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This is a Phase 1, multi-center, open-label, PK and safety study of a single dose of AAI101 in combination with cefepime in male and female subjects with mild renal impairment (Group 1, n = 6), moderate renal impairment (Group 2, n = 6), severe renal impairment (Group 3, n = 6), ESRD requiring dialysis (Group 4, n = 6), and normal renal function (Group 5, n = 6) as defined using the estimated value for creatinine clearance (CLcr) at Screening.
The study consists of a 28-day screening period, followed by a single dose administration of AAI101 in combination with cefepime antibiotic on Day 1, an in house period (assessment period) and follow-up visit. All subjects will be confined to the study site from Day -1 (the day before dosing) until the morning of Day 3. The follow-up visits will occur on Day 7 (±2 days), on Day 14 (±2 days), and on Day 30 (±2 days), if the results of the safety hepatic assessments are abnormal on Day 14 (±2 days).
Group 4 (ESRD requiring dialysis) will have 2 in-house periods (separated by at least 7 days), and will receive the single doses of AAI101 in combination with cefepime antibiotic once after dialysis and once before dialysis. The follow-up visit for Group 4 will occur on Day 7 (±2 days), on Day 14 (±2 days), and on Day 30 (±2 days), if the results of the safety hepatic assessments are abnormal on Day 14 (±2 days), counting from Day 1 of the second period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| cefepime/AAI101 combination | Experimental | Investigational drug |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| cefepime/AAI101 | Drug | Fixed dose combination of cefepime and AAI101 |
|
| Measure | Description | Time Frame |
|---|---|---|
| The maximum plasma concentration (Cmax) of cefepime and AAI101 | Cmax will be compared before and after administration of a single dose of cefepime/AAI101 | Up to 48 hours post-dose |
| AUC0-inf: area under the concentration-time curve (AUC) from time 0 extrapolated to infinity of cefepime and AAI101 | AUC0-inf will be compared before and after administration of a single dose of cefepime/AAI101 | Up to 48 hours post-dose |
| Measure | Description | Time Frame |
|---|---|---|
| The number of volunteers with adverse events as a measure of safety and tolerability | Assessments will be made via recording of AEs. | Up to 96 hours post-dose |
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Main Inclusion Criteria
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pharmaceutical Research Associates CZ, s.r.o. | Prague | Jankovcova | 170 00 | Czechia | ||
| PRA Magyarország Kft Fázis I-es Klinikai Farmakológiai Vizsgálóhely |
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| ID | Term |
|---|---|
| D000077723 | Cefepime |
| C000656730 | enmetazobactam |
| ID | Term |
|---|---|
| D002511 | Cephalosporins |
| D047090 | beta-Lactams |
| D007769 | Lactams |
| D000577 | Amides |
| D009930 |
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| Budapest |
| Rottenbiller Utca 13 |
| HJ-1077 |
| Hungary |
| Organic Chemicals |
| D013843 | Thiazines |
| D013457 | Sulfur Compounds |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |