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Ceftazidime - Avibactam

Phase 3

Complicated Urinary Tract Infection (cUTI) Including Acute Pyelonephritis | Small molecule | Nephrology |Pfizer, Inc.|Last Updated: Sep 6, 2017

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDBiomarker
Total Trials2
Total Enrollment1,239
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01595438Ceftazidime-Avibactam Compared With Doripenem Followed by Oral Therapy for Hospitalized Adults With Complicated UTIs (Urinary Tract Infections)PHASE3 COMPLETED 598Oct 1, 2012Aug 1, 2014Sep 6, 201780 United States, Argentina +20
NCT01599806Ceftazidime-Avibactam Compared With Doripenem Followed by Oral Therapy for Hospitalized Adults With Complicated UTIs (Urinary Tract Infections)PHASE3 COMPLETED 641Oct 1, 2012Aug 1, 2014Sep 6, 201757 United States, Argentina +15
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Study Endpoints
Primary Endpoints
Patient-reported Symptomatic Response at Day 5 (mMITT Analysis Set): Non-inferiority Hypothesis Test
At Day 5 visit. Day 5 visit is based on 24 hour periods from the first dose date and time.

Number of patients with symptomatic resolution (or return to premorbid state) of UTI-specific symptoms except flank pain (frequency/urgency/dysuria/suprapubic pain) with resolution of or improvement in flank pain based on the patient-reported symptom assessment response at the Day 5 visit in the mMITT analysis set. The sponsor will conclude noninferiority if the lower limit of the 95% CI of difference (corresponding to a 97.5% 1-sided lower bound) is greater than -12.5% for both FDA coprimary outcome variables (symptomatic resolution at day 5 or favorable combined response at test of cure (TOC)).

Combined Patient-reported Symptomatic and Microbiological Response at TOC (mMITT Analysis Set): Non-inferiority Hypothesis Test
At TOC visit. TOC visit is 21 to 25 days from Randomization.

Number of patients with both a favorable per patient microbiological response and symptomatic resolution (or return to premorbid state) of all UTI-specific symptoms (frequency/urgency/dysuria/suprapubic pain/flank pain) based on the patient-reported symptom assessment response at the TOC visit in the mMITT analysis set. The sponsor will conclude noninferiority if the lower limit of the 95% CI of difference (corresponding to a 97.5% 1-sided lower bound) is greater than -12.5% for both FDA coprimary outcome variables (symptomatic resolution at day 5 or favorable combined response at test of cure (TOC)).

Per-patient Microbiological Response at TOC (mMITT Analysis Set): Non-inferiority Hypothesis Test
At TOC visit. TOC visit is 21 to 25 days from Randomization.

Number of patients with a favorable per patient microbiological response at TOC. The primary efficacy outcome variable for ROW is the proportion of patients with a favorable per-patient microbiological response at the TOC visit in the mMITT analysis set.

Secondary Endpoints
Per-patient Microbiological Response at EOT (IV) (mMITT Analysis Set)
At EOT (IV) visit. EOT (IV) visit is Within 24 hours after completion of the last infusion of IV study therapy and on/before the first dose for oral study therapy
Per-patient Microbiological Response at LFU (mMITT Analysis Set)
At LFU visit. LFU visit is 45 to 52 days from Randomization.
Per-patient Microbiological Response at EOT (IV) (ME at EOT (IV) Analysis Set)
At EOT (IV) visit. EOT (IV) visit is Within 24 hours after completion of the last infusion of IV study therapy and on/before the first dose for oral study therapy
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Ceftazidime - Avibactam ( CAZ-AVI)EXPERIMENTALIV treatment
DoripenemACTIVE_COMPARATORIV treatment
Interventions
NameTypeDescription
Ceftazidime - Avibactam ( CAZ-AVI)DRUGCeftazidime 2000 mg and 500 mg of avibactam. Patients randomized to receive CAZ-AVI will receive an infusion of CAZ-AVI (2000 mg ceftazidime and 500 mg avibactam) every 8 hours administered by intravenous (IV) infusion in a volume of 100 mL at a constant rate over 120 minutes
DoripenemDRUG500 mg of Doripenem. Patients randomized to receive Doripenem will receive an infusion of Doripenem 500 mg every 8 hours administered by intravenous (IV) infusion in a volume of 100 mL at a constant rate over 60 minutes
Either switch to oral therapy: 500 mg of Ciprofloxacin (oral)DRUGPatients are eligible for oral switch after receiving 5 full days of IV therapy and have met protocol specified criteria for clinical improvement
or switch to oral therapy: 800 mg/160 mg of sulfamethoxazole/trimethoprim (oral)DRUGPatients are eligible for oral switch after receiving 5 full days of IV therapy and have met protocol specified criteria for clinical improvement
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Eligibility Criteria
Age Range18 Years — 90 Years
SexALL
Healthy VolunteersNo
Study Sites80

Inclusion Criteria: * 18 to 90 years of age inclusive * Female patients can participate if they are surgically sterile or completed menopause or females capable of having children and agree not to attempt pregnancy while receiving IV study therapy and for a period of 7 days after * Has pyuria with ...

Countries:United StatesArgentinaBrazilBulgariaCroatiaCzechiaGermanyGreeceHungaryIsraelJapanMexicoPolandPortugalRomaniaRussiaSerbiaSlovakiaSouth KoreaTaiwanTurkey (Türkiye)UkraineItalyPeruSpain
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