Status:

COMPLETED

Safety and Efficacy of IV CXA-101 and IV Ceftazidime in Patients With Complicated Urinary Tract Infections

Lead Sponsor:

Cubist Pharmaceuticals LLC, a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA)

Conditions:

Complicated Urinary Tract Infection

Eligibility:

All Genders

18-90 years

Phase:

PHASE2

Brief Summary

The purpose of this study is to evaluate the safety and efficacy of intravenous CXA 101 and comparator in complicated urinary tract infection

Detailed Description

This is a Phase 2, multicenter, prospective, randomized, double-blind, comparative efficacy and safety study of IV CXA 101 versus IV ceftazidime for 7 to 10 days. Subjects are followed up 6 to 9 days...

Eligibility Criteria

Inclusion

  • Inclusion Criteria:
  • Males and females 18 to 90 years of age, inclusive.
  • Pyuria (white blood cell \[WBC\] count \> 10/µL in unspun urine or ≥ 10 per high power field in spun urine)
  • Clinical signs and/or symptoms of cUTI, either of:
  • a. Pyelonephritis, as indicated by both of the following: i. Fever (oral temperature ≥ 37.8°C); ii. Flank pain or costovertebral angle tenderness;
  • OR
  • b. Complicated lower UTI, as indicated by both of the following: i. At least one of the following new or worsening symptoms:
  • Dysuria;
  • Frequency;
  • Suprapubic pain;
  • Urgency
  • ii. At least one of the following complicating factors:
  • Male gender;
  • Current bladder instrumentation or indwelling urinary catheter that is expected to be removed during the course of IV study drug administration;
  • Obstructive uropathy that is expected to be medically or surgically treated during the course of IV study drug administration;
  • Urogenital surgery within 7 days preceding administration of the first dose of study drug;
  • Functional or anatomical abnormality of the urogenital tract including anatomic malformations or neurogenic bladder with voiding disturbance of at least 100 mL residual urine.
  • Exclusion Criteria
  • Documented history of any hypersensitivity or allergic reaction to any β-lactam antibacterial
  • Concomitant infection requiring systemic antibacterial therapy in addition to IV study drug therapy at the time of randomization. Drugs with only gram-positive activity (e.g. vancomycin, linezolid) are allowed
  • Complete, permanent obstruction of the urinary tract
  • Confirmed (at time of randomization) fungal urinary tract infection (with ≥ 103 fungal CFU/mL)
  • Suspected or confirmed perinephric or intrarenal abscess
  • Suspected or confirmed prostatitis
  • Known ileal loop or vesico-ureteral reflux
  • Women who are pregnant or nursing

Exclusion

    Key Trial Info

    Start Date :

    June 30 2009

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    March 11 2010

    Estimated Enrollment :

    129 Patients enrolled

    Trial Details

    Trial ID

    NCT00921024

    Start Date

    June 30 2009

    End Date

    March 11 2010

    Last Update

    October 18 2018

    Active Locations (21)

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    Page 1 of 6 (21 locations)

    1

    Healthcare Partners Medical Group

    Los Angeles, California, United States, 90015

    2

    Compass Research, LLC

    Orlando, Florida, United States, 32806

    3

    Atlanta Institute for Medical Research, Inc.

    Decatur, Georgia, United States, 30030

    4

    Infectious Disease of Indiana, PSC

    Indianapolis, Indiana, United States, 46280