 Participants
Total of all reporting groups
Age, Continuous
33.7 years
STANDARD_DEVIATION 7.3 • n=5 Participants
35.2 years
STANDARD_DEVIATION 9.2 • n=7 Participants
32.3 years
STANDARD_DEVIATION 9.5 • n=5 Participants
33.2 years
STANDARD_DEVIATION 7.0 • n=4 Participants
33.6 years
STANDARD_DEVIATION 7.9 • n=21 Participants
37.3 years
STANDARD_DEVIATION 5.6 • n=8 Participants
29.2 years
STANDARD_DEVIATION 9.0 • n=8 Participants
30.7 years
STANDARD_DEVIATION 6.7 • n=24 Participants
33.0 years
STANDARD_DEVIATION 7.6 • n=42 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
3 Participants
n=7 Participants
2 Participants
n=5 Participants
3 Participants
n=4 Participants
2 Participants
n=21 Participants
2 Participants
n=8 Participants
2 Participants
n=8 Participants
4 Participants
n=24 Participants
20 Participants
n=42 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
3 Participants
n=4 Participants
5 Participants
n=21 Participants
5 Participants
n=8 Participants
4 Participants
n=8 Participants
6 Participants
n=24 Participants
34 Participants
n=42 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
2 Participants
n=21 Participants
1 Participants
n=8 Participants
0 Participants
n=8 Participants
1 Participants
n=24 Participants
8 Participants
n=42 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants
n=5 Participants
5 Participants
n=7 Participants
6 Participants
n=5 Participants
5 Participants
n=4 Participants
5 Participants
n=21 Participants
6 Participants
n=8 Participants
6 Participants
n=8 Participants
9 Participants
n=24 Participants
46 Participants
n=42 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=24 Participants
0 Participants
n=42 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=24 Participants
0 Participants
n=42 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=24 Participants
0 Participants
n=42 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=24 Participants
1 Participants
n=42 Participants
Race (NIH/OMB)
Black or African American
5 Participants
n=5 Participants
4 Participants
n=7 Participants
2 Participants
n=5 Participants
1 Participants
n=4 Participants
2 Participants
n=21 Participants
2 Participants
n=8 Participants
5 Participants
n=8 Participants
7 Participants
n=24 Participants
28 Participants
n=42 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
5 Participants
n=4 Participants
4 Participants
n=21 Participants
5 Participants
n=8 Participants
1 Participants
n=8 Participants
2 Participants
n=24 Participants
23 Participants
n=42 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=24 Participants
1 Participants
n=42 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
1 Participants
n=24 Participants
1 Participants
n=42 Participants
BMI
27.08 kg/m2
STANDARD_DEVIATION 2.93 • n=5 Participants
28.57 kg/m2
STANDARD_DEVIATION 2.05 • n=7 Participants
25.18 kg/m2
STANDARD_DEVIATION 3.38 • n=5 Participants
27.63 kg/m2
STANDARD_DEVIATION 2.85 • n=4 Participants
23.83 kg/m2
STANDARD_DEVIATION 1.62 • n=21 Participants
27.27 kg/m2
STANDARD_DEVIATION 2.76 • n=8 Participants
24.05 kg/m2
STANDARD_DEVIATION 4.36 • n=8 Participants
26.87 kg/m2
STANDARD_DEVIATION 2.82 • n=24 Participants
26.32 kg/m2
STANDARD_DEVIATION 3.15 • n=42 Participants

PRIMARY outcome

Timeframe: Day 1 through Day 11

Population: Safety Population: All participants that received any amount of study drug(s).

Adverse events (AEs) are defined as any untoward medical occurrence in a participant or clinical investigation participant who was administered a pharmaceutical product, regardless of its causal relationship to the product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with use of the product, and are described as treatment-emergent AEs (TEAEs). Number of participants with a TEAE are summarized by dose group and by MedDRA System Organ Class (SOC).

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
n=10 Participants
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Number of Participants With Treatment-Emergent Adverse Events
Blood and lymphatic system disorders
0 Participants
1 Participants
1 Participants
0 Participants
0 Participants
0 Participants
1 Participants
1 Participants
Number of Participants With Treatment-Emergent Adverse Events
Gastrointestinal disorders
2 Participants
2 Participants
0 Participants
1 Participants
1 Participants
0 Participants
1 Participants
1 Participants
Number of Participants With Treatment-Emergent Adverse Events
General disorders and administration site conditions
3 Participants
5 Participants
5 Participants
4 Participants
4 Participants
2 Participants
3 Participants
6 Participants
Number of Participants With Treatment-Emergent Adverse Events
Musculoskeletal and connective tissue disorders
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants With Treatment-Emergent Adverse Events
Nervous system disorders
1 Participants
1 Participants
1 Participants
0 Participants
1 Participants
0 Participants
0 Participants
2 Participants
Number of Participants With Treatment-Emergent Adverse Events
Infections and infestations
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Treatment-Emergent Adverse Events
Injury, poisoning and procedural complications
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Treatment-Emergent Adverse Events
Investigations
1 Participants
0 Participants
1 Participants
1 Participants
1 Participants
0 Participants
1 Participants
3 Participants
Number of Participants With Treatment-Emergent Adverse Events
Renal and urinary disorders
0 Participants
1 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Treatment-Emergent Adverse Events
Respiratory, thoracic and mediastinal disorders
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Treatment-Emergent Adverse Events
Skin and subcutaneous tissue disorders
1 Participants
0 Participants
3 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants

PRIMARY outcome

Timeframe: Day 1 through Day 11

Population: Safety Population: All participants that received any amount of study drug(s).

Adverse events (AEs) are defined as any untoward medical occurrence in a participant or clinical investigation participant who was administered a pharmaceutical product, regardless of its causal relationship to the product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with use of the product, and are described as treatment-emergent AEs (TEAEs). Number of TEAEs reported are summarized by dose group and MedDRA System Organ Class (SOC)..

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
n=10 Participants
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Number of Treatment-Emergent Adverse Events Reported
General disorders and administration site conditions
6 events
11 events
8 events
6 events
6 events
3 events
6 events
14 events
Number of Treatment-Emergent Adverse Events Reported
Skin and subcutaneous tissue disorders
1 events
0 events
3 events
0 events
0 events
0 events
0 events
1 events
Number of Treatment-Emergent Adverse Events Reported
Blood and lymphatic system disorders
0 events
1 events
1 events
0 events
0 events
0 events
1 events
1 events
Number of Treatment-Emergent Adverse Events Reported
Gastrointestinal disorders
3 events
2 events
0 events
1 events
1 events
0 events
1 events
1 events
Number of Treatment-Emergent Adverse Events Reported
Infections and infestations
0 events
1 events
0 events
0 events
0 events
0 events
0 events
0 events
Number of Treatment-Emergent Adverse Events Reported
Injury, poisoning and procedural complications
1 events
0 events
0 events
0 events
0 events
0 events
0 events
0 events
Number of Treatment-Emergent Adverse Events Reported
Investigations
1 events
0 events
1 events
1 events
2 events
0 events
1 events
3 events
Number of Treatment-Emergent Adverse Events Reported
Musculoskeletal and connective tissue disorders
1 events
0 events
0 events
0 events
0 events
1 events
0 events
0 events
Number of Treatment-Emergent Adverse Events Reported
Nervous system disorders
1 events
1 events
1 events
0 events
1 events
0 events
0 events
2 events
Number of Treatment-Emergent Adverse Events Reported
Renal and urinary disorders
0 events
1 events
0 events
1 events
0 events
0 events
0 events
0 events
Number of Treatment-Emergent Adverse Events Reported
Respiratory, thoracic and mediastinal disorders
0 events
0 events
1 events
0 events
0 events
0 events
0 events
0 events

PRIMARY outcome

Timeframe: Day 1 through Day 11

Population: Safety Population: All participants that received any amount of study drug(s).

Adverse events (AEs) are defined as any untoward medical occurrence in a participant or clinical investigation participant who was administered a pharmaceutical product, regardless of its causal relationship to the product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with use of the product, and are described as treatment-emergent AEs (TEAEs). TEAEs are assessed by the investigator to determine relationship to the study drug. Number of participants with a related TEAE are summarized by dose group and by MedDRA System Organ Class (SOC).

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
n=10 Participants
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Number of Participants With Treatment-Emergent Adverse Events Related to Study Product
Blood and lymphatic system disorders
0 Participants
1 Participants
1 Participants
0 Participants
0 Participants
0 Participants
1 Participants
1 Participants
Number of Participants With Treatment-Emergent Adverse Events Related to Study Product
Gastrointestinal disorders
2 Participants
2 Participants
0 Participants
1 Participants
1 Participants
0 Participants
1 Participants
1 Participants
Number of Participants With Treatment-Emergent Adverse Events Related to Study Product
General disorders and administration site conditions
3 Participants
5 Participants
4 Participants
3 Participants
2 Participants
2 Participants
3 Participants
4 Participants
Number of Participants With Treatment-Emergent Adverse Events Related to Study Product
Injury, poisoning and procedural complications
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Treatment-Emergent Adverse Events Related to Study Product
Investigations
1 Participants
0 Participants
0 Participants
1 Participants
1 Participants
0 Participants
1 Participants
2 Participants
Number of Participants With Treatment-Emergent Adverse Events Related to Study Product
Musculoskeletal and connective tissue disorders
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Treatment-Emergent Adverse Events Related to Study Product
Nervous system disorders
1 Participants
1 Participants
1 Participants
0 Participants
1 Participants
0 Participants
0 Participants
2 Participants
Number of Participants With Treatment-Emergent Adverse Events Related to Study Product
Renal and urinary disorders
0 Participants
1 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Treatment-Emergent Adverse Events Related to Study Product
Respiratory, thoracic and mediastinal disorders
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Treatment-Emergent Adverse Events Related to Study Product
Skin and subcutaneous tissue disorders
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Treatment-Emergent Adverse Events Related to Study Product
Infections and infestations
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants

PRIMARY outcome

Timeframe: Day 1 through Day 11

Population: Safety Population: All participants that received any amount of study drug(s).

Serious AEs (SAEs) meet one or more of the following criteria: death, life-threatening AEs, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, substantial disruption of the ability to conduct normal life function, congenital anomaly/birth defect, or important medical events that may jeopardize the participant and may require medical or surgical intervention to prevent one of the outcomes listed in this definition. SAEs are listed.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
n=10 Participants
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Number of Serious Adverse Events Reported
0 events
0 events
0 events
0 events
0 events
0 events
0 events
0 events

PRIMARY outcome

Timeframe: Day 1 through Day 11

Population: Safety Population: All participants that received any amount of study drug(s).

Parameters and thresholds include alanine aminotransferase =33 (female (F) 19Y), =30 (F \>19) or =47 U/L (male (M) =19Y); albumin =3.5 g/dL; alkaline phosphatase =129 (F 19Y), =126 (F =49Y), =170 (M 19Y) or =131 U/L (M =49Y); aspartate aminotransferase =33 (19Y) or =41 U/L (20-49Y); bilirubin =1.2 (19Y) or =1.3 mg/dL (\>19Y); calcium =8.8 (4-19Y), =8.5 (20-49Y), =10.5 (4-19Y), =10.3 (F 20-49Y) or =10.4 mg/dL (M 20-49Y); carbon dioxide =19 or =33 mmol/L; creatinine =0.97 (F 18-29Y), =0.98 (F 30-39Y), =1.00 (F 40-49Y), =1.25 (M 18-29Y), =1.27 (M 30-39Y) or =1.30 mg/dL (M 40-49Y); direct bilirubin =0.3 mg/dL; glucose =64 or =100 mg/dL; potassium =3.7 (19Y), =3.4 (\>19Y), = 5.2 (19Y) or = 5.4 mmol/L (\>19Y); protein =6.2 (19Y) or =6.0 g/dL (\>19Y); sodium =134 or =147 mmol/L; and urea nitrogen =21 (19Y) or =26 mg/dL (\>19Y). All abnormal toxicity results are included, but Grade 1 values at screening/baseline allowed for enrollment were only considered TEAEs if they increased in severity.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
n=10 Participants
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Number of Participants With Abnormal Chemistry Laboratory Toxicity Results
Alanine aminotransferase increase
0 Participants
2 Participants
0 Participants
2 Participants
2 Participants
0 Participants
1 Participants
1 Participants
Number of Participants With Abnormal Chemistry Laboratory Toxicity Results
Albumin decrease
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Abnormal Chemistry Laboratory Toxicity Results
Alkaline phosphatase increase
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Abnormal Chemistry Laboratory Toxicity Results
Aspartate aminotransferase increase
0 Participants
1 Participants
0 Participants
1 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Abnormal Chemistry Laboratory Toxicity Results
Calcium decrease
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants With Abnormal Chemistry Laboratory Toxicity Results
Calcium increase
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Abnormal Chemistry Laboratory Toxicity Results
Carbon dioxide decrease
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Abnormal Chemistry Laboratory Toxicity Results
Creatinine increase
0 Participants
1 Participants
1 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Abnormal Chemistry Laboratory Toxicity Results
Direct bilirubin increase
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Abnormal Chemistry Laboratory Toxicity Results
Glucose decrease
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Abnormal Chemistry Laboratory Toxicity Results
Potassium increase
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Abnormal Chemistry Laboratory Toxicity Results
Protein decrease
0 Participants
0 Participants
1 Participants
2 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Abnormal Chemistry Laboratory Toxicity Results
Sodium decrease
1 Participants
0 Participants
0 Participants
1 Participants
1 Participants
1 Participants
0 Participants
1 Participants
Number of Participants With Abnormal Chemistry Laboratory Toxicity Results
Sodium increase
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Abnormal Chemistry Laboratory Toxicity Results
Bilirubin increase
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Abnormal Chemistry Laboratory Toxicity Results
Carbon dioxide increase
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
1 Participants
0 Participants
Number of Participants With Abnormal Chemistry Laboratory Toxicity Results
Glucose increase
0 Participants
0 Participants
0 Participants
2 Participants
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants With Abnormal Chemistry Laboratory Toxicity Results
Potassium decrease
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Abnormal Chemistry Laboratory Toxicity Results
Urea nitrogen increase
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants

PRIMARY outcome

Timeframe: Day 1 through Day 11

Population: Safety Population: All participants that received any amount of study drug(s).

