A single dose infusion of Vabomere (meropenem-vaborbactam) is being tested for dose-finding, pharmacokinetics, safety, and tolerability in pediatric subjects from birth to less than 18 years of age with serious bacterial infections
In the current era of increased resistance to extended spectrum cephalosporins, carbapenem antimicrobial agents are frequently the antibiotics of "last defense" for the most resistant pathogens in serious infections, including those found in complicated Urinary Tract Infections (cUTI). The recent dissemination of serine carbapenemases (e.g. KPC) in Enterobacteriaceae in many hospitals worldwide now poses a considerable threat to the carbapenems and other members of the beta-lactam class of antimicrobial agents. Rempex developed meropenem-vaborbactam administered as a fixed combination by IV infusion, to treat serious Gram-negative infections, such as cUTIs, including those infections caused by bacteria resistant to currently available carbapenems. This study is an open label, dose-finding, pharmacokinetics, safety, and tolerability study of a single dose infusion of meropenem-vaborbactam in pediatric subjects from birth to less than 18 years of age with suspected or confirmed bacterial infection receiving antibiotic therapy or subjects receiving peri-operative prophylactic use of antibiotics.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
39
Vabomere (meropenem-vaborbactam) for IV injection
Arkansas Children's Hospital
Little Rock, Arkansas, United States
Ronald Reagan UCLA Medical Center
Los Angeles, California, United States
Children's Hospital of Orange County
Orange, California, United States
Pharmacokinetics: AUC0-∞
AUC from time zero to infinity
Time frame: From pre-dose until 6 hours after the start of the infusion
Pharmacokinetics: Cmax
maximum measured plasma concentration
Time frame: From pre-dose until 6 hours after the start of the infusion
Pharmacokinetics: time to maximum plasma concentration (Tmax)
time to Cmax
Time frame: From pre-dose until 6 hours after the start of the infusion
Pharmacokinetics: drug clearance (CL)
total body clearance
Time frame: From pre-dose until 6 hours after the start of the infusion
Pharmacokinetics: t1/2
elimination half- life
Time frame: From pre-dose until 6 hours after the start of the infusion
Pharmacokinetics: Cmin
minimum plasma concentration
Time frame: From pre-dose until 6 hours after the start of the infusion
Pharmacokinetics: Vss
Volume of distribution
Time frame: From pre-dose until 6 hours after the start of the infusion
Safety and tolerability: AEs/SAEs
a composite measure of the number and types of AEs/SAEs encountered and relationship to time of dosing
Time frame: From assent / consent until day 7 safety follow up call
Safety and tolerability: clinical safety laboratory results
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Rady Children's Hospital San Diego
San Diego, California, United States
Ann & Robert H. Lurie Children's Hospital of Chicago
Chicago, Illinois, United States
University of Nebraska Medical Center
Omaha, Nebraska, United States
Rutger's University
New Brunswick, New Jersey, United States
Rainbow Babies and Childrens Hospital
Cleveland, Ohio, United States
Toledo Children's Hospital
Toledo, Ohio, United States
A composite measure of multiple laboratory results assessing the clinical significance of any changes from baseline
Time frame: From assent / consent until day 7 safety follow up call
Safety and tolerability: vital signs
A composite of multiple vital sign measurements, assessing the clinical significance of any changes from baseline
Time frame: From assent / consent until day 7 safety follow up call
Safety and tolerability: ECGs
A composite of multiple ECG measurements, assessing the clinical significance of any changes from baseline
Time frame: From assent / consent until day 7 safety follow up call