Complicated Intra-abdominal Infection, Hosptial Acquired Pneumonia, Ventilator Associated Pneumonia
Conditions
Keywords
Complicated intra-abdominal infection, Hosptial acquired pneumonia, Ventilator associated pneumonia, Gram negative infections, Metallo-beta lactamase, Multi drug resistant pathogens
Brief summary
A Phase 3 comparative study to determine the efficacy, safety and tolerability of Aztreonam-Avibactam (ATM-AVI) ± Metronidazole (MTZ) versus Meropenem (MER) ± Colistin (COL) for the treatment of serious infections due to Gram negative bacteria.
Detailed description
A Phase 3 Prospective, Randomized, Multicenter, Open Label, Central Assessor Blinded, Parallel Group, Comparative Study To Determine The Efficacy, Safety And Tolerability Of Aztreonam-Avibactam (ATM-AVI) ± Metronidazole (MTZ) Versus Meropenem±Colistin (MER±COL) For The Treatment Of Serious Infections Due To Gram Negative Bacteria, Including Metallo Β Lactamase (MBL) - Producing Multidrug Resistant Pathogens, For Which There Are Limited Or No Treatment Options
Interventions
(Creatinine clearance \> 50 mL/min) 6500 mg ATM/2167 mg (loading dose, extended loading dose and maintenance dose) by iv infusion on Day 1 followed by a total daily dose of 6000 mg ATM/2000 mg AVI (Creatinine clearance 31 - 50 mL/min) 4250 mg ATM/1417 mg AVI on Day 1 (loading dose, extended loading dose, maintenance dose) followed by total daily dose 3000 mg ATM/1000 mg AVI (Creatinine clearance 16 - 30 mL/min) 2700 mg ATM/900 mg AVI on Day 1 (loading dose, extended loading dose maintenance dose), followed by total daily dose 2025 mg ATM/675 mg AVI
For cIAI only; 500 mg/100 mL metronidazole iv infusion over 1hr q8h
Where pathogen initially not suspected of being MER-resistant: (Creatinine clearance \> 50 mL/min) 1000 mg meropenem by 30 min iv infusion q8h (Creatinine clearance 26 - 50 mL/min) 1000mg meropenem by 30 min iv infusion q12h (Creatinine clearance 16 - 25 mL/min) 500 mg meropenem by 30 min iv infusion q12h Where pathogen initially suspected of being MER-resistant (Creatinine clearance \> 50 mL/min) 2000 mg meropenem by 180 min iv infusion q8h (Creatinine clearance 26 - 50 mL/min) 2000 mg meropenem by 180 min iv infusion q12h (Creatinine clearance 16 - 25 mL/min) 1000 mg meropenem by 180 min iv infusion q12h
Loading dose 9 million IU by 30 -60 min iv infusion (6 million IU where weight \< 60 kg) followed by one of the following maintenance doses: (Creatinine clearance \> 50 mL/min) after a 12h interval, commence maintenance dosing 9 million IU daily in 2 or 3 divided doses by 30 -60 min iv infusions. (Creatinine clearance 31 - 50 mL/min) After a 24 hr interval, commence maintenance dosing of 6 million IU daily in 2 divided doses by 30 -60 min iv infusion (Creatinine clearance 21 - 30 mL/min) After a 24 hr interval, commence maintenance dosing 5 million IU daily in 2 divided doses by 30 -60 min iv infusion (Creatinine clearance 16 - 20 mL/min) after a 24 hr interval, commence maintenance dosing 4 million IU daily in 2 divided doses by 30 -60 min iv infusion
Sponsors
Study design
Masking description
An independent adjudication committee (central blinded assessor) will be convened at regular intervals during the study. The adjudication committee will be blinded to study treatment and will review the clinical response assessments at each visit. In case of a discrepancy with the Investigator's assignment of clinical response, the adjudication committee's assessment will prevail. In addition, for cIAI subjects classified as a clinical failure, and all cIAI subjects classified as a cure who undergo another procedure (eg, another surgical procedure) subsequent to randomization, the expert panel will review the adequacy of the surgical source control.
Intervention model description
Prospective, Randomized, Multicenter, Open Label, Central Assessor Blinded, Parallel Group, Comparative Study
Eligibility
Inclusion criteria
All subjects: 1. Male or female from 18 years of age 2. Provision of informed consent 3. Confirmed diagnosis of HAP/VAP or cIAI requiring iv antibiotic treatment 4. Female patients are authorized to participate in this clinical study if criteria concerning pregnancy avoidance stated in the protocol are met and negative pregnancy test Additional for cIAI: 1. Diagnosis of cIAI, EITHER: Intra-operative/postoperative enrolment with visual confirmation of cIAI. OR Preoperative enrollment with evidence of systemic inflammatory response, physical and radiological findings consistent with cIAI; confirmation of cIAI at time of surgery within 24 hours of study entry 2. Surgical intervention within 24 hours (before or after) the administration of the first dose of study drug Additional for HAP/VAP: 1. Onset symptoms \> 48h after admission to or \<7 days after discharge from an inpatient care facility 2. New or worsening infiltrate on CXR or CT scan 3. Clinical signs and symptoms and laboratory findings consistent with HAP/VAP 4. Respiratory specimen obtained for Gram stain and culture following onset of symptoms and prior to randomisation
Exclusion criteria
All subjects: 1. APACHE II score \> 30 2. Confirmed or suspected infection caused by Gram-negative species not expected to respond to study drug, or Gram-positive species 3. Receipt of \>24 hr systemic antibiotic within 48h prior to randomisation (exception in case of treatment failure) 4. History of serious allergy, hypersensitivity (eg, anaphylaxis), or any serious reaction to aztreonam, carbapenem,monobactam or other β-lactam antibiotics, avibactam, nitroimidazoles or metronidazole, or any of the excipients of the study drugs 5. Known Clostridium difficle associated diarrhoea 6. Requirement for effective concomitant systemic antibacterials or antifungals 7. Creatinine clearance ≤15 ml/min or requirement or expectation for renal replacement therapy 8. Acute hepatitis, cirrhosis, acute hepatic failure, chronic hepatic failure 9. Hepatic disease as indicated by AST or ALT \>3 × ULN. Patients with AST and/or ALT up to 5 × ULN are eligible if acute and documented by the investigator as being directly related infectious process 10. Patient has a total bilirubin \>2 × ULN, unless isolated hyperbilirubinemia is directly related to infectious process or due to known Gilbert's disease 11. ALP \>3 × ULN. Patients with values \>3 × ULN and \<5 x ULN are eligible if acute and directly related to the infectious process being treated 12. Absolute neutrophil count \<500/mm3 13. Pregnant or breastfeeding or if of child bearing potential, not using a medically accepted effective method of birth control. 14. Any other condition that may confound the results of the study or pose additional risks to the subject 15. Unlikely to comply with protocol 16. History of epilepsy or seizure disorders excluding febrile seizures of childhood Additional for cIAI 1. Diagnosis of abdominal wall abscess; small bowel obstruction or ischemic bowel disease without perforation; traumatic bowel perforation with surgery within 12 hours of diagnosis; perforation of gastroduodenal ulcer with surgery \< 24 hours of diagnosis primary etiology is not likely to be infectious 2. Simple cholecystitis, gangrenous cholecystitis without rupture, simple appendicitis, acute suppurative cholangitis, infected necrotizing pancreatitis, pancreatic abscess 3. Prior liver, pancreas or small-bowel transplant 4. Staged abdominal repair (STAR), open abdomen technique or marsupialisation Additional for HAP/VAP 1. APACHE II score \< 10 2. Known or high likelihood of Gram-positive monomicrobial infection 3. Lung abscess, pleural empyema, post-obstructive pneumonia 4. Lung or heart transplant 5. Myasthenia gravis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Clinical Cure at Test of Cure (TOC) Visit: Intent-To-Treat (ITT) Analysis Set | At TOC visit (Day 28) | Clinical cure was defined as improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. 95% confidence interval (CI) was based on Jeffrey's method. |
| Percentage of Participants With Clinical Cure at TOC Visit: Clinically Evaluable (CE) Analysis Set | At TOC visit (Day 28) | Clinical cure = improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by Independent Clinical Adjudication Committee. 95% CI was based on Jeffrey's method. CE analysis set:all participants in ITT analysis set; met criteria for cIAI, or HAP/VAP; received at least 48 hours of study treatment or \<48 hours of treatment before discontinuing study drug due to AE; no concomitant antibiotics for any baseline pathogens between first dose and TOC (except protocol-allowed antibiotics); no prior antibiotics other than allowed per protocol; no important protocol deviations; no clinical outcome of indeterminate at TOC; no monomicrobial infections due to non-eligible pathogens and did not have only Gram-positive pathogens. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Clinical Cure at TOC Visit by Type of Infection: ITT Analysis Set | At TOC visit (Day 28) | Clinical cure was defined as improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. 95% CI was based on Jeffrey's method. |
| Percentage of Participants With Clinical Cure at TOC Visit by Type of Infection: CE Analysis Set | At TOC visit (Day 28) | Clinical cure = improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. 95% CI was based on Jeffrey's method. CE analysis set:all participants in ITT analysis set; met criteria for cIAI, or HAP/VAP; received at least 48 hours of study treatment or \<48 hours of treatment before discontinuing study drug due to AE; no concomitant antibiotics for any baseline pathogens between first dose and TOC (except protocol-allowed antibiotics); no prior antibiotics other than allowed per protocol; no important protocol deviations; no clinical outcome of indeterminate at TOC; no monomicrobial infections due to non-eligible pathogens and did not have only Gram-positive pathogens. |
| Percentage of Participants With Clinical Cure in Participants With Metallo-beta-lactamase (MBL) Positive Pathogen at TOC Visit: Micro-ITT Analysis Set | At TOC visit (Day 28) | Clinical cure was defined as improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. |
| Percentage of Participants With Clinical Cure in Participants With MBL Positive Pathogen at TOC Visit: ME Analysis Set | At TOC visit (Day 28) | Clinical cure was defined as improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. For cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. |
| Percentage of Participants With Favorable Per-Participant Microbiological Response at TOC Visit: Micro- ITT Analysis Set | At TOC visit day (28) | Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. |
| Percentage of Participants With Favorable Per-Participant Microbiological Response at TOC Visit: ME Analysis Set | At TOC Visit (Day 28) | Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. |
| Percentage of Participants Who Died on or Before 28 Days After Randomization: ITT Analysis Set | From randomization up to 28 days | Percentage of participants who died on or before 28 days after randomization is reported in this outcome measure. |
| Percentage of Participants Who Died on or Before 28 Days After Randomization: Micro-ITT Analysis Set | From randomization up to 28 days | Percentage of participants who died on or before 28 days after randomization is reported in this outcome measure. |
| Plasma Concentration of Aztreonam | Anytime between 25 to 30 minutes, 3.25 to 3.5 hours, 5.5 to 6.5 hours, 7.5 to 8.5 hours post start of infusion on Day 1; 2.75 to 3 hours, 3.5 to 4.5 hours, 5 to 6 and 7 to 8 hours post start of infusion on Day 4 | Plasma concentration for aztreonam according to renal function (augmented, normal and mild, moderate and severe is presented in this outcome measure. Augmented = Creatinine clearance (CrCL) \> 150 milliliters per minute (mL/min); Normal & Mild = CrCL \> 50 to \<=150 mL/min; Moderate = CrCL \> 30 to ≤ 50 mL/min; Severe = CrCL \> 15 to ≤ 30 mL/min. |
| Plasma Concentration of Avibactam | Anytime between 25 to 30 minutes, 3.25 to 3.5 hours, 5.5 to 6.5 hours, 7.5 to 8.5 hours post start of infusion on Day 1; 2.75 to 3 hours, 3.5 to 4.5 hours, 5 to 6 and 7 to 8 hours post start of infusion on Day 4 | Plasma concentration for avibactam according to renal function (augmented, normal and mild, moderate and severe is presented in this outcome measure. Augmented = CrCL \> 150 mL/min; Normal & Mild = CrCL \> 50 to \<=150 mL/min; Moderate = CrCL \> 30 to ≤ 50 mL/min; Severe = CrCL \> 15 to ≤ 30 mL/min. |
| Maximum Plasma Concentration for a Dosing Interval at Steady-State (Cmax, ss) According to Clinical Response by Infection Type at TOC: Aztreonam | At TOC (Day 28) | Population PK predicted maximum plasma concentration for a dosing interval at steady-state (Cmax,ss) for participants who received aztreonam-avibactam in studies C3601002 (NCT03329092) and C3601009 (NCT03580044). Clinical response categories included, clinical cure=improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. For cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Failure was defined as participants who met any of the following criteria like death (after receiving at least 48 hours of study treatment) and participants who received treatment with further antibiotics for the index infection. Indeterminate was defined as death (after receiving less than 48 hours of study treatment) and for cIAI participants inadequate infection source control at time of initial surgical procedure. |