Parameters and thresholds include basophils =201 x106/L (\>6Y); eosinophils =501 x106/L (\>6Y); hemoglobin =11.4 (female (F) 18Y), =11.6 (F \>18Y), =11.9 (male (M) 18Y) or =13.1 g/dL (M \>18Y); leukocytes =4.4 (18Y), =3.7 (\>18Y), =13.1 (18Y) or =10.9 x109/L (\>18Y); lymphocytes =1199 (18Y) or =849 x106/L (\>18Y); monocytes =901 (18Y) or =951 x106/L (\>18Y); neutrophils =1799 (18Y) or =1499 x106/L (\>18Y); and platelets \<140 x109/L. All abnormal toxicity results are included, but Grade 1 values at screening/baseline allowed for enrollment were only considered TEAEs if they increased in severity.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
n=10 Participants
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Number of Participants With Abnormal Hematology Laboratory Toxicity Results
Hemoglobin decrease
3 Participants
2 Participants
2 Participants
2 Participants
2 Participants
2 Participants
2 Participants
5 Participants
Number of Participants With Abnormal Hematology Laboratory Toxicity Results
Basophils increase
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Abnormal Hematology Laboratory Toxicity Results
Eosinophils increase
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Abnormal Hematology Laboratory Toxicity Results
Leukocytes decrease
3 Participants
0 Participants
0 Participants
2 Participants
2 Participants
0 Participants
3 Participants
2 Participants
Number of Participants With Abnormal Hematology Laboratory Toxicity Results
Leukocytes increase
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Abnormal Hematology Laboratory Toxicity Results
Lymphocytes decrease
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Abnormal Hematology Laboratory Toxicity Results
Monocytes increase
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Abnormal Hematology Laboratory Toxicity Results
Neutrophils decrease
1 Participants
0 Participants
0 Participants
2 Participants
1 Participants
0 Participants
2 Participants
2 Participants
Number of Participants With Abnormal Hematology Laboratory Toxicity Results
Platelets decrease
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants

PRIMARY outcome

Timeframe: Day 1 through Day 11

Population: Safety Population: All participants that received any amount of study drug(s).

Parameters and thresholds include activated partial thromboplastin time \>32 s, prothrombin intl. normalized ratio \>1.1 (ratio), and prothrombin time \>11.5 s. All abnormal toxicity results are included, but Grade 1 values at screening/baseline allowed for enrollment were only considered TEAEs if they increased in severity.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
n=10 Participants
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Number of Participants With Abnormal Coagulation Laboratory Toxicity Results
Activated partial thromboplastin time increase
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants With Abnormal Coagulation Laboratory Toxicity Results
Prothrombin intl. normalized ratio (INR) increase
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
Number of Participants With Abnormal Coagulation Laboratory Toxicity Results
Prothrombin time increase
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
1 Participants
1 Participants

PRIMARY outcome

Timeframe: Day 1 through Day 11

Population: Safety Population: All participants that received any amount of study drug(s).

Parameters and thresholds include dipstick measurements of glucose =1+, leukocyte esterase =1+, occult blood =1+, protein =1+ and urinalysis with microscopy results of at least a few bacteria, red blood cells (RBC) =3 per high-powered field (HPF), and white blood cells (WBC) =6 per HPF. If dipstick results were abnormal, urinalysis with microscopy was performed. All abnormal toxicity results are included, but Grade 1 values at screening/baseline allowed for enrollment were only considered TEAEs if they increased in severity.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
n=10 Participants
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Number of Participants With Abnormal Urinalysis Laboratory Toxicity Results
WBC increase
1 Participants
2 Participants
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
1 Participants
Number of Participants With Abnormal Urinalysis Laboratory Toxicity Results
Bacteria increase
1 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
3 Participants
Number of Participants With Abnormal Urinalysis Laboratory Toxicity Results
Glucose increase
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Abnormal Urinalysis Laboratory Toxicity Results
Leukocyte esterase increase
1 Participants
1 Participants
1 Participants
1 Participants
0 Participants
1 Participants
0 Participants
2 Participants
Number of Participants With Abnormal Urinalysis Laboratory Toxicity Results
Occult blood increase
1 Participants
2 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants With Abnormal Urinalysis Laboratory Toxicity Results
Protein increase
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Abnormal Urinalysis Laboratory Toxicity Results
RBC increase
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants

PRIMARY outcome

Timeframe: Day 8 and Day 11

Population: Safety Population: All participants that received any amount of study drug(s).

The only ECG parameters graded were PR interval with a threshold of =211 msec and QTcF interval with a threshold of =471 msec (female) or =451 msec (male) or an increase of =30 msec above baseline. ECG values after dosing were considered as TEAEs if they met toxicity grading criteria.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
n=10 Participants
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Number of Participants With Abnormal Electrocardiogram (ECG) Toxicity Results
PR interval
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Abnormal Electrocardiogram (ECG) Toxicity Results
QTcF interval
0 Participants
0 Participants
0 Participants
1 Participants
1 Participants
0 Participants
0 Participants
0 Participants

PRIMARY outcome

Timeframe: Day 1 through Day 11

Population: Safety Population: All participants that received any amount of study drug(s).

VS parameters and thresholds include diastolic blood pressure =90 mmHg, oral temperature =37.3 °C, pulse =49 or =101 beats/min, respiratory rate =21 breaths/min, and systolic blood pressure =88 or =131 mmHg. VS could be repeated up to twice more at rest and within at least 5 minutes of each other. The following rules were used to determine which vital sign measurement to use for analysis if repeat measurements occurred: 1. If the first replicate was normal, it was used. 2. If the first and second replicates were both abnormal, the replicate with the higher severity was used. 3. If the first replicate was abnormal, the second replicate was normal, and the third replicate was not performed, the first replicate was used. 4. If the first replicate was abnormal and the second and third replicates were normal, the second replicate was used. 5. If the first and third replicates were abnormal and the second replicate was normal, the abnormal replicate with the higher severity was used.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
n=10 Participants
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Number of Participants With Abnormal Vital Signs (VS)
Diastolic blood pressure increase
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Abnormal Vital Signs (VS)
Oral temperature increase
1 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
1 Participants
2 Participants
Number of Participants With Abnormal Vital Signs (VS)
Pulse decrease
1 Participants
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
2 Participants
0 Participants
Number of Participants With Abnormal Vital Signs (VS)
Systolic blood pressure increase
2 Participants
0 Participants
1 Participants
0 Participants
0 Participants
1 Participants
0 Participants
1 Participants
Number of Participants With Abnormal Vital Signs (VS)
Pulse increase
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants With Abnormal Vital Signs (VS)
Respiratory rate increase
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Abnormal Vital Signs (VS)
Systolic blood pressure decrease
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: =0.5 h prior to dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 1 (Day 1) infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of the Cmax (µg/mL) parameter estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 1 by dose group.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Maximum Observed Concentration (Cmax) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
196.66 µg/mL
Geometric Coefficient of Variation 14
303.43 µg/mL
Geometric Coefficient of Variation 9
354.41 µg/mL
Geometric Coefficient of Variation 8
378.71 µg/mL
Geometric Coefficient of Variation 10
391.87 µg/mL
Geometric Coefficient of Variation 13
Maximum Observed Concentration (Cmax) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
16.60 µg/mL
Geometric Coefficient of Variation 17
34.00 µg/mL
Geometric Coefficient of Variation 17
42.10 µg/mL
Geometric Coefficient of Variation 22
58.45 µg/mL
Geometric Coefficient of Variation 17
59.42 µg/mL
Geometric Coefficient of Variation 19
Maximum Observed Concentration (Cmax) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
69.67 µg/mL
Geometric Coefficient of Variation 15
120.41 µg/mL
Geometric Coefficient of Variation 22
133.51 µg/mL
Geometric Coefficient of Variation 16
111.71 µg/mL
Geometric Coefficient of Variation 10
128.42 µg/mL
Geometric Coefficient of Variation 11
Maximum Observed Concentration (Cmax) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
64.35 µg/mL
Geometric Coefficient of Variation 20
105.42 µg/mL
Geometric Coefficient of Variation 16
98.41 µg/mL
Geometric Coefficient of Variation 55
108.79 µg/mL
Geometric Coefficient of Variation 11
124.99 µg/mL
Geometric Coefficient of Variation 10

SECONDARY outcome

Timeframe: =0.5 h prior to dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 1 (Day 1) infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of the Cmin (µg/mL) parameter estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 1 by dose group.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Minimum Observed Concentration (Cmin) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
2.15 µg/mL
Geometric Coefficient of Variation 50
2.61 µg/mL
Geometric Coefficient of Variation 107
3.10 µg/mL
Geometric Coefficient of Variation 60
7.32 µg/mL
Geometric Coefficient of Variation 14
5.91 µg/mL
Geometric Coefficient of Variation 33
Minimum Observed Concentration (Cmin) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
0.10 µg/mL
Geometric Coefficient of Variation 40
0.16 µg/mL
Geometric Coefficient of Variation 42
0.14 µg/mL
Geometric Coefficient of Variation 67
0.36 µg/mL
Geometric Coefficient of Variation 24
0.28 µg/mL
Geometric Coefficient of Variation 35
Minimum Observed Concentration (Cmin) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
0.09 µg/mL
Geometric Coefficient of Variation 37
0.11 µg/mL
Geometric Coefficient of Variation 72
0.10 µg/mL
Geometric Coefficient of Variation 44
0.13 µg/mL
Geometric Coefficient of Variation 28
0.15 µg/mL
Geometric Coefficient of Variation 30
Minimum Observed Concentration (Cmin) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
0.09 µg/mL
Geometric Coefficient of Variation 22
0.07 µg/mL
Geometric Coefficient of Variation 36
0.10 µg/mL
Geometric Coefficient of Variation 39
0.14 µg/mL
Geometric Coefficient of Variation 26
0.14 µg/mL
Geometric Coefficient of Variation 34

SECONDARY outcome

Timeframe: =0.5 h prior to dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 1 (Day 1) infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of the Ctau (µg/mL) parameter estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 1 by dose group. Ctau is estimated using Phoenix WinNonlin Non-compartmental Analysis with the Ke (first-order terminal phase elimination rate constant) acceptance criteria: Rsq\_adjusted (adjusted R-squared) = 0.90 and includes at least 3 timepoints after Tmax (time of maximum concentration).

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Predicted Concentration at the End of the Dosing Interval (Ctau) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
2.02 µg/mL
Geometric Coefficient of Variation 50
2.29 µg/mL
Geometric Coefficient of Variation 112
2.83 µg/mL
Geometric Coefficient of Variation 61
6.83 µg/mL
Geometric Coefficient of Variation 16
5.44 µg/mL
Geometric Coefficient of Variation 34
Predicted Concentration at the End of the Dosing Interval (Ctau) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
0.08 µg/mL
Geometric Coefficient of Variation 39
0.10 µg/mL
Geometric Coefficient of Variation 102
0.13 µg/mL
Geometric Coefficient of Variation 67
0.31 µg/mL
Geometric Coefficient of Variation 23
0.27 µg/mL
Geometric Coefficient of Variation 38
Predicted Concentration at the End of the Dosing Interval (Ctau) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
0.02 µg/mL
Geometric Coefficient of Variation 101
0.06 µg/mL
Geometric Coefficient of Variation 69
0.05 µg/mL
Geometric Coefficient of Variation 87
0.11 µg/mL
Geometric Coefficient of Variation 33
0.13 µg/mL
Geometric Coefficient of Variation 31
Predicted Concentration at the End of the Dosing Interval (Ctau) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
0.04 µg/mL
Geometric Coefficient of Variation 102
0.06 µg/mL
Geometric Coefficient of Variation 49
0.05 µg/mL
Geometric Coefficient of Variation 96
0.11 µg/mL
Geometric Coefficient of Variation 34
0.12 µg/mL
Geometric Coefficient of Variation 34

SECONDARY outcome

Timeframe: =0.5 h prior to dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 1 (Day 1) infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of the dose-normalized Cmax ((µg/mL)/mg) parameter estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 1 by dose group

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Dose-Normalized Maximum Observed Concentration (Cmax/Dose) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
0.20 (µg/mL)/mg
Geometric Coefficient of Variation 14
0.15 (µg/mL)/mg
Geometric Coefficient of Variation 9
0.18 (µg/mL)/mg
Geometric Coefficient of Variation 8
0.13 (µg/mL)/mg
Geometric Coefficient of Variation 10
0.13 (µg/mL)/mg
Geometric Coefficient of Variation 14
Dose-Normalized Maximum Observed Concentration (Cmax/Dose) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
0.02 (µg/mL)/mg
Geometric Coefficient of Variation 17
0.02 (µg/mL)/mg
Geometric Coefficient of Variation 17
0.02 (µg/mL)/mg
Geometric Coefficient of Variation 22
0.02 (µg/mL)/mg
Geometric Coefficient of Variation 17
0.02 (µg/mL)/mg
Geometric Coefficient of Variation 19
Dose-Normalized Maximum Observed Concentration (Cmax/Dose) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
0.07 (µg/mL)/mg
Geometric Coefficient of Variation 15
0.06 (µg/mL)/mg
Geometric Coefficient of Variation 22
0.07 (µg/mL)/mg
Geometric Coefficient of Variation 16
0.04 (µg/mL)/mg
Geometric Coefficient of Variation 10
0.04 (µg/mL)/mg
Geometric Coefficient of Variation 11
Dose-Normalized Maximum Observed Concentration (Cmax/Dose) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
0.06 (µg/mL)/mg
Geometric Coefficient of Variation 20
0.05 (µg/mL)/mg
Geometric Coefficient of Variation 16
0.05 (µg/mL)/mg
Geometric Coefficient of Variation 55
0.04 (µg/mL)/mg
Geometric Coefficient of Variation 11
0.04 (µg/mL)/mg
Geometric Coefficient of Variation 10

SECONDARY outcome

Timeframe: =0.5 h prior to dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 1 (Day 1) infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Median and minimum/maximum of the Tmax (h) parameter estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 1 by dose group.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Time of Maximum Concentration (Tmax) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
0.50 hours
Interval 0.5 to 0.5
1.00 hours
Interval 1.0 to 1.07
1.00 hours
Interval 1.0 to 1.0
2.02 hours
Interval 2.0 to 2.03
2.03 hours
Interval 2.02 to 2.03
Time of Maximum Concentration (Tmax) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
0.50 hours
Interval 0.5 to 0.5
1.00 hours
Interval 1.0 to 1.07
1.00 hours
Interval 1.0 to 1.0
2.02 hours
Interval 2.02 to 2.03
2.03 hours
Interval 2.02 to 2.03
Time of Maximum Concentration (Tmax) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
0.50 hours
Interval 0.5 to 0.5
1.03 hours
Interval 1.02 to 1.03
1.00 hours
Interval 1.0 to 1.0
2.02 hours
Interval 1.03 to 2.02
2.03 hours
Interval 2.02 to 2.03
Time of Maximum Concentration (Tmax) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
0.50 hours
Interval 0.5 to 0.5
1.03 hours
Interval 1.02 to 1.03
1.00 hours
Interval 1.0 to 2.0
2.02 hours
Interval 1.03 to 2.02
2.03 hours
Interval 2.02 to 2.03

SECONDARY outcome

Timeframe: =0.5 h prior to dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 1 (Day 1) infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Median and minimum/maximum of the Tmin (h) parameter estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 1 by dose group.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Time of Minimum Concentration (Tmin) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
23.60 hours
Interval 23.6 to 23.7
23.65 hours
Interval 23.6 to 23.7
23.60 hours
Interval 23.6 to 23.6
23.60 hours
Interval 23.4 to 23.6
23.60 hours
Interval 23.6 to 23.7
Time of Minimum Concentration (Tmin) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
23.60 hours
Interval 18.0 to 23.7
23.60 hours
Interval 23.6 to 23.7
23.60 hours
Interval 18.0 to 23.6
23.60 hours
Interval 23.6 to 23.6
23.60 hours
Interval 23.6 to 23.7
Time of Minimum Concentration (Tmin) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
23.60 hours
Interval 18.0 to 23.6
23.60 hours
Interval 18.0 to 23.7
23.60 hours
Interval 23.6 to 23.6
23.60 hours
Interval 23.4 to 23.6
23.60 hours
Interval 23.6 to 23.7
Time of Minimum Concentration (Tmin) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
18.00 hours
Interval 18.0 to 23.6
23.60 hours
Interval 18.0 to 23.7
23.60 hours
Interval 18.0 to 23.6
23.60 hours
Interval 23.6 to 23.6
23.60 hours
Interval 23.6 to 23.7

SECONDARY outcome

Timeframe: =0.5 h prior to dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 1 (Day 1) infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of the total area under the concentration-time curve from dosing (time 0 h) extrapolated to the time the concentration is predicted to reach the lower limit of quantification (LLOQ), AUC(0-t) (µg\*h/mL), parameter estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 1 by dose group using Phoenix WinNonlin Non-compartmental Analysis with the Ke (first-order terminal phase elimination rate constant) acceptance criteria: Rsq\_adjusted (adjusted R-squared) = 0.90 and includes at least 3 timepoints after Tmax (time of maximum concentration).

