Bacterial Infections, Healthy Volunteers
Conditions
Brief summary
RPX7009 (beta-lactamase inhibitor) is being studies in combination with a carbapenem biapenem to treat bacterial infections, including those due to multi-drug resistant bacteria.
Detailed description
The worldwide spread of resistance to antibiotics among Gram-negative bacteria, particularly members of the ESKAPE group of pathogens, has resulted in a crisis in the treatment of hospital acquired infections. In particular, the recent dissemination of a serine carbapenemase (e.g., KPC) in Enterobacteriaceae in US hospitals now poses a considerable threat to the carbapenems and other members of the beta-lactam class of antimicrobial agents. Rempex is developing a fixed combination antibiotic of a carbapenem plus a new beta-lactamase inhibitor (RPX7009) which has activity against serine beta-lactamases, including KPC. This Phase 1 study will assess the safety, tolerability and pharmacokinetics of RPX7009, administered alone, in healthy adult subjects.
Interventions
Ten (10) cohorts of 8 subjects (6 active and 2 placebo) are planned for evaluation.
Ten (10) cohorts of 8 subjects (6 active and 2 placebo) are planned for evaluation.
Sponsors
Study design
Eligibility
Inclusion criteria
* Healthy adult males and/or females (of Non Child-bearing potential), 18 to 55 years of age * Body mass index (BMI) ≥ 18.5 and ≤ 29.9 (kg/m2) and weight between 55.0 and 100.0 kg (inclusive). * Medically healthy with clinically insignificant screening results * Non-tobacco/nicotine-containing product users for a minimum of 6 months prior to Day 1. * Sexually abstinent or use acceptable methods of birth control
Exclusion criteria
* History or presence of significant cardiovascular, pulmonary, hepatic, renal, hematological, gastrointestinal, endocrine, immunologic, dermatologic, neurological, or psychiatric disease. * History or presence of alcoholism or drug abuse within the 2 years prior to Day 1. * Documented hypersensitivity reaction or anaphylaxis to any medication. * Use of any over-the-counter (OTC) medication, including herbal products and vitamins, within the 7 days prior to Day 1. Up to 2 grams per day of acetaminophen is allowed for acute events at the discretion of the PI. * Plasma donation within 7 days prior to Day 1. * Subjects who have any abnormalities on laboratory values at screening or check-in (Day -1).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Safety from baseline through the end of the study. | Study Day 1 to Day 13. | Number of patients with adverse events; assessed by patient reporting, collection of vital signs, ECGs and absolute values and changes over time of hematology, chemistry and urinalysis. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Composite of PK parameters RPX7009 & placebo following single dose administration. | Study Day 1 to Day 12 | Plasma AUC0-t, AUC0-inf, Cmax, and Tmax. |
Countries
Australia