This is a randomised study divided into 2 parts. Part A investigates the effect of prolonged dosing (ten days) with Avibactam and Ceftazidime when given together and how this will effect how much Avibactam and Ceftazidime enters the blood. Part B investigates how much Avibactam (NXL104) and Ceftazidime enter the blood when Avibactam and Ceftazidine are given separately or together intravenously.
A Phase I, 2-Part, Open-Label, Pharmacokinetic and Drug-Drug Interaction Study of CAZ104 (Avibactam and Ceftazidime in Healthy Subjects)
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
43
Research site
London, United Kingdom
Part A: Single- and multiple-dose pharmacokinetics of Avibactam. Plasma pharmacokinetic variables will be measured including maximum plasma concentration (Cmax)
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Avibactam. Plasma pharmacokinetic variables will be measured including time of Cmax (tmax)
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Avibactam. Plasma pharmacokinetic variables will be measured including minimum plasma concentration (Cmin)
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Avibactam. Plasma pharmacokinetic variables will be measured including time of Cmin (tmin)
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Avibactam. Plasma pharmacokinetic variables will be measured including last quantifiable plasma concentration (Clast)
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Avibactam. Plasma pharmacokinetic variables will be measured including time of Clast (tlast)
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Avibactam. Plasma pharmacokinetic variables will be measured including average plasma concentration during a dosing interval (Cavg)
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Avibactam. Plasma pharmacokinetic variables will be measured including fluctuation index
Time frame: Up to 24 hours post last dose
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Part A: Single- and multiple-dose pharmacokinetics of Avibactam. Plasma pharmacokinetic variables will be measured including area under the curve of plasma drug concentration (AUC) - time curve from zero to the time of the last quantifiable concentration
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Avibactam. Plasma pharmacokinetic variables will be measured including AUC, Day 1 only
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Avibactam. Plasma pharmacokinetic variables will be measured including AUC during the dosing interval [AUC(0-τ)]
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Avibactam. Plasma pharmacokinetic variables will be measured including terminal half-life (t1/2)
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Avibactam. Plasma pharmacokinetic variables will be measured including systemic plasma clearance (CL)
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Avibactam. Plasma pharmacokinetic variables will be measured including volume of distribution at steady state (Vss)
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Avibactam. Plasma pharmacokinetic variables will be measured including volume of distribution at the terminal phase (Vz)
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Avibactam. Plasma pharmacokinetic variables will be measured including accumulation ratio for Cmax and AUC(0-τ)
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Avibactam. Plasma pharmacokinetic variables will be measured including linearity index
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Avibactam. Urine pharmacokinetic variables will be measured including amount of drug excreted unchanged into urine from zero to time t [Ae(0-t)]
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Avibactam. Urine pharmacokinetic variables will be measured including fraction of dose excreted unchanged into urine (fe; % dose)
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Avibactam. Urine pharmacokinetic variables will be measured including renal clearance (CLR)
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Ceftazidime. Plasma pharmacokinetic variables will be measured including Cmax
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Ceftazidime. Plasma pharmacokinetic variables will be measured including tmax
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Ceftazidime. Plasma pharmacokinetic variables will be measured including Cmin
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Ceftazidime. Plasma pharmacokinetic variables will be measured including tmin
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Ceftazidime. Plasma pharmacokinetic variables will be measured including Clast
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Ceftazidime. Plasma pharmacokinetic variables will be measured including tlast
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Ceftazidime. Plasma pharmacokinetic variables will be measured including Cavg
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Ceftazidime. Plasma pharmacokinetic variables will be measured including fluctuation index
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Ceftazidime. Plasma pharmacokinetic variables will be measured including AUC(0-t)
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Ceftazidime. Plasma pharmacokinetic variables will be measured including AUC, Day 1 only
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Ceftazidime. Plasma pharmacokinetic variables will be measured including AUC(0-τ)
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Ceftazidime. Plasma pharmacokinetic variables will be measured including t1/2
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Ceftazidime. Plasma pharmacokinetic variables will be measured including CL
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Ceftazidime. Plasma pharmacokinetic variables will be measured including Vss
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Ceftazidime. Plasma pharmacokinetic variables will be measured including Vz
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Ceftazidime. Plasma pharmacokinetic variables will be measured including accumulation ratio for Cmax and AUC(0-τ)
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Ceftazidime. Plasma pharmacokinetic variables will be measured including linearity index
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Ceftazidime. Urine pharmacokinetic variables will be measured including Ae(0-t)
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Ceftazidime. Urine pharmacokinetic variables will be measured including fe; % dose
Time frame: Up to 24 hours post last dose
Part A: Single- and multiple-dose pharmacokinetics of Ceftazidime. Urine pharmacokinetic variables will be measured including CLR
Time frame: Up to 24 hours post last dose
Part B: Pharmacokinetics of co-administering Avibactam plus Ceftazidime (CAZ104) compared to administration of the individual components. Plasma pharmacokinetic variables will be measured including Cmax
