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    Summary
    EudraCT Number:2011-005722-21
    Sponsor's Protocol Code Number:D4280C00004
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2012-05-22
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedSpain - AEMPS
    A.2EudraCT number2011-005722-21
    A.3Full title of the trial
    A Phase III, Randomized, Multicenter, Double-Blind, Double Dummy, Parallel Group, Comparative Study to Determine the Efficacy, Safety, and Tolerability of Ceftazidime-Avibactam (CAZ-AVI, formerly CAZ104) Versus Doripenem Followed by Appropriate Oral Therapy in the Treatment of Complicated Urinary Tract Infections, Including Acute Pyelonephritis, With a Gram Negative Pathogen in Hospitalized Adults
    Estudio de fase III, comparativo, aleatorizado, multicéntrico, doble ciego, con doble simulación, de grupos paralelos para determinar la eficacia, la seguridad y la tolerabilidad de ceftazidima avibactam (CAZ AVI, anteriormente CAZ104) frente a doripenem, seguidos del tratamiento oral adecuado, en el tratamiento de las infecciones urinarias complicadas, incluida la pielonefritis aguda, causadas por un patógeno gramnegativo en adultos hospitalizados
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    Compare Ceftazidime-Avibactam vs Doripenem Followed by Oral Therapy for hospitalized adults with complicated UTIs
    Comparar ceftazidima avibactam con doripenem, seguidos del tratamiento oral en adultos hospitalizados con infecciones urinarias complicadas.
    A.4.1Sponsor's protocol code numberD4280C00004
    A.7Trial is part of a Paediatric Investigation Plan No
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorAstraZeneca AB
    B.1.3.4CountrySweden
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportAstraZeneca AB
    B.4.2CountrySweden
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationAstraZeneca
    B.5.2Functional name of contact pointInformation Centre
    B.5.3 Address:
    B.5.3.1Street Address"
    B.5.3.2Town/ city"
    B.5.3.3Post code"
    B.5.3.4CountrySweden
    B.5.4Telephone number"
    B.5.5Fax number"
    B.5.6E-mailinformation.center@astrazeneca.com
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameceftazidima avibactam
    D.3.2Product code CAZ AVI
    D.3.4Pharmaceutical form Powder for concentrate for solution for infusion
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNPENTAHIDRATO DE CEFTAZIDIMA
    D.3.9.1CAS number 78439-06-2
    D.3.9.4EV Substance CodeSUB01134MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number2000
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNAVIBACTAM
    D.3.9.1CAS number 1192491-61-4
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number500
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleComparator
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name Doribax
    D.2.1.1.2Name of the Marketing Authorisation holderJanssen-Cilag International NV
    D.2.1.2Country which granted the Marketing AuthorisationSpain
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameDoripenem
    D.3.4Pharmaceutical form Powder for concentrate for solution for infusion
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNDORIPENEM
    D.3.9.1CAS number 148016-81-3
    D.3.9.4EV Substance CodeSUB22196
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number500
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 3
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name Ciproxin
    D.2.1.1.2Name of the Marketing Authorisation holderBayer plc, Bayer Schering Pharma
    D.2.1.2Country which granted the Marketing AuthorisationUnited Kingdom
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameCiprofloxacino
    D.3.4Pharmaceutical form Film-coated tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.9.1CAS number 85721-33-1
    D.3.9.3Other descriptive nameCIPROFLOXACINO
    D.3.9.4EV Substance CodeSUB07470MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number500
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 4
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name Septrin Forte
    D.2.1.1.2Name of the Marketing Authorisation holderAspen Pharma Trading Limited
    D.2.1.2Country which granted the Marketing AuthorisationIreland
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameSulfametoxazol/Trimetoprima
    D.3.4Pharmaceutical form Film-coated tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNSULFAMETOXAZOL
    D.3.9.1CAS number 723-46-6
    D.3.9.4EV Substance CodeSUB10711MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number800
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNTRIMETOPRIMA
    D.3.9.1CAS number 738-70-5
    D.3.9.4EV Substance CodeSUB11310MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number160
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboSolution for injection/infusion
    D.8.4Route of administration of the placeboIntravenous use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Complicated Urinary Tract Infections (cUTIs)
    Infecciones del tracto urinario complicadas
    E.1.1.1Medical condition in easily understood language
    Urinary Tract Infection
    Infección del tracto urinario
    E.1.1.2Therapeutic area Diseases [C] - Bacterial Infections and Mycoses [C01]
    MedDRA Classification
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    To assess the noninferiority of ceftazidime-avibactam compared with doripenem with respect to symptomatic resolution of UTI-specific symptoms and resolution of, or improvement in, flank pain based on the patient-reported symptom assessment
    Evaluar la ausencia de inferioridad de ceftazidima avibactam en comparación con doripenem con respecto a la resolución de los síntomas específicos de IU y la resolución de, o mejora del dolor de costado en función de la respuesta sintomática comunicada por el paciente.
