MK-7625A Plus Metronidazole Versus Meropenem in Pediatric Participants With Complicated Intra-Abdominal Infection (cIAI) (MK-7625A-035)

Completed · Phase 2 · Has a placebo group

Conditions studied: Complicated Intra-Abdominal Infection

In brief

This study aims to evaluate the safety and tolerability of MK-7625A (ceftolozane/tazobactam) plus metronidazole, compared with that of meropenem in pediatric participants with cIAI.

Key facts

Study ID: NCT03217136
Run by: Merck Sharp & Dohme LLC
People needed: 94
Starts: 2018-04-03
Expected to finish: 2020-03-16
Last updated by the study team: 2023-05-06

Who can join

Age: 0 and older, up to 17. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

Has a legally acceptable representative who provides documented informed consent/assent for the trial.
Aged from birth (defined as >32 weeks gestational age and ≥7 days postnatal) to <18 years of age.
Require IV antibacterial therapy for the treatment of presumed or documented cIAI.
Has an operative procedure for the current diagnosis and management of cIAI planned or completed within 24 hours of the first dose of an antibacterial drug. Note: Participants with a diagnosis of necrotizing enterocolitis are exempt and not required to have surgery planned or completed in order to be eligible.
Has in compliance baseline intra-abdominal specimen collection.
Is not of reproductive potential; but if of reproductive potential agrees to avoid becoming pregnant or impregnating a partner during screening, while receiving study treatment and for at least 30 days after the last dose of study treatment.
Female of reproductive potential is not pregnant, and not planning to become pregnant within 30 days of the last day of treatment administration; and is nonlactating.

You may not qualify if…

Is currently participating in or has participated in an interventional clinical trial with an investigational compound or device within 30 days prior to the first dose of study treatment in this current trial.
Has previously participated in any trial of ceftolozane or ceftolozane/tazobactam or has enrolled previously in the current trial and been discontinued.
Has a history of any moderate or severe hypersensitivity (e.g, anaphylaxis), allergic reaction, or other contraindication to any of the following: β-lactam antibiotics (e.g, penicillins, cephalosporins, and carbapenems), β-lactamase inhibitors (e.g, tazobactam, sulbactam, clavulanic acid, avibactam), or metronidazole.
Has an IAI within the past 1 year prior to randomization known to be caused by a pathogen resistant to either IV study treatment.
Has a concomitant infection at the time of randomization that requires non-study systemic antibacterial therapy in addition to IV study treatment or oral step-down therapy.
Has received potentially therapeutic antibacterial therapy for a duration more than 24 hours during the 48 hours preceding the first dose of study treatment, unless is considered to be failing antibiotic therapy for cIAI.
Has any of the following: a) intractable cIAI that the investigator anticipates would require more than 14 days of study treatment; b) abdominal wall abscess; c) small bowel obstruction; d) ischemic bowel disease without perforation; e) traumatic bowel perforation with surgery within 12 hours of perforation; f) perforation of gastroduodenal ulcers requiring surgery within 24 hours of perforation; g) suspected uncomplicated intra-abdominal infection (e.g, cholecystitis without rupture or extension beyond the gallbladder wall); h) acute suppurative cholangitis; i) infected necrotizing pancreatitis; j) pancreatic abscess.
Has moderate or severe impairment of renal function.
Has a seizure disorder or is anticipated to be treated with divalproex sodium or valproic acid during the course of study treatment.
Is receiving, or is expected to receive, any prohibited medications.
Has any rapidly progressing disease or immediately life-threatening illness, including acute hepatic failure, respiratory failure, or septic shock.
Has an immunocompromising condition.
Has a history of malignancy ≤5 years prior to signing informed consent.
Is planning to receive suppressive/prophylactic antibiotics with gram-negative activity after completion of study treatment.

Where it is running

Children's Hospital - Los Angeles ( Site 2508) — Los Angeles, California, United States
Children's Hospital of Orange County ( Site 2502) — Orange, California, United States
Rady Children's Hospital-San Diego ( Site 2505) — San Diego, California, United States
Baptist Medical Center/Wolfson Children's Hospital ( Site 2521) — Jacksonville, Florida, United States
Tufts Medical Center-Floating Hospital for Children ( Site 2516) — Boston, Massachusetts, United States
St. Louis Children's Hospital ( Site 2511) — St Louis, Missouri, United States
SUNY Upstate Medical University Hospital ( Site 2509) — Syracuse, New York, United States
Primary Children's Hospital ( Site 2500) — Salt Lake City, Utah, United States
Seattle Childrens Hospital ( Site 2510) — Seattle, Washington, United States
Hospital Pequeno Principe ( Site 0200) — Curitiba, Paraná, Brazil
Inst de Medicina Integral Professor Fernando Figueira- IMIP ( Site 0201) — Recife, Pernambuco, Brazil
Hospital Tacchini ( Site 0203) — Bento Gonçalves, Rio Grande do Sul, Brazil
PTE AOK Klinikai Kozpont ( Site 0805) — Pécs, Baranya, Hungary
SzSzBMK es Egyetemi Oktatokorhaz Josa Andras Oktatokorhaz ( Site 0804) — Nyíregyháza, Szabolcs-Szatmár-Bereg, Hungary
Semmelweis Egyetem ( Site 0807) — Budapest, Hungary
Heim Pal Orszagos Gyermekgyogyaszati Intezet ( Site 0806) — Budapest, Hungary
Debreceni Egyetem Klinikai Kozpont ( Site 0801) — Debrecen, Hungary
SZTE Szent-Gyorgyi Albert Klinikai Kozpont ( Site 0802) — Szeged, Hungary
Hospital of Lithuanian University of Health Sciences Kaunas ( Site 1001) — Kaunas, Lithuania
Klaipedos Vaiku Ligonine ( Site 1000) — Klaipėda, Lithuania
Vaiku Ligonine VU ligonines Santariskiu kliniku filialas ( Site 1002) — Vilnius, Lithuania
Universiti Kebangsaan Malaya Medical Centre ( Site 1101) — Cheras, Johor, Malaysia
Hospital Pulau Pinang ( Site 1102) — George Town, Pulau Pinang, Malaysia
University Malaya Medical Centre. ( Site 1100) — Kuala Lumpur, Malaysia
Hospital del Nino y Adolescente Morelense ( Site 1204) — Emiliano Zapata, Morelos, Mexico

Full record on ClinicalTrials.gov

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