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A study of cefepime-tazobactam (FEP-TAZ) in complicated urinary tract infection (cUTI) or acute pyelonephritis (AP)

A Phase III, Randomized, Double-Blind, Multicenter, Comparative Study to Determine the Efficacy and Safety of Cefepime-Tazobactam vs. Meropenem followed by Optional Oral Therapy in the Treatment of Complicated Urinary Tract Infection or Acute Pyelonephritis in Adults

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2019/01/016861
Enrollment
1004
Registered
2019-01-03
Start date
Unknown
Completion date
Unknown
Last updated
2021-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: B998- Other infectious disease

Interventions

Intervention1: cefepime-tazobactam (FEP-TAZ): Dosage: 4 g (2 g FEP and 2 g TAZ) IV q8h, infused over 90 min for a max of 10 days Control Intervention1: Meropenem IV: Dosage: 1 g IV q8h, infused over 4

Sponsors

Wockhardt Bio AG
Lead Sponsor
Wockhardt Limited
Collaborator

Eligibility

Inclusion criteria

Inclusion criteria: 1.Provide a signed written informed consent prior to any study-specific procedures 2.Meet the following clinical criteria for either cUTI or AP: A. cUTI: Have at least TWO of the following new-onset or worsening symptoms or signs: Fever (oral, tympanic, or rectal temperature >38°C [ >100.4°F]), which must be observed and documented by a health care provider Nausea or vomiting Dysuria, increased urinary frequency, or urinary urgency Lower abdominal, suprapubic, or pelvic pain Have at least ONE complicating factor B. AP, defined as acute flank pain (onset within 7 days prior to randomization) or costovertebral angle tenderness on physical examination, plus at least ONE of the following new-onset or worsening symptoms or signs: 3. Evidence of pyuria within 48 h prior to randomization

Exclusion criteria

Exclusion criteria: 1.Known or suspected disease or condition that, in the opinion of the investigator, may confound the assessment of efficacy. 2.Receipt of potentially-effective systemic antibacterial therapy within 72 h prior to randomization 3.Rapidly progressive or terminal illness with a high risk of mortality due to any cause, including but not limited to acute hepatic failure, respiratory failure, or septic shock, such that the subject is unlikely to survive the study period

Design outcomes

Primary

MeasureTime frame
To demonstrate that cefepime-tazobactam (FEP-TAZ) is non-inferior to meropenem in overall success (clinical response plus microbiological eradication)Timepoint: Day 5 and TOC

Secondary

MeasureTime frame
To evaluate by-pathogen clinical outcomesTimepoint: Day 5 and TOC;To evaluate clinical outcomeTimepoint: Day 5;To evaluate microbiological outcomeTimepoint: Day 5 , EOIV and EOT , and TOC;To evaluate overall outcomeTimepoint: Day 5 and TOC;To evaluate sustained overall success sustained clinical cure, and sustained microbiological eradicationTimepoint: Late Follow-Up (LFU) visit

Countries

Armenia, Belarus, Bulgaria, Czech Republic, Estonia, India, Latvia, Lebanon, Lithuania, Mexico, Peru, Poland, Romania, Sri Lanka, Taiwan, Turkey, Ukraine, United States of America

Contacts

Public ContactDr Ashima Bhatia

Wockhardt Limited

Manish.Shah@wockhardt.com91-22-26596893

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026