    E.2.2Secondary objectives of the trial
    ?To deter. the efficacy(Ef) of CAZ-AVI compared w/ dori wrt the per pt &
    per-pathogen MR at the EoIVT,ToC,& LFU visits in pts who are in the
    mmITT,ME,& eME analysis sets(AS)
    ?To deter. the Ef of CAZ-AVI compared to dori wrt the symptomatic
    resolution of UTI-specific symptoms based on pt-reported symptom
    assessment at ToC, & LFU visits in mmITT AS
    ?To deter. the Ef of CAZ-AVI compared w/ dori wrt the investigatordetermined
    CC at the EoIVT,ToC,& LFU visits in pts who are in the
    mmITT,ME,eME,& CE AS
    ?To eval the Ef of CAZ-AVI vs dori in pathogens resistant to ceftazidime
    ?To comp the time to 1st defervescence of CAZ-AVI vs dori in pts who
    are on IV study therapy & who have fever at study entry in the
    mmITT,ME,eME,& CE AS
    ?To eval the safety & toler. profile of CAZ-AVI compared w/ dori in the
    tx of pts w/ a cUTI in the safety AS
    ?To eval the pk of the ind. components of CAZ-AVI(avibactam &
    ceftazidime)
    ?To eval CAZ-AVI exposure & the antimicrobial response relationship
    Determinar la eficacia de CAZ AVI en comparación con doripenem con respecto a:- RM por pac. y por patógeno en las visitas final ttr. IV [FDT (IV)], CDC y seguimiento tardío (ST) en los pacientes incluidos en los grupos de análisis ITMm, EM y EM ampliado.- la resolución (o regreso a la situación premórbida) de todos los síntomas específicos de IU en función de la respuesta sintomática comunicada por el paciente en las visitas CDC y ST, en los pac. incluidos en el grupo de análisis ITMm.- la CC determinada por el investigador en las visitas FDT (IV), CDC y ST en los pac. incluidos en los grupos de análisis ITMm, EM, EM ampliado y evaluable clínicamente. -los patógenos resistentes a la ceftazidima.- tiempo hasta la 1era desaparición de fiebre durante el tto. IV en los pac. que tengan fiebre al entrar en el estudio en los grupos de análisis ITMm, EM, EM ampliado y EC.-Perfil de seguridad tolerabilidad de CAZ AVI en comparación con doripenem.-FC de los componentes individuales de CAZ AVI
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. 18 to 90 years of age, inclusive.
    2. 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 28 days after.
    3.Has pyuria >/= 10 WBCs and has a positive urine culture within 48 hours of enrollment containing >/=10 to the fifth CFU/ml of a recognized uropathogen known to be susceptible to IV study therapy (CAZ-AVI and doripenem).
    4.Demonstrates either acute pyelonephritis or complicated lower UTI without pyelonephritis
    1. 18 a 90 años, ambos inclusive.
    2. Las mujeres están autorizadas si han sido esterilizadas quirúrgicamente o finalizado la menopausia o estár en edad fértil y estar dispuestas a no intentar quedarse embarazada mientras reciba el tratamiento IV del estudio y durante un periodo de 28 días después.