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Area Under the Concentration-Time Curve From Dosing to the Predicted Time the Concentration Reaches the Lower Limit of Quantification (AUC(0-t)) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
723.48 µg*h/mL
Geometric Coefficient of Variation 9
1241.47 µg*h/mL
Geometric Coefficient of Variation 18
1377.99 µg*h/mL
Geometric Coefficient of Variation 14
2148.23 µg*h/mL
Geometric Coefficient of Variation 11
2024.46 µg*h/mL
Geometric Coefficient of Variation 10
Area Under the Concentration-Time Curve From Dosing to the Predicted Time the Concentration Reaches the Lower Limit of Quantification (AUC(0-t)) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
39.92 µg*h/mL
Geometric Coefficient of Variation 7
83.95 µg*h/mL
Geometric Coefficient of Variation 19
102.81 µg*h/mL
Geometric Coefficient of Variation 24
187.42 µg*h/mL
Geometric Coefficient of Variation 15
190.43 µg*h/mL
Geometric Coefficient of Variation 14
Area Under the Concentration-Time Curve From Dosing to the Predicted Time the Concentration Reaches the Lower Limit of Quantification (AUC(0-t)) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
140.00 µg*h/mL
Geometric Coefficient of Variation 8
302.40 µg*h/mL
Geometric Coefficient of Variation 18
320.50 µg*h/mL
Geometric Coefficient of Variation 20
379.92 µg*h/mL
Geometric Coefficient of Variation 9
442.32 µg*h/mL
Geometric Coefficient of Variation 14
Area Under the Concentration-Time Curve From Dosing to the Predicted Time the Concentration Reaches the Lower Limit of Quantification (AUC(0-t)) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
125.17 µg*h/mL
Geometric Coefficient of Variation 8
257.74 µg*h/mL
Geometric Coefficient of Variation 15
247.40 µg*h/mL
Geometric Coefficient of Variation 42
379.75 µg*h/mL
Geometric Coefficient of Variation 11
427.31 µg*h/mL
Geometric Coefficient of Variation 16

SECONDARY outcome

Timeframe: =0.5 h prior to dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 1 (Day 1) infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of the total area under the concentration-time curve from dosing (time 0 h) to the time of last measured concentration, AUC(0-last) (µg\*h/mL),parameter estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 1 by dose group.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Area Under the Concentration-Time Curve From Dosing to Time of the Last Measured Concentration (AUC(0-last)) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
141.17 µg*h/mL
Geometric Coefficient of Variation 8
303.42 µg*h/mL
Geometric Coefficient of Variation 18
321.35 µg*h/mL
Geometric Coefficient of Variation 20
381.44 µg*h/mL
Geometric Coefficient of Variation 9
443.70 µg*h/mL
Geometric Coefficient of Variation 14
Area Under the Concentration-Time Curve From Dosing to Time of the Last Measured Concentration (AUC(0-last)) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
126.34 µg*h/mL
Geometric Coefficient of Variation 8
259.11 µg*h/mL
Geometric Coefficient of Variation 15
248.60 µg*h/mL
Geometric Coefficient of Variation 42
380.91 µg*h/mL
Geometric Coefficient of Variation 11
428.67 µg*h/mL
Geometric Coefficient of Variation 16
Area Under the Concentration-Time Curve From Dosing to Time of the Last Measured Concentration (AUC(0-last)) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
728.18 µg*h/mL
Geometric Coefficient of Variation 9
1247.86 µg*h/mL
Geometric Coefficient of Variation 18
1384.69 µg*h/mL
Geometric Coefficient of Variation 14
2153.20 µg*h/mL
Geometric Coefficient of Variation 11
2027.57 µg*h/mL
Geometric Coefficient of Variation 10
Area Under the Concentration-Time Curve From Dosing to Time of the Last Measured Concentration (AUC(0-last)) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
41.04 µg*h/mL
Geometric Coefficient of Variation 7
85.03 µg*h/mL
Geometric Coefficient of Variation 19
103.94 µg*h/mL
Geometric Coefficient of Variation 23
188.66 µg*h/mL
Geometric Coefficient of Variation 15
191.81 µg*h/mL
Geometric Coefficient of Variation 14

SECONDARY outcome

Timeframe: =0.5 h prior to dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 1 (Day 1) infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of the total area under the concentration-time curve from dosing (time 0 h) taken to the limit as the end time becomes arbitrarily large, AUC(0-inf) (µg\*h/mL), parameter estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 1by dose group using Phoenix WinNonlin Non-compartmental Analysis with the Ke (first-order terminal phase elimination rate constant) acceptance criteria: Rsq\_adjusted (adjusted R-squared) = 0.90 and includes at least 3 timepoints after Tmax (time of maximum concentration).

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Area Under the Concentration-Time Curve From Dosing Taken to the Limit as the End Time Becomes Arbitrarily Large (AUC(0-inf)) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
742.95 µg*h/mL
Geometric Coefficient of Variation 10
1265.39 µg*h/mL
Geometric Coefficient of Variation 19
1404.86 µg*h/mL
Geometric Coefficient of Variation 15
2199.93 µg*h/mL
Geometric Coefficient of Variation 11
2065.37 µg*h/mL
Geometric Coefficient of Variation 11
Area Under the Concentration-Time Curve From Dosing Taken to the Limit as the End Time Becomes Arbitrarily Large (AUC(0-inf)) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
141.33 µg*h/mL
Geometric Coefficient of Variation 8
303.92 µg*h/mL
Geometric Coefficient of Variation 18
322.04 µg*h/mL
Geometric Coefficient of Variation 20
381.76 µg*h/mL
Geometric Coefficient of Variation 9
444.34 µg*h/mL
Geometric Coefficient of Variation 14
Area Under the Concentration-Time Curve From Dosing Taken to the Limit as the End Time Becomes Arbitrarily Large (AUC(0-inf)) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
126.50 µg*h/mL
Geometric Coefficient of Variation 8
259.27 µg*h/mL
Geometric Coefficient of Variation 15
249.11 µg*h/mL
Geometric Coefficient of Variation 41
381.44 µg*h/mL
Geometric Coefficient of Variation 11
429.33 µg*h/mL
Geometric Coefficient of Variation 16
Area Under the Concentration-Time Curve From Dosing Taken to the Limit as the End Time Becomes Arbitrarily Large (AUC(0-inf)) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
41.65 µg*h/mL
Geometric Coefficient of Variation 7
85.93 µg*h/mL
Geometric Coefficient of Variation 19
104.94 µg*h/mL
Geometric Coefficient of Variation 24
190.81 µg*h/mL
Geometric Coefficient of Variation 15
193.61 µg*h/mL
Geometric Coefficient of Variation 14

SECONDARY outcome

Timeframe: =0.5 h prior to dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 1 (Day 1) infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of the total area under the concentration-time curve from dosing (time 0 h) extrapolated to 24 h after dosing, AUC(0-24) (µg\*h/mL), parameter estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 1 by dose group using Phoenix WinNonlin Non-compartmental Analysis with the Ke (first-order terminal phase elimination rate constant) acceptance criteria: Rsq\_adjusted (adjusted R-squared) = 0.90 and includes at least 3 timepoints after Tmax (time of maximum concentration).

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Area Under the Concentration-Time Curve From Dosing Extrapolated to 24 Hours After Dosing (AUC(0-24)) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
41.19 µg*h/mL
Geometric Coefficient of Variation 7
85.25 µg*h/mL
Geometric Coefficient of Variation 19
103.96 µg*h/mL
Geometric Coefficient of Variation 23
188.86 µg*h/mL
Geometric Coefficient of Variation 15
192.13 µg*h/mL
Geometric Coefficient of Variation 14
Area Under the Concentration-Time Curve From Dosing Extrapolated to 24 Hours After Dosing (AUC(0-24)) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
126.34 µg*h/mL
Geometric Coefficient of Variation 8
259.11 µg*h/mL
Geometric Coefficient of Variation 15
248.60 µg*h/mL
Geometric Coefficient of Variation 42
380.91 µg*h/mL
Geometric Coefficient of Variation 11
428.67 µg*h/mL
Geometric Coefficient of Variation 16
Area Under the Concentration-Time Curve From Dosing Extrapolated to 24 Hours After Dosing (AUC(0-24)) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
728.97 µg*h/mL
Geometric Coefficient of Variation 9
1249.60 µg*h/mL
Geometric Coefficient of Variation 18
1386.28 µg*h/mL
Geometric Coefficient of Variation 14
2156.38 µg*h/mL
Geometric Coefficient of Variation 11
2029.12 µg*h/mL
Geometric Coefficient of Variation 10
Area Under the Concentration-Time Curve From Dosing Extrapolated to 24 Hours After Dosing (AUC(0-24)) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
141.17 µg*h/mL
Geometric Coefficient of Variation 8
303.60 µg*h/mL
Geometric Coefficient of Variation 18
321.76 µg*h/mL
Geometric Coefficient of Variation 20
381.59 µg*h/mL
Geometric Coefficient of Variation 9
443.70 µg*h/mL
Geometric Coefficient of Variation 14

SECONDARY outcome

Timeframe: =0.5 h prior to dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 1 (Day 1) infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of the total area under the concentration-time curve from dosing (time 0 h) to the end of the dosing interval (24 h post-infusion), AUC(0-tau) (µg\*h/mL), parameter estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 1 by dose group using Phoenix WinNonlin Non-compartmental Analysis with the Ke (first-order terminal phase elimination rate constant) acceptance criteria: Rsq\_adjusted (adjusted R-squared) = 0.90 and includes at least 3 timepoints after Tmax (time of maximum concentration

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Area Under the Concentration-Time Curve From Dosing to the End of the Dosing Interval (AUC(0-tau)) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
728.97 µg*h/mL
Geometric Coefficient of Variation 9
1249.60 µg*h/mL
Geometric Coefficient of Variation 18
1386.28 µg*h/mL
Geometric Coefficient of Variation 14
2156.38 µg*h/mL
Geometric Coefficient of Variation 11
2029.12 µg*h/mL
Geometric Coefficient of Variation 10
Area Under the Concentration-Time Curve From Dosing to the End of the Dosing Interval (AUC(0-tau)) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
41.19 µg*h/mL
Geometric Coefficient of Variation 7
85.25 µg*h/mL
Geometric Coefficient of Variation 19
103.96 µg*h/mL
Geometric Coefficient of Variation 23
188.86 µg*h/mL
Geometric Coefficient of Variation 15
192.13 µg*h/mL
Geometric Coefficient of Variation 14
Area Under the Concentration-Time Curve From Dosing to the End of the Dosing Interval (AUC(0-tau)) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
141.17 µg*h/mL
Geometric Coefficient of Variation 8
303.60 µg*h/mL
Geometric Coefficient of Variation 18
321.76 µg*h/mL
Geometric Coefficient of Variation 20
381.59 µg*h/mL
Geometric Coefficient of Variation 9
443.70 µg*h/mL
Geometric Coefficient of Variation 14
Area Under the Concentration-Time Curve From Dosing to the End of the Dosing Interval (AUC(0-tau)) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
126.34 µg*h/mL
Geometric Coefficient of Variation 8
259.11 µg*h/mL
Geometric Coefficient of Variation 15
248.60 µg*h/mL
Geometric Coefficient of Variation 42
380.91 µg*h/mL
Geometric Coefficient of Variation 11
428.67 µg*h/mL
Geometric Coefficient of Variation 16

SECONDARY outcome

Timeframe: =0.5 h prior to dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 1 (Day 1) infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of the dose-normalized total area under the concentration-time curve from dosing (time 0 h) to the end of the dosing interval (24 h post-infusion), AUC(0-tau)/Dose ((µg\*h/mL)/mg), parameter estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 1 by dose group using Phoenix WinNonlin Non-compartmental Analysis with the Ke (first-order terminal phase elimination rate constant) acceptance criteria: Rsq\_adjusted (adjusted R-squared) = 0.90 and includes at least 3 timepoints after Tmax (time of maximum concentration).

