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The trial was terminated due to an out-licensing agreement after the new sponsor did not wish to continue the trial
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The purpose of the study is to evaluate whether LYS228 can be developed for the treatment of complicated urinary tract infections
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LYS228 | Experimental | IV infusion |
|
| Standard of care | Active Comparator | IV infusion of standard of care antibiotics for at least 5 days |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LYS228 | Drug | LYS228 IV infusion |
| |
| Standard of care therapy |
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline of the Clinical Response at Day 7 | Clinical success at 7 days after randomization determined by signs and symptoms of infection and the need for additional antibiotics | Baseline, Day 7 |
| Plasma Pharmacokinetics (PK) of LYS228: Area Under the Plasma Concentration-time Curve from time zero to the end of dosing interval tau (AUCtau) | Calculated based on LYS228 concentration in blood at different time points following drug administration on Day 5 | Day 5 |
| Plasma Pharmacokinetics (PK) of LYS228: The observed maximum plasma concentration following drug administration (Cmax) | Calculated based on LYS228 concentration in blood at different time points following drug administration on Day 5 | Day 5 |
| Plasma Pharmacokinetics (PK) of LYS228: The time to reach the maximum concentration after drug administration (Tmax) | Calculated based on LYS228 concentration in blood at different time points following drug administration on Day 5 | Day 5 |
| Plasma Pharmacokinetics (PK) of LYS228: The systemic (or total body) clearance from plasma following intravenous administration (CL) | Calculated based on LYS228 concentration in blood at different time points following drug administration on Day 5 | Day 5 |
| Plasma Pharmacokinetics (PK) of LYS228: The volume of distribution at steady state following intravenous administration (Vss) | Calculated based on LYS228 concentration in blood at different time points following drug administration on Day 5 |
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline of the Microbiological Response at Day 7 | Microbiologic success at 7 days after randomization determined by microbial growth in urine culture | Baseline, Day 7 |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Novartis Investigative Site | Detroit | Michigan | 48202 | United States | ||
| Novartis Investigative Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30061293 | Derived | Dean CR, Barkan DT, Bermingham A, Blais J, Casey F, Casarez A, Colvin R, Fuller J, Jones AK, Li C, Lopez S, Metzger LE 4th, Mostafavi M, Prathapam R, Rasper D, Reck F, Ruzin A, Shaul J, Shen X, Simmons RL, Skewes-Cox P, Takeoka KT, Tamrakar P, Uehara T, Wei JR. Mode of Action of the Monobactam LYS228 and Mechanisms Decreasing In Vitro Susceptibility in Escherichia coli and Klebsiella pneumoniae. Antimicrob Agents Chemother. 2018 Sep 24;62(10):e01200-18. doi: 10.1128/AAC.01200-18. Print 2018 Oct. |
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Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations.
This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
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A blinded evaluator will perform the safety and efficacy assessments
| Drug |
IV infusion of standard of care antibiotics |
|
| Day 5 |
| Plasma Pharmacokinetics (PK) of LYS228: The terminal elimination half-life (T 1/2) | Calculated based on LYS228 concentration in blood at different time points following drug administration on Day 5 | Day 5 |
| Plasma Pharmacokinetics (PK) of LYS228: The amount of time in which the unbound drug concentration exceeds the minimum inhibitory concentration of the organism (%fT>MIC) | Calculated based on LYS228 concentration in blood at different time points following drug administration on Day 5 | Day 5 |
| Urine Pharmacokinetics (PK) of LYS228: The amount of drug eliminated in Urine from 0 hours up to 6 hours following intravenus administration (Ae0-6h) | Calculated based on LYS228 concentration in urine at different time points following drug administration on Day 5 | Day 5 |
| Urine Pharmacokinetics (PK) of LYS228: Renal Clearance (CLr) | Calculated based on LYS228 concentration in urine at different time points following drug administration on Day 5 | Day 5 |
| Newark |
| New Jersey |
| 07102 |
| United States |
| Novartis Investigative Site | Seattle | Washington | 98195 | United States |
| Novartis Investigative Site | Odense | 5000 | Denmark |
| Novartis Investigative Site | Athens | 115 27 | Greece |
| ID | Term |
|---|---|
| D014552 | Urinary Tract Infections |
| ID | Term |
|---|---|
| D007239 | Infections |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
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