    3. Tiene piuria >=10 leucocitos y tiene un cultivo de orina positivo en las 48 horas posteriores al reclutamiento que contiene >/=10 al quinto UFC/ml de un uropatógeno reconocido que se sepa que es susceptible al tratamiento IV (CAZ-AVI y doripenem).
    4. Presenta pielonefritis aguda o infección urinaria baja complicada sin pielonefritis
    E.4Principal exclusion criteria
    1. Urine pathogen is a Gram-positive pathogen or a uropathogen resistant to CAZ-AVI or doripenem.
    2. Patient's urine culture at study entry isolates more than 2 microorganisms regardless of the colony count or patient has a confirmed fungal UTI.
    3.Patient is receiving hemodialysis or peritoneal dialysis or had a renal transplant.
    4.Patient is immunocompromised.
    5.Patient is considered unlikely to survive the 6 to 8 week study period or have a rapidly progressive or terminal illness.
    1. El patógeno en el urocultivo es un patógeno grampositivo o un uropatógeno resistente a un cultivo de CAZ-AVI o de doripenem.
    2. Se aíslan más de 2 microorganismos con independencia del recuento de colonias en el urocultivo del paciente al entrar en el estudio o el paciente tiene una IU fúngica confirmada.
    3. El paciente está recibiendo hemodiálisis o diálisis peritoneal o se sometió a un transplante renal.
    4. Paciente inmunosuprimido.
    5. Se considera improbable que el paciente sobreviva el período del estudio de 6 a 8 semanas o el paciente presenta una enfermedad rápidamente progresiva o terminal
    E.5 End points
    E.5.1Primary end point(s)
    - The proportion of patients with resolved (or return to premorbid) UTI symptoms except flank pain and resolution or improvement in flank pain based on patient-reported symptom assessment response at Day 5 visit. Timeframe: Day 5 after start of study drug
    - The proportion of patients with a per patient microbiological eradication and resolution (or return to premorbid) of all UTI-specified symptoms based on patient-reported symptom assessment response. Timeframe: 21 to 25 days after start of study drug
    - Proporción de pacientes con resolución (o regreso a la situación premórbida) de los síntomas específicos de IU, salvo dolor de costado y resolución o mejoría del dolor de costado, en función de la respuesta sintomática comunicada por el paciente en la visita del día 5. Periodo: Día 5 después del inicio del fármaco del estudio.
    - Proporción de pacientes con erradicación microbiológica por paciente y con resolución (o regreso a la situación premórbida) de todos los síntomas específicos de IU, en función de la respuesta sintomática comunicada por el paciente. Periodo: 21 a 25 días después del fármaco del estudio.
    E.5.1.1Timepoint(s) of evaluation of this end point
    Primary Outcome measure 1 - Day 5 after start of study drug
    Primary Outcome measure 2 - Day 21-25 after start of study drug
    Medida 1 del resultado primario: Día 5 después del inicio del fármaco del estudio.
    Medida 2 del resultado primario: 21 a 25 días después del inicio del fármaco del estudio.
    E.5.2Secondary end point(s)
    - The proportion of pts w/ a favorable per pt MR in the mmITT analysis set. Outcome measured at the following timepoints: w/in 24 hrs after IV completion, 21-25 days & 45-52 days after study drug start(SDS)
    - The proportion of pts w/ a favorable per pt MR in the ME analysis set. Timeframe: w/in 24 hrs after IV completion, 21-25 days & 45-52 days after SDS
    - The proportion of pts w/ a favorable per pt MR in the extended ME analysis set. Timeframe: w/in 24 hrs after IV completion, 21-25 days & 45-52 days after SDS
    - The proportion of pts w/ resolution (or return to premorbid) of all UTIspecific symptoms based on the pt-reported symptom assessment response in the mmITT analysis set. Outcome measured at the following timepoints: 21-25 days & 45-52 days after SDS
    - The proportion of favorable per-pathogen MR in the mmITT analysis
    set. Outcome measured at the following timepoints: w/in 24 hrs after IV
    completion, 21-25 days & 45-52 days after study drug start
    - The proportion of favorable per-pathogen MR in the ME analysis set.