| Percentage of Time That Free Plasma Concentrations Are Above the Minimum Inhibitory Concentration Over a Dosing Interval (%fT>MIC Aztreonam (ATM) of 8 mg/L) According to Clinical Response by Infection Type at TOC: Aztreonam | At TOC (Day 28) | Population PK predicted (%fT\>MIC ATM of 8 mg/L) for participants who received aztreonam-avibactam in studies C3601002 (NCT03329092) and C3601009 (NCT03580044). Clinical response categories included, clinical cure=improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. For cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Failure was defined as participants who met any of the following criteria like death (after receiving at least 48 hours of study treatment) and participants who received treatment with further antibiotics for the index infection. Indeterminate was defined as death (after receiving less than 48 hours of study treatment) and for cIAI participants inadequate infection source control at time of initial surgical procedure. |
| Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss ) According to Clinical Response by Infection Type at TOC: Aztreonam | 0 to 24 hours at TOC (Day 28) | Population PK predicted (AUC24,ss) for participants who received aztreonam-avibactam in studies C3601002 (NCT03329092) and C3601009 (NCT03580044). Clinical response categories included, clinical cure=improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. For cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Failure was defined as participants who met any of the following criteria like death (after receiving at least 48 hours of study treatment) and participants who received treatment with further antibiotics for the index infection. Indeterminate was defined as death (after receiving less than 48 hours of study treatment) and for cIAI participants inadequate infection source control at time of initial surgical procedure. |
| Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss) According to Microbiological Response by Infection Type at TOC: Aztreonam | At TOC (Day 28) | Population PK predicted (Cmax,ss) for participants who received ATM-AVI in studies C3601002 (NCT03329092) and C3601009 (NCT03580044). Microbiological response included Favorable =baseline pathogens for participant had a favorable outcome. Eradication: Absence of causative pathogen from an appropriately obtained specimen at site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Unfavorable=persistence, persistence with increasing MIC, or presumed persistence. Persistence= Causative organism still present from appropriately obtained specimen at site of infection. Presumed persistence= Participant assessed as a clinical failure and repeat culture of specimens were not performed/clinically indicated. Indeterminate = death (after receiving \< 48 hours of study treatment) and for cIAI participants inadequate infection source control at time of initial surgical procedure. |
| Percentage of Participants With Clinical Cure at TOC Visit: Microbiological Intent-To-Treat (Micro-ITT) Analysis Set | At TOC visit (Day 28) | Clinical cure was defined as improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. 95% CI was based on Jeffrey's method. |
| Percentage of Time That Free Plasma Concentrations Are Above the Minimum Inhibitory Concentration Over a Dosing Interval (%fT>MIC Aztreonam (ATM) of 8 mg/L) According to Microbiological Response by Infection Type at TOC: Aztreonam | At TOC (Day 28) | Population PK predicted (%fT\>MIC ATM of 8 mg/L) for participants who received ATM-AVI in studies C3601002 (NCT03329092) and C3601009 (NCT03580044). Microbiological response included Favorable =baseline pathogens for participant had a favorable outcome. Eradication: Absence of causative pathogen from an appropriately obtained specimen at site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Unfavorable=persistence, persistence with increasing MIC, or presumed persistence. Persistence= Causative organism still present from appropriately obtained specimen at site of infection. Presumed persistence= Participant assessed as a clinical failure and repeat culture of specimens were not performed/clinically indicated. Indeterminate = death (after receiving \< 48 hours of study treatment) and for cIAI participants inadequate infection source control at time of initial surgical procedure. |
| Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Clinical Response by Infection Type at TOC: Avibactam | 0 to 24 hours at TOC (Day 28) | Population PK predicted (AUC24,ss) for participants who received aztreonam-avibactam in studies C3601002 (NCT03329092) and C3601009 (NCT03580044). Clinical response categories included, clinical cure=improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. For cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Failure was defined as participants who met any of the following criteria like death (after receiving at least 48 hours of study treatment) and participants who received treatment with further antibiotics for the index infection. Indeterminate was defined as death (after receiving less than 48 hours of study treatment) and for cIAI participants inadequate infection source control at time of initial surgical procedure. |
| Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss ) According to Clinical Response by Infection Type at TOC: Avibactam | At TOC (Day 28) | Population PK predicted (Cmax,ss) for participants who received aztreonam-avibactam in studies C3601002 (NCT03329092) and C3601009 (NCT03580044). Clinical response categories included, clinical cure=improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. For cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Failure was defined as participants who met any of the following criteria like death (after receiving at least 48 hours of study treatment) and participants who received treatment with further antibiotics for the index infection. Indeterminate was defined as death (after receiving less than 48 hours of study treatment) and for cIAI participants inadequate infection source control at time of initial surgical procedure. |
| Percent of Time That Free Plasma Concentrations Are Above the Threshold Concentration Over a Dosing Interval (%fT>CT of 2.5mg/L) According to Clinical Response by Infection Type at TOC: Avibactam | At TOC (Day 28) | Population PK predicted (%fT\>CT of 2.5mg/L) for participants who received aztreonam-avibactam in studies C3601002 (NCT03329092) and C3601009 (NCT03580044). Clinical response categories included, clinical cure=improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. For cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Failure was defined as participants who met any of the following criteria like death (after receiving at least 48 hours of study treatment) and participants who received treatment with further antibiotics for the index infection. Indeterminate was defined as death (after receiving less than 48 hours of study treatment) and for cIAI participants inadequate infection source control at time of initial surgical procedure. |
| Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: Avibactam | 0 to 24 hours At TOC (Day 28) | Population PK predicted (AUC24,ss) for participants who received ATM-AVI in studies C3601002 (NCT03329092) and C3601009 (NCT03580044). Microbiological response included Favorable =baseline pathogens for participant had a favorable outcome. Eradication: Absence of causative pathogen from an appropriately obtained specimen at site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Unfavorable=persistence, persistence with increasing MIC, or presumed persistence. Persistence= Causative organism still present from appropriately obtained specimen at site of infection. Presumed persistence= Participant assessed as a clinical failure and repeat culture of specimens were not performed/clinically indicated. Indeterminate = death (after receiving\<48 hours of study treatment) and for cIAI participants inadequate infection source control at time of initial surgical procedure. |
| Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss (mg/L)) According to Microbiological Response by Infection Type at TOC: Avibactam | At TOC (Day 28) | Population PK predicted (Cmax,ss (mg/L)) for participants who received ATM-AVI in studies C3601002 (NCT03329092) and C3601009 (NCT03580044). Microbiological response included Favorable =baseline pathogens for participant had a favorable outcome. Eradication: Absence of causative pathogen from an appropriately obtained specimen at site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Unfavorable=persistence, persistence with increasing MIC, or presumed persistence. Persistence= Causative organism still present from appropriately obtained specimen at site of infection. Presumed persistence= Participant assessed as a clinical failure and repeat culture of specimens were not performed/clinically indicated. Indeterminate = death (after receiving\<48 hours of study treatment) and for cIAI participants inadequate infection source control at time of initial surgical procedure. |
| Percent of Time That Free Plasma Concentrations Are Above the Threshold Concentration Over a Dosing Interval; (%fT>CT of 2.5 mg/L) According to Microbiological Response by Infection Type at TOC: Avibactam | At TOC (Day 28) | Population PK predicted (%fT\>CT of 2.5 mg/L) for participants who received ATM-AVI in studies C3601002 (NCT03329092) and C3601009 (NCT03580044). Microbiological response included Favorable =baseline pathogens for participant had a favorable outcome. Eradication: Absence of causative pathogen from an appropriately obtained specimen at site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Unfavorable=persistence, persistence with increasing MIC, or presumed persistence. Persistence= Causative organism still present from appropriately obtained specimen at site of infection. Presumed persistence= Participant assessed as a clinical failure and repeat culture of specimens were not performed/clinically indicated. Indeterminate = death (after receiving \< 48 hours of study treatment) and for cIAI participants inadequate infection source control at time of initial surgical procedure. |
| Number of Participants With Adverse Events (AEs) and Serious AEs | From start of study treatment until end of late follow-up (Up to Day 45) | An adverse event (AE) was any untoward medical occurrence in a study participant administered medicinal product,; the event need not necessarily have a causal relationship with product treatment or usage. A serious adverse event (SAE) was any untoward medical occurrence at any dose that: resulted in death; was life-threatening; required inpatient hospitalization or prolongation of hospitalization; resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); resulted in congenital abnormal/birth defect or considered an important medical event. |
| Number of Participants With Potentially Clinically Significant Hematology Abnormalities | From start of study treatment until TOC visit (Up to Day 28) | Criteria for potential clinically significant hematology results were as follows: hemoglobin, hematocrit and erythrocyte \<0.7\*lower limit of normal \[LLN\] and \>30% decrease from Baseline (DFB); \>1.3\*upper limit of normal (ULN) and \>30% increase from Baseline (IFB). Platelet count \<0.65\*LLN and \> 50% decrease from baseline; \> 1.5 \* ULN and \> 100% increase from baseline. leukocyte: \< 0.65\* LLN and \> 60% decrease from baseline; \> 1.5\* ULN and 100% increase from baseline. Neutrophils/leukocytes \< 0.65 \* LLN and \>75% decrease from baseline; \> 1.6\*ULN and \> 100% increase from baseline. Lymphocytes/leukocytes \< 0.25\* LLN and \> 75% decrease from baseline;\> 1.5\* ULN and \> 100% increase from baseline, Eosinophils/leukocytes, Monocytes/leukocytes, Basophils/leukocytes \> 4.0\* ULN and \> 300% increase from baseline. |
| Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | From start of study treatment until At TOC visit (Up to Day 28) | Albumin \< 0.5\* LLN and\> 50% decrease from baseline (DFB);\> 1.5 \* ULN and\> 50% increase from baseline (IFB). Alkaline phosphatase \< 0.5 \* LLN and\> 80% DFB;\> 3.0 \* ULN and\> 100%. Alanine and Aspartate aminotransferase \> 3.0 \* ULN and\> 100% IFB. Bicarbonate \< 0.7 \* LLN and \> 40% DFB;\> 1.3 \* ULN and\> 40% IFB. Blood urea nitrogen \< 0.2 \* LLN and \> 100% DFB; \> 3.0 \* ULN and \> 200% IFB. Calcium \< 0.7 \* LLN and \> 30% DFB;\> 1.3 \* ULN and\> 30% IFB. Chloride \< 0.8 \* LLN \>and 20% DFB; \> 1.2 \* ULN and \> 20% IFB. Creatinine \> 2.0 \* ULN and\> 100% IFB; Glucose \< 0.6 \* LLN and\> 40% DFB; \> 3.0 \* ULN and\> 200% IFB. Potassium \< 0.8 \* LLN and \> 20% DFB; \> 1.2 \* ULN and\> 20% IFB. Sodium \< 0.85 \* LLN and\> 10% DFB;\> 1.1 \* ULN and \>10% IFB. Bilirubin \> 1.5 \* ULN and \> 100% IFB.; Direct bilirubin \> 2.0 \* ULN and \> 150% IFB. |
| Number of Participants With Abnormalities in Vital Signs | From start of study treatment until TOC visit (Up to Day 28) | Vitals signs, included blood pressure and, heart rate. Blood pressure (BP) and heart rate were measured using a semiautomatic BP recording device with the participant in a supine position after at least 10 minutes of rest. Criteria for abnormalities included: Systolic BP (millimeters of mercury \[mmHg\]): value more than (\>) 150 and increase from baseline more than equal (\>= 30) or value less than (\<) 90 and decrease from baseline \>= 30; DBP: value \> 100 and increase from baseline \>=20 or Value \< 50 and decrease from baseline \>= 20; Heart Rate (beats per minute \[BPM\]): value \< 40 or \> 120. |
