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ETX2514SUL

Phase 1

Acinetobacter Baumannii Infection | Small molecule | Other |Innoviva, Inc.|Last Updated: Jun 14, 2018

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Trial Design

CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment34

FDA Designations

No designations recorded

Clinical trial landscape

ETX2514SUL · 1 trial · 1 indication

Phase 1 1
NCT03310463Evaluation of the Pharmacokinetics, Safety, and Tolerability of Intravenous ETX2514 and Sulbactam Administered Concurrently to Subjects With Various Degrees of Renal Impairment and Healthy Matched Control SubjectsAcinetobacter Baumannii Infection
COMPLETED34 Analytics
PHASE1COMPLETED
Evaluation of the Pharmacokinetics, Safety, and Tolerability of Intravenous ETX2514 and Sulbactam Administered Concurrently to Subjects With Various Degrees of Renal Impairment and Healthy Matched Control Subjects
Acinetobacter Baumannii InfectionUnlock trial analytics

Study Endpoints

Primary Endpoints

Mean maximum observed drug concentration (Cmax) in blood: Cohorts 1 and 2
Days 1 to 3: predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 12, 24, 36, and 48 hours after the start of infusion ("postdose")

Venous blood will be collected for ETX2514SUL pharmacokinetic (PK) analyses.

Mean Cmax in blood: Cohorts 3 and 4
Days 1 to 4: predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 12, 24, 36, 48, and 60 hours after the start of infusion ("postdose")

Venous blood will be collected for ETX2514SUL PK analyses.

Mean Cmax in blood: Cohort 5
Days 1 to 4. Period 1 (post-hemodialysis): predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 10, 12, 16, 24, 36, 48, and 60 hours after the start of infusion. Period 2 (pre-hemodialysis): approximately 4, 5, 6, and 7 hours after the start of infusion

Venous blood will be collected for ETX2514SUL PK analyses in Period 1. Blood will be collected for ETX2514SUL PK analyses in Period 2 from arterial and venous lines. Hemodialysis will be started approximately 1 hour after the end of infusion. If the hemodialysis session takes longer than 7 hours after the start of infusion, a final sample will be collected at the end of the hemodialysis session.

Mean time to reach the maximum concentration (tmax) in blood: Cohorts 1 and 2
Days 1 to 3: predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 12, 24, 36, and 48 hours after the start of infusion ("postdose")

Venous blood will be collected for ETX2514SUL PK analyses.

Mean tmax in blood: Cohorts 3 and 4
Days 1 to 4: predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 12, 24, 36, 48, and 60 hours after the start of infusion ("postdose")

Venous blood will be collected for ETX2514SUL PK analyses.

Mean tmax in blood: Cohort 5
Days 1 to 4. Period 1 (post-hemodialysis): predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 10, 12, 16, 24, 36, 48, and 60 hours after the start of infusion. Period 2 (pre-hemodialysis): approximately 4, 5, 6, and 7 hours after the start of infusion

Venous blood will be collected for ETX2514SUL PK analyses in Period 1. Blood will be collected for ETX2514SUL PK analyses in Period 2 from arterial and venous lines. Hemodialysis will be started approximately 1 hour after the end of infusion. If the hemodialysis session takes longer than 7 hours after the start of infusion, a final sample will be collected at the end of the hemodialysis session.

Mean AUC0-24 in blood: Cohorts 1 and 2
Days 1 to 3: predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 12, 24, 36, and 48 hours after the start of infusion ("postdose")

AUC0-24 is defined as the area under the concentration versus time curve from time zero to 24 hours postdose. Venous blood will be collected for ETX2514SUL PK analyses.

Mean AUC0-48 in blood: Cohorts 1 and 2
Days 1 to 3: predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 12, 24, 36, and 48 hours after the start of infusion ("postdose")

AUC0-48 is defined as the area under the concentration versus time curve from time zero to 48 hours postdose. Venous blood will be collected for ETX2514SUL PK analyses.

Mean AUC0-last in blood: Cohorts 1 and 2
Days 1 to 3: predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 12, 24, 36, and 48 hours after the start of infusion ("postdose")

AUC0-last is defined as the area under the concentration versus time curve from time zero to the time of the last quantifiable concentration after dosing. Venous blood will be collected for ETX2514SUL PK analyses.

