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| Name | Class |
|---|---|
| Shionogi Inc. | INDUSTRY |
| Biomedical Advanced Research and Development Authority | FED |
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A phase 1, randomized, double blind, placebo controlled drug-drug interaction, pharmacokinetics and safety study of cefiderocol in combination with xeruborbactam in healthy adult participants
Qpex Biopharma, Inc. is developing xeruborbactam, a new boron-based beta-lactamase inhibitor with activity against both serine and metallo-beta-lactamases in combination with a beta-lactam antibiotic.
Cefiderocol is a cephalosporin antibiotic approved in the US for the treatment of complicated urinary tract infections including pyelonephritis, and hospital-acquired bacterial pneumonia and ventilator-associated bacterial pneumonia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single Dose Cohorts | Experimental | Administered single fixed dose of Xeruborbactam Administered single fixed dose of Cefiderocol Administered single fixed dose of a combination of Xeruborbactam and Cefiderocol. |
|
| Multiple Dose Cohort Xeruborbactam | Experimental | Administered multiple fixed doses of Xeruborbactam |
|
| Multiple Dose Cohort Cefiderocol | Experimental | Administered multiple fixed doses of Cefiderocol |
|
| Multiple Dose Cohort Cefiderocol and Xeruborbactam | Experimental | Administered multiple fixed doses of a combination of Cefiderocol and Xeruborbactam. |
|
| Multiple Dose Cohort Placebo | Placebo Comparator | Administered multiple fixed volumes of a placebo comparator |
|
| Single Dose Cohorts Placebo |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Xeruborbactam | Drug | Experimental |
|
| Measure | Description | Time Frame |
|---|---|---|
| The incidence and nature of treatment emergent adverse events (TEAE) | Summarized by cohort | up to day 17 or up to day 21 |
| Number of patients with changes from baseline in safety parameters | Summarized by cohort | up to day 17 or up to day 21 |
| Maximum plasma concentration (Cmax) | Summarized by cohort | up to day 17 or up to day 21 |
| Time to maximum plasma concentration (Tmax) | Summarized by cohort | up to day 17 or up to day 21 |
| Area under the plasma concentration versus time curve (AUC) | Summarized by cohort | up to day 17 or up to day 21 |
| Terminal elimination half-life (t1/2,z) | Summarized by cohort | up to day 17 or up to day 21 |
| Terminal elimination rate constant (λz) | Summarized by cohort | up to day 17 or up to day 21 |
| Total clearance (CL) | Summarized by cohort | up to day 17 or up to day 21 |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Minneapolis Clinic | Minneapolis | Minnesota | 55114 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41118352 | Derived | Gonzalez-Pinto L, Gomis-Font MA, Perez-Rodriguez G, Blanco-Martin T, Rodriguez-Pallares S, Sanchez-Pena L, Beceiro A, Bou G, Jeannot K, Oliver A, Arca-Suarez J. Contribution of mutational resistance mechanisms and acquired beta-lactamases to cefiderocol/xeruborbactam susceptibility in Pseudomonas aeruginosa. Antimicrob Agents Chemother. 2025 Dec 10;69(12):e0104825. doi: 10.1128/aac.01048-25. Epub 2025 Oct 21. |
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Randomized, Double-Blind, Controlled, Crossover, Ascending Single Dose Design and Randomized, Double-Blind, Controlled, Multiple Dose Design
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| Placebo Comparator |
Administered single fixed volume of a placebo comparator |
|
| Cefiderocol | Drug | Experimental |
|
| Xeruborbactam/Cefiderocol | Drug | A combination of Xeruborbactam and Cefiderocol. |
|
| Dextrose 5% in water | Drug | Placebo |
|
| Renal clearance (CLR) |
Summarized by cohort |
| up to day 17 or up to day 21 |
| Fraction of dose excreted in urine (Feu) | Summarized by cohort | up to day 17 or up to day 21 |
| ID | Term |
|---|---|
| D001424 | Bacterial Infections |
| ID | Term |
|---|---|
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
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| ID | Term |
|---|---|
| C000711809 | QPX7728 |
| D000097602 | Cefiderocol |
| D005947 | Glucose |
| D014867 | Water |
| ID | Term |
|---|---|
| D002511 | Cephalosporins |
| D047090 | beta-Lactams |
| D007769 | Lactams |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D013843 | Thiazines |
| D013457 | Sulfur Compounds |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D006601 | Hexoses |
| D009005 | Monosaccharides |
| D000073893 | Sugars |
| D002241 | Carbohydrates |
| D006878 | Hydroxides |
| D000468 | Alkalies |
| D007287 | Inorganic Chemicals |
| D000838 | Anions |
| D007477 | Ions |
| D004573 | Electrolytes |
| D010087 | Oxides |
| D017601 | Oxygen Compounds |
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