| Number of Participants With Abnormal Physical Examination Finding | Screening, End of treatment (up to 24 hours post infusion on Day 14) and Test of Cure (Day 28) | A complete physical examination was performed and included an assessment of the following: general appearance including site of infection, skin, head and throat (head, eyes, ears, nose, and throat), lymph nodes, lungs, cardiovascular (CV), abdomen, musculoskeletal, and neurological systems. |
| Number of Participants With Abnormal Clinically Significant Electrocardiogram (ECG) Findings | Baseline (latest non-missing value before start of treatment) and Day 3 | Standard 12-lead ECGs were recorded with the participants in the supine position after the participant had rested in this position for 10 minutes. Clinically significant findings were based on investigators assessment. |
| Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: Aztreonam | 0 to 24 hours at TOC (Day 28) | Population PK predicted (AUC24,ss) for participants who received ATM-AVI in studies C3601002 (NCT03329092) and C3601009 (NCT03580044). Microbiological response included Favorable =baseline pathogens for participant had a favorable outcome. Eradication: Absence of causative pathogen from an appropriately obtained specimen at site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Unfavorable=persistence, persistence with increasing MIC, or presumed persistence. Persistence= Causative organism still present from appropriately obtained specimen at site of infection. Presumed persistence= Participant assessed as a clinical failure and repeat culture of specimens were not performed/clinically indicated. Indeterminate = death (after receiving \< 48 hours of study treatment) and for cIAI participants inadequate infection source control at time of initial surgical procedure. |
| Percentage of Participants With Clinical Cure at TOC Visit: Microbiologically Evaluable (ME) Analysis Set | At TOC visit (Day 28) | Clinical cure was defined as improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. 95% CI was based on Jeffrey's method. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants Admitted to the ICU: ITT Analysis Set | From randomization until TOC visit (Up to Day 28) | Number of participants admitted to the ICU up to TOC were reported in this outcome measure. |
| Number of Participants Admitted to the ICU: CE Analysis Set | From randomization until TOC visit (Up to Day 28) | The number of participants admitted to the ICU were reported in this outcome measure. CE analysis set: all participants in ITT analysis set; met criteria for cIAI, or HAP/VAP; received at least 48 hours of study treatment or \<48 hours of treatment before discontinuing study drug due to AE; no concomitant antibiotics for any baseline pathogens between first dose and TOC (except protocol-allowed antibiotics); no prior antibiotics other than allowed per protocol; no important protocol deviations; no clinical outcome of indeterminate at TOC; no monomicrobial infections due to non-eligible pathogens and did not have only Gram-positive pathogens. |
| Number of Participants With Mechanical Ventilation: ITT Analysis Set | From randomization until TOC visit (Up to Day 28) | Number of participants with mechanical ventilation were reported in this outcome measure. |
| Number of Participants With Mechanical Ventilation: CE Analysis Set | From randomization until TOC visit (Up to Day 28) | Number of participants with mechanical ventilation were reported in this outcome measure. CE analysis set: all participants in ITT analysis set; met criteria for cIAI, or HAP/VAP; received at least 48 hours of study treatment or \<48 hours of treatment before discontinuing study drug due to AE; no concomitant antibiotics for any baseline pathogens between first dose and TOC (except protocol-allowed antibiotics); no prior antibiotics other than allowed per protocol; no important protocol deviations; no clinical outcome of indeterminate at TOC; no monomicrobial infections due to non-eligible pathogens and did not have only Gram-positive pathogens. |
| Percentage of Participants With Clinical Cure at End of Treatment (EOT) Visit: ITT Analysis Set | At EOT visit (Within 24 hours after last infusion on Day 14) | Clinical cure was defined as improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. 95% CI was based on Jeffrey's method. |
| Duration of Mechanical Ventilation in HAP/VAP Participants: CE Analysis Set | From randomization until TOC visit (Up to Day 28) | Duration of mechanical ventilation was defined as the total number of calendar days on which the participant required mechanical ventilation from the date of randomization up to TOC. CE analysis set: all participants in ITT analysis set; met criteria for cIAI, or HAP/VAP; received at least 48 hours of study treatment or \<48 hours of treatment before discontinuing study drug due to AE; no concomitant antibiotics for any baseline pathogens between first dose and TOC (except protocol-allowed antibiotics); no prior antibiotics other than allowed per protocol; no important protocol deviations; no clinical outcome of indeterminate at TOC; no monomicrobial infections due to non-eligible pathogens and did not have only Gram-positive pathogens. |
| Number of Participants With Unplanned Surgical Interventions in Complicated Intra-abdominal Infections (cIAI) Participants: ITT Analysis Set | From randomization until TOC visit (Up to Day 28) | Unplanned surgical interventions was defined as those occurring after the initial qualifying surgical intervention and prior to the TOC visit. Number of cIAI participants with unplanned surgical intervention according to clinical response categories of cure and failure is reported in this outcome measure. |
| Number of Participants With Unplanned Surgical Interventions in cIAI Participants: CE Analysis Set | From randomization until TOC visit (Up to Day 28) | Unplanned surgical interventions was defined as those occurring after the initial qualifying surgical intervention and prior to the TOC visit. Number of cIAI participants with unplanned surgical intervention according to clinical response categories of cure and failure is reported in this outcome measure. |
| Duration of Mechanical Ventilation in HAP/VAP Participants: ITT Analysis Set | From randomization until TOC visit (Up to Day 28) | Duration of mechanical ventilation was defined as the total number of calendar days on which the participant required mechanical ventilation from the date of randomization up to TOC. |
| Percentage of Participants With Clinical Cure at EOT Visit: Micro-ITT Analysis Set | At EOT visit (Within 24 hours after last infusion on Day 14) | Clinical cure was defined as improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. For cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. 95% CI was based on Jeffrey's method. |
| Percentage of Participants With Clinical Cure at EOT Visit: CE Analysis Set | At EOT visit (Within 24 hours after last infusion on Day 14) | Clinical cure = improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. 95% CI was based on Jeffrey's method. CE analysis set: all participants in ITT analysis set; met criteria for cIAI, or HAP/VAP; received at least 48 hours of study treatment or \<48 hours of treatment before discontinuing study drug due to AE; no concomitant antibiotics for any baseline pathogens between first dose and TOC (except protocol-allowed antibiotics); no prior antibiotics other than allowed per protocol; no important protocol deviations; no clinical outcome of indeterminate at TOC; no monomicrobial infections due to non-eligible pathogens and did not have only Gram-positive pathogens. |
| Percentage of Participants With Clinical Cure at EOT Visit: ME Analysis Set | At EOT visit (Within 24 hours after last infusion on Day 14) | Clinical cure was defined as improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. 95% CI was based on Jeffrey's method. |
| Percentage of Participants With Clinical Cure by Type of Infection at EOT Visit: ITT Analysis Set | At EOT visit (Within 24 hours after last infusion on Day 14) | Clinical cure was defined as improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. 95% CI was based on Jeffrey's method. |
| Percentage of Participants With Clinical Cure by Type of Infection at EOT Visit: CE Analysis Set | At EOT visit (Within 24 hours after last infusion on Day 24) | Clinical cure = improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. 95% CI was based on Jeffrey's method. CE analysis set: all participants in ITT analysis set; met criteria for cIAI, or HAP/VAP; received at least 48 hours of study treatment or \<48 hours of treatment before discontinuing study drug due to AE; no concomitant antibiotics for any baseline pathogens between first dose and TOC (except protocol-allowed antibiotics); no prior antibiotics other than allowed per protocol; no important protocol deviations; no clinical outcome of indeterminate at TOC; no monomicrobial infections due to non-eligible pathogens and did not have only Gram-positive pathogens. |
| Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | At EOT visit (Within 24 hours after last infusion on Day 14) | Clinical cure was defined as improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. Percentage of participants with clinical cure by pathogen resistance type (ATM non-susceptible and Meropenem non-susceptible based on European Committee on Antimicrobial Susceptibility Testing \[EUCAST\] criteria and Clinical and Laboratory Standards Institute \[CLSI\] criteria, Extended spectrum beta-lactamases \[ESBL\]-positive, Carbapenemase-positive, Serene Carbapenemase and Metallo-beta-lactamase-positive) is reported in this outcome measure. |
| Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | At TOC (Day 28) | Clinical cure was defined as improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. Percentage of participants with clinical cure by pathogen resistance type (ATM non-susceptible and Meropenem non-susceptible based on EUCAST criteria and CLSI criteria, ESBL-positive, Carbapenemase-positive, Serene Carbapenemase and Metallo-beta-lactamase-positive) is reported in this outcome measure. |
| Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis Set | At EOT (Within 24 hours after last infusion on Day 14) | Clinical cure was defined as improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. Percentage of participants with clinical cure by pathogen resistance type (ATM non-susceptible and Meropenem non-susceptible based on EUCAST criteria and CLSI criteria, ESBL-positive, Carbapenemase-positive, Serene Carbapenemase and Metallo-beta-lactamase-positive) is reported in this outcome measure. |
| Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis Set | At TOC visit (Day 28) | Clinical cure was defined as improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. Percentage of participants with clinical cure by pathogen resistance type (ATM non-susceptible and Meropenem non-susceptible based on EUCAST criteria and CLSI criteria, ESBL-positive, Carbapenemase-positive, Serene Carbapenemase and Metallo-beta-lactamase-positive) is reported in this outcome measure. |
| Percentage of Participants With Favorable Per Participant Microbiological Response at EOT Visit: Micro-ITT Analysis Set | At EOT visit (Within 24 hours after last infusion on Day 14) | Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. |
| Percentage of Participants With Favorable Per Participant Microbiological Response at EOT Visit : ME Analysis Set | At EOT visit (Within 24 hours after last infusion on Day 14) | Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. |
| Number of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: Micro-ITT Analysis Set | At EOT (Within 24 hours after last infusion on Day 14) | Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Only those pathogens are reported which had more than or equal to 10 isolates for either treatment group. |
| Number of Participants With Favorable Microbiological Response Per-Pathogen at at TOC Visit: Micro-ITT Analysis Set | At TOC visit (Day 28) | Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Only those pathogens are reported which had more than or equal to 10 isolates for either treatment group. |
| Number of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: ME Analysis Set | At EOT (Within 24 hours after last infusion on Day 14) | Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Only those pathogens are reported which had more than or equal to 10 isolates for either treatment group. |
| Number of Participants With Favorable Microbiological Response Per-Pathogen at TOC Visit: ME Analysis Set | At TOC visit (Day 28) | Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Only those pathogens are reported which had more than or equal to 10 isolates for either treatment group. |
| Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | At EOT (Within 24 hours after last infusion on Day 14) | Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Percentage of participants with favorable microbiological response by pathogen resistance type (ATM non-susceptible and Meropenem non-susceptible based on EUCAST criteria and CLSI criteria, ESBL-positive, Carbapenemase-positive, Serene Carbapenemase and Metallo-beta-lactamase-positive) is reported in this outcome measure. |
| Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | At TOC visit (Day 28) | Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Percentage of participants with favorable microbiological response by pathogen resistance type (ATM non-susceptible and Meropenem non-susceptible based on EUCAST criteria and CLSI criteria, ESBL-positive, Carbapenemase-positive, Serene Carbapenemase and Metallo-beta-lactamase-positive) is reported in this outcome measure. |
| Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | At EOT (Within 24 hours after last infusion on Day 14) | Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Percentage of participants with favorable microbiological response by pathogen resistance type (ATM non-susceptible, Meropenem non-susceptible based on EUCAST criteria and CLSI criteria, ESBL-positive, Carbapenemase-positive, Serene Carbapenemase and Metallo-beta-lactamase-positive) is reported in this outcome measure. |
| Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | At TOC visit (Day 28) | Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Percentage of participants with favorable microbiological response by pathogen resistance type (ATM non-susceptible, Meropenem non-susceptible based on EUCAST criteria and CLSI criteria, ESBL-positive, Carbapenemase-positive, Serene Carbapenemase and Metallo-beta-lactamase-positive) is reported in this outcome measure. |
| Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | At EOT (Within 24 hours after last infusion on Day 14) | Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Percentage of participants with favorable per-pathogen microbiological response by pathogen resistance type (ATM non-susceptible, Meropenem non-susceptible based on EUCAST criteria and CLSI criteria, ESBL-positive, Carbapenemase-positive, Serene Carbapenemase and Metallo-beta-lactamase-positive) is reported in this outcome measure. |
| Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | At TOC visit (Day 28) | Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Percentage of participants with favorable per-pathogen microbiological response by pathogen resistance type (ATM non-susceptible, Meropenem non-susceptible based on EUCAST criteria and CLSI criteria, ESBL-positive, Carbapenemase-positive, Serene Carbapenemase and Metallo-beta-lactamase-positive) is reported in this outcome measure. |
| Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | At EOT (Within 24 hours after last infusion on Day 14) | Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Percentage of participants with favorable per-pathogen microbiological response by pathogen resistance type (ATM non-susceptible, Meropenem non-susceptible based on EUCAST criteria and CLSI criteria, ESBL-positive, Carbapenemase-positive, Serene Carbapenemase and Metallo-beta-lactamase-positive) is reported in this outcome measure. |
| Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | At TOC visit (Day 28) | Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Percentage of participants with favorable per-pathogen microbiological response by pathogen resistance type (ATM non-susceptible, Meropenem non-susceptible based on EUCAST criteria and CLSI criteria, ESBL-positive, Carbapenemase-positive, Serene Carbapenemase and Metallo-beta-lactamase-positive) is reported in this outcome measure. |
| Number of Participants According to Total Score for the Composite Endpoint of Symptom-Based Objective Clinical Measures: ITT Analysis Set | Up to Day 28 | — |
| Number of Participants According to Total Score for the Composite Endpoint of Symptom-Based Objective Clinical Measures: CE Analysis Set | Up to Day 28 | CE analysis set: all participants in ITT analysis set; met criteria for cIAI, or HAP/VAP; received at least 48 hours of study treatment or \<48 hours of treatment before discontinuing study drug due to AE; no concomitant antibiotics for any baseline pathogens between first dose and TOC (except protocol-allowed antibiotics); no prior antibiotics other than allowed per protocol; no important protocol deviations; no clinical outcome of indeterminate at TOC; no monomicrobial infections due to non-eligible pathogens and did not have only Gram-positive pathogens. |
| Percentage of Participants Who Died on or Before 14 Days From Randomization: ITT Analysis Set | From randomization up to 14 days | Percentage of participants who died on or before 14 days from randomization is reported in this outcome measure. |
| Total Length of Hospital Stay up to TOC Visit: ITT Analysis Set | From randomization up to Day 28 | The total length of hospital stay was defined as the total number of calendar days on which the participant was in the hospital from the date of randomization up to and including the specified time point of TOC. |
| Total Length of Hospital Stay up to TOC Visit: CE Analysis Set | From randomization up to Day 28 | The total length of hospital stay was defined as the total number of calendar days on which the participant was in the hospital from the date of randomization up to and including the specified time point of TOC. CE analysis set: all participants in ITT analysis set; met criteria for cIAI, or HAP/VAP; received at least 48 hours of study treatment or \<48 hours of treatment before discontinuing study drug due to AE; no concomitant antibiotics for any baseline pathogens between first dose and TOC (except protocol-allowed antibiotics); no prior antibiotics other than allowed per protocol; no important protocol deviations; no clinical outcome of indeterminate at TOC; no monomicrobial infections due to non-eligible pathogens and did not have only Gram-positive pathogens. |
| Duration of Study Treatment | From first dose of study treatment until last dose of treatment (Up to 14 days) | The duration of therapy in calendar days were calculated as follows: Date of last dose of study drug - date of first dose of study drug +1. |
| Length of Intensive Care Unit (ICU) Stay: ITT Analysis Set | From randomization until TOC visit (Up to Day 28) | The total length of ICU stay was defined as the total number of calendar days on which the participant was in ICU for the period from date of randomization until the TOC visit. |
| Length of Intensive Care Unit (ICU) Stay: CE Analysis Set | From randomization until TOC visit (Up to Day 28) | The total length of ICU stay was defined as the total number of calendar days on which the participant was in ICU for the period from date of randomization until the TOC visit. CE analysis set: all participants in ITT analysis set; met criteria for cIAI, or HAP/VAP; received at least 48 hours of study treatment or \<48 hours of treatment before discontinuing study drug due to AE; no concomitant antibiotics for any baseline pathogens between first dose and TOC (except protocol-allowed antibiotics); no prior antibiotics other than allowed per protocol; no important protocol deviations; no clinical outcome of indeterminate at TOC; no monomicrobial infections due to non-eligible pathogens and did not have only Gram-positive pathogens. |
Countries
Argentina, Bulgaria, China, Croatia, Czechia, Greece, India, Israel, Italy, Malaysia, Mexico, Philippines, Romania, Russia, South Korea, Spain, Taiwan, Thailand, Turkey (Türkiye), Ukraine, United States
Participant flow
Recruitment details
Participants who were hospitalized with a diagnosis of complicated intra-abdominal infection (cIAI) or nosocomial pneumonia (NP) including hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP) were enrolled. This study was conducted across 20 countries from 05-Apr-2018 to 23-Feb-2023.
Pre-assignment details
A total of 461 participants were screened of which 38 failed screening and 1 participant was not randomized due to lack of study drug at the site. A total of 422 participants were randomized in the study.
Participants by arm
| Arm | Count |
|---|---|
| Aztreonam-avibactam ± Metronidazole Participants hospitalized with cIAI or NP (including HAP and VAP) were randomized to receive a loading dose of aztreonam-avibactam (ATM-AVI) by intravenous (IV) infusion over 30 minutes, immediately followed by an extended loading dose of ATM-AVI by IV infusion over 3 hours on Day 1. Participants were administered a maintenance dose of ATM-AVI by IV infusion over 3 hours on Days 2 to 14. Participants with cIAI also received metronidazole (MTZ) 500 milligrams (mg) IV every 8 hours. | 282 |
| Meropenem± Colistimethate Participants hospitalized with cIAI or NP (including HAP and VAP) were randomized to receive 1000 mg meropenem every 8 hours by IV infusion. A higher dose of 2000 mg was given by IV infusion over 180 minutes if carbapenem resistant pathogen was strongly suspected. Participants were administered colistimethate sodium at investigator's discretion. | 140 |
| Total | 422 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Adverse Event | 3 | 1 |
| Overall Study | Death | 17 | 11 |
| Overall Study | Lost to Follow-up | 1 | 1 |
| Overall Study | Other | 2 | 2 |
| Overall Study | Physician Decision | 1 | 0 |
| Overall Study | Withdrawal by Subject | 16 | 3 |
Baseline characteristics
| Characteristic | Total | Aztreonam-avibactam ± Metronidazole | Meropenem± Colistimethate |
|---|---|---|---|
| Age, Continuous | 54.8 Years STANDARD_DEVIATION 17.33 | 55.2 Years STANDARD_DEVIATION 17.84 | 54.0 Years STANDARD_DEVIATION 16.3 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 79 Participants | 58 Participants | 21 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 326 Participants | 213 Participants | 113 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 17 Participants | 11 Participants | 6 Participants |
| Race/Ethnicity, Customized American Indian or Alaska Native | 9 Participants | 7 Participants | 2 Participants |
| Race/Ethnicity, Customized Asian | 176 Participants | 107 Participants | 69 Participants |
| Race/Ethnicity, Customized Black or African American | 2 Participants | 1 Participants | 1 Participants |
| Race/Ethnicity, Customized Mixed | 3 Participants | 2 Participants | 1 Participants |
| Race/Ethnicity, Customized Not reported | 3 Participants | 1 Participants | 2 Participants |
| Race/Ethnicity, Customized Other | 1 Participants | 0 Participants | 1 Participants |
| Race/Ethnicity, Customized White | 228 Participants | 164 Participants | 64 Participants |
| Sex: Female, Male Female | 135 Participants | 96 Participants | 39 Participants |
| Sex: Female, Male Male | 287 Participants | 186 Participants | 101 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 20 / 282 | 11 / 140 |
| other Total, other adverse events | 113 / 275 | 45 / 137 |
| serious Total, serious adverse events | 53 / 275 | 25 / 137 |
Outcome results
Percentage of Participants With Clinical Cure at Test of Cure (TOC) Visit: Intent-To-Treat (ITT) Analysis Set
Clinical cure was defined as improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. 95% confidence interval (CI) was based on Jeffrey's method.
Time frame: At TOC visit (Day 28)
Population: The ITT analysis set included all randomized participants regardless of receipt of study drug.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure at Test of Cure (TOC) Visit: Intent-To-Treat (ITT) Analysis Set | 68.4 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure at Test of Cure (TOC) Visit: Intent-To-Treat (ITT) Analysis Set | 65.7 Percentage of participants |
Percentage of Participants With Clinical Cure at TOC Visit: Clinically Evaluable (CE) Analysis Set
Clinical cure = improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by Independent Clinical Adjudication Committee. 95% CI was based on Jeffrey's method. CE analysis set:all participants in ITT analysis set; met criteria for cIAI, or HAP/VAP; received at least 48 hours of study treatment or \<48 hours of treatment before discontinuing study drug due to AE; no concomitant antibiotics for any baseline pathogens between first dose and TOC (except protocol-allowed antibiotics); no prior antibiotics other than allowed per protocol; no important protocol deviations; no clinical outcome of indeterminate at TOC; no monomicrobial infections due to non-eligible pathogens and did not have only Gram-positive pathogens.
Time frame: At TOC visit (Day 28)
Population: Analysis was performed on CE analysis set.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure at TOC Visit: Clinically Evaluable (CE) Analysis Set | 77.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure at TOC Visit: Clinically Evaluable (CE) Analysis Set | 74.3 Percentage of participants |
Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Clinical Response by Infection Type at TOC: Avibactam
Population PK predicted (AUC24,ss) for participants who received aztreonam-avibactam in studies C3601002 (NCT03329092) and C3601009 (NCT03580044). Clinical response categories included, clinical cure=improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. For cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Failure was defined as participants who met any of the following criteria like death (after receiving at least 48 hours of study treatment) and participants who received treatment with further antibiotics for the index infection. Indeterminate was defined as death (after receiving less than 48 hours of study treatment) and for cIAI participants inadequate infection source control at time of initial surgical procedure.
