A Study to Determine the Efficacy, Safety and Tolerability of Aztreonam-Avibactam (ATM-AVI) ± Metronidazole (MTZ) Versus Meropenem (MER) ± Colistin (COL) for the Treatment of Serious Infections Due to Gram Negative Bacteria.

PHASE3CompletedINTERVENTIONAL
Enrollment

422

Participants

Timeline

Start Date

April 5, 2018

Primary Completion Date

February 23, 2023

Study Completion Date

February 23, 2023

Conditions
Complicated Intra-abdominal InfectionHosptial Acquired PneumoniaVentilator Associated Pneumonia
Interventions
DRUG

ATM-AVI

"(Creatinine clearance \> 50 mL/min) 6500 mg ATM/2167 mg (loading dose, extended loading dose and maintenance dose) by iv infusion on Day 1 followed by a total daily dose of 6000 mg ATM/2000 mg AVI~(Creatinine clearance 31 - 50 mL/min) 4250 mg ATM/1417 mg AVI on Day 1 (loading dose, extended loading dose, maintenance dose) followed by total daily dose 3000 mg ATM/1000 mg AVI~(Creatinine clearance 16 - 30 mL/min) 2700 mg ATM/900 mg AVI on Day 1 (loading dose, extended loading dose maintenance dose), followed by total daily dose 2025 mg ATM/675 mg AVI"

DRUG

MTZ

For cIAI only; 500 mg/100 mL metronidazole iv infusion over 1hr q8h

DRUG

MER

"Where pathogen initially not suspected of being MER-resistant:~(Creatinine clearance \> 50 mL/min) 1000 mg meropenem by 30 min iv infusion q8h~(Creatinine clearance 26 - 50 mL/min) 1000mg meropenem by 30 min iv infusion q12h~(Creatinine clearance 16 - 25 mL/min) 500 mg meropenem by 30 min iv infusion q12h~Where pathogen initially suspected of being MER-resistant (Creatinine clearance \> 50 mL/min) 2000 mg meropenem by 180 min iv infusion q8h~(Creatinine clearance 26 - 50 mL/min) 2000 mg meropenem by 180 min iv infusion q12h~(Creatinine clearance 16 - 25 mL/min) 1000 mg meropenem by 180 min iv infusion q12h"

DRUG

COL

"Loading dose 9 million IU by 30 -60 min iv infusion (6 million IU where weight \< 60 kg) followed by one of the following maintenance doses:~(Creatinine clearance \> 50 mL/min) after a 12h interval, commence maintenance dosing 9 million IU daily in 2 or 3 divided doses by 30 -60 min iv infusions.~(Creatinine clearance 31 - 50 mL/min) After a 24 hr interval, commence maintenance dosing of 6 million IU daily in 2 divided doses by 30 -60 min iv infusion~(Creatinine clearance 21 - 30 mL/min) After a 24 hr interval, commence maintenance dosing 5 million IU daily in 2 divided doses by 30 -60 min iv infusion~(Creatinine clearance 16 - 20 mL/min) after a 24 hr interval, commence maintenance dosing 4 million IU daily in 2 divided doses by 30 -60 min iv infusion"

Trial Locations (157)

116

Taipei Municipal Wanfang Hospital, Taipei

807

Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung City

1000

Philippine General Hospital, Central Intensive Care Unit, Manila

1109

Quirino Memorial Medical Center, Quezon City

1112

St. Luke's Medical Center, Quezon City

1229

Makati Medical Center, Makati City

1431

University Hospital Alexandrovska, Clinic of Anesthesiology and Intensive Care, Sofia

1527

University Hospital Queen Joanna ISUL, Clinic of Surgery, Sofia

1780

Asian Hospital and Medical Center, City of Muntinlupa

2000

Sanatorio Britanico, Rosario

2600

Baguio General Hospital and Medical Center, Baguio City

4114

De La Salle Medical and Health Sciences Institute, City of Dasmarinas

5000

Hospital San Roque, Córdoba

St. Paul's Hospital of Iloilo, Inc., Iloilo City

West Visayas State University Medical Center, Iloilo City

6003

University Multiprofile Hospital for Active Treatment ''Prof.Dr Stoyan Kirkovich''AD, Stara Zagora