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Dose-Normalized Area Under the Concentration-Time Curve From Dosing to the End of the Dosing Interval (AUC(0-tau)/Dose) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
0.13 (µg*h/mL)/mg
Geometric Coefficient of Variation 8
0.13 (µg*h/mL)/mg
Geometric Coefficient of Variation 15
0.12 (µg*h/mL)/mg
Geometric Coefficient of Variation 41
0.13 (µg*h/mL)/mg
Geometric Coefficient of Variation 11
0.14 (µg*h/mL)/mg
Geometric Coefficient of Variation 16
Dose-Normalized Area Under the Concentration-Time Curve From Dosing to the End of the Dosing Interval (AUC(0-tau)/Dose) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
0.73 (µg*h/mL)/mg
Geometric Coefficient of Variation 9
0.62 (µg*h/mL)/mg
Geometric Coefficient of Variation 18
0.69 (µg*h/mL)/mg
Geometric Coefficient of Variation 15
0.72 (µg*h/mL)/mg
Geometric Coefficient of Variation 11
0.68 (µg*h/mL)/mg
Geometric Coefficient of Variation 10
Dose-Normalized Area Under the Concentration-Time Curve From Dosing to the End of the Dosing Interval (AUC(0-tau)/Dose) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
0.04 (µg*h/mL)/mg
Geometric Coefficient of Variation 7
0.04 (µg*h/mL)/mg
Geometric Coefficient of Variation 19
0.05 (µg*h/mL)/mg
Geometric Coefficient of Variation 24
0.06 (µg*h/mL)/mg
Geometric Coefficient of Variation 15
0.06 (µg*h/mL)/mg
Geometric Coefficient of Variation 14
Dose-Normalized Area Under the Concentration-Time Curve From Dosing to the End of the Dosing Interval (AUC(0-tau)/Dose) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
0.14 (µg*h/mL)/mg
Geometric Coefficient of Variation 8
0.15 (µg*h/mL)/mg
Geometric Coefficient of Variation 18
0.16 (µg*h/mL)/mg
Geometric Coefficient of Variation 20
0.13 (µg*h/mL)/mg
Geometric Coefficient of Variation 9
0.15 (µg*h/mL)/mg
Geometric Coefficient of Variation 14

SECONDARY outcome

Timeframe: =0.5 h prior to dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 1 (Day 1) infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of the terminal elimination half-life, t1/2 (h), parameter estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 1 by dose group using Phoenix WinNonlin Non-compartmental Analysis with the Ke (first-order terminal phase elimination rate constant) acceptance criteria: Rsq\_adjusted (adjusted R-squared) = 0.90 and includes at least 3 timepoints after Tmax (time of maximum concentration).

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Terminal Elimination Half-Life (t1/2) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
4.09 hours
Geometric Coefficient of Variation 11
3.83 hours
Geometric Coefficient of Variation 21
3.86 hours
Geometric Coefficient of Variation 15
3.96 hours
Geometric Coefficient of Variation 12
3.87 hours
Geometric Coefficient of Variation 10
Terminal Elimination Half-Life (t1/2) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
4.34 hours
Geometric Coefficient of Variation 12
3.76 hours
Geometric Coefficient of Variation 22
3.92 hours
Geometric Coefficient of Variation 14
4.20 hours
Geometric Coefficient of Variation 4
4.20 hours
Geometric Coefficient of Variation 10
Terminal Elimination Half-Life (t1/2) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
2.35 hours
Geometric Coefficient of Variation 15
2.60 hours
Geometric Coefficient of Variation 14
2.57 hours
Geometric Coefficient of Variation 12
2.61 hours
Geometric Coefficient of Variation 9
2.71 hours
Geometric Coefficient of Variation 6
Terminal Elimination Half-Life (t1/2) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
2.75 hours
Geometric Coefficient of Variation 18
2.81 hours
Geometric Coefficient of Variation 14
2.63 hours
Geometric Coefficient of Variation 15
2.69 hours
Geometric Coefficient of Variation 9
2.71 hours
Geometric Coefficient of Variation 5

SECONDARY outcome

Timeframe: =0.5 h prior to dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 1 (Day 1) infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of the total clearance, CLT (L/h), parameter estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 1 by dose group using Phoenix WinNonlin Non-compartmental Analysis with the Ke (first-order terminal phase elimination rate constant) acceptance criteria: Rsq\_adjusted (adjusted R-squared) = 0.90 and includes at least 3 timepoints after Tmax (time of maximum concentration).

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Total Clearance (CLT) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
1.34 L/h
Geometric Coefficient of Variation 10
1.58 L/h
Geometric Coefficient of Variation 19
1.42 L/h
Geometric Coefficient of Variation 15
1.37 L/h
Geometric Coefficient of Variation 11
1.45 L/h
Geometric Coefficient of Variation 11
Total Clearance (CLT) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
7.07 L/h
Geometric Coefficient of Variation 8
6.58 L/h
Geometric Coefficient of Variation 18
6.21 L/h
Geometric Coefficient of Variation 20
7.86 L/h
Geometric Coefficient of Variation 9
6.75 L/h
Geometric Coefficient of Variation 14
Total Clearance (CLT) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
23.99 L/h
Geometric Coefficient of Variation 7
23.28 L/h
Geometric Coefficient of Variation 19
19.06 L/h
Geometric Coefficient of Variation 24
15.70 L/h
Geometric Coefficient of Variation 15
15.50 L/h
Geometric Coefficient of Variation 14
Total Clearance (CLT) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
7.91 L/h
Geometric Coefficient of Variation 8
7.71 L/h
Geometric Coefficient of Variation 15
8.03 L/h
Geometric Coefficient of Variation 41
7.86 L/h
Geometric Coefficient of Variation 11
6.99 L/h
Geometric Coefficient of Variation 16

SECONDARY outcome

Timeframe: =0.5 h prior to dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 1 (Day 1) infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of the first-order terminal phase elimination rate constant, Ke (1/h), parameter estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 1 by dose group using Phoenix WinNonlin Non-compartmental Analysis with the Ke acceptance criteria: Rsq\_adjusted (adjusted R-squared) = 0.90 and includes at least 3 timepoints after Tmax (time of maximum concentration).

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
First-Order Terminal Phase Elimination Rate Constant (Ke) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
0.17 1/h
Geometric Coefficient of Variation 11
0.18 1/h
Geometric Coefficient of Variation 21
0.18 1/h
Geometric Coefficient of Variation 15
0.18 1/h
Geometric Coefficient of Variation 12
0.18 1/h
Geometric Coefficient of Variation 10
First-Order Terminal Phase Elimination Rate Constant (Ke) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
0.16 1/h
Geometric Coefficient of Variation 12
0.18 1/h
Geometric Coefficient of Variation 22
0.18 1/h
Geometric Coefficient of Variation 14
0.17 1/h
Geometric Coefficient of Variation 4
0.17 1/h
Geometric Coefficient of Variation 10
First-Order Terminal Phase Elimination Rate Constant (Ke) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
0.30 1/h
Geometric Coefficient of Variation 15
0.27 1/h
Geometric Coefficient of Variation 14
0.27 1/h
Geometric Coefficient of Variation 12
0.27 1/h
Geometric Coefficient of Variation 9
0.26 1/h
Geometric Coefficient of Variation 6
First-Order Terminal Phase Elimination Rate Constant (Ke) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
0.25 1/h
Geometric Coefficient of Variation 18
0.25 1/h
Geometric Coefficient of Variation 14
0.26 1/h
Geometric Coefficient of Variation 14
0.26 1/h
Geometric Coefficient of Variation 9
0.26 1/h
Geometric Coefficient of Variation 5

SECONDARY outcome

Timeframe: =0.5 h prior to dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 1 (Day 1) infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of the apparent volume of distribution, Vd (L), parameter estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 1 by dose group using Phoenix WinNonlin Non-compartmental Analysis with the Ke (first-order terminal phase elimination rate constant) acceptance criteria: Rsq\_adjusted (adjusted R-squared) = 0.90 and includes at least 3 timepoints after Tmax (time of maximum concentration).

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Apparent Volume of Distribution (Vd) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
8.43 liters
Geometric Coefficient of Variation 7
8.57 liters
Geometric Coefficient of Variation 9
8.04 liters
Geometric Coefficient of Variation 12
8.28 liters
Geometric Coefficient of Variation 10
8.81 liters
Geometric Coefficient of Variation 13
Apparent Volume of Distribution (Vd) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
23.97 liters
Geometric Coefficient of Variation 14
24.67 liters
Geometric Coefficient of Variation 28
23.05 liters
Geometric Coefficient of Variation 22
29.56 liters
Geometric Coefficient of Variation 10
26.43 liters
Geometric Coefficient of Variation 16
Apparent Volume of Distribution (Vd) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
141.43 liters
Geometric Coefficient of Variation 11
128.25 liters
Geometric Coefficient of Variation 12
106.20 liters
Geometric Coefficient of Variation 23
89.98 liters
Geometric Coefficient of Variation 20
86.55 liters
Geometric Coefficient of Variation 16
Apparent Volume of Distribution (Vd) for Dose 1 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
31.37 liters
Geometric Coefficient of Variation 12
31.18 liters
Geometric Coefficient of Variation 23
30.42 liters
Geometric Coefficient of Variation 40
30.52 liters
Geometric Coefficient of Variation 9
27.28 liters
Geometric Coefficient of Variation 17

SECONDARY outcome

Timeframe: =0.5 h prior to the start of Dose 7 (Day 7) dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 7 infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of the Cmax,ss (µg/mL) parameter estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 7 by dose group. These estimates assume steady state has been achieved.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Maximum Observed Concentration at Steady State (Cmax,ss) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
181.90 µg/mL
Geometric Coefficient of Variation 11
341.92 µg/mL
Geometric Coefficient of Variation 10
344.89 µg/mL
Geometric Coefficient of Variation 10
387.57 µg/mL
Geometric Coefficient of Variation 9
343.24 µg/mL
Geometric Coefficient of Variation 13
Maximum Observed Concentration at Steady State (Cmax,ss) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
15.41 µg/mL
Geometric Coefficient of Variation 24
38.18 µg/mL
Geometric Coefficient of Variation 13
36.09 µg/mL
Geometric Coefficient of Variation 23
57.65 µg/mL
Geometric Coefficient of Variation 28
50.36 µg/mL
Geometric Coefficient of Variation 28
Maximum Observed Concentration at Steady State (Cmax,ss) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
63.87 µg/mL
Geometric Coefficient of Variation 17
115.71 µg/mL
Geometric Coefficient of Variation 16
130.69 µg/mL
Geometric Coefficient of Variation 18
109.41 µg/mL
Geometric Coefficient of Variation 7
113.79 µg/mL
Geometric Coefficient of Variation 16
Maximum Observed Concentration at Steady State (Cmax,ss) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
57.89 µg/mL
Geometric Coefficient of Variation 23
103.12 µg/mL
Geometric Coefficient of Variation 18
83.36 µg/mL
Geometric Coefficient of Variation 57
111.59 µg/mL
Geometric Coefficient of Variation 7
111.81 µg/mL
Geometric Coefficient of Variation 16

SECONDARY outcome

Timeframe: =0.5 h prior to the start of Dose 7 (Day 7) dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 7 infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of the Cmin,ss (µg/mL) parameter estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 7 by dose group. These estimates assume steady state has been achieved.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=5 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Minimum Observed Concentration at Steady State (Cmin,ss) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
0.13 µg/mL
Geometric Coefficient of Variation 49
0.12 µg/mL
Geometric Coefficient of Variation 68
0.10 µg/mL
Geometric Coefficient of Variation 46
0.13 µg/mL
Geometric Coefficient of Variation 27
0.12 µg/mL
Geometric Coefficient of Variation 36
Minimum Observed Concentration at Steady State (Cmin,ss) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
0.12 µg/mL
Geometric Coefficient of Variation 66
0.10 µg/mL
Geometric Coefficient of Variation 38
0.17 µg/mL
Geometric Coefficient of Variation 864
0.14 µg/mL
Geometric Coefficient of Variation 23
0.11 µg/mL
Geometric Coefficient of Variation 34
Minimum Observed Concentration at Steady State (Cmin,ss) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
1.75 µg/mL
Geometric Coefficient of Variation 30
1.81 µg/mL
Geometric Coefficient of Variation 114
1.74 µg/mL
Geometric Coefficient of Variation 75
4.93 µg/mL
Geometric Coefficient of Variation 2
3.49 µg/mL
Geometric Coefficient of Variation 65
Minimum Observed Concentration at Steady State (Cmin,ss) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
0.10 µg/mL
Geometric Coefficient of Variation 28
0.12 µg/mL
Geometric Coefficient of Variation 35
0.12 µg/mL
Geometric Coefficient of Variation 60
0.23 µg/mL
Geometric Coefficient of Variation 31
0.15 µg/mL
Geometric Coefficient of Variation 59

SECONDARY outcome

Timeframe: =0.5 h prior to the start of Dose 7 (Day 7) dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 7 infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of the dose-normalized Cmax,ss ((µg/mL)/mg) parameter estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 7 by dose group. This estimate assumes steady state has been achieved.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=5 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Dose-Normalized Maximum Observed Concentration at Steady State (Cmax,ss/Dose) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
0.02 (µg/mL)/mg
Geometric Coefficient of Variation 24
0.02 (µg/mL)/mg
Geometric Coefficient of Variation 13
0.02 (µg/mL)/mg
Geometric Coefficient of Variation 23
0.02 (µg/mL)/mg
Geometric Coefficient of Variation 28
0.02 (µg/mL)/mg
Geometric Coefficient of Variation 28
Dose-Normalized Maximum Observed Concentration at Steady State (Cmax,ss/Dose) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
0.06 (µg/mL)/mg
Geometric Coefficient of Variation 17
0.06 (µg/mL)/mg
Geometric Coefficient of Variation 16
0.07 (µg/mL)/mg
Geometric Coefficient of Variation 18
0.04 (µg/mL)/mg
Geometric Coefficient of Variation 7
0.04 (µg/mL)/mg
Geometric Coefficient of Variation 16
Dose-Normalized Maximum Observed Concentration at Steady State (Cmax,ss/Dose) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
0.06 (µg/mL)/mg
Geometric Coefficient of Variation 23
0.05 (µg/mL)/mg
Geometric Coefficient of Variation 18
0.04 (µg/mL)/mg
Geometric Coefficient of Variation 56
0.04 (µg/mL)/mg
Geometric Coefficient of Variation 7
0.04 (µg/mL)/mg
Geometric Coefficient of Variation 15
Dose-Normalized Maximum Observed Concentration at Steady State (Cmax,ss/Dose) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
0.18 (µg/mL)/mg
Geometric Coefficient of Variation 11
0.17 (µg/mL)/mg
Geometric Coefficient of Variation 10
0.17 (µg/mL)/mg
Geometric Coefficient of Variation 10
0.13 (µg/mL)/mg
Geometric Coefficient of Variation 9
0.11 (µg/mL)/mg
Geometric Coefficient of Variation 13

SECONDARY outcome

Timeframe: =0.5 h prior to the start of Dose 7 (Day 7) dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 7 infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of the average concentration over the Dose 7 dosing interval, Cavg (µg/mL) parameter estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 7 by dose group using Phoenix WinNonlin Non-compartmental Analysis with the Ke (first-order terminal phase elimination rate constant) acceptance criteria: Rsq\_adjusted (adjusted R-squared) = 0.90 and includes at least 3 timepoints after Tmax (time of maximum concentration). Cavg is calculated as AUC(0-tau,ss)/tau. These estimates assume steady state has been achieved.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=5 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Average Concentration Over the Dose 7 Dosing Interval (Cavg) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
29.99 µg/mL
Geometric Coefficient of Variation 9
51.20 µg/mL
Geometric Coefficient of Variation 13
51.40 µg/mL
Geometric Coefficient of Variation 16
80.91 µg/mL
Geometric Coefficient of Variation 6
71.98 µg/mL
Geometric Coefficient of Variation 14
Average Concentration Over the Dose 7 Dosing Interval (Cavg) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
1.64 µg/mL
Geometric Coefficient of Variation 6
3.51 µg/mL
Geometric Coefficient of Variation 18
3.77 µg/mL
Geometric Coefficient of Variation 16
7.01 µg/mL
Geometric Coefficient of Variation 23
6.29 µg/mL
Geometric Coefficient of Variation 19
Average Concentration Over the Dose 7 Dosing Interval (Cavg) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
5.56 µg/mL
Geometric Coefficient of Variation 8
11.94 µg/mL
Geometric Coefficient of Variation 20
12.83 µg/mL
Geometric Coefficient of Variation 19
16.05 µg/mL
Geometric Coefficient of Variation 7
16.52 µg/mL
Geometric Coefficient of Variation 14
Average Concentration Over the Dose 7 Dosing Interval (Cavg) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
5.03 µg/mL
Geometric Coefficient of Variation 8
10.48 µg/mL
Geometric Coefficient of Variation 20
9.77 µg/mL
Geometric Coefficient of Variation 30
16.32 µg/mL
Geometric Coefficient of Variation 8
15.83 µg/mL
Geometric Coefficient of Variation 14