Time frame: 0 to 24 hours at TOC (Day 28)
Population: Analysis population included participants from PK and ITT analysis set. All participants reported under 'Overall Number of Participants Analyzed' included participants evaluable for this outcome measure and contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies participants evaluable for the specified rows.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Clinical Response by Infection Type at TOC: Avibactam | cIAI: Clinical cure | 164.92 Milligram*hour per liter | Geometric Coefficient of Variation 45.91 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Clinical Response by Infection Type at TOC: Avibactam | cIAI: Failure | 187.41 Milligram*hour per liter | Geometric Coefficient of Variation 96.93 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Clinical Response by Infection Type at TOC: Avibactam | cIAI: Indeterminate | 213.92 Milligram*hour per liter | Geometric Coefficient of Variation 20.81 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Clinical Response by Infection Type at TOC: Avibactam | HAP:Clinical cure | 291.47 Milligram*hour per liter | Geometric Coefficient of Variation 61.75 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Clinical Response by Infection Type at TOC: Avibactam | HAP: Failure | 214.99 Milligram*hour per liter | Geometric Coefficient of Variation 36.09 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Clinical Response by Infection Type at TOC: Avibactam | HAP: Indeterminate | 257.37 Milligram*hour per liter | Geometric Coefficient of Variation 71.75 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Clinical Response by Infection Type at TOC: Avibactam | VAP: Clinical cure | 176.95 Milligram*hour per liter | Geometric Coefficient of Variation 31.43 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Clinical Response by Infection Type at TOC: Avibactam | VAP: Failure | 178.68 Milligram*hour per liter | Geometric Coefficient of Variation 38.99 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Clinical Response by Infection Type at TOC: Avibactam | VAP: Indeterminate | 218.09 Milligram*hour per liter | — |
Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss ) According to Clinical Response by Infection Type at TOC: Aztreonam
Population PK predicted (AUC24,ss) for participants who received aztreonam-avibactam in studies C3601002 (NCT03329092) and C3601009 (NCT03580044). Clinical response categories included, clinical cure=improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. For cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Failure was defined as participants who met any of the following criteria like death (after receiving at least 48 hours of study treatment) and participants who received treatment with further antibiotics for the index infection. Indeterminate was defined as death (after receiving less than 48 hours of study treatment) and for cIAI participants inadequate infection source control at time of initial surgical procedure.
Time frame: 0 to 24 hours at TOC (Day 28)
Population: Analysis population included participants from PK and ITT analysis set. All participants reported under 'Overall Number of Participants Analyzed' included participants evaluable for this outcome measure and contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies participants evaluable for the specified rows.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss ) According to Clinical Response by Infection Type at TOC: Aztreonam | cIAI: Clinical cure | 816.18 Milligram*hours per liter (mg*h/L) | Geometric Coefficient of Variation 41.83 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss ) According to Clinical Response by Infection Type at TOC: Aztreonam | cIAI: Failure | 877.5 Milligram*hours per liter (mg*h/L) | Geometric Coefficient of Variation 85.91 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss ) According to Clinical Response by Infection Type at TOC: Aztreonam | cIAI: Indeterminate | 1069.1 Milligram*hours per liter (mg*h/L) | Geometric Coefficient of Variation 15.82 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss ) According to Clinical Response by Infection Type at TOC: Aztreonam | HAP:Clinical cure | 1420.1 Milligram*hours per liter (mg*h/L) | Geometric Coefficient of Variation 54.62 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss ) According to Clinical Response by Infection Type at TOC: Aztreonam | HAP: Failure | 1079.4 Milligram*hours per liter (mg*h/L) | Geometric Coefficient of Variation 34.1 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss ) According to Clinical Response by Infection Type at TOC: Aztreonam | HAP: Indeterminate | 1056.8 Milligram*hours per liter (mg*h/L) | Geometric Coefficient of Variation 35.68 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss ) According to Clinical Response by Infection Type at TOC: Aztreonam | VAP: Clinical cure | 858.39 Milligram*hours per liter (mg*h/L) | Geometric Coefficient of Variation 32.49 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss ) According to Clinical Response by Infection Type at TOC: Aztreonam | VAP: Failure | 912.23 Milligram*hours per liter (mg*h/L) | Geometric Coefficient of Variation 38.1 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss ) According to Clinical Response by Infection Type at TOC: Aztreonam | VAP: Indeterminate | 1084.6 Milligram*hours per liter (mg*h/L) | — |
Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: Avibactam
Population PK predicted (AUC24,ss) for participants who received ATM-AVI in studies C3601002 (NCT03329092) and C3601009 (NCT03580044). Microbiological response included Favorable =baseline pathogens for participant had a favorable outcome. Eradication: Absence of causative pathogen from an appropriately obtained specimen at site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Unfavorable=persistence, persistence with increasing MIC, or presumed persistence. Persistence= Causative organism still present from appropriately obtained specimen at site of infection. Presumed persistence= Participant assessed as a clinical failure and repeat culture of specimens were not performed/clinically indicated. Indeterminate = death (after receiving\<48 hours of study treatment) and for cIAI participants inadequate infection source control at time of initial surgical procedure.
Time frame: 0 to 24 hours At TOC (Day 28)
Population: Analysis population included participants from PK and micro-ITT analysis set. All participants reported under 'Overall Number of Participants Analyzed' included participants evaluable for this outcome measure and contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' =participants evaluable for the specified rows.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: Avibactam | cIAI: Favorable | 166.4 Milligram*hours per liter | Geometric Coefficient of Variation 40.88 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: Avibactam | cIAI: Unfavorable | 177.65 Milligram*hours per liter | Geometric Coefficient of Variation 106.25 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: Avibactam | cIAI: Indeterminate | 197.01 Milligram*hours per liter | Geometric Coefficient of Variation 7.31 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: Avibactam | HAP:Favorable | 293.49 Milligram*hours per liter | Geometric Coefficient of Variation 95.13 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: Avibactam | HAP: Unfavorable | 196.38 Milligram*hours per liter | Geometric Coefficient of Variation 61.95 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: Avibactam | HAP: Indeterminate | 359.31 Milligram*hours per liter | Geometric Coefficient of Variation 71.12 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: Avibactam | VAP: Favorable | 157.79 Milligram*hours per liter | Geometric Coefficient of Variation 43.71 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: Avibactam | VAP: Unfavorable | 192.85 Milligram*hours per liter | Geometric Coefficient of Variation 38.42 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: Avibactam | VAP: Indeterminate | 218.09 Milligram*hours per liter | — |
Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: Aztreonam
Population PK predicted (AUC24,ss) for participants who received ATM-AVI in studies C3601002 (NCT03329092) and C3601009 (NCT03580044). Microbiological response included Favorable =baseline pathogens for participant had a favorable outcome. Eradication: Absence of causative pathogen from an appropriately obtained specimen at site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Unfavorable=persistence, persistence with increasing MIC, or presumed persistence. Persistence= Causative organism still present from appropriately obtained specimen at site of infection. Presumed persistence= Participant assessed as a clinical failure and repeat culture of specimens were not performed/clinically indicated. Indeterminate = death (after receiving \< 48 hours of study treatment) and for cIAI participants inadequate infection source control at time of initial surgical procedure.
Time frame: 0 to 24 hours at TOC (Day 28)
Population: Analysis population included participants from PK and micro-ITT analysis set. All participants reported under 'Overall Number of Participants Analyzed' included participants evaluable for this outcome measure and contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' =participants evaluable for the specified rows.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: Aztreonam | cIAI: Favorable | 830.23 Milligram*hours per liter | Geometric Coefficient of Variation 38.42 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: Aztreonam | cIAI: Unfavorable | 826.63 Milligram*hours per liter | Geometric Coefficient of Variation 95.22 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: Aztreonam | cIAI: Indeterminate | 1010.2 Milligram*hours per liter | Geometric Coefficient of Variation 9.17 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: Aztreonam | HAP:Favorable | 1446.1 Milligram*hours per liter | Geometric Coefficient of Variation 82.6 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: Aztreonam | HAP: Unfavorable | 909.59 Milligram*hours per liter | Geometric Coefficient of Variation 45.06 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: Aztreonam | HAP: Indeterminate | 1237.9 Milligram*hours per liter | Geometric Coefficient of Variation 38.16 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: Aztreonam | VAP: Favorable | 760.26 Milligram*hours per liter | Geometric Coefficient of Variation 40.54 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: Aztreonam | VAP: Unfavorable | 974.21 Milligram*hours per liter | Geometric Coefficient of Variation 37.82 |
| Aztreonam-avibactam ± Metronidazole | Area Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: Aztreonam | VAP: Indeterminate | 1084.6 Milligram*hours per liter | — |
Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss ) According to Clinical Response by Infection Type at TOC: Avibactam
Population PK predicted (Cmax,ss) for participants who received aztreonam-avibactam in studies C3601002 (NCT03329092) and C3601009 (NCT03580044). Clinical response categories included, clinical cure=improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. For cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Failure was defined as participants who met any of the following criteria like death (after receiving at least 48 hours of study treatment) and participants who received treatment with further antibiotics for the index infection. Indeterminate was defined as death (after receiving less than 48 hours of study treatment) and for cIAI participants inadequate infection source control at time of initial surgical procedure.
Time frame: At TOC (Day 28)
Population: Analysis population included participants from PK and ITT analysis set. All participants reported under 'Overall Number of Participants Analyzed' included participants evaluable for this outcome measure and contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies participants evaluable for the specified rows.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss ) According to Clinical Response by Infection Type at TOC: Avibactam | cIAI: Clinical cure | 11.01 Milligram per liter (mg/L) | Geometric Coefficient of Variation 42.14 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss ) According to Clinical Response by Infection Type at TOC: Avibactam | cIAI: Failure | 12.48 Milligram per liter (mg/L) | Geometric Coefficient of Variation 72.59 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss ) According to Clinical Response by Infection Type at TOC: Avibactam | cIAI: Indeterminate | 14.04 Milligram per liter (mg/L) | Geometric Coefficient of Variation 16.52 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss ) According to Clinical Response by Infection Type at TOC: Avibactam | HAP:Clinical cure | 18.41 Milligram per liter (mg/L) | Geometric Coefficient of Variation 55.07 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss ) According to Clinical Response by Infection Type at TOC: Avibactam | HAP: Failure | 13.46 Milligram per liter (mg/L) | Geometric Coefficient of Variation 33.52 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss ) According to Clinical Response by Infection Type at TOC: Avibactam | HAP: Indeterminate | 15.24 Milligram per liter (mg/L) | Geometric Coefficient of Variation 49.1 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss ) According to Clinical Response by Infection Type at TOC: Avibactam | VAP: Clinical Cure | 11.64 Milligram per liter (mg/L) | Geometric Coefficient of Variation 31.01 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss ) According to Clinical Response by Infection Type at TOC: Avibactam | VAP: Failure | 11.44 Milligram per liter (mg/L) | Geometric Coefficient of Variation 32.65 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss ) According to Clinical Response by Infection Type at TOC: Avibactam | VAP: Indeterminate | 18.93 Milligram per liter (mg/L) | — |
Maximum Plasma Concentration for a Dosing Interval at Steady-State (Cmax, ss) According to Clinical Response by Infection Type at TOC: Aztreonam
Population PK predicted maximum plasma concentration for a dosing interval at steady-state (Cmax,ss) for participants who received aztreonam-avibactam in studies C3601002 (NCT03329092) and C3601009 (NCT03580044). Clinical response categories included, clinical cure=improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. For cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Failure was defined as participants who met any of the following criteria like death (after receiving at least 48 hours of study treatment) and participants who received treatment with further antibiotics for the index infection. Indeterminate was defined as death (after receiving less than 48 hours of study treatment) and for cIAI participants inadequate infection source control at time of initial surgical procedure.