8000

Davao Doctors Hospital, Davao City

10000

Klinicka bolnica Merkur, Zagreb

Clinical Hospital Dubrava, Zagreb

10002

National Taiwan University Hospital, Taipei

10676

"General Hospital of Athens Evangelismos", Athens

10700

Faculty of Medicine Siriraj Hospital, Bangkoknoi

11000

Bamrasnaradura Infectious Disease Institute (BIDI), Muang

11527

"General and Chest Diseases Hospital Sotiria", Athens

"General Hospital of Athens Laiko", Athens

12462

"University General Hospital ATTIKON", Athens

13700

Hospital Seberang Jaya, Seberang Jaya

14004

Hospital Universitario Reina Sofia, Córdoba

20122

Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico, Milan

20400

Hospital Sultanah Nur Zahirah, Kuala Terengganu

21018

Vinnytska oblasna klinichna likarnia im. M.I. Pyrohova, Vinnytsia

21565

Gachon University Gil Medical Center - Infectious Disease, Incheon

28034

Hospital Universitario Ramon y Cajal, Madrid

29010

Hospital Regional Universitario de Malaga, Málaga

31000

University Hospital Centre Osijek, Osijek

33100

Azienda Sanitaria Universitaria Friuli Centrale (ASU FC), Presidio Ospedaliero Universitario Santa, Udine

34303

Acibadem Atakent Hospital, Istanbul

34899

Marmara Universitesi Pendik Egitim ve Arastirma Hastanesi, Istanbul

35000

"General Hospital Dr. Josip Bencevic Slavonski Brod", Slavonski Brod

35040

Ege University Faculty of Medicine, Izmir

36039

"Komunalne pidpryiemstvo 1-a miska klinichna likarnia Poltavskoi miskoi rady,", Poltava

36312

Complejo Hospitalario Universitario de Vigo. Area Sanitaria de Vigo. Hospital Alvaro Cunqueiro, Vigo

40002

Srinagarind Hospital, Division of Infectious Disease and Tropical Medicine, Muang

40599

Krajska zdravotni, a.s. - Nemocnice Decin, o.z., Děčín

Lekarna Nemocnice Decin, Krajska zdravotni, a.s.- Nemocnice Decin, o.z., Děčín

40705

Taichung Veterans General Hospital, Taichung

41009

Hospital Universitario Virgen Macarena, Seville

41013

Hospital Universitario Virgen del Rocio, Seville

41110

University General Hospital of Larissa, Larissa

41124

Azienda Ospedaliero Universitaria di Modena, Modena

Farmacia Ospedaliera - Direzione Assistenza Farmaceutica, Modena

SC di Radiologia - Azienda Ospedaliera Universitaria di Modena, Modena

41221

Koutlimbaneio and Triantafylleio General Hospital of Larissa, Larissa

41380

Kocaeli University Medical Faculty, Kocaeli

44280

Hospital Civil Fray Antonio Alcalde, Guadalajara

46026

Hospital Universitari i Politecnic la Fe, Valencia

49005

"KZ Dnipropetrovska oblasna klinichna likarnia im. I.I. Mechnykova, viddilennia khirurhii №2", Dnipro

49102

"Komunalnyi zaklad Miska klinichna likarnia No.4 Dniprovskoi miskoi rady, viddilennia profpatolohii", Dnipro

50009

Hospital Universitario Miguel Servet, Zaragoza

51000

Klinicki bolnicki centar Rijeka, Rijeka

56100

Azienda Ospedaliero-Universitaria Pisana Ospedale Cisanello, Pisa

UO Radiognastostica 2 Azienda Ospedaliero-Universitaria Pisana Ospedale Cisanello, Pisa

