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CAZ-AVI

Phase 3

Complicated Intra-Abdominal Infection | Small molecule | Infectious Disease |Pfizer, Inc.|Trials Updated: Sep 6, 2017

CAZ-AVI development status

Highest phase Phase 3
Registered trials 5 across 1 sponsor since Dec 2011

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials3
Total Enrollment576

FDA Designations

No designations recorded

CAZ-AVI clinical trials

CAZ-AVI · 3 trials · 8 indications

Phase 3 1Phase 1 2
NCT01499290Compare Ceftazidime-Avibactam + Metronidazole Versus Meropenem for Hospitalized Adults With Complicated Intra-Abdominal InfectionsComplicated Intra-Abdominal Infection
COMPLETED493 Analytics
PHASE3COMPLETED
Compare Ceftazidime-Avibactam + Metronidazole Versus Meropenem for Hospitalized Adults With Complicated Intra-Abdominal Infections
Complicated Intra-Abdominal InfectionUnlock trial analytics

Study Endpoints

Primary Endpoints

Clinical Response at the Test of Cure (TOC) Visit in the Microbiologically Modified Intent-To-Treat (mMITT) Analysis Set (Primary Outcome for FDA).
TOC: 28 to 35 days after start of study drug

The number of patients meeting the cure criteria: complete resolution or significant improvement of signs and symptoms of the index infection such that no further antibacterial therapy, drainage, or surgical intervention is necessary. Indeterminate response are where study data were not available for evaluation of efficacy for any reason, including patient lost to follow-up or assessment not undertaken such that a determination of clinical response could not be made, death where cIAI was clearly noncontributory or circumstances that precluded classification as a cure or failure. Results from two identical protocols D4280C00001 and D4280C00005 combined into a single database with agreement from FDA and EMA.

Clinical Response at the TOC Visit in the Modified Intent-To-Treat Analysis Set (Co-primary Outcome for Rest of World [ROW]).
TOC: 28 to 35 days after start of study drug

The number of patients meeting the cure criteria: complete resolution or significant improvement of signs and symptoms of the index infection such that no further antibacterial therapy, drainage, or surgical intervention was necessary. Indeterminate response are where study data were not available for evaluation of efficacy for any reason, including patient lost to follow-up or assessment not undertaken such that a determination of clinical response could not be made, dDeath where cIAI was clearly noncontributory or circumstances that precluded classification as a cure or failure.

Clinical Response at the TOC Visit in the Clinically Evaulable (CE) Analysis Set (Co-primary Outcome for Rest of World [ROW]).
TOC: 28 to 35 days after start of study drug

The number of patients meeting the cure criteria: complete resolution or significant improvement of signs and symptoms of the index infection such that no further antibacterial therapy, drainage, or surgical intervention was necessary.

Changes in the intestinal flora of healthy subjects after administration of ceftazidime-avibactam (CAZ-AVI) and ceftaroline fosamil -avibactam (CXL).
Change from baseline (Day-1) at Day 2, 5, 7, 10, 14 and 21

The number and types of microorganisms in faeces.

Pharmacokinetic Parameters of Avibactam and Ceftazidime for Cohort 1 and 2: AUC
Day 1

Key PK parameters were prespecified to be calculated for cohorts 1 and 2. For cohorts 3 and 4 (where children were \<6 years of age), sparse sampling scheme was used for PK samples to limit the volume of blood required. PK parameters cannot be derived from these sparse PK samples without population PK analysis. Thus the PK is not described here, but will be reported in a separate population PK report.

Pharmacokinetic Parameters of Avibactam and Ceftazidime for Cohort 1 and 2: Cmax
Day 1

Key PK parameters are shown for cohorts 1 and 2. For cohorts 3 and 4 (where children were \<6 years of age), sparse sampling scheme was used for PK samples to limit the volume of blood required. PK parameters cannot be derived from these sparse PK samples without population PK analysis. Thus the PK is not described here, but will be reported in a separate population PK report.