    Timeframe: w/in 24 hrs after IV completion, 21-25 days & 45-52 days
    after the start of study drug(SoSD)
    - The proportion of favorable per-pathogen MR in the extended ME
    analysis set. Timeframe: w/in 24 hrs after IV completion, 21-25 days &
    45-52 days after the SoSD
    - The proportion of pts w/ an investigator-determined CC in the mmITT
    analysis set. Outcome measured at the following timepoints: w/in 24 hrs
    after IV completion, 21-25 days & 45-52 days after the SoSD
    - The proportion of pts w/ an investigator-determined CC in the ME
    analysis set. Timeframe: w/in 24 hrs after IV completion, 21-25 days &
    45-52 days after the SoSD
    - The proportion of pts w/ an investigator-determined CC in the extended
    ME analysis set. Timeframe: w/in 24 hrs after IV completion, 21 ~ 25
    days & 45 ~ 52 days after the SoSD
    - The proportion of pts w/ an investigator-determined CC in the CE
    analysis set. Timeframe: w/in 24 hrs after IV completion, 21-25 days &
    45-52 days after the SoSD
    - The favorable per pathogen MR by categories of minimum inhibitory
    concentration in the mmITT analysis set. Outcome measured at the
    following timepoints: w/in 24 hrs after IV completion, 21-25 days & 45-
    52 days after the SoSD
    - The favorable per pathogen MR by categories of minimum inhibitory
    concentration in the ME analysis set. Outcome measured at the following
    timepoints: w/in 24 hrs after IV completion, 21-25days & 45-52 days
    after the SoSD
    - The favorable per pathogen MR by categories of minimum inhibitory
    concentration in the extended ME analysis set. Outcome measured at the
    following timepoints: 24 hrs after completion of study drug, 21-25 days
    & 45-52 days after the SoSD
    - The proportion of pts w/ favorable investigator clinical response
    assessment in pts infected w/ a ceftazidime resistant pathogen in the
    mmITT analysis set. Outcome measured at the following timepoint: 21-
    25 days after study drug start
    - The proportion of pts w/ an investigator-determined CC in pts infected
    w/ a ceftazidime resistant pathogen in the ME analysis set. Outcome
    measured at the following timepoint: 21-25 days after study drug start
    - The proportion of pts w/ an investigator-determined CC in pts infected
    w/ a ceftazidime resistant pathogen in the extended ME analysis set.
    Outcome measured at the following timepoint: 21-25 days after study
    drug start
    - The proportion of pts w/ favorable per-pt MR for pts infected w/ a
    ceftazidime resistant pathogen in the mmITT analysis set. Outcome
    measured at the following timepoint: 21-25 days after SDS
    - The proportion of pts w/ favorable per-pt MR for pts infected w/ a
    ceftazidime resistant pathogen in the ME analysis set. Timeframe: 21-
    25 days after study drug start
    - The proportion of pts w/ favorable per-pt MR for pts infected w/ a
    ceftazidime resistant pathogen in the extended ME analysis set.
    Timeframe: 21-25 days after study drug start
    - The proportion of pts w/ symptomatic resolution (defined in the
    coprimary variables) for pts infected w/ a ceftazidime resistant
    pathogen in the mmITT analysis set. Outcome measured at the following
    timepoint: Day 5 & 21-25 days after study drug start
    - The time to 1st defervescence while on IV study therapy in pts in the
    mmITT, ME, extended ME, and CE analysis sets who have fever at study
    entry. Timeframe: any time after start of study drug to end of IV study
    therapy
    - Evaluation of the pk of the individual components of CAZ-AVI
    (avibactam & ceftazidime)
    - The safety & tolerability by incidence & severity of adverse events &
    serious adverse events, vital signs, clinical laboratory tests, ECGs &
    physical exams. Outcome measured at the following timepoints: study
    duration (screening visit (Day -1) through last follow up visit (up to 52
    days)
    Proporción de pacientes con una respuesta microbiológica (RM) favorable
    por paciente en los grupos de análisis de intención de tratar modificada por microbiología (ITMm), evaluable microbiologicamente (EM) y EM ampliado, medido en las 24 horas después del último día de la administración IV del fármaco del estudio, 21 a 25 días y 45 a 52 días después de iniciar la administración del fármaco del estudio (SDS).