Mean AUC0-∞ in blood: Cohorts 1 and 2
Days 1 to 3: predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 12, 24, 36, and 48 hours after the start of infusion ("postdose")

AUC0-∞ is defined as the area under the concentration versus time curve from time zero extrapolated to infinity. Venous blood will be collected for ETX2514SUL PK analyses.

Mean AUC0-24 in blood: Cohorts 3 and 4
Days 1 to 4: predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 12, 24, 36, 48, and 60 hours after the start of infusion ("postdose")

AUC0-24 is defined as the area under the concentration versus time curve from time zero to 24 hours postdose. Venous blood will be collected for ETX2514SUL PK analyses.

Mean AUC0-48 in blood: Cohorts 3 and 4
Days 1 to 4: predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 12, 24, 36, 48, and 60 hours after the start of infusion ("postdose")

AUC0-48 is defined as the area under the concentration versus time curve from time zero to 48 hours postdose. Venous blood will be collected for ETX2514SUL PK analyses.

Mean AUC0-60 in blood: Cohorts 3 and 4
Days 1 to 4: predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 12, 24, 36, 48, and 60 hours after the start of infusion ("postdose")

AUC0-60 is defined as the area under the concentration versus time curve from time zero to 60 hours. Venous blood will be collected for ETX2514SUL PK analyses.

Mean AUC0-last in blood: Cohorts 3 and 4
Days 1 to 4: predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 12, 24, 36, 48, and 60 hours after the start of infusion ("postdose")

AUC0-last is defined as the area under the concentration versus time curve from time zero to the time of the last quantifiable concentration after dosing. Venous blood will be collected for ETX2514SUL PK analyses.

Mean AUC0-∞ in blood: Cohorts 3 and 4
Days 1 to 4: predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 12, 24, 36, 48, and 60 hours after the start of infusion ("postdose")

AUC0-∞ is defined as the area under the concentration versus time curve from time zero extrapolated to infinity. Venous blood will be collected for ETX2514SUL PK analyses.

Mean AUC0-24 in blood: Cohort 5
Days 1 to 4. Periods 1 (post-hemodialysis): predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 10, 12, 16, 24, 36, 48, and 60 hours after the start of infusion. Period 2 (pre-hemodialysis): approximately 4, 5, 6, and 7 hours after the start of infusion

AUC0-24 is defined as the area under the concentration versus time curve from time zero to 24 hours postdose. Venous blood will be collected for ETX2514SUL PK analyses in Period 1. Blood will be collected for ETX2514SUL PK analyses in Period 2 from arterial and venous lines. Hemodialysis will be started approximately 1 hour after the end of infusion. If the hemodialysis session takes longer than 7 hours after the start of infusion, a final sample will be collected at the end of the hemodialysis session.

Mean AUC0-48 in blood: Cohort 5
Days 1 to 4. Periods 1 (post-hemodialysis): predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 10, 12, 16, 24, 36, 48, and 60 hours after the start of infusion. Period 2 (pre-hemodialysis): approximately 4, 5, 6, and 7 hours after the start of infusion

AUC0-48 is defined as the area under the concentration versus time curve from time zero to 48 hours postdose. Venous blood will be collected for ETX2514SUL PK analyses in Period 1. Blood will be collected for ETX2514SUL PK analyses in Period 2 from arterial and venous lines. Hemodialysis will be started approximately 1 hour after the end of infusion. If the hemodialysis session takes longer than 7 hours after the start of infusion, a final sample will be collected at the end of the hemodialysis session.

Mean AUC0-60 in blood: Cohort 5
Days 1 to 4. Periods 1 (post-hemodialysis): predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 10, 12, 16, 24, 36, 48, and 60 hours after the start of infusion. Period 2 (pre-hemodialysis): approximately 4, 5, 6, and 7 hours after the start of infusion

AUC0-60 is defined as the area under the concentration versus time curve from time zero to 60 hours postdose. Venous blood will be collected for ETX2514SUL PK analyses in Period 1. Blood will be collected for ETX2514SUL PK analyses in Period 2 from arterial and venous lines. Hemodialysis will be started approximately 1 hour after the end of infusion. If the hemodialysis session takes longer than 7 hours after the start of infusion, a final sample will be collected at the end of the hemodialysis session.