SECONDARY outcome

Timeframe: =0.5 h prior to the start of Dose 7 (Day 7) dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 7 infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of the predicted concentration at the end of the dosing interval at steady state, Ctau,ss (µg/mL), parameters estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 7 by dose group using Phoenix WinNonlin Non-compartmental Analysis with the Ke (first-order terminal phase elimination rate constant) acceptance criteria: Rsq\_adjusted (adjusted R-squared) = 0.90 and includes at least 3 timepoints after Tmax (time of maximum concentration). These estimates assume steady state has been achieved.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=5 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Predicted Concentration at the End of the Dosing Interval at Steady State (Ctau,ss) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
1.75 µg/mL
Geometric Coefficient of Variation 30
1.85 µg/mL
Geometric Coefficient of Variation 111
1.74 µg/mL
Geometric Coefficient of Variation 75
4.93 µg/mL
Geometric Coefficient of Variation 2
3.50 µg/mL
Geometric Coefficient of Variation 64
Predicted Concentration at the End of the Dosing Interval at Steady State (Ctau,ss) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
0.06 µg/mL
Geometric Coefficient of Variation 53
0.07 µg/mL
Geometric Coefficient of Variation 128
0.07 µg/mL
Geometric Coefficient of Variation 88
0.23 µg/mL
Geometric Coefficient of Variation 31
0.15 µg/mL
Geometric Coefficient of Variation 58
Predicted Concentration at the End of the Dosing Interval at Steady State (Ctau,ss) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
0.02 µg/mL
Geometric Coefficient of Variation 68
0.06 µg/mL
Geometric Coefficient of Variation 89
0.05 µg/mL
Geometric Coefficient of Variation 176
0.13 µg/mL
Geometric Coefficient of Variation 28
0.12 µg/mL
Geometric Coefficient of Variation 35
Predicted Concentration at the End of the Dosing Interval at Steady State (Ctau,ss) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
0.06 µg/mL
Geometric Coefficient of Variation 169
0.07 µg/mL
Geometric Coefficient of Variation 90
0.11 µg/mL
Geometric Coefficient of Variation 2318
0.14 µg/mL
Geometric Coefficient of Variation 23
0.11 µg/mL
Geometric Coefficient of Variation 34

SECONDARY outcome

Timeframe: =0.5 h prior to the start of Dose 7 (Day 7) dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 7 infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Median and minimum/maximum of the Tmax,ss (h) parameter estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 7 by dose group. The estimate for Tmax,ss assumes steady state has been achieved.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=5 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Time of Maximum Concentration at Steady State (Tmax,ss) for Dose 7 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
0.52 hours
Interval 0.5 to 0.6
1.00 hours
Interval 1.0 to 1.0
1.02 hours
Interval 1.0 to 1.02
2.02 hours
Interval 2.02 to 2.02
2.07 hours
Interval 2.02 to 2.23
Time of Maximum Concentration at Steady State (Tmax,ss) for Dose 7 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
0.52 hours
Interval 0.25 to 0.6
1.00 hours
Interval 1.0 to 1.0
1.02 hours
Interval 0.5 to 1.02
2.02 hours
Interval 2.02 to 2.02
2.07 hours
Interval 2.02 to 2.23
Time of Maximum Concentration at Steady State (Tmax,ss) for Dose 7 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
0.52 hours
Interval 0.25 to 0.6
1.00 hours
Interval 1.0 to 1.0
1.02 hours
Interval 1.0 to 1.02
2.02 hours
Interval 2.02 to 2.07
2.07 hours
Interval 2.02 to 2.23
Time of Maximum Concentration at Steady State (Tmax,ss) for Dose 7 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
0.52 hours
Interval 0.25 to 0.6
1.00 hours
Interval 1.0 to 1.0
1.02 hours
Interval 1.0 to 2.0
2.02 hours
Interval 2.02 to 2.07
2.07 hours
Interval 2.02 to 2.23

SECONDARY outcome

Timeframe: =0.5 h prior to the start of Dose 7 (Day 7) dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 7 infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Median and minimum/maximum of the Tmin (h) parameter estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 7 by dose group.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=5 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Time of Minimum Concentration (Tmin) for Dose 7 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
24.00 hours
Interval 18.0 to 24.0
24.00 hours
Interval 18.1 to 24.0
24.00 hours
Interval 18.0 to 24.0
24.00 hours
Interval 24.0 to 24.1
24.00 hours
Interval 24.0 to 24.1
Time of Minimum Concentration (Tmin) for Dose 7 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
24.00 hours
Interval 24.0 to 24.0
24.05 hours
Interval 24.0 to 24.3
24.00 hours
Interval 24.0 to 24.0
24.00 hours
Interval 24.0 to 24.0
24.00 hours
Interval 24.0 to 24.1
Time of Minimum Concentration (Tmin) for Dose 7 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
24.00 hours
Interval 18.0 to 24.0
24.00 hours
Interval 18.0 to 24.1
24.00 hours
Interval 18.0 to 24.0
24.00 hours
Interval 24.0 to 24.0
24.00 hours
Interval 24.0 to 24.1
Time of Minimum Concentration (Tmin) for Dose 7 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
18.00 hours
Interval 18.0 to 24.0
24.00 hours
Interval 18.0 to 24.0
24.00 hours
Interval 18.0 to 24.0
24.00 hours
Interval 24.0 to 24.1
24.00 hours
Interval 24.0 to 24.1

SECONDARY outcome

Timeframe: =0.5 h prior to the start of Dose 7 (Day 7) dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 7 infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of the area under the concentration-time curve from dosing (time 0 h) extrapolated to 24 h after dosing at steady state, AUC(0-24),ss (µg\*h/mL), parameter estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 7 by dose group using Phoenix WinNonlin Non-compartmental Analysis with the Ke (first-order terminal phase elimination rate constant) acceptance criteria: Rsq\_adjusted (adjusted R-squared) = 0.90 and includes at least 3 timepoints after Tmax (time of maximum concentration). This estimate assumes steady state has been achieved.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=5 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Area Under the Concentration-Time Curve From Dose 7 Dosing Extrapolated to 24 Hours After Dosing at Steady State (AUC(0-24),ss) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
719.86 µg*h/mL
Geometric Coefficient of Variation 9
1228.88 µg*h/mL
Geometric Coefficient of Variation 14
1233.66 µg*h/mL
Geometric Coefficient of Variation 16
1940.84 µg*h/mL
Geometric Coefficient of Variation 6
1726.43 µg*h/mL
Geometric Coefficient of Variation 14
Area Under the Concentration-Time Curve From Dose 7 Dosing Extrapolated to 24 Hours After Dosing at Steady State (AUC(0-24),ss) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
133.35 µg*h/mL
Geometric Coefficient of Variation 8
286.34 µg*h/mL
Geometric Coefficient of Variation 20
308.35 µg*h/mL
Geometric Coefficient of Variation 19
384.53 µg*h/mL
Geometric Coefficient of Variation 7
396.60 µg*h/mL
Geometric Coefficient of Variation 14
Area Under the Concentration-Time Curve From Dose 7 Dosing Extrapolated to 24 Hours After Dosing at Steady State (AUC(0-24),ss) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
39.48 µg*h/mL
Geometric Coefficient of Variation 6
84.22 µg*h/mL
Geometric Coefficient of Variation 18
90.51 µg*h/mL
Geometric Coefficient of Variation 16
168.05 µg*h/mL
Geometric Coefficient of Variation 23
150.93 µg*h/mL
Geometric Coefficient of Variation 19
Area Under the Concentration-Time Curve From Dose 7 Dosing Extrapolated to 24 Hours After Dosing at Steady State (AUC(0-24),ss) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
120.70 µg*h/mL
Geometric Coefficient of Variation 8
251.56 µg*h/mL
Geometric Coefficient of Variation 20
234.14 µg*h/mL
Geometric Coefficient of Variation 30
392.09 µg*h/mL
Geometric Coefficient of Variation 8
380.11 µg*h/mL
Geometric Coefficient of Variation 14

SECONDARY outcome

Timeframe: =0.5 h prior to the start of Dose 7 (Day 7) dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 7 infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of the area under the concentration-time curve from dosing (time 0 h) to the end of the dosing interval (24 h post-infusion) at steady state, AUC(0-tau),ss (µg\*h/mL), parameter estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 7 by dose group using Phoenix WinNonlin Non-compartmental Analysis with the Ke (first-order terminal phase elimination rate constant) acceptance criteria: Rsq\_adjusted (adjusted R-squared) = 0.90 and includes at least 3 timepoints after Tmax (time of maximum concentration). This estimate assumes steady state has been achieved.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=5 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Area Under the Concentration-Time Curve From Dose 7 Dosing to the End of the Dosing Interval at Steady State (AUC(0-tau),ss) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
719.86 µg*h/mL
Geometric Coefficient of Variation 9
1228.88 µg*h/mL
Geometric Coefficient of Variation 14
1233.66 µg*h/mL
Geometric Coefficient of Variation 16
1940.84 µg*h/mL
Geometric Coefficient of Variation 6
1726.43 µg*h/mL
Geometric Coefficient of Variation 14
Area Under the Concentration-Time Curve From Dose 7 Dosing to the End of the Dosing Interval at Steady State (AUC(0-tau),ss) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
39.48 µg*h/mL
Geometric Coefficient of Variation 6
84.22 µg*h/mL
Geometric Coefficient of Variation 18
90.51 µg*h/mL
Geometric Coefficient of Variation 16
168.05 µg*h/mL
Geometric Coefficient of Variation 23
150.93 µg*h/mL
Geometric Coefficient of Variation 19
Area Under the Concentration-Time Curve From Dose 7 Dosing to the End of the Dosing Interval at Steady State (AUC(0-tau),ss) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
133.35 µg*h/mL
Geometric Coefficient of Variation 8
286.34 µg*h/mL
Geometric Coefficient of Variation 20
308.35 µg*h/mL
Geometric Coefficient of Variation 19
384.53 µg*h/mL
Geometric Coefficient of Variation 7
396.60 µg*h/mL
Geometric Coefficient of Variation 14
Area Under the Concentration-Time Curve From Dose 7 Dosing to the End of the Dosing Interval at Steady State (AUC(0-tau),ss) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
120.70 µg*h/mL
Geometric Coefficient of Variation 8
251.56 µg*h/mL
Geometric Coefficient of Variation 20
234.14 µg*h/mL
Geometric Coefficient of Variation 30
392.09 µg*h/mL
Geometric Coefficient of Variation 8
380.11 µg*h/mL
Geometric Coefficient of Variation 14

SECONDARY outcome

Timeframe: =0.5 h prior to the start of Dose 7 (Day 7) dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 7 infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of the dose-normalized total area under the concentration-time curve from dosing (time 0 h) to the end of the dosing interval (24 h post-infusion) at steady state, AUC(0-tau),ss/Dose ((µg\*h/mL)/mg), parameter estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 7 by dose group using Phoenix WinNonlin Non-compartmental Analysis with the Ke (first-order terminal phase elimination rate constant) acceptance criteria: Rsq\_adjusted (adjusted R-squared) = 0.90 and includes at least 3 timepoints after Tmax (time of maximum concentration). This estimate assumes steady state has been achieved.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=5 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Dose-Normalized Area Under the Concentration-Time Curve From Dose 7 Dosing to the End of the Dosing Interval at Steady State (AUC(0-tau),ss/Dose) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
0.72 (µg*h/mL)/mg
Geometric Coefficient of Variation 9
0.61 (µg*h/mL)/mg
Geometric Coefficient of Variation 13
0.62 (µg*h/mL)/mg
Geometric Coefficient of Variation 16
0.65 (µg*h/mL)/mg
Geometric Coefficient of Variation 6
0.58 (µg*h/mL)/mg
Geometric Coefficient of Variation 14
Dose-Normalized Area Under the Concentration-Time Curve From Dose 7 Dosing to the End of the Dosing Interval at Steady State (AUC(0-tau),ss/Dose) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
0.04 (µg*h/mL)/mg
Geometric Coefficient of Variation 6
0.04 (µg*h/mL)/mg
Geometric Coefficient of Variation 18
0.05 (µg*h/mL)/mg
Geometric Coefficient of Variation 16
0.06 (µg*h/mL)/mg
Geometric Coefficient of Variation 23
0.05 (µg*h/mL)/mg
Geometric Coefficient of Variation 19
Dose-Normalized Area Under the Concentration-Time Curve From Dose 7 Dosing to the End of the Dosing Interval at Steady State (AUC(0-tau),ss/Dose) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
0.13 (µg*h/mL)/mg
Geometric Coefficient of Variation 8
0.14 (µg*h/mL)/mg
Geometric Coefficient of Variation 20
0.15 (µg*h/mL)/mg
Geometric Coefficient of Variation 19
0.13 (µg*h/mL)/mg
Geometric Coefficient of Variation 7
0.13 (µg*h/mL)/mg
Geometric Coefficient of Variation 14
Dose-Normalized Area Under the Concentration-Time Curve From Dose 7 Dosing to the End of the Dosing Interval at Steady State (AUC(0-tau),ss/Dose) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
0.12 (µg*h/mL)/mg
Geometric Coefficient of Variation 8
0.13 (µg*h/mL)/mg
Geometric Coefficient of Variation 20
0.12 (µg*h/mL)/mg
Geometric Coefficient of Variation 30
0.13 (µg*h/mL)/mg
Geometric Coefficient of Variation 8
0.13 (µg*h/mL)/mg
Geometric Coefficient of Variation 14

SECONDARY outcome

Timeframe: =0.5 h prior to the start of Dose 7 (Day 7) dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 7 infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of the terminal elimination half-life, t1/2 (h), parameter estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 7 by dose group using Phoenix WinNonlin Non-compartmental Analysis with the Ke (first-order terminal phase elimination rate constant) acceptance criteria: Rsq\_adjusted (adjusted R-squared) = 0.90 and includes at least 3 timepoints after Tmax (time of maximum concentration).