    - Proporción de pac. con resolución (o regreso a la situación premórbida)
    de todos los síntomas específicos de IU en función de la respuesta sintomática comunicada por el paciente en el grupo de análisis ITMm, medido en los siguientes momentos: 21-25 días y 45-52 días después SDS.
    - Proporción de pacientes con una RM favorable por patógeno en los grupos de análisis ITMm, EM y EM ampliado medido en los siguientes puntos: en 24 h después de fin ttr.IV, 21-25 días y 45-52 días después SDS.
    - Proporción de pacientes con curación clínica determinada por el investigador en los grupos de análisis ITMm, EM, EM ampliado y EC medido en los siguientes puntos: en 24 h después de fin ttr. IV, 21-25 días y 45-52 días después SDS
    - RM favorable por patógeno por categoría de concentración inhibidora mínima en los grupos de análisis ITMm, EM, EM ampliado medido en 24 h después de fin tto. IV, 21-25 días y 45-52 días después SDS
    -Proporción de pac. con una evaluación de respuesta clínica favorable evaluada por el investigador en los pacientes infectados por un patógeno resistente a la ceftazidima en los grupos de análisis ITMm , EM y EM ampliado medido a los 21-25 días después SDS
    -Proporción de pac. con RM favorable en los pac infectado por un patógeno resistente a la ceftazidima en el grupo de análisis ITMm, EM y EM ampliado medido a los 21-25 días después SDS.
    Proporción de pacientes con resolución sintomática (según se define en las variables principales) en los pac. infectados por un patógeno resistente a la ceftazidima en el grupo de análisis ITMm medido el día 5 y 21-25 días después SDS.
    -Tiempo hasta la primera desaparición de la fiebre durante el tratamiento IV del estudio en los grupos de análisis ITMm, EM, EM ampliado y EC en los pacientes con fiebre al entrar en el estudio, medido en cualquier momento después SDS hasta fin ttr.IV.
    -Evaluación PK de los componentes individuales de CAZ-AVI (avibactam y ceftazidima).
    -La seguridad y tolerabilidad se evaluarán mediante la incidencia y la intensidad de los AA y los AAG, constantes vitales,análisis de lab, ECG, exploración física medido desde la selección día -1 hasta la última visita de seguimiento (a los 52 días).
    E.5.2.1Timepoint(s) of evaluation of this end point
    Listed in E.5.2
    Mencionado en E.5.2
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy Yes
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic Yes
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic Yes
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic Yes
    E.6.13Others Yes
    E.6.13.1Other scope of the trial description
    Biomarkers and Microbiology cultures
    Biomarcadores y cultivos de microbiología
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) No
    E.7.3Therapeutic confirmatory (Phase III) Yes
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open No
    E.8.1.3Single blind No
    E.8.1.4Double blind Yes
    E.8.1.5Parallel group Yes
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) Yes
    E.8.2.2Placebo No
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial2
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.4.1Number of sites anticipated in Member State concerned9
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA38
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA No
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    Argentina
    Belgium
    Brazil
    Bulgaria
    Canada
    Croatia
    Czech Republic
    France
    Germany
    Greece
    India
    Israel
    Italy
    Korea, Republic of
    Mexico
    Peru
    Poland
    Romania
    Russian Federation
    Spain
    Taiwan
    Ukraine
    E.8.7Trial has a data monitoring committee No
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    The end of the study is defined as the last visit of the last patient participating in the study.
    El final del estudio se define como la última visita del último paciente que participa en el estudio.
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years1
    E.8.9.1In the Member State concerned months5
    E.8.9.1In the Member State concerned days28
    E.8.9.2In all countries concerned by the trial years1
    E.8.9.2In all countries concerned by the trial months5
    E.8.9.2In all countries concerned by the trial days28
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 617
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 347
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state126
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 450
    F.4.2.2In the whole clinical trial 964
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    Standard of care
    Cuidado habitual
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2012-06-14
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2012-06-05
    P. End of Trial
    P.End of Trial StatusCompleted
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