Mean AUC0-last in blood: Cohort 5
Days 1 to 4. Periods 1 (post-hemodialysis): predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 10, 12, 16, 24, 36, 48, and 60 hours after the start of infusion. Period 2 (pre-hemodialysis): approximately 4, 5, 6, and 7 hours after the start of infusion

AUC0-last is defined as the area under the concentration versus time curve from time zero to the time of the last quantifiable concentration after dosing. Venous blood will be collected for ETX2514SUL PK analyses in Period 1. Blood will be collected for ETX2514SUL PK analyses in Period 2 from arterial and venous lines. Hemodialysis will be started approximately 1 hour after the end of infusion. If the hemodialysis session takes longer than 7 hours after the start of infusion, a final sample will be collected at the end of the hemodialysis session.

Mean AUC0-∞ in blood: Cohort 5
Days 1 to 4. Periods 1 (post-hemodialysis): predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 10, 12, 16, 24, 36, 48, and 60 hours after the start of infusion. Period 2 (pre-hemodialysis): approximately 4, 5, 6, and 7 hours after the start of infusion

AUC0-∞ is defined as the area under the concentration versus time curve from time zero extrapolated to infinity. Venous blood will be collected for ETX2514SUL PK analyses in Period 1. Blood will be collected for ETX2514SUL PK analyses in Period 2 from arterial and venous. Hemodialysis will be started approximately 1 hour after the end of infusion. If the hemodialysis session takes longer than 7 hours after the start of infusion, a final sample will be collected at the end of the hemodialysis session.

Mean terminal elimination rate constant (λz) in blood: Cohorts 1 and 2
Days 1 to 3

Venous blood will be collected for ETX2514SUL PK analyses at predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 12, 24, 36, and 48 hours after the start of infusion ("postdose"). Infusion can begin at any time on Day 1; thus, 48 hours post infusion could fall on Day 3.

Mean λz in blood: Cohorts 3 and 4
Days 1 to 4

Venous blood will be collected for ETX2514SUL PK analyses at predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 12, 24, 36, 48, and 60 hours after the start of infusion ("postdose"). Infusion can begin at any time on Day 1; thus, 60 hours post infusion could fall on Day 4.

Mean λz in blood: Cohort 5
Periods 1 (post-hemodialysis) and 2 (pre-hemodialysis): Days 1 to 4

Venous blood will be collected for ETX2514SUL PK analyses in Period 1 at predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 10, 12, 16, 24, 36, 48, and 60 hours after the start of infusion. Blood will be collected for ETX2514SUL PK analyses in Period 2 from arterial and venous lines at approximately 4, 5, 6, and 7 hours after the start of infusion (where hemodialysis will be started approximately 1 hour after the end of infusion). If the hemodialysis session takes longer than 7 hours after the start of infusion, a final sample will be collected at the end of the hemodialysis session. Infusion can begin at any time on Day 1; thus, 60 hours post infusion could fall on Day 4.

Mean terminal half life (t1/2) in blood: Cohorts 1 and 2
Days 1 to 3

Venous blood will be collected for ETX2514SUL PK analyses at predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 12, 24, 36, and 48 hours after the start of infusion ("postdose"). Infusion can begin at any time on Day 1; thus, 48 hours post infusion could fall on Day 3.

Mean t1/2 in blood: Cohorts 3 and 4
Days 1 to 4

Venous blood will be collected for ETX2514SUL PK analyses at predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 12, 24, 36, 48, and 60 hours after the start of infusion ("postdose"). Infusion can begin at any time on Day 1; thus, 60 hours post infusion could fall on Day 4.

Mean t1/2 in blood: Cohort 5
Periods 1 (post-hemodialysis) and 2 (pre-hemodialysis): Days 1 to 4

Venous blood will be collected for ETX2514SUL PK analyses in Period 1 at predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 10, 12, 16, 24, 36, 48, and 60 hours after the start of infusion. Blood will be collected for ETX2514SUL PK analyses in Period 2 from arterial and venous lines at approximately 4, 5, 6, and 7 hours after the start of infusion (where hemodialysis will be started approximately 1 hour after the end of infusion). If the hemodialysis session takes longer than 7 hours after the start of infusion, a final sample will be collected at the end of the hemodialysis session. Infusion can begin at any time on Day 1; thus, 60 hours post infusion could fall on Day 4.