Time frame: At TOC (Day 28)
Population: Analysis population included participants from PK and ITT analysis set. All participants reported under 'Overall Number of Participants Analyzed' included participants evaluable for this outcome measure and contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies participants evaluable for the specified rows.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-State (Cmax, ss) According to Clinical Response by Infection Type at TOC: Aztreonam | cIAI: Clinical cure | 52.47 Milligram per liter (mg/L) | Geometric Coefficient of Variation 37.49 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-State (Cmax, ss) According to Clinical Response by Infection Type at TOC: Aztreonam | cIAI: Failure | 56.71 Milligram per liter (mg/L) | Geometric Coefficient of Variation 62.52 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-State (Cmax, ss) According to Clinical Response by Infection Type at TOC: Aztreonam | cIAI: Indeterminate | 66.21 Milligram per liter (mg/L) | Geometric Coefficient of Variation 12.7 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-State (Cmax, ss) According to Clinical Response by Infection Type at TOC: Aztreonam | HAP:Clinical cure | 85.24 Milligram per liter (mg/L) | Geometric Coefficient of Variation 48.49 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-State (Cmax, ss) According to Clinical Response by Infection Type at TOC: Aztreonam | HAP: Failure | 64.57 Milligram per liter (mg/L) | Geometric Coefficient of Variation 33.97 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-State (Cmax, ss) According to Clinical Response by Infection Type at TOC: Aztreonam | HAP: Indeterminate | 61.79 Milligram per liter (mg/L) | Geometric Coefficient of Variation 27.2 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-State (Cmax, ss) According to Clinical Response by Infection Type at TOC: Aztreonam | VAP: Clinical Cure | 54.89 Milligram per liter (mg/L) | Geometric Coefficient of Variation 30.42 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-State (Cmax, ss) According to Clinical Response by Infection Type at TOC: Aztreonam | VAP: Failure | 56.5 Milligram per liter (mg/L) | Geometric Coefficient of Variation 31.1 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-State (Cmax, ss) According to Clinical Response by Infection Type at TOC: Aztreonam | VAP: Indeterminate | 85.34 Milligram per liter (mg/L) | — |
Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss) According to Microbiological Response by Infection Type at TOC: Aztreonam
Population PK predicted (Cmax,ss) for participants who received ATM-AVI in studies C3601002 (NCT03329092) and C3601009 (NCT03580044). Microbiological response included Favorable =baseline pathogens for participant had a favorable outcome. Eradication: Absence of causative pathogen from an appropriately obtained specimen at site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Unfavorable=persistence, persistence with increasing MIC, or presumed persistence. Persistence= Causative organism still present from appropriately obtained specimen at site of infection. Presumed persistence= Participant assessed as a clinical failure and repeat culture of specimens were not performed/clinically indicated. Indeterminate = death (after receiving \< 48 hours of study treatment) and for cIAI participants inadequate infection source control at time of initial surgical procedure.
Time frame: At TOC (Day 28)
Population: Analysis population included participants from PK and micro-ITT analysis set. All participants reported under 'Overall Number of Participants Analyzed' included participants evaluable for this outcome measure and contributed data to the table but may not have evaluable data for every row. Number Analyzed=participants evaluable for the specified rows.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss) According to Microbiological Response by Infection Type at TOC: Aztreonam | cIAI: Favorable | 53.26 Milligram per liter (mg/L) | Geometric Coefficient of Variation 34.03 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss) According to Microbiological Response by Infection Type at TOC: Aztreonam | cIAI: Unfavorable | 53.71 Milligram per liter (mg/L) | Geometric Coefficient of Variation 67.14 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss) According to Microbiological Response by Infection Type at TOC: Aztreonam | cIAI: Indeterminate | 62.97 Milligram per liter (mg/L) | Geometric Coefficient of Variation 9.49 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss) According to Microbiological Response by Infection Type at TOC: Aztreonam | HAP:Favorable | 86.9 Milligram per liter (mg/L) | Geometric Coefficient of Variation 71.56 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss) According to Microbiological Response by Infection Type at TOC: Aztreonam | HAP: Unfavorable | 55.48 Milligram per liter (mg/L) | Geometric Coefficient of Variation 38.83 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss) According to Microbiological Response by Infection Type at TOC: Aztreonam | HAP: Indeterminate | 66.2 Milligram per liter (mg/L) | Geometric Coefficient of Variation 33.87 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss) According to Microbiological Response by Infection Type at TOC: Aztreonam | VAP: Favorable | 50.71 Milligram per liter (mg/L) | Geometric Coefficient of Variation 37.56 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss) According to Microbiological Response by Infection Type at TOC: Aztreonam | VAP: Unfavorable | 59.77 Milligram per liter (mg/L) | Geometric Coefficient of Variation 31.52 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss) According to Microbiological Response by Infection Type at TOC: Aztreonam | VAP: Indeterminate | 85.34 Milligram per liter (mg/L) | — |
Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss (mg/L)) According to Microbiological Response by Infection Type at TOC: Avibactam
Population PK predicted (Cmax,ss (mg/L)) for participants who received ATM-AVI in studies C3601002 (NCT03329092) and C3601009 (NCT03580044). Microbiological response included Favorable =baseline pathogens for participant had a favorable outcome. Eradication: Absence of causative pathogen from an appropriately obtained specimen at site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Unfavorable=persistence, persistence with increasing MIC, or presumed persistence. Persistence= Causative organism still present from appropriately obtained specimen at site of infection. Presumed persistence= Participant assessed as a clinical failure and repeat culture of specimens were not performed/clinically indicated. Indeterminate = death (after receiving\<48 hours of study treatment) and for cIAI participants inadequate infection source control at time of initial surgical procedure.
Time frame: At TOC (Day 28)
Population: Analysis population included participants from PK and micro-ITT analysis set. All participants reported under 'Overall Number of Participants Analyzed' included participants evaluable for this outcome measure and contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' =participants evaluable for the specified rows.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss (mg/L)) According to Microbiological Response by Infection Type at TOC: Avibactam | cIAI: Favorable | 11.1 Milligram per liter (mg/L) | Geometric Coefficient of Variation 37.2 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss (mg/L)) According to Microbiological Response by Infection Type at TOC: Avibactam | cIAI: Unfavorable | 11.83 Milligram per liter (mg/L) | Geometric Coefficient of Variation 76.48 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss (mg/L)) According to Microbiological Response by Infection Type at TOC: Avibactam | cIAI: Indeterminate | 13.03 Milligram per liter (mg/L) | Geometric Coefficient of Variation 8.01 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss (mg/L)) According to Microbiological Response by Infection Type at TOC: Avibactam | HAP:Favorable | 18.55 Milligram per liter (mg/L) | Geometric Coefficient of Variation 84.68 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss (mg/L)) According to Microbiological Response by Infection Type at TOC: Avibactam | HAP: Unfavorable | 12.31 Milligram per liter (mg/L) | Geometric Coefficient of Variation 51.34 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss (mg/L)) According to Microbiological Response by Infection Type at TOC: Avibactam | HAP: Indeterminate | 18.72 Milligram per liter (mg/L) | Geometric Coefficient of Variation 55.03 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss (mg/L)) According to Microbiological Response by Infection Type at TOC: Avibactam | VAP: Favorable | 10.75 Milligram per liter (mg/L) | Geometric Coefficient of Variation 42.72 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss (mg/L)) According to Microbiological Response by Infection Type at TOC: Avibactam | VAP: Unfavorable | 12.28 Milligram per liter (mg/L) | Geometric Coefficient of Variation 32.85 |
| Aztreonam-avibactam ± Metronidazole | Maximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss (mg/L)) According to Microbiological Response by Infection Type at TOC: Avibactam | VAP: Indeterminate | 18.93 Milligram per liter (mg/L) | — |
Number of Participants With Abnormal Clinically Significant Electrocardiogram (ECG) Findings
Standard 12-lead ECGs were recorded with the participants in the supine position after the participant had rested in this position for 10 minutes. Clinically significant findings were based on investigators assessment.
Time frame: Baseline (latest non-missing value before start of treatment) and Day 3
Population: The safety analysis set included all participants who received any amount of study treatment.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Clinically Significant Electrocardiogram (ECG) Findings | Baseline | 16 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Clinically Significant Electrocardiogram (ECG) Findings | Day 3 | 11 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Clinically Significant Electrocardiogram (ECG) Findings | Baseline | 5 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Clinically Significant Electrocardiogram (ECG) Findings | Day 3 | 6 Participants |
Number of Participants With Abnormalities in Vital Signs
Vitals signs, included blood pressure and, heart rate. Blood pressure (BP) and heart rate were measured using a semiautomatic BP recording device with the participant in a supine position after at least 10 minutes of rest. Criteria for abnormalities included: Systolic BP (millimeters of mercury \[mmHg\]): value more than (\>) 150 and increase from baseline more than equal (\>= 30) or value less than (\<) 90 and decrease from baseline \>= 30; DBP: value \> 100 and increase from baseline \>=20 or Value \< 50 and decrease from baseline \>= 20; Heart Rate (beats per minute \[BPM\]): value \< 40 or \> 120.
Time frame: From start of study treatment until TOC visit (Up to Day 28)
Population: Safety analysis set included all participants who received any amount of study treatment. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure and 'Number Analyzed' signifies participants evaluable for the specified rows.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormalities in Vital Signs | Systolic BP (mmHg) Value less than (<) 90 and decrease from baseline more than equal (≥) 30 | 8 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormalities in Vital Signs | Diastolic BP (mmHg) Value < 50 and decrease from baseline ≥ 20 | 10 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormalities in Vital Signs | Diastolic BP (mmHg) Value > 100 and increase from baseline ≥ 20 | 8 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormalities in Vital Signs | Heart Rate (BPM) Value < 40 or > 120 | 265 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormalities in Vital Signs | Systolic BP (mmHg) Value more than (>) 150 and increase from baseline more than equal (≥ to 30) | 35 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormalities in Vital Signs | Heart Rate (BPM) Value < 40 or > 120 | 135 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormalities in Vital Signs | Systolic BP (mmHg) Value more than (>) 150 and increase from baseline more than equal (≥ to 30) | 16 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormalities in Vital Signs | Systolic BP (mmHg) Value less than (<) 90 and decrease from baseline more than equal (≥) 30 | 3 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormalities in Vital Signs | Diastolic BP (mmHg) Value > 100 and increase from baseline ≥ 20 | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormalities in Vital Signs | Diastolic BP (mmHg) Value < 50 and decrease from baseline ≥ 20 | 5 Participants |
Number of Participants With Abnormal Physical Examination Finding
A complete physical examination was performed and included an assessment of the following: general appearance including site of infection, skin, head and throat (head, eyes, ears, nose, and throat), lymph nodes, lungs, cardiovascular (CV), abdomen, musculoskeletal, and neurological systems.
