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The purpose of this study is to evaluate the Pharmacokinetic (PK) profile of a single intravenous (IV) infusion dose of dalbavancin, and to evaluate the safety and tolerability of a single dalbavancin IV infusion.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1 | Experimental | One dose of intravenous dalbavancin infusion 22.5 mg/kg in young infants aged greater than 28 days to 3 months |
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| Cohort 2 | Experimental | One dose of intravenous dalbavancin infusion 22.5 mg/kg in term neonates (defined as gestational age at or greater than 37 weeks) aged up to 28 days |
|
| Cohort 3 | Experimental | One dose of intravenous dalbavancin infusion 22.5 mg/kg in preterm neonates (defined as gestational age of 32 weeks, up to 37 weeks) aged no more than 28 days |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dalbavancin | Drug |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Plasma concentration of dalbavancin | Day 1, Day 2, Day 5-9 and Day 24-32 | |
| Number of patients experiencing a treatment emergent adverse event | Baseline (Day 1) up to Day 35 |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum plasma drug concentration (Cmax) | Day 1, Day 2, Day 5-9 and Day 24-32 | |
| Area under the plasma concentration versus time curve (AUC) | Day 1, Day 2, Day 5-9 and Day 24-32 | |
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Inclusion Criteria:
Hospitalized male and female patients who are preterm neonates (gestational age
≥32 to <37 weeks, aged ≤28 days), term neonates (gestational age ≥37 weeks, aged ≤28 days) or young infants (aged 28 days to 3 months inclusive) who will be receiving at least 24 hours of appropriate non-investigational intravenous antiinfective treatment other than glycopeptide antibiotics for known or suspected bacterial infections. Patients with urinary tract infections due to Gram-positive organisms may be enrolled
Each patient's parent(s)/legal guardian(s) must be willing and able to provide a signed and dated written informed consent document indicating that they have been informed of all pertinent aspects of the trial
Each patient's parent(s)/legal guardian(s) must be willing and able, if patient is discharged from the hospital, to return the patient to the hospital or a designated clinic for scheduled visits, or allow a nurse to come to the patient's home for laboratory tests, PK and other out-patient procedures as required by the protocol
Patients must be expected to survive with appropriate antibiotic therapy and appropriate supportive care throughout the study
Sufficient intravenous access (peripheral or central) to receive Investigational Product (IP)
Patients must have an audiologic assessment within 7 days prior to the investigational product infusion consisting of ear specific hearing testing utilizing distortion product evoked otoacoustic emissions,
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Todd Riccobene | Allergan, plc | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mary Birch Hospital for Women and Newborns | San Diego | California | 92123 | United States | ||
| University of California, San Diego |
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| ID | Term |
|---|---|
| D001424 | Bacterial Infections |
| ID | Term |
|---|---|
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
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| ID | Term |
|---|---|
| C469289 | dalbavancin |
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| Apparent total body clearance (CL) of drug from plasma |
| Day 1, Day 2, Day 5-9 and Day 24-32 |
| Apparent volume of distribution volume of distribution (V) | Day 1, Day 2, Day 5-9 and Day 24-32 |
| Terminal elimination half-life (T1/2). | Day 1, Day 2, Day 5-9 and Day 24-32 |
| San Diego |
| California |
| 92123 |
| United States |
| University of Louisville | Louisville | Kentucky | 40202 | United States |
| Children's Mercy Kansas City | Kansas City | Missouri | 64108 | United States |
| Duke Medical Center | Durham | North Carolina | 27710 | United States |