Mean total clearance (CL) from blood: Cohorts 1 and 2
Days 1 to 3

Venous blood will be collected for ETX2514SUL PK analyses at predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 12, 24, 36, and 48 hours after the start of infusion ("postdose"). Infusion can begin at any time on Day 1; thus, 48 hours post infusion could fall on Day 3.

Mean CL from blood: Cohorts 3 and 4
Days 1 to 4

Venous blood will be collected for ETX2514SUL PK analyses at predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 12, 24, 36, 48, and 60 hours after the start of infusion ("postdose"). Infusion can begin at any time on Day 1; thus, 60 hours post infusion could fall on Day 4.

Mean CL in blood: Cohort 5
Periods 1 (post-hemodialysis) and 2 (pre-hemodialysis): Days 1 to 4

Venous blood will be collected for ETX2514SUL PK analyses in Period 1 at predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 10, 12, 16, 24, 36, 48, and 60 hours after the start of infusion. Blood will be collected for ETX2514SUL PK analyses in Period 2 from arterial and venous lines at approximately 4, 5, 6, and 7 hours after the start of infusion (where hemodialysis will be started approximately 1 hour after the end of infusion). If the hemodialysis session takes longer than 7 hours after the start of infusion, a final sample will be collected at the end of the hemodialysis session. Infusion can begin at any time on Day 1; thus, 60 hours post infusion could fall on Day 4.

Mean volume of distribution in the terminal elimination phase (Vz) in blood: Cohorts 1 and 2
Days 1 to 3

Venous blood will be collected for ETX2514SUL PK analyses at predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 12, 24, 36, and 48 hours after the start of infusion ("postdose"). Infusion can begin at any time on Day 1; thus, 48 hours post infusion could fall on Day 3.

Mean Vz in blood: Cohorts 3 and 4
Days 1 to 4

Venous blood will be collected for ETX2514SUL PK analyses at predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 12, 24, 36, 48, and 60 hours after the start of infusion ("postdose"). Infusion can begin at any time on Day 1; thus, 60 hours post infusion could fall on Day 4.

Mean Vz in blood: Cohort 5
Periods 1 (post-hemodialysis) and 2 (pre-hemodialysis): Days 1 to 4

Venous blood will be collected for ETX2514SUL PK analyses in Period 1 at predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 10, 12, 16, 24, 36, 48, and 60 hours after the start of infusion. Blood will be collected for ETX2514SUL PK analyses in Period 2 from arterial and venous lines at approximately 4, 5, 6, and 7 hours after the start of infusion (where hemodialysis will be started approximately 1 hour after the end of infusion). If the hemodialysis session takes longer than 7 hours after the start of infusion, a final sample will be collected at the end of the hemodialysis session. Infusion can begin at any time on Day 1; thus, 60 hours post infusion could fall on Day 4.

Mean cumulative amount of drug excreted in urine (Aeu): Cohorts 1 and 2
Days 1 and 2

Urine for ETX2514SUL PK analyses will be collected continuously from participants capable of producing urine at the following intervals: predose (a single void within 30 minutes prior to the start of infusion) and 0 to 4, 4 to 8, 8 to 12, and 12 to 24 hours after the start of infusion. Infusion can begin at any time on Day 1; thus, 24 hours post infusion could fall on Day 2.

Mean Aeu: Cohorts 3 and 4
Days 1 to 4

Urine for ETX2514SUL PK analyses will be collected continuously from participants capable of producing urine at the following intervals: predose (a single void within 30 minutes prior to the start of infusion), and 0 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 36, 36 to 48, and 48 to 60 hours after the start of infusion. Infusion can begin at any time on Day 1; thus, 60 hours post infusion could fall on Day 4.

Mean renal clearance (CLR): Cohorts 1 and 2
Days 1 and 2

Urine for ETX2514SUL PK analyses will be collected continuously from participants capable of producing urine at the following intervals: predose (a single void within 30 minutes prior to the start of infusion) and 0 to 4, 4 to 8, 8 to 12, and 12 to 24 hours after the start of infusion. Infusion can begin at any time on Day 1; thus, 24 hours post infusion could fall on Day 2.