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=5 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Terminal Elimination Half-Life (t1/2) for Dose 7 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
3.89 hours
Geometric Coefficient of Variation 19
3.45 hours
Geometric Coefficient of Variation 19
3.38 hours
Geometric Coefficient of Variation 19
3.77 hours
Geometric Coefficient of Variation 10
3.76 hours
Geometric Coefficient of Variation 17
Terminal Elimination Half-Life (t1/2) for Dose 7 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
3.91 hours
Geometric Coefficient of Variation 8
3.64 hours
Geometric Coefficient of Variation 19
3.67 hours
Geometric Coefficient of Variation 21
4.14 hours
Geometric Coefficient of Variation 4
3.86 hours
Geometric Coefficient of Variation 18
Terminal Elimination Half-Life (t1/2) for Dose 7 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
2.32 hours
Geometric Coefficient of Variation 15
2.64 hours
Geometric Coefficient of Variation 12
2.47 hours
Geometric Coefficient of Variation 24
2.69 hours
Geometric Coefficient of Variation 3
2.65 hours
Geometric Coefficient of Variation 10
Terminal Elimination Half-Life (t1/2) for Dose 7 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
2.55 hours
Geometric Coefficient of Variation 11
2.78 hours
Geometric Coefficient of Variation 15
3.13 hours
Geometric Coefficient of Variation 55
2.65 hours
Geometric Coefficient of Variation 7
2.70 hours
Geometric Coefficient of Variation 8

SECONDARY outcome

Timeframe: =0.5 h prior to the start of Dose 7 (Day 7) dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 7 infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of the total clearance, CLT (L/h), parameter estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 7 by dose group using Phoenix WinNonlin Non-compartmental Analysis with the Ke (first-order terminal phase elimination rate constant) acceptance criteria: Rsq\_adjusted (adjusted R-squared) = 0.90 and includes at least 3 timepoints after Tmax (time of maximum concentration).

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=5 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Total Clearance (CLT) for Dose 7 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
1.39 L/h
Geometric Coefficient of Variation 9
1.63 L/h
Geometric Coefficient of Variation 13
1.62 L/h
Geometric Coefficient of Variation 16
1.55 L/h
Geometric Coefficient of Variation 7
1.74 L/h
Geometric Coefficient of Variation 14
Total Clearance (CLT) for Dose 7 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
25.35 L/h
Geometric Coefficient of Variation 6
23.75 L/h
Geometric Coefficient of Variation 18
22.09 L/h
Geometric Coefficient of Variation 16
17.83 L/h
Geometric Coefficient of Variation 23
19.86 L/h
Geometric Coefficient of Variation 19
Total Clearance (CLT) for Dose 7 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
7.50 L/h
Geometric Coefficient of Variation 8
6.98 L/h
Geometric Coefficient of Variation 20
6.49 L/h
Geometric Coefficient of Variation 19
7.80 L/h
Geometric Coefficient of Variation 7
7.56 L/h
Geometric Coefficient of Variation 14
Total Clearance (CLT) for Dose 7 of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
8.28 L/h
Geometric Coefficient of Variation 8
7.96 L/h
Geometric Coefficient of Variation 20
8.54 L/h
Geometric Coefficient of Variation 30
7.65 L/h
Geometric Coefficient of Variation 8
7.89 L/h
Geometric Coefficient of Variation 14

SECONDARY outcome

Timeframe: =0.5 h prior to the start of Dose 7 (Day 7) dosing and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 7 infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of the apparent volume of distribution at steady state, Vd,ss (L), parameter estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h period following Dose 7 by dose group using Phoenix WinNonlin Non-compartmental Analysis with the Ke (first-order terminal phase elimination rate constant) acceptance criteria: Rsq\_adjusted (adjusted R-squared) = 0.90 and includes at least 3 timepoints after Tmax (time of maximum concentration). This estimate assumes steady state has been achieved.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=5 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Apparent Volume of Distribution at Steady State (Vd,ss) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
18.04 liters
Geometric Coefficient of Variation 14
16.57 liters
Geometric Coefficient of Variation 18
13.88 liters
Geometric Coefficient of Variation 21
20.33 liters
Geometric Coefficient of Variation 7
19.35 liters
Geometric Coefficient of Variation 13
Apparent Volume of Distribution at Steady State (Vd,ss) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
6.86 liters
Geometric Coefficient of Variation 5
6.73 liters
Geometric Coefficient of Variation 11
6.51 liters
Geometric Coefficient of Variation 11
7.17 liters
Geometric Coefficient of Variation 9
7.58 liters
Geometric Coefficient of Variation 10
Apparent Volume of Distribution at Steady State (Vd,ss) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
105.98 liters
Geometric Coefficient of Variation 14
72.51 liters
Geometric Coefficient of Variation 16
69.65 liters
Geometric Coefficient of Variation 13
56.84 liters
Geometric Coefficient of Variation 30
61.59 liters
Geometric Coefficient of Variation 29
Apparent Volume of Distribution at Steady State (Vd,ss) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
21.86 liters
Geometric Coefficient of Variation 10
18.79 liters
Geometric Coefficient of Variation 14
30.21 liters
Geometric Coefficient of Variation 197
20.17 liters
Geometric Coefficient of Variation 6
19.69 liters
Geometric Coefficient of Variation 13

SECONDARY outcome

Timeframe: =0.5 h prior to the start of and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 1 (Day 1) and Dose 7 (Day 7) infusions

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of the linearity index (ratio) for the total ERT, free ERT, total ZID, and free ZID plasma concentration-time data by dose group. The linearity index is a measure of how linear the relationship is between increase in administered dose and increase in exposure. The linearity index is estimated as AUC(0-tau),ss (Dose 7)/AUC(0-inf) (Dose 1), where the areas under the concentration-time curves from Dose 7 to the end of the dosing interval at steady state and from Dose 1 taken to the limit as the end time becomes arbitrarily large, AUC(0-tau),ss and AUC(0-inf) respectively, are calculated using Phoenix WinNonlin Non-compartmental Analysis with Ke (first-order terminal phase elimination rate constant) acceptance criteria: Rsq\_adjusted (adjusted R-squared) = 0.90 and includes at least 3 timepoints after Tmax (time of maximum concentration). The AUC(0-tau),ss estimate assumes steady state was reached.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=5 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Linearity Index of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
0.97 ratio
Geometric Coefficient of Variation 4
0.97 ratio
Geometric Coefficient of Variation 7
0.88 ratio
Geometric Coefficient of Variation 11
0.89 ratio
Geometric Coefficient of Variation 6
0.84 ratio
Geometric Coefficient of Variation 9
Linearity Index of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
0.95 ratio
Geometric Coefficient of Variation 4
0.98 ratio
Geometric Coefficient of Variation 4
0.86 ratio
Geometric Coefficient of Variation 18
0.88 ratio
Geometric Coefficient of Variation 9
0.78 ratio
Geometric Coefficient of Variation 17
Linearity Index of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
0.94 ratio
Geometric Coefficient of Variation 4
0.94 ratio
Geometric Coefficient of Variation 13
0.96 ratio
Geometric Coefficient of Variation 5
1.01 ratio
Geometric Coefficient of Variation 8
0.89 ratio
Geometric Coefficient of Variation 11
Linearity Index of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
0.95 ratio
Geometric Coefficient of Variation 5
0.97 ratio
Geometric Coefficient of Variation 13
0.94 ratio
Geometric Coefficient of Variation 26
1.03 ratio
Geometric Coefficient of Variation 7
0.89 ratio
Geometric Coefficient of Variation 13

SECONDARY outcome

Timeframe: =0.5 h prior to the start of and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 1 (Day 1) and Dose 7 (Day 7) infusions

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of the accumulation ratio of the AUC, RAUC (ratio), parameter for the total ERT, free ERT, total ZID, and free ZID plasma concentration-time data by dose group. RAUC is estimated as AUC(0-tau),ss (Dose 7)/AUC(0-24) (Dose 1), where the areas under the concentration-time curves from Dose 7 to the end of the dosing interval at steady state and from Dose 1 extrapolated to 24 h after Dose 1, AUC(0-tau),ss and AUC(0-24) respectively, are calculated using Phoenix WinNonlin Non-compartmental Analysis with the Ke (first-order terminal phase elimination rate constant) acceptance criteria: Rsq\_adjusted (adjusted R-squared) = 0.90 and includes at least 3 timepoints after Tmax (time of maximum concentration). The AUC(0-tau),ss estimate assumes steady state was reached.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=5 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
The Accumulation Ratio of the Area Under the Concentration-Time Curve (RAUC) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
0.99 ratio
Geometric Coefficient of Variation 5
0.98 ratio
Geometric Coefficient of Variation 7
0.89 ratio
Geometric Coefficient of Variation 11
0.91 ratio
Geometric Coefficient of Variation 6
0.85 ratio
Geometric Coefficient of Variation 9
The Accumulation Ratio of the Area Under the Concentration-Time Curve (RAUC) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
0.96 ratio
Geometric Coefficient of Variation 4
0.99 ratio
Geometric Coefficient of Variation 3
0.87 ratio
Geometric Coefficient of Variation 18
0.89 ratio
Geometric Coefficient of Variation 9
0.79 ratio
Geometric Coefficient of Variation 17
The Accumulation Ratio of the Area Under the Concentration-Time Curve (RAUC) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
0.94 ratio
Geometric Coefficient of Variation 4
0.94 ratio
Geometric Coefficient of Variation 13
0.96 ratio
Geometric Coefficient of Variation 5
1.01 ratio
Geometric Coefficient of Variation 8
0.89 ratio
Geometric Coefficient of Variation 11
The Accumulation Ratio of the Area Under the Concentration-Time Curve (RAUC) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
0.96 ratio
Geometric Coefficient of Variation 5
0.97 ratio
Geometric Coefficient of Variation 13
0.94 ratio
Geometric Coefficient of Variation 26
1.03 ratio
Geometric Coefficient of Variation 7
0.89 ratio
Geometric Coefficient of Variation 13

SECONDARY outcome

Timeframe: =0.5 h prior to the start of and 0.25 h (WCK 6777 2g group only), 0.5 h (WCK 6777 2g, ERT 2g, ZID 2g, and WCK 6777 4g groups only), 1 h, 2 h, 3 h, 4 h, 8 h, 12 h, 18 h, and 24 h post-start of Dose 1 (Day 1) and Dose 7 (Day 7) infusions

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of the accumulation ratio of the Cmax, RCmax (ratio), parameter for the total ERT, free ERT, total ZID, and free ZID plasma concentration-time data by dose group. RCmax is estimated as Cmax (Dose 7)/Cmax (Dose 1), where the Cmax parameters are estimated from the total ERT, free ERT, total ZID, or free ZID plasma concentration-time data over the 24-h periods following Dose 1 and Dose 7, respectively.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=5 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
The Accumulation Ratio of the Maximum Observed Concentration (RCmax) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ZID
0.92 ratio
Geometric Coefficient of Variation 15
0.96 ratio
Geometric Coefficient of Variation 11
0.98 ratio
Geometric Coefficient of Variation 12
0.98 ratio
Geometric Coefficient of Variation 13
0.89 ratio
Geometric Coefficient of Variation 17
The Accumulation Ratio of the Maximum Observed Concentration (RCmax) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ZID
0.90 ratio
Geometric Coefficient of Variation 15
0.98 ratio
Geometric Coefficient of Variation 11
0.85 ratio
Geometric Coefficient of Variation 40
1.03 ratio
Geometric Coefficient of Variation 10
0.89 ratio
Geometric Coefficient of Variation 13
The Accumulation Ratio of the Maximum Observed Concentration (RCmax) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Total ERT
0.92 ratio
Geometric Coefficient of Variation 17
1.13 ratio
Geometric Coefficient of Variation 14
0.97 ratio
Geometric Coefficient of Variation 7
1.01 ratio
Geometric Coefficient of Variation 8
0.88 ratio
Geometric Coefficient of Variation 8
The Accumulation Ratio of the Maximum Observed Concentration (RCmax) of Total ERT, Free ERT, Total ZID, and Free ZID in Plasma
Free ERT
0.93 ratio
Geometric Coefficient of Variation 11
1.12 ratio
Geometric Coefficient of Variation 7
0.86 ratio
Geometric Coefficient of Variation 37
0.99 ratio
Geometric Coefficient of Variation 12
0.85 ratio
Geometric Coefficient of Variation 28

SECONDARY outcome

Timeframe: 0-4 h, 4-8 h, 8-12 h, and 12-24 h post-start of Dose 1 (Day 1) infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Mean and minimum/maximum of the amount of unchanged ERT and the amount of unchanged ZID excreted in urine, Ae,urine (mg), during 0-4 h, 4-8 h, 8-12 h, and 12-24 h following Dose 1 by dose group. Ae,urine parameters are calculated using a combination of Phoenix WinNonlin and SAS version 9.4 or above.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Amounts of Unchanged ERT and Unchanged ZID Excreted in Urine (Ae,Urine) During Each Nominal Time Collection Interval Following Dose 1
Unchanged ERT - 8-12 h
64.30 mg
Interval 19.8 to 83.8
122.38 mg
Interval 58.8 to 204.0
128.93 mg
Interval 77.5 to 202.0
173.50 mg
Interval 128.0 to 227.0
192.00 mg
Interval 112.0 to 305.0
Amounts of Unchanged ERT and Unchanged ZID Excreted in Urine (Ae,Urine) During Each Nominal Time Collection Interval Following Dose 1
Unchanged ZID - 8-12 h
33.28 mg
Interval 6.88 to 51.3
80.35 mg
Interval 56.9 to 162.0
83.72 mg
Interval 38.2 to 123.0
143.50 mg
Interval 104.0 to 254.0
167.67 mg
Interval 127.0 to 216.0
Amounts of Unchanged ERT and Unchanged ZID Excreted in Urine (Ae,Urine) During Each Nominal Time Collection Interval Following Dose 1
Unchanged ZID - 12-24 h
19.93 mg
Interval 13.3 to 24.3
27.02 mg
Interval 15.1 to 54.1
25.53 mg
Interval 18.0 to 37.0
75.35 mg
Interval 37.6 to 110.0
75.83 mg
Interval 21.5 to 176.0
Amounts of Unchanged ERT and Unchanged ZID Excreted in Urine (Ae,Urine) During Each Nominal Time Collection Interval Following Dose 1
Unchanged ERT - 0-4 h
339.62 mg
Interval 97.7 to 605.0
748.60 mg
Interval 573.0 to 995.0
794.50 mg
Interval 414.0 to 1620.0
768.60 mg
Interval 451.0 to 1090.0
670.13 mg
Interval 87.8 to 1630.0
Amounts of Unchanged ERT and Unchanged ZID Excreted in Urine (Ae,Urine) During Each Nominal Time Collection Interval Following Dose 1
Unchanged ERT - 4-8 h
159.23 mg
Interval 74.2 to 268.0
275.67 mg
Interval 105.0 to 414.0
202.67 mg
Interval 163.0 to 272.0
713.50 mg
Interval 393.0 to 1850.0
605.83 mg
Interval 246.0 to 1390.0
Amounts of Unchanged ERT and Unchanged ZID Excreted in Urine (Ae,Urine) During Each Nominal Time Collection Interval Following Dose 1
Unchanged ERT - 12-24 h
49.80 mg
Interval 25.6 to 66.5
84.22 mg
Interval 49.9 to 150.0
54.38 mg
Interval 19.2 to 106.0
149.15 mg
Interval 84.5 to 235.0
106.95 mg
Interval 58.5 to 158.0
Amounts of Unchanged ERT and Unchanged ZID Excreted in Urine (Ae,Urine) During Each Nominal Time Collection Interval Following Dose 1
Unchanged ZID - 0-4 h
544.83 mg
Interval 259.0 to 816.0
1336.67 mg
Interval 1060.0 to 1620.0
1475.00 mg
Interval 1080.0 to 2040.0
1838.33 mg
Interval 1270.0 to 2110.0
1366.50 mg
Interval 248.0 to 2080.0
Amounts of Unchanged ERT and Unchanged ZID Excreted in Urine (Ae,Urine) During Each Nominal Time Collection Interval Following Dose 1
Unchanged ZID - 4-8 h
150.55 mg
Interval 62.6 to 277.0
360.00 mg
Interval 250.0 to 552.0
259.00 mg
Interval 149.0 to 314.0
631.67 mg
Interval 324.0 to 810.0
1006.00 mg
Interval 528.0 to 2600.0