Time frame: Screening, End of treatment (up to 24 hours post infusion on Day 14) and Test of Cure (Day 28)
Population: The safety analysis set included all participants who received any amount of study treatment. Here, 'Number Analyzed' signifies number of participants available for specified rows.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | General appearance: Screening | 77 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Abdomen: Screening | 184 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Abdomen: End of Treatment | 56 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Abdomen: Test of Cure | 31 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Cardiovascular: Screening | 50 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Cardiovascular: End of Treatment | 27 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Cardiovascular: Test of Cure | 20 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Ears: Screening | 1 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Ears: End of Treatment | 0 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Ears:Test of Cure | 0 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Eyes: Screening | 13 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Eyes End of Treatment | 7 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Eyes: Test of Cure | 6 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | General appearance: End of Treatment | 34 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | General appearance: Test of Cure | 16 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Head: Screening | 12 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Head: End of Treatment | 10 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Head: Test of Cure | 6 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Lungs: Screening | 70 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Lungs: End of Treatment | 45 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Lungs: Test of Cure | 22 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Lymph nodes: Screening | 1 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Lymph nodes: End of Treatment | 1 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Lymph nodes: Test of Cure | 0 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Musculoskeletal: Screening | 21 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Musculoskeletal: End of Treatment | 17 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Musculoskeletal: Test of Cure | 9 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Neurological: Screening | 37 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Neurological: End of Treatment | 34 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Neurological: Test of Cure | 17 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Nose: Screening | 4 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Nose: End of Treatment | 2 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Nose: Test of Cure | 1 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Skin: Screening | 47 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Skin: End of Treatment | 33 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Skin: Test of Cure | 21 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Throat: Screening | 9 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Throat: End of Treatment | 10 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Abnormal Physical Examination Finding | Throat: Test of Cure | 4 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Lungs: End of Treatment | 15 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Neurological: Test of Cure | 6 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Abdomen: Screening | 103 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Lungs: Test of Cure | 8 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Abdomen: End of Treatment | 30 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Skin: End of Treatment | 22 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Abdomen: Test of Cure | 12 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Lymph nodes: Screening | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Cardiovascular: Screening | 22 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Nose: Screening | 3 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Cardiovascular: End of Treatment | 14 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Lymph nodes: End of Treatment | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Cardiovascular: Test of Cure | 10 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Throat: Test of Cure | 1 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Ears: Screening | 1 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Lymph nodes: Test of Cure | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Ears: End of Treatment | 1 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Nose: End of Treatment | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Ears:Test of Cure | 1 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Musculoskeletal: Screening | 10 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Eyes: Screening | 4 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Skin: Test of Cure | 12 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Eyes End of Treatment | 1 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Musculoskeletal: End of Treatment | 9 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Eyes: Test of Cure | 1 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | General appearance: Screening | 35 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Nose: Test of Cure | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | General appearance: End of Treatment | 15 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Musculoskeletal: Test of Cure | 3 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | General appearance: Test of Cure | 8 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Throat: End of Treatment | 1 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Head: Screening | 4 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Neurological: Screening | 13 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Head: End of Treatment | 5 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Skin: Screening | 25 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Head: Test of Cure | 2 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Neurological: End of Treatment | 9 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Lungs: Screening | 37 Participants |
| Meropenem± Colistimethate | Number of Participants With Abnormal Physical Examination Finding | Throat: Screening | 0 Participants |
Number of Participants With Adverse Events (AEs) and Serious AEs
An adverse event (AE) was any untoward medical occurrence in a study participant administered medicinal product,; the event need not necessarily have a causal relationship with product treatment or usage. A serious adverse event (SAE) was any untoward medical occurrence at any dose that: resulted in death; was life-threatening; required inpatient hospitalization or prolongation of hospitalization; resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); resulted in congenital abnormal/birth defect or considered an important medical event.
Time frame: From start of study treatment until end of late follow-up (Up to Day 45)
Population: Safety analysis set included all participants who received any amount of study treatment. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Adverse Events (AEs) and Serious AEs | AEs | 177 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Adverse Events (AEs) and Serious AEs | SAEs | 53 Participants |
| Meropenem± Colistimethate | Number of Participants With Adverse Events (AEs) and Serious AEs | AEs | 87 Participants |
| Meropenem± Colistimethate | Number of Participants With Adverse Events (AEs) and Serious AEs | SAEs | 25 Participants |
Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities
Albumin \< 0.5\* LLN and\> 50% decrease from baseline (DFB);\> 1.5 \* ULN and\> 50% increase from baseline (IFB). Alkaline phosphatase \< 0.5 \* LLN and\> 80% DFB;\> 3.0 \* ULN and\> 100%. Alanine and Aspartate aminotransferase \> 3.0 \* ULN and\> 100% IFB. Bicarbonate \< 0.7 \* LLN and \> 40% DFB;\> 1.3 \* ULN and\> 40% IFB. Blood urea nitrogen \< 0.2 \* LLN and \> 100% DFB; \> 3.0 \* ULN and \> 200% IFB. Calcium \< 0.7 \* LLN and \> 30% DFB;\> 1.3 \* ULN and\> 30% IFB. Chloride \< 0.8 \* LLN \>and 20% DFB; \> 1.2 \* ULN and \> 20% IFB. Creatinine \> 2.0 \* ULN and\> 100% IFB; Glucose \< 0.6 \* LLN and\> 40% DFB; \> 3.0 \* ULN and\> 200% IFB. Potassium \< 0.8 \* LLN and \> 20% DFB; \> 1.2 \* ULN and\> 20% IFB. Sodium \< 0.85 \* LLN and\> 10% DFB;\> 1.1 \* ULN and \>10% IFB. Bilirubin \> 1.5 \* ULN and \> 100% IFB.; Direct bilirubin \> 2.0 \* ULN and \> 150% IFB.
Time frame: From start of study treatment until At TOC visit (Up to Day 28)
Population: Safety analysis set included all participants who received any amount of study treatment. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies number of participants available for specified rows.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Aspartate Aminotransferase >3.0* ULN and > 100% Increase from Baseline | 25 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Alanine Aminotransferase > 3.0* ULN and > 100% Increase from Baseline | 24 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Alkaline Phosphatase < 0.5* LLN and > 80% Decrease from Baseline | 0 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Alkaline Phosphatase > 3.0* ULN and > 100% Increase from Baseline | 5 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Bilirubin > 1.5* ULN and > 100% Increase from Baseline | 2 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Direct Bilirubin > 2.0* ULN and > 150% Increase from Baseline | 2 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Creatinine > 2.0* ULN and > 100% Increase from Baseline | 0 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Sodium < 0.85* LLN and > 10% Decrease from Baseline | 0 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Sodium> 1.1* ULN and > 10% Increase from Baseline | 0 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Potassium < 0.8* LLN and > 20% Decrease from Baseline | 6 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Potassium > 1.2* ULN and > 20% Increase from Baseline | 5 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Chloride< 0.8* LLN and > 20% Decrease from Baseline | 0 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Chloride > 1.2* ULN and > 20% Increase from Baseline | 1 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Bicarbonate < 0.7* LLN and > 40% Decrease from Baseline | 0 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Bicarbonate > 1.3* ULN and > 40% Increase from Baseline | 3 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Calcium < 0.7* LLN and > 30% Decrease from Baseline | 2 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Calcium > 1.3* ULN and > 30% Increase from Baseline | 0 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Albumin < 0.5* LLN and > 50% Decrease from Baseline | 0 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Albumin > 1.5* ULN and > 50% Increase from Baseline | 0 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Glucose < 0.6* LLN and > 40% Decrease from Baseline | 0 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Glucose > 3.0* ULN and > 200% Increase from Baseline | 2 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Urea Nitrogen < 0.2* LLN and > 100% Decrease from Baseline | 0 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Urea Nitrogen > 3.0* ULN and > 200% Increase from Baseline | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Chloride< 0.8* LLN and > 20% Decrease from Baseline | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Aspartate Aminotransferase >3.0* ULN and > 100% Increase from Baseline | 14 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Albumin < 0.5* LLN and > 50% Decrease from Baseline | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Alanine Aminotransferase > 3.0* ULN and > 100% Increase from Baseline | 10 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Chloride > 1.2* ULN and > 20% Increase from Baseline | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Alkaline Phosphatase < 0.5* LLN and > 80% Decrease from Baseline | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Glucose > 3.0* ULN and > 200% Increase from Baseline | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Alkaline Phosphatase > 3.0* ULN and > 100% Increase from Baseline | 4 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Bicarbonate < 0.7* LLN and > 40% Decrease from Baseline | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Bilirubin > 1.5* ULN and > 100% Increase from Baseline | 3 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Albumin > 1.5* ULN and > 50% Increase from Baseline | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Direct Bilirubin > 2.0* ULN and > 150% Increase from Baseline | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Bicarbonate > 1.3* ULN and > 40% Increase from Baseline | 1 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Creatinine > 2.0* ULN and > 100% Increase from Baseline | 3 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Urea Nitrogen > 3.0* ULN and > 200% Increase from Baseline | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Sodium < 0.85* LLN and > 10% Decrease from Baseline | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Calcium < 0.7* LLN and > 30% Decrease from Baseline | 1 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Sodium> 1.1* ULN and > 10% Increase from Baseline | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Glucose < 0.6* LLN and > 40% Decrease from Baseline | 1 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Potassium < 0.8* LLN and > 20% Decrease from Baseline | 1 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Calcium > 1.3* ULN and > 30% Increase from Baseline | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Potassium > 1.2* ULN and > 20% Increase from Baseline | 4 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Clinical Chemistry Abnormalities | Urea Nitrogen < 0.2* LLN and > 100% Decrease from Baseline | 0 Participants |
Number of Participants With Potentially Clinically Significant Hematology Abnormalities
Criteria for potential clinically significant hematology results were as follows: hemoglobin, hematocrit and erythrocyte \<0.7\*lower limit of normal \[LLN\] and \>30% decrease from Baseline (DFB); \>1.3\*upper limit of normal (ULN) and \>30% increase from Baseline (IFB). Platelet count \<0.65\*LLN and \> 50% decrease from baseline; \> 1.5 \* ULN and \> 100% increase from baseline. leukocyte: \< 0.65\* LLN and \> 60% decrease from baseline; \> 1.5\* ULN and 100% increase from baseline. Neutrophils/leukocytes \< 0.65 \* LLN and \>75% decrease from baseline; \> 1.6\*ULN and \> 100% increase from baseline. Lymphocytes/leukocytes \< 0.25\* LLN and \> 75% decrease from baseline;\> 1.5\* ULN and \> 100% increase from baseline, Eosinophils/leukocytes, Monocytes/leukocytes, Basophils/leukocytes \> 4.0\* ULN and \> 300% increase from baseline.
Time frame: From start of study treatment until TOC visit (Up to Day 28)
Population: Safety analysis set included all participants who received any amount of study treatment. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies number of participants available for specified rows.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Hemoglobin< 0.7* LLN and > 30% Decrease from Baseline | 8 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Neutrophils/Leukocytes > 1.6* ULN and > 100% Increase from Baseline | 0 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Erythrocytes > 1.3* ULN and > 30% Increase from Baseline | 0 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Monocytes/Leukocytes > 4.0* ULN and > 300% Increase from Baseline | 0 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Hematocrit > 1.3* ULN and > 30% Increase from Baseline | 0 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Lymphocytes/Leukocytes < 0.25* LLN and > 75% Decrease from Baseline | 1 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Leukocytes < 0.65* LLN and > 60% Decrease from Baseline | 0 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Lymphocytes/Leukocytes > 1.5* ULN and > 100% Increase from Baseline | 0 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Hematocrit < 0.7*LLN and > 30% Decrease from Baseline | 6 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Eosinophils/Leukocytes > 4.0* ULN and > 300% Increase from Baseline | 0 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Leukocytes > 1.5* ULN and > 100% Increase from Baseline | 12 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Basophils/Leukocytes > 4.0* ULN and > 300% Increase from Baseline | 0 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Erythrocytes < 0.7* LLN and > 30% Decrease from Baseline | 7 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Platelets < 0.65* LLN and > 50% Decrease from Baseline | 3 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Neutrophils/Leukocytes < 0.65* LLN and > 75% Decrease from Baseline | 0 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Platelets > 1.5* ULN and > 100% Increase from Baseline | 12 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Hemoglobin > 1.3* ULN and > 30% Increase from Baseline | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Platelets > 1.5* ULN and > 100% Increase from Baseline | 7 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Hematocrit < 0.7*LLN and > 30% Decrease from Baseline | 3 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Hematocrit > 1.3* ULN and > 30% Increase from Baseline | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Hemoglobin< 0.7* LLN and > 30% Decrease from Baseline | 3 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Hemoglobin > 1.3* ULN and > 30% Increase from Baseline | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Erythrocytes < 0.7* LLN and > 30% Decrease from Baseline | 3 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Erythrocytes > 1.3* ULN and > 30% Increase from Baseline | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Leukocytes < 0.65* LLN and > 60% Decrease from Baseline | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Leukocytes > 1.5* ULN and > 100% Increase from Baseline | 5 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Neutrophils/Leukocytes < 0.65* LLN and > 75% Decrease from Baseline | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Neutrophils/Leukocytes > 1.6* ULN and > 100% Increase from Baseline | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Monocytes/Leukocytes > 4.0* ULN and > 300% Increase from Baseline | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Lymphocytes/Leukocytes < 0.25* LLN and > 75% Decrease from Baseline | 1 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Lymphocytes/Leukocytes > 1.5* ULN and > 100% Increase from Baseline | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Eosinophils/Leukocytes > 4.0* ULN and > 300% Increase from Baseline | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Basophils/Leukocytes > 4.0* ULN and > 300% Increase from Baseline | 0 Participants |
| Meropenem± Colistimethate | Number of Participants With Potentially Clinically Significant Hematology Abnormalities | Platelets < 0.65* LLN and > 50% Decrease from Baseline | 2 Participants |
Percentage of Participants Who Died on or Before 28 Days After Randomization: ITT Analysis Set
Percentage of participants who died on or before 28 days after randomization is reported in this outcome measure.