Mean CLR: Cohorts 3 and 4
Days 1 to 4

Urine for ETX2514SUL PK analyses will be collected continuously from participants capable of producing urine at the following intervals: predose (a single void within 30 minutes prior to the start of infusion), and 0 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 36, 36 to 48, and 48 to 60 hours after the start of infusion. Infusion can begin at any time on Day 1; thus, 60 hours post infusion could fall on Day 4.

Mean fraction of the dose renally eliminated (Feu): Cohorts 1 and 2
Days 1 and 2

Urine for ETX2514SUL PK analyses will be collected continuously from participants capable of producing urine at the following intervals: predose (a single void within 30 minutes prior to the start of infusion) and 0 to 4, 4 to 8, 8 to 12, and 12 to 24 hours after the start of infusion. Infusion can begin at any time on Day 1; thus, 24 hours post infusion could fall on Day 2.

Mean Feu: Cohorts 3 and 4
Days 1 to 4

Urine for ETX2514SUL PK analyses will be collected continuously from participants capable of producing urine at the following intervals: predose (a single void within 30 minutes prior to the start of infusion), and 0 to 4, 4 to 8, 8 to 12, 12 to 24, 24 to 36, 36 to 48, and 48 to 60 hours after the start of infusion. Infusion can begin at any time on Day 1; thus, 60 hours post infusion could fall on Day 4.

Mean amount dialyzed (AHD): Cohort 5
Periods 1 (post-hemodialysis) and 2 (pre-hemodialysis): Days 1 to 4

Venous blood will be collected for ETX2514SUL PK analyses in Period 1 at predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 10, 12, 16, 24, 36, 48, and 60 hours after the start of infusion. Blood will be collected for ETX2514SUL PK analyses in Period 2 from arterial and venous lines at approximately 4, 5, 6, and 7 hours after the start of infusion (where hemodialysis will be started approximately 1 hour after the end of infusion). If the hemodialysis session takes longer than 7 hours after the start of infusion, a final sample will be collected at the end of the hemodialysis session. Infusion can begin at any time on Day 1; thus, 60 hours post infusion could fall on Day 4.

Mean fraction of the dose removed by hemodialysis (FHD): Cohort 5
Periods 1 (post-hemodialysis) and 2 (pre-hemodialysis): Days 1 to 4

Venous blood will be collected for ETX2514SUL PK analyses in Period 1 at predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 10, 12, 16, 24, 36, 48, and 60 hours after the start of infusion. Blood will be collected for ETX2514SUL PK analyses in Period 2 from arterial and venous lines at approximately 4, 5, 6, and 7 hours after the start of infusion (where hemodialysis will be started approximately 1 hour after the end of infusion). If the hemodialysis session takes longer than 7 hours after the start of infusion, a final sample will be collected at the end of the hemodialysis session. Infusion can begin at any time on Day 1; thus, 60 hours post infusion could fall on Day 4.

Estimated hemodialysis (HD) recovery clearance (CLD Recovery): Cohort 5
Periods 1 (post-hemodialysis) and 2 (pre-hemodialysis): Days 1 to 4

Venous blood will be collected for ETX2514SUL PK analyses in Period 1 at predose, and 0.5, 1, 2, 3, 3.5, 4, 5, 6, 7, 8, 10, 12, 16, 24, 36, 48, and 60 hours after the start of infusion. Blood will be collected for ETX2514SUL PK analyses in Period 2 from arterial and venous lines at approximately 4, 5, 6, and 7 hours after the start of infusion (where hemodialysis will be started approximately 1 hour after the end of infusion). If the hemodialysis session takes longer than 7 hours after the start of infusion, a final sample will be collected at the end of the hemodialysis session. Infusion can begin at any time on Day 1; thus, 60 hours post infusion could fall on Day 4.