SECONDARY outcome

Timeframe: 0-1 h pre-start of Dose 1 (Day 1) infusion and 0-4 h, 4-8 h, 8-12 h, and 12-24 h post-start of Dose 1 infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Mean and minimum/maximum of the cumulative amount of unchanged ERT and the cumulative amount of unchanged ZID excreted in urine from zero (predose) to 24 h following Dose 1, Ae,urine(0-24) (mg), by dose group. This parameter is calculated using a combination of Phoenix WinNonlin and SAS version 9.4 or above.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Cumulative Amounts of Unchanged ERT and Unchanged ZID Excreted in Urine From Zero (Predose) to 24 h Following Dose 1 (Ae,Urine(0-24))
Unchanged ERT
594.00 mg
Interval 204.0 to 856.0
1085.67 mg
Interval 321.0 to 1490.0
1181.83 mg
Interval 711.0 to 2190.0
1676.67 mg
Interval 1200.0 to 2160.0
1572.17 mg
Interval 843.0 to 2400.0
Cumulative Amounts of Unchanged ERT and Unchanged ZID Excreted in Urine From Zero (Predose) to 24 h Following Dose 1 (Ae,Urine(0-24))
Unchanged ZID
733.17 mg
Interval 370.0 to 922.0
1798.33 mg
Interval 1470.0 to 1960.0
1836.67 mg
Interval 1420.0 to 2420.0
2688.33 mg
Interval 1820.0 to 3090.0
2620.00 mg
Interval 1040.0 to 3180.0

SECONDARY outcome

Timeframe: 0-4 h, 4-8 h, 8-12 h, and 12-24 h post-start of Dose 1 (Day 1) infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Mean and minimum/maximum of the fraction of ERT and the fraction of ZID excreted unchanged in urine, fe,urine (%), during 0-4 h, 4-8 h, 8-12 h, and 12-24 h following Dose 1 by dose group. These fe,urine parameters are calculated using a combination of Phoenix WinNonlin and SAS version 9.4 or above.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Fractions (%) of ERT and ZID Excreted Unchanged in Urine (fe,Urine) During Each Nominal Time Collection Interval Following Dose 1
Unchanged ERT- 0-4 h
33.96 % of dose excreted unchanged
Interval 9.77 to 60.5
37.46 % of dose excreted unchanged
Interval 28.7 to 49.8
39.75 % of dose excreted unchanged
Interval 20.7 to 81.2
25.60 % of dose excreted unchanged
Interval 15.0 to 36.2
22.33 % of dose excreted unchanged
Interval 2.93 to 54.3
Fractions (%) of ERT and ZID Excreted Unchanged in Urine (fe,Urine) During Each Nominal Time Collection Interval Following Dose 1
Unchanged ERT- 4-8 h
15.92 % of dose excreted unchanged
Interval 7.42 to 26.8
13.78 % of dose excreted unchanged
Interval 5.27 to 20.7
10.14 % of dose excreted unchanged
Interval 8.14 to 13.6
23.77 % of dose excreted unchanged
Interval 13.1 to 61.6
20.16 % of dose excreted unchanged
Interval 8.18 to 46.2
Fractions (%) of ERT and ZID Excreted Unchanged in Urine (fe,Urine) During Each Nominal Time Collection Interval Following Dose 1
Unchanged ZID - 0-4 h
54.48 % of dose excreted unchanged
Interval 25.9 to 81.6
66.70 % of dose excreted unchanged
Interval 52.8 to 81.0
73.75 % of dose excreted unchanged
Interval 54.2 to 102.0
61.25 % of dose excreted unchanged
Interval 42.2 to 70.4
45.58 % of dose excreted unchanged
Interval 8.26 to 69.4
Fractions (%) of ERT and ZID Excreted Unchanged in Urine (fe,Urine) During Each Nominal Time Collection Interval Following Dose 1
Unchanged ERT- 8-12 h
6.43 % of dose excreted unchanged
Interval 1.98 to 8.38
6.12 % of dose excreted unchanged
Interval 2.94 to 10.2
6.45 % of dose excreted unchanged
Interval 3.88 to 10.1
5.79 % of dose excreted unchanged
Interval 4.28 to 7.57
6.41 % of dose excreted unchanged
Interval 3.74 to 10.2
Fractions (%) of ERT and ZID Excreted Unchanged in Urine (fe,Urine) During Each Nominal Time Collection Interval Following Dose 1
Unchanged ERT- 12-24 h
4.98 % of dose excreted unchanged
Interval 2.56 to 6.65
4.21 % of dose excreted unchanged
Interval 2.49 to 7.48
2.72 % of dose excreted unchanged
Interval 0.96 to 5.32
4.97 % of dose excreted unchanged
Interval 2.82 to 7.83
3.57 % of dose excreted unchanged
Interval 1.95 to 5.28
Fractions (%) of ERT and ZID Excreted Unchanged in Urine (fe,Urine) During Each Nominal Time Collection Interval Following Dose 1
Unchanged ZID - 4-8 h
15.06 % of dose excreted unchanged
Interval 6.26 to 27.7
17.98 % of dose excreted unchanged
Interval 12.5 to 27.6
12.96 % of dose excreted unchanged
Interval 7.45 to 15.7
21.07 % of dose excreted unchanged
Interval 10.8 to 27.0
33.55 % of dose excreted unchanged
Interval 17.6 to 86.8
Fractions (%) of ERT and ZID Excreted Unchanged in Urine (fe,Urine) During Each Nominal Time Collection Interval Following Dose 1
Unchanged ZID - 8-12 h
3.33 % of dose excreted unchanged
Interval 0.69 to 5.13
4.02 % of dose excreted unchanged
Interval 2.84 to 8.11
4.18 % of dose excreted unchanged
Interval 1.91 to 6.13
4.77 % of dose excreted unchanged
Interval 3.45 to 8.46
5.60 % of dose excreted unchanged
Interval 4.22 to 7.22
Fractions (%) of ERT and ZID Excreted Unchanged in Urine (fe,Urine) During Each Nominal Time Collection Interval Following Dose 1
Unchanged ZID - 12-24 h
1.99 % of dose excreted unchanged
Interval 1.33 to 2.43
1.35 % of dose excreted unchanged
Interval 0.76 to 2.7
1.27 % of dose excreted unchanged
Interval 0.9 to 1.85
2.51 % of dose excreted unchanged
Interval 1.25 to 3.65
2.53 % of dose excreted unchanged
Interval 0.72 to 5.86

SECONDARY outcome

Timeframe: 0-1 h pre-start of Dose 1 (Day 1) infusion and 0-4 h, 4-8 h, 8-12 h, and 12-24 h post-start of Dose 1 infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Mean and minimum/maximum of the fraction of ERT and the fraction of ZID excreted unchanged in urine from zero (predose) to 24 h following Dose 1, fe,urine(0-24) (%), by dose group. This parameter is calculated using a combination of Phoenix WinNonlin and SAS version 9.4 or above.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Fractions (%) of ERT and ZID Excreted Unchanged in Urine From Zero (Predose) to 24 h Following Dose 1 (fe,Urine(0-24))
Unchanged ERT
59.40 % of dose excreted unchanged
Interval 20.4 to 85.6
54.32 % of dose excreted unchanged
Interval 16.1 to 74.7
58.98 % of dose excreted unchanged
Interval 35.5 to 109.0
55.85 % of dose excreted unchanged
Interval 40.1 to 71.8
52.43 % of dose excreted unchanged
Interval 28.1 to 79.9
Fractions (%) of ERT and ZID Excreted Unchanged in Urine From Zero (Predose) to 24 h Following Dose 1 (fe,Urine(0-24))
Unchanged ZID
73.32 % of dose excreted unchanged
Interval 37.0 to 92.2
89.82 % of dose excreted unchanged
Interval 73.3 to 97.9
91.75 % of dose excreted unchanged
Interval 70.9 to 121.0
89.58 % of dose excreted unchanged
Interval 60.6 to 103.0
87.32 % of dose excreted unchanged
Interval 34.5 to 106.0

SECONDARY outcome

Timeframe: 0-1 h pre-start of Dose 1 (Day 1) infusion and 0-4 h, 4-8 h, 8-12 h, and 12-24 h post-start of Dose 1 infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of renal clearance of ERT and ZID from dosing until the last collected concentration for Dose 1 (24 h postdose), CLR(0-24) (mL/h ), by dose group. This parameter is calculated using a combination of Phoenix WinNonlin and SAS version 9.4 or above.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Renal Clearance of ERT and ZID From Dosing Until the Last Collected Concentration for Dose 1 (CLR(0-24))
Unchanged ERT
0.75 L/h
Geometric Coefficient of Variation 61
0.78 L/h
Geometric Coefficient of Variation 57
0.79 L/h
Geometric Coefficient of Variation 41
0.76 L/h
Geometric Coefficient of Variation 19
0.73 L/h
Geometric Coefficient of Variation 42
Renal Clearance of ERT and ZID From Dosing Until the Last Collected Concentration for Dose 1 (CLR(0-24))
Unchanged ZID
4.98 L/h
Geometric Coefficient of Variation 39
5.88 L/h
Geometric Coefficient of Variation 15
5.63 L/h
Geometric Coefficient of Variation 36
6.95 L/h
Geometric Coefficient of Variation 25
5.55 L/h
Geometric Coefficient of Variation 31

SECONDARY outcome

Timeframe: 0-4 h, 4-8 h, 8-12 h, and 12-24 h post-start of Dose 7 (Day 7) infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Mean and minimum/maximum of the amount of unchanged ERT and the amount of unchanged ZID excreted in urine, Ae,urine (mg), during 0-4 h, 4-8 h, 8-12 h, and 12-24 h following Dose 7 by dose group. Ae,urine parameters are calculated using a combination of Phoenix WinNonlin and SAS version 9.4 or above.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=5 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Amounts of Unchanged ERT and Unchanged ZID Excreted in Urine (Ae,Urine) During Each Nominal Time Collection Interval Following Dose 7
Unchanged ERT - 4-8 h
113.37 mg
Interval 10.1 to 205.0
344.17 mg
Interval 132.0 to 911.0
234.94 mg
Interval 97.7 to 473.0
603.40 mg
Interval 186.0 to 1100.0
417.33 mg
Interval 209.0 to 727.0
Amounts of Unchanged ERT and Unchanged ZID Excreted in Urine (Ae,Urine) During Each Nominal Time Collection Interval Following Dose 7
Unchanged ERT - 8-12 h
54.95 mg
Interval 7.16 to 88.1
136.54 mg
Interval 21.7 to 198.0
88.86 mg
Interval 48.1 to 153.0
171.80 mg
Interval 137.0 to 217.0
113.88 mg
Interval 54.0 to 150.0
Amounts of Unchanged ERT and Unchanged ZID Excreted in Urine (Ae,Urine) During Each Nominal Time Collection Interval Following Dose 7
Unchanged ERT - 12-24 h
43.04 mg
Interval 26.7 to 68.2
29.69 mg
Interval 9.35 to 72.2
65.46 mg
Interval 55.0 to 81.1
113.98 mg
Interval 85.6 to 159.0
96.03 mg
Interval 61.5 to 167.0
Amounts of Unchanged ERT and Unchanged ZID Excreted in Urine (Ae,Urine) During Each Nominal Time Collection Interval Following Dose 7
Unchanged ZID - 0-4 h
624.50 mg
Interval 383.0 to 824.0
1210.33 mg
Interval 691.0 to 1570.0
1465.00 mg
Interval 1465.0 to 1640.0
1855.00 mg
Interval 1090.0 to 2200.0
1870.00 mg
Interval 1320.0 to 2280.0
Amounts of Unchanged ERT and Unchanged ZID Excreted in Urine (Ae,Urine) During Each Nominal Time Collection Interval Following Dose 7
Unchanged ZID - 8-12 h
27.93 mg
Interval 3.55 to 45.1
45.58 mg
Interval 23.1 to 55.4
62.98 mg
Interval 40.2 to 93.6
175.00 mg
Interval 138.0 to 212.0
113.78 mg
Interval 27.7 to 160.0
Amounts of Unchanged ERT and Unchanged ZID Excreted in Urine (Ae,Urine) During Each Nominal Time Collection Interval Following Dose 7
Unchanged ERT - 0-4 h
357.83 mg
Interval 208.0 to 525.0
702.30 mg
Interval 39.5 to 1270.0
777.80 mg
Interval 433.0 to 1490.0
1010.40 mg
Interval 655.0 to 1530.0
998.17 mg
Interval 467.0 to 1670.0
Amounts of Unchanged ERT and Unchanged ZID Excreted in Urine (Ae,Urine) During Each Nominal Time Collection Interval Following Dose 7
Unchanged ZID - 4-8 h
110.20 mg
Interval 7.22 to 173.0
302.00 mg
Interval 302.0 to 302.0
246.00 mg
Interval 219.0 to 307.0
556.83 mg
Interval 403.0 to 689.0
654.33 mg
Interval 253.0 to 1170.0
Amounts of Unchanged ERT and Unchanged ZID Excreted in Urine (Ae,Urine) During Each Nominal Time Collection Interval Following Dose 7
Unchanged ZID - 12-24 h
14.75 mg
Interval 7.36 to 25.4
62.37 mg
Interval 18.7 to 124.0
32.48 mg
Interval 13.3 to 44.8
67.67 mg
Interval 45.3 to 84.2
59.50 mg
Interval 34.0 to 85.6