56126

UO Farmaceutica Azienda Ospedaliero-Universitaria Pisana, Pisa

58001

"OKU Chernivetska oblasna klinichna likarnia, khirurhichne viddilennia", Chernivtsi

59100

University Malaya Medical Centre, Kuala Lumpur

61080

Karadeniz Technical University Medical Faculty Farabi Hospital, Trabzon

61103

"DU Instytut zahalnoi ta nevidkladnoi khirurhii imeni V.T. Zaitseva Natsionalnoi akademii medychnykh", Kharkiv

62702

Southern Illinois University School of Medicine, Springfield

62781

Memorial Medical Center, Springfield

64041

National Taiwan University Hospital Yun-Lin Branch, Douliu

64460

"Hospital Universitario Dr. Jose Eleuterio Gonzalez", Monterrey

65059

"Odeska klinichna likarnia na zaliznychnomu transporti filii Tsentr okhorony zdorovia aktsionernoho", Odesa

71110

University General Hospital of Heraklion, Heraklion, Crete

71122

Azienda Ospedaliero-Universitaria Ospedali Riuniti, Foggia

76008

Oblasna klinichna likarnia, viddilennia anesteziolohii ta intensyvnoi terapii, Ivano-Frankivsk

76018

Ivano-Frankivska tsentralna miska klin likarnia, viddilennia khirurhii,, Ivano-Frankivsk

79010

Komunalne nekomertsiine pidpryiemstvo Lvivskoi oblasnoi rady Lvivska oblasna klinichna likarnia, Lviv

81362

Kaohsiung Veterans General Hospital, Kaohsiung City

85719

Banner University Medical Center - Tucson, Tucson

90110

Songklanagarind Hospital, Prince of Songkla University, Hat Yai

90502

Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center, Torrance

90509

Harbor-UCLA Medical Center, Torrance

100044

Peking University People's Hospital, Beijing

100191

Peking University Third Hospital, Beijing

141001

Dayanand Medical College and Hospital, Ludhiana

197022

"FGBOU VO The First St. Petersburg state medical university n. a. I.P. Pavlova", Saint Petersburg

200040

Huashan Hospital, Fudan University, Shanghai

200433

Shanghai Pulmonary Hospital, Shanghai

212001

Affiliated Hospital of Jiangsu University, Zhenjiang

214018

"OGBUZ Smolensk Regional Clinical Hospital", Smolensk

214019

"FSBEI of HE Smolensk State Medical University of the Ministry of Health of the RF", Smolensk

Scientific Research Institute of Antimicrobial Chemotherapy, Smolensk

214400

Jiangyin People's Hospital, Jiangyin

Jiangyin People's Hospital, Jiangyin

226003

King George's Medical University, Lucknow

300000

Tianjin Union Medical Center, Tianjin

300723

"Spitalul Clinic Judetean de Urgenta Pius Brinzeu", Timișoara

302001

S.R. Kalla Memorial Gastro & General Hospital, Jaipur

310003

The First Affiliated Hospital of College of Medicine, Zhejiang University, Hangzhou

317000

Taizhou Hospital of Zhejiang Province, Linhai

323000

Lishui People's Hospital, Lishui

324000

Quzhou People's Hospital, Quzhou

350012

"State Budgetary Healthcare Institution Regional Clinical Hospital No. 2 of the Ministry of Health", Krasnodar

363000

Zhangzhou Municipal Hospital of Fujian Province, Zhangzhou

400348

Spitalul Clinic de Boli Infectioase Cluj-Napoca, Cluj-Napoca

410000

Changsha Third Hospital, Changsha

410005

Hunan Province People's Hospital, Changsha

411004

Deenanath Mangeshkar Hospital And Research Centre, Pune

Sahyadri Super Speciality Hospital, Pune

Sahyadri Super Specialty Hospital, Pune

Sahyadri Clinical Research & Development Center, Pune

454048

"Private Healthcare Institution Clinical Hospital 'Russian Railroad Medicine, Chelyabinsk'", Chelyabinsk