Secondary Endpoints

Number of participants with any non-serious adverse event (AE)
Cohorts 1 and 2: Days 1, 2, 3, and 7. Cohorts 3 and 4: Days 1, 2, 3, 4, and 7. Cohort 5: Period 1: Days 1, 2, 3, and 4; Washout. Period 2: Days -1, 2, 3, 4, and 7
Number of participants with any serious adverse event (SAE)
Cohorts 1 and 2: Days 1, 2, 3, and 7. Cohorts 3 and 4: Days 1, 2, 3, 4, and 7. Cohort 5: Period 1: Days 1, 2, 3, and 4; Washout. Period 2: Days -1, 2, 3, 4, and 7.
Number of participants with an adverse event of the indicated causality and severity
Cohorts 1 and 2: Days 1, 2, 3, and 7. Cohorts 3 and 4: Days 1, 2, 3, 4, and 7. Cohort 5: Period 1: Days 1, 2, 3, and 4; Washout. Period 2: Days -1, 2, 3, 4, and 7
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Cohort 1, Normal Renal FunctionEXPERIMENTALHealthy control participants matched to participants enrolled in Cohort 4 (creatinine clearance ≥90 milliliters per minute \[mL/min\] estimated by the Cockcroft-Gault equation) will receive ETX2514SUL as a single dose of up to 1000 milligrams (mg) ETX2514 and 1000 mg sulbactam given by concurrent 3-hour intravenous (IV) infusion.
Cohort 2, Mild Renal ImpairmentEXPERIMENTALParticipants with mild renal impairment (estimated glomerular filtration rate \[eGFR\] ≥60 to \<90 mL/min/1.73 meters squared \[m\^2\] calculated by the Modified Diet in Renal Disease \[MDRD\] equation) will receive ETX2514SUL as a single dose of up to 1000 mg ETX2514 and 1000 mg sulbactam given by concurrent 3-hour IV infusion.
Cohort 3, Moderate Renal ImpairmentEXPERIMENTALParticipants with moderate renal impairment (eGFR ≥30 to \<60 mL/min/1.73 m\^2 calculated by the MDRD equation) will receive ETX2514SUL as a single dose of up to 1000 mg ETX2514 and 1000 mg sulbactam given by concurrent 3-hour IV infusion.
Cohort 4, Severe Renal ImpairmentEXPERIMENTALParticipants with severe renal impairment (eGFR \<30 mL/min/1.73 m\^2 calculated by the MDRD equation) and not on hemodialysis (HD) will receive ETX2514SUL as a single dose of up to 1000 mg ETX2514 and 1000 mg sulbactam given by concurrent 3-hour IV infusion.
Cohort 5, ESRD on a Stable HD RegimenEXPERIMENTALParticipants with end-stage renal disease (ESRD) on a stable HD regimen (determined by medical history) will receive ETX2514SUL as a single dose of up to 1000 mg ETX2514 and 1000 mg sulbactam given by concurrent 3-hour IV infusion.

Interventions

NameTypeDescription
ETX2514SULDRUGSingle dose of up to 1000 mg ETX2514 and 1000 mg sulbactam given by concurrent 3-hr IV infusion
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersYes
Study Sites3

Inclusion Criteria: To qualify for enrollment in this study, each participant must meet the inclusion criteria for all participants, as well as all inclusion criteria specified for either healthy participants, participants with renal impairment (RI), or participants with end-stage renal disease (ES...

Countries:United States
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Frequently asked questions about ETX2514SUL

What is ETX2514SUL used for?

ETX2514SUL is an investigational small molecule being developed for the treatment of Acinetobacter baumannii infection. It is currently in Phase 1 clinical development and has not been approved by regulatory authorities.

What does ETX2514SUL target?

ETX2514SUL is a combination of ETX2514 and sulbactam. ETX2514 is a beta-lactamase inhibitor, and sulbactam is a beta-lactam antibiotic. The combination is designed to overcome beta-lactamase-mediated resistance in Acinetobacter baumannii.

Who makes ETX2514SUL?

ETX2514SUL is being developed by Innoviva, Inc. (NASDAQ: INVA). The company is conducting clinical trials to evaluate the safety and pharmacokinetics of the drug.

What phase is ETX2514SUL in?

ETX2514SUL is in Phase 1 clinical development. It is an investigational drug and has not been approved by the FDA or any other regulatory agency. One Phase 1 trial has been completed.

What clinical trials is ETX2514SUL in?

ETX2514SUL has one completed Phase 1 trial, NCT03310463, which evaluated the pharmacokinetics, safety, and tolerability of intravenous ETX2514 and sulbactam in subjects with renal impairment and healthy controls. The trial enrolled 34 participants in the United States.

Is ETX2514SUL the same as sulbactam?

ETX2514SUL is a combination product containing ETX2514 and sulbactam. It is not the same as sulbactam alone, as it includes the beta-lactamase inhibitor ETX2514 to enhance activity against Acinetobacter baumannii.