SECONDARY outcome

Timeframe: 0-1 h pre-start of Dose 7 (Day 7) infusion and 0-4 h, 4-8 h, 8-12 h, and 12-24 h post-start of Dose 7 infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Mean and minimum/maximum of the cumulative amount of unchanged ERT and the cumulative amount of unchanged ZID excreted in urine from zero (predose) to 24 h following Dose 7, Ae,urine(0-24) (mg), by dose group. This parameter is calculated using a combination of Phoenix WinNonlin and SAS version 9.4 or above.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=5 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Cumulative Amounts of Unchanged ERT and Unchanged ZID Excreted in Urine From Zero (Predose) to 24 h Following Dose 7 (Ae,Urine(0-24),SS)
Unchanged ERT
552.83 mg
Interval 325.0 to 778.0
1067.33 mg
Interval 340.0 to 1700.0
1166 mg
Interval 652.0 to 2200.0
1898.00 mg
Interval 1060.0 to 3000.0
1624.50 mg
Interval 887.0 to 2320.0
Cumulative Amounts of Unchanged ERT and Unchanged ZID Excreted in Urine From Zero (Predose) to 24 h Following Dose 7 (Ae,Urine(0-24),SS)
Unchanged ZID
770.17 mg
Interval 495.0 to 1030.0
1080.00 mg
Interval 1080.0 to 1080.0
1808.33 mg
Interval 1580.0 to 1970.0
2656.67 mg
Interval 1770.0 to 2930.0
2700.00 mg
Interval 2200.0 to 3070.0

SECONDARY outcome

Timeframe: 0-4 h, 4-8 h, 8-12 h, and 12-24 h post-start of Dose 7 (Day 7) infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Mean and minimum/maximum of the fraction of ERT and the fraction of ZID excreted unchanged in urine, fe,urine (%), during 0-4 h, 4-8 h, 8-12 h, and 12-24 h following Dose 7 by dose group. These fe,urine parameters are calculated using a combination of Phoenix WinNonlin and SAS version 9.4 or above.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=5 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Fractions (%) of ERT and ZID Excreted Unchanged in Urine (fe,Urine) During Each Nominal Time Collection Interval Following Dose 7
Unchanged ERT - 0-4 h
35.78 % of dose excreted unchanged
Interval 20.8 to 52.5
35.09 % of dose excreted unchanged
Interval 1.97 to 63.3
38.94 % of dose excreted unchanged
Interval 21.7 to 74.6
33.68 % of dose excreted unchanged
Interval 21.8 to 51.0
33.28 % of dose excreted unchanged
Interval 15.6 to 55.8
Fractions (%) of ERT and ZID Excreted Unchanged in Urine (fe,Urine) During Each Nominal Time Collection Interval Following Dose 7
Unchanged ERT - 4-8 h
11.34 % of dose excreted unchanged
Interval 1.01 to 20.5
17.19 % of dose excreted unchanged
Interval 6.62 to 45.5
11.72 % of dose excreted unchanged
Interval 4.89 to 23.6
20.08 % of dose excreted unchanged
Interval 6.19 to 36.5
13.91 % of dose excreted unchanged
Interval 6.96 to 24.2
Fractions (%) of ERT and ZID Excreted Unchanged in Urine (fe,Urine) During Each Nominal Time Collection Interval Following Dose 7
Unchanged ERT - 8-12 h
5.50 % of dose excreted unchanged
Interval 0.72 to 8.81
6.83 % of dose excreted unchanged
Interval 1.08 to 9.91
4.45 % of dose excreted unchanged
Interval 2.41 to 7.67
5.73 % of dose excreted unchanged
Interval 4.57 to 7.23
3.80 % of dose excreted unchanged
Interval 1.8 to 5.01
Fractions (%) of ERT and ZID Excreted Unchanged in Urine (fe,Urine) During Each Nominal Time Collection Interval Following Dose 7
Unchanged ZID - 0-4 h
62.45 % of dose excreted unchanged
Interval 38.3 to 82.4
60.40 % of dose excreted unchanged
Interval 34.5 to 78.4
73.27 % of dose excreted unchanged
Interval 62.6 to 82.1
61.85 % of dose excreted unchanged
Interval 36.4 to 73.4
62.38 % of dose excreted unchanged
Interval 44.0 to 76.0
Fractions (%) of ERT and ZID Excreted Unchanged in Urine (fe,Urine) During Each Nominal Time Collection Interval Following Dose 7
Unchanged ZID - 4-8 h
11.02 % of dose excreted unchanged
Interval 0.72 to 17.3
15.10 % of dose excreted unchanged
Interval 15.1 to 15.1
12.28 % of dose excreted unchanged
Interval 11.0 to 15.3
18.55 % of dose excreted unchanged
Interval 13.4 to 23.0
21.84 % of dose excreted unchanged
Interval 8.43 to 39.1
Fractions (%) of ERT and ZID Excreted Unchanged in Urine (fe,Urine) During Each Nominal Time Collection Interval Following Dose 7
Unchanged ZID - 12-24 h
1.48 % of dose excreted unchanged
Interval 0.74 to 2.54
3.12 % of dose excreted unchanged
Interval 0.93 to 6.2
1.63 % of dose excreted unchanged
Interval 0.67 to 2.24
2.26 % of dose excreted unchanged
Interval 1.51 to 2.81
1.98 % of dose excreted unchanged
Interval 1.13 to 2.85
Fractions (%) of ERT and ZID Excreted Unchanged in Urine (fe,Urine) During Each Nominal Time Collection Interval Following Dose 7
Unchanged ERT - 12-24 h
4.30 % of dose excreted unchanged
Interval 2.67 to 6.82
1.48 % of dose excreted unchanged
Interval 0.47 to 3.61
3.27 % of dose excreted unchanged
Interval 2.75 to 4.06
3.80 % of dose excreted unchanged
Interval 2.85 to 5.3
3.20 % of dose excreted unchanged
Interval 2.05 to 5.56
Fractions (%) of ERT and ZID Excreted Unchanged in Urine (fe,Urine) During Each Nominal Time Collection Interval Following Dose 7
Unchanged ZID - 8-12 h
2.79 % of dose excreted unchanged
Interval 0.36 to 4.51
2.28 % of dose excreted unchanged
Interval 1.16 to 2.77
3.15 % of dose excreted unchanged
Interval 2.01 to 4.68
5.84 % of dose excreted unchanged
Interval 4.61 to 7.05
3.79 % of dose excreted unchanged
Interval 0.92 to 5.34

SECONDARY outcome

Timeframe: 0-1 h pre-start of Dose 7 (Day 7) infusion and 0-4 h, 4-8 h, 8-12 h, and 12-24 h post-start of Dose 7 infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Mean and minimum/maximum of the fraction of ERT and the fraction of ZID excreted unchanged in urine from zero (predose) to 24 h following Dose 7, fe,urine(0-24) (%), by dose group. This parameter is calculated using a combination of Phoenix WinNonlin and SAS version 9.4 or above.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=5 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Fractions (%) of ERT and ZID Excreted Unchanged in Urine From Zero (Predose) to 24 h Following Dose 7 (fe,Urine(0-24),SS)
Unchanged ERT
55.28 % of dose excreted unchanged
Interval 32.5 to 77.8
53.35 % of dose excreted unchanged
Interval 17.0 to 84.9
58.36 % of dose excreted unchanged
Interval 32.6 to 110.0
63.28 % of dose excreted unchanged
Interval 35.5 to 100.0
54.20 % of dose excreted unchanged
Interval 29.6 to 77.4
Fractions (%) of ERT and ZID Excreted Unchanged in Urine From Zero (Predose) to 24 h Following Dose 7 (fe,Urine(0-24),SS)
Unchanged ZID
77.02 % of dose excreted unchanged
Interval 49.5 to 103.0
53.80 % of dose excreted unchanged
Interval 53.8 to 53.8
90.35 % of dose excreted unchanged
Interval 78.8 to 98.5
88.48 % of dose excreted unchanged
Interval 59.0 to 97.5
89.93 % of dose excreted unchanged
Interval 73.3 to 102.0

SECONDARY outcome

Timeframe: 0-1 h pre-start of Dose 7 (Day 7) infusion and 0-4 h, 4-8 h, 8-12 h, and 12-24 h post-start of Dose 7 infusion

Population: PK Analysis Subset Population: all participants who received the intended dose of study drug(s) on the given day(s) of analysis, have at least one quantifiable post-dosing plasma drug concentration measured, and have sufficient data that permit estimation of PK parameters. Any participant with at least one estimable PK parameter is included in this subset.

Geometric mean (GM), and coefficient of variation percentage (CV%) of renal clearance of ERT and ZID from dosing until the last collected concentration for Dose 7 (24 h postdose), CLR(0-24) (mL/h), by dose group. This parameter is calculated using a combination of Phoenix WinNonlin and SAS version 9.4 or above.

Outcome measures

Outcome measures
Measure
Cohort 1 - WCK 6777 2 g
n=6 Participants
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 Participants
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 Participants
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 Participants
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=5 Participants
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 Participants
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 Participants
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Renal Clearance of ERT and ZID From Dosing Until the Last Collected Concentration for Dose 7 (CLR(0-24),SS)
Unchanged ERT
0.74 L/h
Geometric Coefficient of Variation 28
0.78 L/h
Geometric Coefficient of Variation 53
0.84 L/h
Geometric Coefficient of Variation 48
0.92 L/h
Geometric Coefficient of Variation 37
0.9 L/h
Geometric Coefficient of Variation 44
Renal Clearance of ERT and ZID From Dosing Until the Last Collected Concentration for Dose 7 (CLR(0-24),SS)
Unchanged ZID
5.59 L/h
Geometric Coefficient of Variation 35
4.68 L/h
Geometric Coefficient of Variation NA
Cannot be calculated as data only available for one participant
5.84 L/h
Geometric Coefficient of Variation 25
6.8 L/h
Geometric Coefficient of Variation 25
6.77 L/h
Geometric Coefficient of Variation 12

Adverse Events

Cohort 1 - WCK 6777 2 g

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Cohort 2 - ERT 2 g

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Cohort 3 - ZID 2 g

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Cohort 4 - WCK 6777 4 g

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Cohort 5 - ERT 3 g

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Cohort 6 - ZID 3 g

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Cohort 7 - WCK 6777 6 g

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Cohort 1 - WCK 6777 2 g
n=6 participants at risk
WCK 6777 (Ertapenem 1 g combined with Zidebactam 1 g) administered by 100 ml of intravenous infusion (IV) for 30 (±5) minutes once daily for 7 days.
Cohort 2 - ERT 2 g
n=6 participants at risk
Ertapenem 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour once daily for 7 days.
Cohort 3 - ZID 2 g
n=6 participants at risk
Zidebactam 2 g administered by 250 ml of intravenous infusion (IV) for 1 hour,once daily,for 7 days.
Cohort 4 - WCK 6777 4 g
n=6 participants at risk
WCK 6777 (Ertapenem 2 g combined with Zidebactam 2 g) administered by 250 ml of intravenous infusion (IV) for 1 hour, once daily, for 7 days.
Cohort 5 - ERT 3 g
n=6 participants at risk
Ertapenem 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 6 - ZID 3 g
n=6 participants at risk
Zidebactam 3 g administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Cohort 7 - WCK 6777 6 g
n=6 participants at risk
WCK 6777 (Ertapenem 3 g combined with Zidebactam 3 g) administered by 250 ml of intravenous infusion (IV) for 2 hours, once daily, for 7 days.
Placebo
n=10 participants at risk
Placebo participants from Cohorts 1,2,4,5,7. Placebo administered corresponding to method for active drug administration in each cohort.
Blood and lymphatic system disorders
Anaemia
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
10.0%
1/10 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
Blood and lymphatic system disorders
Leukopenia
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/10 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
Gastrointestinal disorders
Diarrhoea
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
33.3%
2/6 • Number of events 2 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/10 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
Gastrointestinal disorders
Nausea
33.3%
2/6 • Number of events 2 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
10.0%
1/10 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
Gastrointestinal disorders
Salivary hypersecretion
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/10 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
General disorders
Infusion site erythema
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
33.3%
2/6 • Number of events 5 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
50.0%
3/6 • Number of events 3 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
33.3%
2/6 • Number of events 2 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
10.0%
1/10 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
General disorders
Infusion site extravasation
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
33.3%
2/6 • Number of events 2 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
33.3%
2/6 • Number of events 2 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
30.0%
3/10 • Number of events 4 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
General disorders
Infusion site haemorrhage
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
30.0%
3/10 • Number of events 5 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
General disorders
Infusion site oedema
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
10.0%
1/10 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
General disorders
Infusion site pain
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
33.3%
2/6 • Number of events 4 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/10 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
General disorders
Infusion site papule
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/10 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
General disorders
Infusion site phlebitis
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
10.0%
1/10 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
General disorders
Infusion site pruritus
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/10 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
General disorders
Infusion site swelling
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
20.0%
2/10 • Number of events 2 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
General disorders
Injection site haemorrhage
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
33.3%
2/6 • Number of events 2 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/10 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
General disorders
Injection site phlebitis
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/10 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
General disorders
Pyrexia
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/10 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
General disorders
Vessel puncture site bruise
16.7%
1/6 • Number of events 2 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/10 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
General disorders
Vessel puncture site pain
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/10 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
General disorders
Vessel puncture site phlebitis
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/10 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
Infections and infestations
Viral infection
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/10 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
Injury, poisoning and procedural complications
Wound
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/10 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
Investigations
Blood pressure increased
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/10 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
Investigations
Blood pressure systolic increased
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
10.0%
1/10 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
Investigations
Body temperature increased
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
20.0%
2/10 • Number of events 2 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
Investigations
Electrocardiogram QT prolonged
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/10 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
Investigations
Heart rate decreased
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/10 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
Musculoskeletal and connective tissue disorders
Arthralgia
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/10 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
Musculoskeletal and connective tissue disorders
Neck Pain
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/10 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
Nervous system disorders
Headache
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
20.0%
2/10 • Number of events 2 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
Renal and urinary disorders
Pollakiuria
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/10 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
Respiratory, thoracic and mediastinal disorders
Pharyngeal erythema
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/10 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
Skin and subcutaneous tissue disorders
Dermatitis contact
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
10.0%
1/10 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
Skin and subcutaneous tissue disorders
Erythema
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/10 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
Skin and subcutaneous tissue disorders
Photosensitivity reaction
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/10 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
16.7%
1/6 • Number of events 1 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/6 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)
0.00%
0/10 • AEs were documented from the time of starting study drug administration through the time of Final Visit (Day 11 + 3 days)

Additional Information

George Saviolakis

DynPort Vaccine Company, a GDIT Company

Phone: 301-835-4101

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60