E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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E.1.1.1 | Medical condition in easily understood language |
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E.1.1.2 | Therapeutic area | Diseases [C] - Bacterial Infections and Mycoses [C01] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The primary objective is to characterize the pharmacokinetics of a single dose of ceftobiprole in neonates and infants aged ≤ 3 months. |
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E.2.2 | Secondary objectives of the trial |
The secondary objective is to evaluate the safety and tolerability of ceftobiprole in neonates and infants aged ≤ 3 months. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Neonates and infants ≤ 3 months, with gestational age ≥ 28 weeks
2. Documented or presumed (or at risk of) bacterial infections, and currently receiving antibiotic treatment
3. Expected to survive beyond the first 7 days after enrolment |
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E.4 | Principal exclusion criteria |
1. Major birth defect or malformation syndrome
2. Proven presence of an immunodeficiency
3. HIV or other congenital viral or fungal infection
4. Significant laboratory abnormalities including:
− Haematocrit < 20%
− Absolute neutrophil count (ANC) < 0.5 × 10^9/L
− Platelet count < 50 ×10^9/L
− Alanine aminotransferase (ALT), aspartate aminotransferase (AST) > 3 × the age
specific upper limit of normal (ULN)
5. Impaired renal function or known significant renal disease (estimated glomerular filtration rate less than 2/3 of normal for the applicable age group) |
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E.5 End points |
E.5.1 | Primary end point(s) |
Pharmacokinetic Analysis of ceftobiprole blood and urine Levels:
Cmax, t1/2, AUC0–t, AUC0–∞, CLs, Vss, T > MIC |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Pharmacokinetic sampling will be done at the following timepoints:
blood samples will be taken pre-dose and at 2 hours (h), 4h (end of infusion), 6h and 12h after dosing
urine collection will be done pre-dose and at 0 to 2 hours, 2h to 4h, 4h to 8h, and 8h to 12h. |
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E.5.2 | Secondary end point(s) |
Adverse events
Laboratory tests
Vital signs |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Adverse Events: throughout the entire study period
Laboratory tests: at screening and at the follow-up assessment on Day 7±3
Vital signs: at screening, on Day 1 and at the follow-up assessment on Day 7±3 |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | Yes |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | Yes |
E.7.1.3.1 | Other trial type description |
phase 1, single-dose pharmacokinetics and safety study in paediatric subjects |
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E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
Will this trial be conducted at a single site globally?
| No |
E.8.4 | Will this trial be conducted at multiple sites globally? | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | Specify the countries outside of the EEA in which trial sites are planned |
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E.8.7 | Trial 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
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.2 | In all countries concerned by the trial years | 6 |
E.8.9.2 | In all countries concerned by the trial months | 0 |
E.8.9.2 | In all countries concerned by the trial days | 0 |