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The primary purpose of this study is to understand the pharmacokinetics (PK) of single and multiple doses of cefiderocol in children from birth to less than 3 months of age with suspected or confirmed aerobic Gram-negative bacterial infections.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single-Dose Cefiderocol | Experimental | Participants will receive a single dose cefiderocol on Day 1, along with standard of care antibiotics |
|
| Multiple-Dose Cefiderocol | Experimental | Participants will receive cefiderocol every 8 hours for 5 to 14 days, along with standard of care antibiotics |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cefiderocol | Drug | Administered via intravenous (IV) infusion |
|
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Observed Plasma Concentration (Cmax) After a Single Dose of Cefiderocol | Up to 8 hours postdose | |
| Cmax After a Minimum of 4 Doses of Cefiderocol | Up to 8 hours postdose | |
| Area Under the Concentration-Time Curve Extrapolated From Time 0 to Infinity (AUC0-inf) After Single Dose of Cefiderocol | Up to 8 hours postdose | |
| Area Under the Concentration-Time Curve Over the Dosing Interval (AUC0-†) After a Minimum of 4 Doses of Cefiderocol | Up to 3 hours | |
| Terminal Elimination Half-Life (t1/2) After a Single Dose of Cefiderocol | Up to 8 hours postdose | |
| Terminal Elimination Half-Life (t1/2) After a Minimum of 4 Doses of Cefiderocol | Up to 8 hours postdose |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Adverse Events (AEs) | Up to 28 days |
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Eligibility Criteria: Key Inclusion Criteria:
Key Exclusion Criteria:
Note: Other protocol-defined Inclusion/Exclusion criteria may apply.
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| Name | Affiliation | Role |
|---|---|---|
| Medical Director | Shionogi | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Arkansas Children's Hospital | Little Rock | Arkansas | 72202 | United States | ||
| Duke University |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39230271 | Derived | Bradley JS, Orchiston E, Portsmouth S, Ariyasu M, Baba T, Katsube T, Makinde O. Pharmacokinetics, Safety and Tolerability of Single-dose or Multiple-dose Cefiderocol in Hospitalized Pediatric Patients Three Months to Less Than Eighteen Years Old With Infections Treated With Standard-of-care Antibiotics in the PEDI-CEFI Phase 2 Study. Pediatr Infect Dis J. 2025 Feb 1;44(2):136-142. doi: 10.1097/INF.0000000000004529. Epub 2024 Sep 4. |
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| ID | Term |
|---|---|
| D016905 | Gram-Negative Bacterial Infections |
| D018805 | Sepsis |
| ID | Term |
|---|---|
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
| D018746 | Systemic Inflammatory Response Syndrome |
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| ID | Term |
|---|---|
| D000097602 | Cefiderocol |
| D059039 | Standard of Care |
| ID | Term |
|---|---|
| D002511 | Cephalosporins |
| D047090 | beta-Lactams |
| D007769 | Lactams |
| D000577 | Amides |
| D009930 |
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| Standard of Care | Drug | Antibiotics selected by the investigator based on the participant's symptoms, in accordance with local standards |
|
| Durham |
| North Carolina |
| 27705 |
| United States |
| Tygerberg Hospital | Cape Town | Western Cape | 8000 | South Africa |
| Chang Gung Memorial Hospital, Linkou Department of Pediatrics | Taoyuan City | 333 | Taiwan |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| Organic Chemicals |
| D013843 | Thiazines |
| D013457 | Sulfur Compounds |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D019984 | Quality Indicators, Health Care |
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
| D017530 | Health Care Quality, Access, and Evaluation |