QPX7728 is an ultra-broad-spectrum beta-lactamase inhibitor, with activity against numerous beta-lactamases, including class A extended spectrum beta-lactamases (ESBLs), class C cephalosporinases, and extended spectrum class D oxacillinases (OXA) that can hydrolyze cephalosporins and can be found in Enterobacteriaceae and Pseudomonas aeruginosa (P. aeruginosa). QPX7728 is also a potent inhibitor of carbapenemases from all molecular classes, such as class A Klebsiella pheumoniae carbapenemase (KPC), class B New-Dehli Metalo-beta-lactamase (NDM) and Verona integron-encoded metallo-beta-lactamase (VIM), and class D OXA-48 that are found in carbapenem resistant Enterobacteriaceae, and also class D carbapenemases such as OXA-23 that are found in carbapenem resistant Acinetobacter baumannii.
The Centers for Disease Control (CDC) has listed carbapenem-resistant Enterobacteriaceae and Acinetobacter as urgent threats and multidrug resistant Pseudomonas, and extended spectrum beta-lactamase (ESBL)-producing Enterobacteriaceae as serious threats \[CDC, 2019\]. Consistent with the global nature of these resistant bacteria, the World Health Organization (WHO) has designated carbapenem-resistant, ESBL-producing Enterobacteriaceae, carbapenem-resistant Acinetobacter baumannii, and carbapenem-resistant Pseudomonas aeruginosa as pathogens for which new agents are critically needed \[WHO, 2017\]. Qpex Biopharma is developing a fixed combination antibiotic of QPX2014 plus an ultra-broad spectrum beta-lactamase inhibitor, QPX7728.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
82
Altasciences
Cypress, California, United States
CMAX
Adelaide, South Australia, Australia
Incidence of Treatment -Emergent Adverse events (AEs) by subject and by cohort (single, multiple and combination dose)
Number of patients with Treatment-Emergent AEs by treatment arm, severity and relationship to treatment
Time frame: up to 21 days
Number of patients with changes from baseline in safety parameters (single, multiple and combination dose)
Number of patients with changes in safety parameters before and after dosing by subject and treatment arm
Time frame: up to 21 days
Peak plasma Concentration measurements by subject and by cohort (Cmax) (single, multiple and combination dose)
Comparison will be performed between the cohorts for Cmax. Mean graphical presentation of the data will be reported. Statistical analysis of exposure parameters will be performed.
Time frame: up to 21 days
Area under the plasma concentration versus time curve (AUC) between cohorts (single, multiple and combination dose)
Comparison will be performed between the cohorts for AUC. Mean graphical presentation of the data will be reported. Statistical analysis of exposure parameters will be performed.
Time frame: up to 21 days
Urine Pharmacokinetic (PK) amount excreted by subject and by cohort (single, multiple and combination dose)
Urine PK parameters such as amount excreted will be calculated from urinary excretion data
Time frame: up to 21 days
Urine PK % dose excreted by subject and by cohort (single, multiple and combination dose)
Urine PK parameters such as amount of % dose excreted will be calculated from urinary excretion data
Time frame: up to 21 days
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