Secondary Endpoints

Clinical Cure at TOC in the Microbiologically Evaluable Analysis Set
TOC: 28 to 35 days after start of study drug
Clinical Cure at TOC in the Extended Microbiologically Evaluable Analysis Set
TOC: 28 to 35 days after start of study drug
Clinical Response by Visit in the Primary Population: Microbiologically Modified Intent-to-Treat (mMITT)
EOT: within 24 hours after last dose of study drug. TOC: 28 to 35 days after start of study drug. LFU: 42 to 49 days after start of study drug
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
CAZ-AVI + MetronidazoleEXPERIMENTALIV treatment
MeropenemACTIVE_COMPARATORIV treatment
CAZ-AVI or CXLEXPERIMENTALCohort 1: CAZ-AVI (2000 mg ceftazidime and 500 mg avibactam) by intravenous infusion given over 2 hours, every 8 hours Cohort 2: CXL (600 mg ceftaroline fosamil and 600 mg avibactam)
CAZ-AVIEXPERIMENTALThis arm will include 4 cohorts. Patients will be stratified by age.

Interventions

NameTypeDescription
CAZ-AVIDRUGCeftazidime 2000 mg and 500 mg of avibactam
MetronidazoleDRUG500 mg of Metronidazole
MeropenemDRUG1 gram of Meropenem
CXLDRUGIV infusion
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Eligibility Criteria

Age Range18 Years to 90 Years
SexALL
Healthy VolunteersNo
Study Sites56

Inclusion Criteria: * 18 to 90 years of age inclusive * Female patient is authorized to participate if at least one of the following criteria are met: 1. Surgical sterilization 2. Age ≥50 years and postmenopausal as defined by amenorrhea for 12 months or more following cessation of all exogeno...

Countries:United StatesArgentinaBulgariaCroatiaCzechiaHungaryIndiaIsraelLatviaMalaysiaMexicoNetherlandsPeruRomaniaRussiaSouth AfricaSpainTaiwanThailandUkraineSweden
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Frequently asked questions about CAZ-AVI

What is CAZ-AVI used for?

CAZ-AVI is being studied for the treatment of complicated intra-abdominal infections and systemic infections. It is an investigational combination antibiotic developed by Pfizer, Inc. for infectious disease indications. Clinical development has included pediatric and adult patient populations as well as healthy volunteer studies.

Who makes CAZ-AVI?

CAZ-AVI is developed by Pfizer, Inc., which trades on the New York Stock Exchange under the ticker PFE. Pfizer is the sponsor of the clinical trials evaluating the combination in complicated intra-abdominal infections and systemic infections.

What phase is CAZ-AVI in?

CAZ-AVI has been evaluated across Phase 1 and Phase 3 clinical trials. The Phase 3 study in complicated intra-abdominal infections has completed, and Phase 1 studies in pediatric patients and healthy volunteers have also completed. CAZ-AVI is an investigational agent and is not described as approved.

What clinical trials is CAZ-AVI in?

CAZ-AVI has been studied in completed trials including NCT01499290, a Phase 3 comparison with meropenem plus metronidazole in hospitalized adults with complicated intra-abdominal infections, NCT01893346, a Phase 1 pediatric safety and tolerability study, and NCT01789528, a Phase 1 study of effects on intestinal flora in healthy volunteers.

How many patients have been enrolled in CAZ-AVI trials?

The largest CAZ-AVI trial, NCT01499290, enrolled 493 hospitalized adults with complicated intra-abdominal infections across 20 countries. The Phase 1 pediatric study NCT01893346 enrolled 35 patients, and the healthy volunteer study NCT01789528 enrolled 48 participants.

Is CAZ-AVI the same as ceftazidime-avibactam?

Yes, CAZ-AVI is an abbreviation for ceftazidime-avibactam, a small molecule combination antibiotic. The two names refer to the same investigational agent developed by Pfizer, Inc. for complicated intra-abdominal infections and systemic infections.