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| Name | Class |
|---|---|
| Biomedical Advanced Research and Development Authority | FED |
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This Thorough-QT (TQT) study in healthy volunteers will be conducted in two phases. Phase One will be used to identify a safe supratherapeutic dose to be used in the TQT study (Phase Two). Phase Two will be a 4-way crossover TQT study. Thirty-two subjects will receive all 4 of the following treatments in randomized sequence.
This Thorough-QT (TQT) study in healthy volunteers will be conducted in two phases. Phase One (n=15) will be used to identify a safe supratherapeutic dose to be used in the TQT study (Phase Two). Phase Two will be a randomized, placebo and positive-controlled, 4-way crossover TQT study. Thirty-two subjects will receive all 4 of the following treatments in randomized sequence.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| meropenem 2 g- vaborbactam 2 g | Experimental | Approved Dose |
|
| meropenem-vaborbactam (dose TBD) | Experimental | Supratherapeutic Dose |
|
| Moxifloxacin 400 mg | Active Comparator | Active Control |
|
| Normal Saline (placebo) | Placebo Comparator | Placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| meropenem-vaborbactam | Drug | Meropenem-Vaborbactam being studied for effects on TQT |
|
| Measure | Description | Time Frame |
|---|---|---|
| Placebo-corrected change-from-baseline QTcF interval (ΔΔQTcF) | Change in placebo corrected QTcF after dosing | 24 hours after start of dosing |
| Measure | Description | Time Frame |
|---|---|---|
| Change-from-baseline HR | Change in HR after dosing | 24 hours after start of dosing |
| Change-from-baseline QTcF inteval | Change in QTcF after dosing |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with treatment emergent adverse events as assessed by CTCAE v4.3 | Safety evaluation (non-serious Treatment Emergent Adverse Events) of high dose of meropenem-vaborbactam | 7 days after treatment |
| Number of participants with treatment emergent serious adverse events as assessed by CTCAE v4.3. |
Inclusion Criteria:
Male or female subject between 18 and 55 years of age, inclusive, with a body mass index (BMI) ≥18 to ≤33 kilogram (kg)/m2.
All women of child-bearing potential must agree to use an adequate method of contraception during the study and for 30 days after the last dose. Accepted methods of contraception include: mechanical products (e.g., intrauterine device) or double-barrier methods (e.g., diaphragm, condoms, cervical cap) with spermicide or hormonal contraceptives (i.e., oral, implanted or injectable contraceptive hormones) or abstinence. Oral contraceptives must be used together with a second method of birth control. If the female subject has a male partner who has had a vasectomy, one additional form of medically acceptable contraception (condom or spermicide) must also be used. The subject's understanding of this requirement must be documented by the Investigator.
Males with female partners of childbearing potential must agree to use a highly effective, medically acceptable form of contraception from the Screening period through 30 days after the last dose. Males with female partners of childbearing potential who themselves are surgically sterile (status post vasectomy) must agree to use condoms with spermicide over the same period of time. Male subjects must agree to practice the above birth control methods for 30 days after the final dose. Males must agree to not donate sperm through 30 days after the final dose.
Stable health based on no clinically-significant findings on the medical history, physical examination, or clinical laboratory test results at screening and prior to study drug administration (as determined and documented by the Investigator).
Willing to comply with all study activities and procedures and provides written informed consent prior to any study procedures
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sue Cammarata | Melinta Therapeutics, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pharmaron Cpc, Inc | Baltimore | Maryland | 21201 | United States |
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| ID | Term |
|---|---|
| C000654127 | meropenem and vaborbactam |
| D012965 | Sodium Chloride |
| D000077266 | Moxifloxacin |
| ID | Term |
|---|---|
| D002712 | Chlorides |
| D006851 | Hydrochloric Acid |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
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Only Moxifloxacin will be administered open-label.
| Placebo | Drug | Placebo |
|
|
| Moxifloxacin | Drug | Active Comparator |
|
|
| 24 hours after start of dosing |
| Change-from-baseline PR interval | Change in PR after dosing | 24 hours after start of dosing |
| Change-from-baseline QRS interval | Change in QRS after dosing | 24 hours after start of dosing |
| Change-from-baseline RR interval | Change in RR after dosing | 24 hours after start of dosing |
| Change-from-baseline QT interval | Change in QT interval after dosing | 24 hours after start of dosing |
Safety evaluation (serious Treatment Emergent Adverse Event) of high dose of meropenem-vaborbactam |
| 7 days after treatment |
| D017670 |
| Sodium Compounds |
| D024841 | Fluoroquinolones |
| D042462 | 4-Quinolones |
| D015363 | Quinolones |
| D011804 | Quinolines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |