Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Ceftazidime-avibactam · 3 trials · 3 indications
The proportion 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.
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged in-patient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent AEs were events between first dose of study drug and up to late follow-up (LFU) visit (20 to 36 days after last dose of study treatment \[IV or oral\]) that were absent before treatment or that worsened relative to pretreatment state. AEs included both SAE and non-SAE.
Percentage of participants with Cephalosporin class effects (defined as adverse event of special interest (AEoSI) within the safety topics (ST) of hypersensitivity/anaphylaxis) and additional AEs (which included AEs of diarrhea, renal disorder, hematological disorder and liver disorder relevant to the cephalosporin class within the safety topics (ST) based on MedDRA 20.0) were reported in this outcome measure.
EOIV visit occurred within 24 hours after completion of last infusion of the study drug.
EOIV visit occurred within 24 hours after completion of last infusion of the study drug.
EOIV visit occurred within 24 hours after completion of last infusion of the study drug.
EOIV visit occurred within 24 hours after completion of last infusion of the study drug.
Physical examination included an assessment of the following: general appearance, skin, head and neck (including ears, eyes, nose and throat), lymph nodes, thyroid, respiratory system, cardiovascular system, abdomen, musculoskeletal system (including spine and extremities), and neurological system. Participants with new or aggravated abnormal physical examination findings with regard to baseline findings were reported. Abnormality in physical examinations were based on blinded observer's discretion. EOIV visit occurred within 24 hours after completion of last infusion of the study drug.
EOIV visit occurred within 24 hours after completion of last infusion of the study drug.
Criteria for potentially clinically significant laboratory abnormalities: hematology (platelets: \<0.4\*lower limit of normal \[LLN\], \>2\*upper limit of normal \[ULN\], \>40% decrease from baseline \[DFB\],\>100% Increase from baseline \[IFB\]; Chemistry (Bicarbonate: \<0.7\*LLN, \>1.3\*ULN, \>50% DFB, \>30% IFB).
PCS criteria for abnormal value of ECG parameters: QT interval \>=450 milliseconds (msec); 480 msec; \>=500 msec; Increase from baseline (IFB) of \>=30 msec; \>=60 msec and \>90 msec; Decrease from baseline (DFB) of \>=30 msec; \>=60 msec and \>90 msec. QT interval using Bazett's correction (QTcB): \>=450 milliseconds (msec); 480 msec; \>=500 msec; Increase from baseline (IFB) of \>=30 msec; \>=60 msec and \>90 msec; DFB of \>=30 msec; \>=60 msec and \>90 msec. QT interval using Fridericia's correction (QTcF): \>=450 msec; 480 msec; \>=500 msec; IFB of \>=30 msec; \>=60 msec and \>90 msec; DFB of \>=30 msec; \>=60 msec and \>90 msec. EOIV visit occurred within 24 hours after completion of last infusion of the study drug.
CrCl is a measure of glomerular filtration rate (GMFR), an index of kidney function. It is the volume of blood plasma that is cleared of creatinine by the kidneys per unit time. Percentage of participants with CrCl in the following categories were reported: \<30 mL/min/1.73 m\^2, \>=30 to \<50 mL/min/1.73 m\^2, \>=50 mL/min/1.73 m\^2 to \<80 mL/min/1.73 m\^2, and \>=80 mL/min/1.73 m\^2.
CrCl is a measure of glomerular filtration rate (GMFR), an index of kidney function. It is the volume of blood plasma that is cleared of creatinine by the kidneys per unit time. Percentage of participants with CrCl in the following categories were reported: \<30 mL/min/1.73 m\^2, \>=30 to \<50 mL/min/1.73 m\^2, \>=50 mL/min/1.73 m\^2 to \<80 mL/min/1.73 m\^2, and \>=80 mL/min/1.73 m\^2. EOIV visit occurred within 24 hours after completion of last infusion of the study drug.
CrCl is a measure of glomerular filtration rate (GMFR), an index of kidney function. It is the volume of blood plasma that is cleared of creatinine by the kidneys per unit time. Percentage of participants with CrCl in the following categories were reported: \<30 mL/min/1.73 m\^2, \>=30 to \<50 mL/min/1.73 m\^2, \>=50 mL/min/1.73 m\^2 to \<80 mL/min/1.73 m\^2, and \>=80 mL/min/1.73 m\^2. TOC visit occurred within 8 to 15 days after last dose of any study drug (IV or oral).
EOIV visit occurred within 24 hours after completion of last infusion of the study drug.
EOIV visit occurred within 24 hours after completion of last infusion of the study drug.
EOIV visit occurred within 24 hours after completion of last infusion of the study drug.
EOIV visit occurred within 24 hours after completion of last infusion of the study drug.
EOIV visit occurred within 24 hours after completion of last infusion of the study drug.
