A Single Arm, Open-label Study to Assess the Safety, Tolerability, and Pharmacokinetics of Single and Multiple Doses of Cefiderocol in Hospitalized Paediatric Subjects 3 Months to <18 Years of Age With Suspected or Confirmed Aerobic Gram-negative Bacterial Infections

Status: Completed
Location: See all (23) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

The primary objectives of this study are: * To assess the safety and tolerability of cefiderocol after single-dose administration in hospitalized paediatric participants 3 months to \< 18 years of age with suspected or confirmed aerobic Gram-negative bacterial infections * To assess the pharmacokinetics (PK) of cefiderocol after single-dose administration of cefiderocol in hospitalized paediatric participants 3 months to \< 18 years of age with suspected or confirmed aerobic Gram-negative bacterial infections * To assess the safety and tolerability of cefiderocol after multiple-dose administration in hospitalized paediatric participants 3 months to \< 12 years of age with suspected or confirmed aerobic Gram-negative bacterial infections * To assess the PK of cefiderocol after multiple-dose administration in hospitalized paediatric participants 3 months to \< 12 years of age with suspected or confirmed aerobic Gram-negative bacterial infections

Eligibility
Participation Requirements
Sex: All
Minimum Age: 3 months
Maximum Age: 17
Healthy Volunteers: f
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• Participant's parent(s) or legally authorized representative (LAR) provides written informed consent in accordance with regional and country-specific laws and regulations.

• Participant provides written informed assent, when feasible (age of assent to be determined by institutional review boards/independent ethics committees \[IRB's/IEC's\] or be consistent with local legal requirements).

• Hospitalized participant is 3 months to \<18 years of age at the time written informed consent/assent is obtained for the single-dose phase. Hospitalized participant is 3 months to \<12 years of age at the time written informed consent/assent is obtained for the multiple-dose phase. Premature babies will not be restricted, but the participant must have an adjusted or postnatal age of 3 months.

• Participant has a suspected or confirmed infection (including but not limited to complicated urinary tract infection \[cUTI\], complicated intra-abdominal infection \[cIAI\], hospital-acquired pneumonia \[HAP\] /ventilator-acquired pneumonia \[VAP\], sepsis, or bloodstream infections \[BSI\]) that requires hospitalization for treatment with IV antibiotics.

• If participant is a sexually active female of childbearing potential and has reached menarche or Tanner stage 3, participant agrees to use barrier contraception (including condom, diaphragm, or cervical cap) with spermicide or agrees to use a highly effective method of contraception (including contraceptive implant, injectable contraceptive, combination oral contraceptive, or an intrauterine \[IUD\] contraceptive device) from Screening up to 28 days after administration of the last dose of cefiderocol.

Locations
Other Locations
Belgium
Cliniques Universitaires Saint-Luc
Brussels
Universitair Ziekenhuis Brussel
Brussels
Estonia
Tallinn Childrens Hospital
Tallinn
Tartu Ulikooli Kliinikum - Anestesioloogia ja Intensiivravi Kliinik
Tartu
Georgia
JSC Medical Corporation Evex M. Iashvili Batumi Maternal and Child Central Hospital
Batumi
JSC EVEX Medical Corporation- M Lashvili Childrens Central Hospital
Tbilisi
Ltd Unimedi Kakheti Childrens New Clinic
Tbilisi
Hungary
Heim Pl Orszgos Gyermekgygyszati Intzet
Pilisborosjenő
Szegedi Tudomnyegyetem
Szegedi Tudomnyegyetem
Latvia
Daugavpils regional Hospital
Daugavpils
Bernu Kliniska Universitates Slimnica Childrens Hospital - Tornakalna
Riga
Russian Federation
St. Petersburg State Pediatric Medical University
Saint Petersburg
Smolensk State Medical University
Smolensk
Spain
Hospital Germans Trias i Pujol
Barcelona
Hospital Universitario y Politecnico La Fe
Valencia
Thailand
King Chulalongkorn Memorial Hospital, Chulalongkorn University
Bangkok
Siriraj Hospital
Bangkok Noi
PHPT-Chiangrai PrachanuKroh Hospital
Chiang Mai
Khon Kaen University (KKU) - Faculty of Medicine-Srinagarind Hospital
Khon Kaen
Ukraine
Dnipropetrovsk Regional Children Clinical Hospital
Kharkiv
Regional Children Clinical Hospital
Kharkiv
National Childrens Specialized Hospital OHMATDYT of the Ministry of Health of Ukraine
Kiev
Higher State Educational Institute of Ukraine Ukrainian Medical Stamatological Academy
Poltava
Time Frame
Start Date: 2020-08-21
Completion Date: 2023-02-06
Participants
Target number of participants: 54
Treatments
Experimental: Single Dose Phase: Cefiderocol
Participants will receive a single dose of cefiderocol administered intravenously (IV) on Day 1, in addition to standard of care. Participants weighing less than 34 kilograms (kg) will receive 60 milligrams (mg)/kg of cefiderocol and participants ≥34 kg will receive 2000 mg.
Experimental: Multiple Dose Phase: Cefiderocol
Participants will receive cefiderocol administered via IV every 8 hours on Day 1 and continuing for 5 to 14 days in addition to standard of care. Participants weighing less than 34 kg will receive 60 mg/kg of cefiderocol and participants ≥34 kg will receive 2000 mg. Dosage may be adjusted based on renal function.
Sponsors
Leads: Shionogi

This content was sourced from clinicaltrials.gov

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