Time frame: Up to 24 hours post last dose
Part B: Pharmacokinetics of co-administering Avibactam plus Ceftazidime (CAZ104) compared to administration of the individual components. Plasma pharmacokinetic variables will be measured including tmax
Time frame: Up to 24 hours post last dose
Part B: Pharmacokinetics of co-administering Avibactam plus Ceftazidime (CAZ104) compared to administration of the individual components. Plasma pharmacokinetic variables will be measured including Cmin
Time frame: Up to 24 hours post last dose
Part B: Pharmacokinetics of co-administering Avibactam plus Ceftazidime (CAZ104) compared to administration of the individual components. Plasma pharmacokinetic variables will be measured including tmin
Time frame: Up to 24 hours post last dose
Part B: Pharmacokinetics of co-administering Avibactam plus Ceftazidime (CAZ104) compared to administration of the individual components. Plasma pharmacokinetic variables will be measured including Clast
Time frame: Up to 24 hours post last dose
Part B: Pharmacokinetics of co-administering Avibactam plus Ceftazidime (CAZ104) compared to administration of the individual components. Plasma pharmacokinetic variables will be measured including tlast
Time frame: Up to 24 hours post last dose
Part B: Pharmacokinetics of co-administering Avibactam plus Ceftazidime (CAZ104) compared to administration of the individual components. Plasma pharmacokinetic variables will be measured including Cavg
Time frame: Up to 24 hours post last dose
Part B: Pharmacokinetics of co-administering Avibactam plus Ceftazidime (CAZ104) compared to administration of the individual components. Plasma pharmacokinetic variables will be measured including fluctuation index
Time frame: Up to 24 hours post last dose
Part B: Pharmacokinetics of co-administering Avibactam plus Ceftazidime (CAZ104) compared to administration of the individual components. Plasma pharmacokinetic variables will be measured including AUC(0-t)
Time frame: Up to 24 hours post last dose
Part B: Pharmacokinetics of co-administering Avibactam plus Ceftazidime (CAZ104) compared to administration of the individual components. Plasma pharmacokinetic variables will be measured including AUC, Day 1 only
Time frame: Up to 24 hours post last dose
Part B: Pharmacokinetics of co-administering Avibactam plus Ceftazidime (CAZ104) compared to administration of the individual components. Plasma pharmacokinetic variables will be measured including AUC(0-τ)
Time frame: Up to 24 hours post last dose
Part B: Pharmacokinetics of co-administering Avibactam plus Ceftazidime (CAZ104) compared to administration of the individual components. Plasma pharmacokinetic variables will be measured including t1/2
Time frame: Up to 24 hours post last dose
Part B: Pharmacokinetics of co-administering Avibactam plus Ceftazidime (CAZ104) compared to administration of the individual components. Plasma pharmacokinetic variables will be measured including CL
Time frame: Up to 24 hours post last dose
Part B: Pharmacokinetics of co-administering Avibactam plus Ceftazidime (CAZ104) compared to administration of the individual components. Plasma pharmacokinetic variables will be measured including Vss
Time frame: Up to 24 hours post last dose
Part B: Pharmacokinetics of co-administering Avibactam plus Ceftazidime (CAZ104) compared to administration of the individual components. Plasma pharmacokinetic variables will be measured including Vz
Time frame: Up to 24 hours post last dose
Part B: Pharmacokinetics of co-administering Avibactam plus Ceftazidime (CAZ104) compared to administration of the individual components. Plasma pharmacokinetic variables will be measured including accumulation ratio for Cmax and AUC(0-τ)
Time frame: Up to 24 hours post last dose
Part B: Pharmacokinetics of co-administering Avibactam plus Ceftazidime (CAZ104) compared to administration of the individual components. Plasma pharmacokinetic variables will be measured including linearity index
Time frame: Up to 24 hours post last dose
Part B: Pharmacokinetics of co-administering Avibactam plus Ceftazidime (CAZ104) compared to administration of the individual components. Urine pharmacokinetic variables will be measured including Ae(0-t)
Time frame: Up to 24 hours post last dose
Part B: Pharmacokinetics of co-administering Avibactam plus Ceftazidime (CAZ104) compared to administration of the individual components. Urine pharmacokinetic variables will be measured including fe; % dose
Time frame: Up to 24 hours post last dose
Part B: Pharmacokinetics of co-administering Avibactam plus Ceftazidime (CAZ104) compared to administration of the individual components. Urine pharmacokinetic variables will be measured including CLR
Time frame: Up to 24 hours post last dose
To assess safety and tolerability of Avibactam by assessment of Adverse events
Time frame: Up to 24 hours post last dose
To assess safety and tolerability of Avibactam by clinical laboratory assessments
Time frame: Up to 24 hours post last dose
To assess safety and tolerability of Avibactam by assessment of vital signs
Time frame: Up to 24 hours post last dose
To assess safety and tolerability of Avibactam by assessment of safety electrocardiogram
Time frame: Up to 24 hours post last dose
To assess safety and tolerability of Avibactam by assessment of physical examination
Time frame: Up to 24 hours post last dose
To assess safety and tolerability of Avibactam by assessment of withdrawn
Time frame: Up to 24 hours post last dose
To assess safety and tolerability of Ceftazidime by assessment of Adverse events
Time frame: Up to 24 hours post last dose
To assess safety and tolerability of Ceftazidime by clinical laboratory assessments
Time frame: Up to 24 hours post last dose
To assess safety and tolerability of Ceftazidime by assessment of vital signs
Time frame: Up to 24 hours post last dose
To assess safety and tolerability of Ceftazidime by assessment of safety electrocardiogram
Time frame: Up to 24 hours post last dose
To assess safety and tolerability of Ceftazidime by assessment of physical examination
Time frame: Up to 24 hours post last dose
To assess safety and tolerability of Ceftazidime by assessment of withdrawn
Time frame: Up to 24 hours post last dose
To assess safety and tolerability of CAZ104 by assessment of Adverse events
Time frame: Up to 24 hours post last dose
To assess safety and tolerability of CAZ104 by clinical laboratory assessments
Time frame: Up to 24 hours post last dose
To assess safety and tolerability of CAZ104 by assessment of vital signs
Time frame: Up to 24 hours post last dose
To assess safety and tolerability of CAZ104 by assessment of safety electrocardiogram
Time frame: Up to 24 hours post last dose
To assess safety and tolerability of CAZ104 by assessment of physical examination
Time frame: Up to 24 hours post last dose
To assess safety and tolerability of CAZ104 by assessment of withdrawn
Time frame: Up to 24 hours post last dose