Physical examination included an assessment of the following: general appearance, skin, head and neck (including ears, eyes, nose and throat), lymph nodes, thyroid, respiratory system, cardiovascular system, abdomen, musculoskeletal system (including spine and extremities), and neurological system. Participants with new or aggravated abnormal physical examination findings with regard to baseline findings were reported. Abnormality in physical examinations were based on blinded observer's discretion. EOIV visit occurred within 24 hours after completion of last infusion of the study drug.
ECG parameters included maximum QT intervals using Fridericia's correction (QTcF). Maximum QTcF \>450 millisecond (ms); maximum QTcF \>480 ms; and maximum QTcF \>500 ms. EOIV visit occurred within 24 hours after completion of last infusion of the study drug.
CrCl is a measure of GMFR, an index of kidney function. It is the volume of blood plasma that is cleared of creatinine by the kidneys per unit time. Percentage of participants with CrCl in the following categories were reported: \<30 mL/min/1.73 m\^2, \>=30 to \<50 mL/min/1.73 m\^2, \>=50 mL/min/1.73 m\^2 to \<80 mL/min/1.73 m\^2, and \>=80 mL/min/1.73 m\^2. EOIV visit occurred within 24 hours after completion of last infusion of the study drug.
CrCl is a measure of GMFR, an index of kidney function. It is the volume of blood plasma that is cleared of creatinine by the kidneys per unit time. Percentage of participants with CrCl in the following categories were reported: \<30 mL/min/1.73 m\^2, \>=30 to \<50 mL/min/1.73 m\^2, \>=50 mL/min/1.73 m\^2 to \<80 mL/min/1.73 m\^2, and \>=80 mL/min/1.73 m\^2. LFU visit occurred within 20 to 35 days after last dose of study treatment (IV or oral).
| Arm | Type | Description |
|---|---|---|
| Ceftazidime-Avibactam plus metronidazole | EXPERIMENTAL | - |
| Meropenem | ACTIVE_COMPARATOR | - |
| ceftazidime-avibactam (CAZ-AVI) | EXPERIMENTAL | CAZ-AVI to be administered every 8 hours as a 2-hour infusion (CAZ-AVI dose and frequency of IV administration will depend upon body weight and renal function) |
| Cefepime | ACTIVE_COMPARATOR | Patients randomised to receive cefepime should receive the dose, schedule and infusion duration as recommended in the local prescribing information or as prescribed by the investigator. The maximum dose of cefepime in any single infusion should not exceed 2000 mg |
| CAZ-AVI and metronidazole | EXPERIMENTAL | CAZ-AVI to be administered every 8 hours as a 2 hour infusion (CAZ-AVI dose and frequency of IV administration will depend upon body weight and renal function) followed by metronidazole (no later than 30 minutes after CAZ-AVI infusion ) to be administered every 8 hours as 20 to 30 minutes infusion |
| Name | Type | Description |
|---|---|---|
| Ceftazidime-avibactam | DRUG | Ceftazidime-Avibactam powder for concentrate for solution for infusion 2000 mg/500 mg |
| metronidazole | DRUG | Metronidazole 500mg/100ml solution for infusion |
| Meropenem | DRUG | Meropenem powder for solution for infusion 1000mg |
| Ceftazidime -avibactam | DRUG | Patients randomised (3:1) to the CAZ-AVI or cefepime treatment |
| Cefepime | DRUG | Patients randomised (3:1) to the CAZ-AVI or cefepime treatment |
Inclusion Criteria: * Patient must be 18 to 90 years of age, inclusive, * Female patients can participate if they are surgically sterilized or postmenopausal for at least 1 year or her sexual partner has had a vasectomy * Female of childbearing potential has had normal menstrual periods for 3 month...
Ceftazidime-Avibactam is an investigational small molecule being developed for complicated urinary tract infections (cUTI) including acute pyelonephritis, and complicated intra-abdominal infections. It is a combination antibiotic studied in hospitalized adults and children with these serious bacterial infections.
Ceftazidime-Avibactam is being developed by Pfizer, Inc. (NYSE: PFE). The company is conducting clinical trials of the drug for complicated urinary tract infections and complicated intra-abdominal infections.
Ceftazidime-Avibactam is in Phase 3 clinical development. It is investigational and not yet approved. Two Phase 3 trials have been completed, along with a Phase 2 pediatric study, all with results reported.
Ceftazidime-Avibactam has completed two Phase 3 trials: NCT01595438 and NCT01599806, both comparing it to doripenem followed by oral therapy in hospitalized adults with complicated UTIs. A third Phase 3 trial, NCT01644643, studied the drug for infections due to ceftazidime-resistant pathogens. A Phase 2 trial, NCT02497781, evaluated it in children with cUTIs.
Ceftazidime-Avibactam is a combination of ceftazidime, a cephalosporin antibiotic, and avibactam, a beta-lactamase inhibitor. Avibactam protects ceftazidime from degradation by certain beta-lactamase enzymes, restoring its activity against resistant gram-negative bacteria.
Yes, Ceftazidime-Avibactam is also known as CAZ-AVI. In clinical trials, it is referred to by both names, including in the pediatric study NCT02497781, which evaluates the safety and efficacy of CAZ-AVI compared with cefepime.