510280

ZhuJiang Hospital of Southern Medical University, Guangzhou

515041

The First Affiliated Hospital of Shantou University Medical College, Shantou

518035

The Second People's Hospital of Shenzhen, Shenzhen

530002

King George Hospital, Visakhapatnam

530022

Nanning First People's Hospital, Nanning

541001

Affiliated Hospital of Guilin Medical University, Guilin

560002

Victoria Hospital, Bangalore Medical College and Research Institute, Bangalore

560054

M S Ramaiah Medical College and Hospitals, Bangalore

570004

JSS Hospital, Mysuru

576104

Kasturba Medical College and Hospital, Manipal

600006

Apollo Hospitals, Chennai

614107

"State autonomous institution of healthcare of the Perm Region City clinical hospital #4", Perm

630051

"GBUZ of Novosibirsk region City Clinical Hospital # 2", Novosibirsk

650034

The First people's Hospital of Kunming, Kunming

673008

Government Medical College, Kozhikode, Kozhikode

682041

Amrita Institute of Medical Sciences & Research Centre, Kochi

700116

"Spitalul Clinic de Boli Infectioase Sf. Parascheva Iasi", Iași

3109601

Rambam Health Care Campus, Haifa

4941492

Rabin Medical Center, Beilinson Hospital, Petah Tikva

5265601

The Chaim Sheba Medical Center, Tel Litwinsky

6423906

Tel Aviv Sourasky Medical Center, Tel Aviv

7030000

Shamir Medical Center, Infectious Diseases Unit, Ẕerifin

7747629

Assuta Ashdod University Hospital, Ashdod

9112001

Hadassah Medical Organization, Hadassah Medical Center, Ein-Karem, Jerusalem

S3016

Sanatorio Servicios Medicos SM, Santo Tomé

014000

Baotou Central Hospital, Baotou

625 00

Fakultni nemocnice Brno, Brno

280 02

Public Hospital Kolin, a.s., Kolin III

697 01

Nemocnice Kyjov, prispevkova organizace, Kyjov

100 34

Fakultni nemocnice Kralovske Vinohrady, Prague

Unknown

Sahyadri Specialty Hospital, Pune

021105

"Institutul National de Boli Infectioase Prof. Dr. Matei Bals", Bucharest

030303

"Spitalul Clinic de Boli Infectioase si tropicale Dr. Victor Babes", Bucharest

03080

Seoul National University Hospital, Seoul

03312

The Catholic University of Korea, Eunpyeong St. Mary's Hospital, Seoul

07441

Hallym University Kangnam Sacred Heart Hospital, Seoul

08916

Hospital Universitari Germans Trias i Pujol, Badalona

08221

Hospital Universitario Mutua de Terrassa, Terrassa

08003

Parc de Salut Mar- Hospital del Mar, Barcelona

08041

Hospital de la Santa Creu i Sant Pau, Barcelona

06100

Hacettepe Universitesi Tip Fakultesi, Ankara

06230

Ankara University Faculty of Medicine, Ankara

06800

T.C. Saglik Bakanligi Ankara Sehir Hastanesi, Ankara

02125

Kyivska miska klinichna likarnia No. 3, khirurhichne viddilennia, Kyiv

03110

Kyivska miska klinichna likarnia #4, khirurhichne viddilennia #1, Kyiv

Sponsors

Lead Sponsor

All Listed Sponsors
collaborator

Innovative Medicines Initiative

OTHER

collaborator

Biomedical Advanced Research and Development Authority

FED

lead

Pfizer

INDUSTRY

NCT03329092 - A Study to Determine the Efficacy, Safety and Tolerability of Aztreonam-Avibactam (ATM-AVI) ± Metronidazole (MTZ) Versus Meropenem (MER) ± Colistin (COL) for the Treatment of Serious Infections Due to Gram Negative Bacteria. | Biotech Hunter | Biotech Hunter