Time frame: From randomization up to 28 days
Population: The ITT analysis set included all randomized participants regardless of receipt of study drug.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants Who Died on or Before 28 Days After Randomization: ITT Analysis Set | 4.3 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants Who Died on or Before 28 Days After Randomization: ITT Analysis Set | 7.1 Percentage of participants |
Percentage of Participants Who Died on or Before 28 Days After Randomization: Micro-ITT Analysis Set
Percentage of participants who died on or before 28 days after randomization is reported in this outcome measure.
Time frame: From randomization up to 28 days
Population: Micro-ITT analysis set was a subset of the ITT analysis set and included all participants who had at least 1 Gram-negative baseline pathogen from an adequate specimen obtained prior to the start of study treatment.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants Who Died on or Before 28 Days After Randomization: Micro-ITT Analysis Set | 2.8 Percenatge of participants |
| Meropenem± Colistimethate | Percentage of Participants Who Died on or Before 28 Days After Randomization: Micro-ITT Analysis Set | 6.4 Percenatge of participants |
Percentage of Participants With Clinical Cure at TOC Visit by Type of Infection: CE Analysis Set
Clinical cure = improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. 95% CI was based on Jeffrey's method. CE analysis set:all participants in ITT analysis set; met criteria for cIAI, or HAP/VAP; received at least 48 hours of study treatment or \<48 hours of treatment before discontinuing study drug due to AE; no concomitant antibiotics for any baseline pathogens between first dose and TOC (except protocol-allowed antibiotics); no prior antibiotics other than allowed per protocol; no important protocol deviations; no clinical outcome of indeterminate at TOC; no monomicrobial infections due to non-eligible pathogens and did not have only Gram-positive pathogens.
Time frame: At TOC visit (Day 28)
Population: CE analysis set. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies number of participants evaluable for specified rows.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure at TOC Visit by Type of Infection: CE Analysis Set | cIAI | 85.1 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure at TOC Visit by Type of Infection: CE Analysis Set | HAP/VAP | 46.7 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure at TOC Visit by Type of Infection: CE Analysis Set | cIAI | 79.5 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure at TOC Visit by Type of Infection: CE Analysis Set | HAP/VAP | 54.5 Percentage of participants |
Percentage of Participants With Clinical Cure at TOC Visit by Type of Infection: ITT Analysis Set
Clinical cure was defined as improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. 95% CI was based on Jeffrey's method.
Time frame: At TOC visit (Day 28)
Population: ITT analysis set included all randomized participants regardless of receipt of study drug. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies number of participants evaluable for specified rows.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure at TOC Visit by Type of Infection: ITT Analysis Set | cIAI | 76.4 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure at TOC Visit by Type of Infection: ITT Analysis Set | HAP/VAP | 45.9 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure at TOC Visit by Type of Infection: ITT Analysis Set | cIAI | 74.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure at TOC Visit by Type of Infection: ITT Analysis Set | HAP/VAP | 41.7 Percentage of participants |
Percentage of Participants With Clinical Cure at TOC Visit: Microbiological Intent-To-Treat (Micro-ITT) Analysis Set
Clinical cure was defined as improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. 95% CI was based on Jeffrey's method.
Time frame: At TOC visit (Day 28)
Population: The microbiological Intent-To-Treat (micro-ITT) analysis set was a subset of the ITT analysis set and included all participants who had at least one Gram-negative baseline pathogen from an adequate specimen obtained prior to the start of study treatment.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure at TOC Visit: Microbiological Intent-To-Treat (Micro-ITT) Analysis Set | 72.9 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure at TOC Visit: Microbiological Intent-To-Treat (Micro-ITT) Analysis Set | 72.3 Percentage of participants |
Percentage of Participants With Clinical Cure at TOC Visit: Microbiologically Evaluable (ME) Analysis Set
Clinical cure was defined as improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. 95% CI was based on Jeffrey's method.
Time frame: At TOC visit (Day 28)
Population: ME analysis set included all participants commonly included in both micro-ITT and CE analysis sets and included participants who had at least 1 etiologic pathogen from an adequate baseline culture regardless of susceptibility to study agents.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure at TOC Visit: Microbiologically Evaluable (ME) Analysis Set | 78.5 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure at TOC Visit: Microbiologically Evaluable (ME) Analysis Set | 75.9 Percentage of participants |
Percentage of Participants With Clinical Cure in Participants With MBL Positive Pathogen at TOC Visit: ME Analysis Set
Clinical cure was defined as improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. For cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee.
Time frame: At TOC visit (Day 28)
Population: The ME analysis set included all participants commonly included in both micro-ITT and CE analysis sets and included participants who had at least 1 etiologic pathogen from an adequate baseline culture regardless of susceptibility to study agents. Here, 'Overall Number of Participants Analyzed' signifies number of participants evaluable for this outcome measure.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure in Participants With MBL Positive Pathogen at TOC Visit: ME Analysis Set | 50.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure in Participants With MBL Positive Pathogen at TOC Visit: ME Analysis Set | 0 Percentage of participants |
Percentage of Participants With Clinical Cure in Participants With Metallo-beta-lactamase (MBL) Positive Pathogen at TOC Visit: Micro-ITT Analysis Set
Clinical cure was defined as improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee.
Time frame: At TOC visit (Day 28)
Population: Micro-ITT analysis set was a subset of the ITT analysis and included all participants who had at least 1 Gram-negative baseline pathogen from an adequate specimen obtained prior to the start of study treatment. Here, 'Overall Number of Participants Analyzed' signifies number of participants evaluable for this outcome measure.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure in Participants With Metallo-beta-lactamase (MBL) Positive Pathogen at TOC Visit: Micro-ITT Analysis Set | 28.6 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure in Participants With Metallo-beta-lactamase (MBL) Positive Pathogen at TOC Visit: Micro-ITT Analysis Set | 66.7 Percentage of participants |
Percentage of Participants With Favorable Per-Participant Microbiological Response at TOC Visit: ME Analysis Set
Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure.
Time frame: At TOC Visit (Day 28)
Population: The ME analysis set included all participants commonly included in both micro-ITT and CE analysis sets and included participants who had at least 1 etiologic pathogen from an adequate baseline culture regardless of susceptibility to study agents.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response at TOC Visit: ME Analysis Set | 77.2 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response at TOC Visit: ME Analysis Set | 75.9 Percentage of participants |
Percentage of Participants With Favorable Per-Participant Microbiological Response at TOC Visit: Micro- ITT Analysis Set
Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure.
Time frame: At TOC visit day (28)
Population: Micro-ITT analysis set was a subset of the ITT analysis sets and included all participants who had at least 1 Gram-negative baseline pathogen from an adequate specimen obtained prior to the start of study treatment. Participants with a per participant response of indeterminate were excluded from this analysis. Here, 'Overall Number of Participants Analyzed' signifies number of participants evaluable for this outcome measure.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response at TOC Visit: Micro- ITT Analysis Set | 75.7 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response at TOC Visit: Micro- ITT Analysis Set | 73.9 Percentage of participants |
Percentage of Time That Free Plasma Concentrations Are Above the Minimum Inhibitory Concentration Over a Dosing Interval (%fT>MIC Aztreonam (ATM) of 8 mg/L) According to Clinical Response by Infection Type at TOC: Aztreonam
Population PK predicted (%fT\>MIC ATM of 8 mg/L) for participants who received aztreonam-avibactam in studies C3601002 (NCT03329092) and C3601009 (NCT03580044). Clinical response categories included, clinical cure=improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. For cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Failure was defined as participants who met any of the following criteria like death (after receiving at least 48 hours of study treatment) and participants who received treatment with further antibiotics for the index infection. Indeterminate was defined as death (after receiving less than 48 hours of study treatment) and for cIAI participants inadequate infection source control at time of initial surgical procedure.
Time frame: At TOC (Day 28)
Population: Analysis population included participants from PK and ITT analysis set. All participants reported under 'Overall Number of Participants Analyzed' included participants evaluable for this outcome measure and contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies participants evaluable for the specified rows.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Time That Free Plasma Concentrations Are Above the Minimum Inhibitory Concentration Over a Dosing Interval (%fT>MIC Aztreonam (ATM) of 8 mg/L) According to Clinical Response by Infection Type at TOC: Aztreonam | cIAI: Clinical cure | 90.4 Percentage of time | Geometric Coefficient of Variation 41.9 |
| Aztreonam-avibactam ± Metronidazole | Percentage of Time That Free Plasma Concentrations Are Above the Minimum Inhibitory Concentration Over a Dosing Interval (%fT>MIC Aztreonam (ATM) of 8 mg/L) According to Clinical Response by Infection Type at TOC: Aztreonam | cIAI: Failure | 73.81 Percentage of time | Geometric Coefficient of Variation 134.39 |
| Aztreonam-avibactam ± Metronidazole | Percentage of Time That Free Plasma Concentrations Are Above the Minimum Inhibitory Concentration Over a Dosing Interval (%fT>MIC Aztreonam (ATM) of 8 mg/L) According to Clinical Response by Infection Type at TOC: Aztreonam | cIAI: Indeterminate | 100 Percentage of time | Geometric Coefficient of Variation 0 |
| Aztreonam-avibactam ± Metronidazole | Percentage of Time That Free Plasma Concentrations Are Above the Minimum Inhibitory Concentration Over a Dosing Interval (%fT>MIC Aztreonam (ATM) of 8 mg/L) According to Clinical Response by Infection Type at TOC: Aztreonam | HAP:Clinical cure | 97.87 Percentage of time | Geometric Coefficient of Variation 7.67 |
| Aztreonam-avibactam ± Metronidazole | Percentage of Time That Free Plasma Concentrations Are Above the Minimum Inhibitory Concentration Over a Dosing Interval (%fT>MIC Aztreonam (ATM) of 8 mg/L) According to Clinical Response by Infection Type at TOC: Aztreonam | HAP: Failure | 97.2 Percentage of time | Geometric Coefficient of Variation 8.4 |
| Aztreonam-avibactam ± Metronidazole | Percentage of Time That Free Plasma Concentrations Are Above the Minimum Inhibitory Concentration Over a Dosing Interval (%fT>MIC Aztreonam (ATM) of 8 mg/L) According to Clinical Response by Infection Type at TOC: Aztreonam | HAP: Indeterminate | 100 Percentage of time | Geometric Coefficient of Variation 0 |
| Aztreonam-avibactam ± Metronidazole | Percentage of Time That Free Plasma Concentrations Are Above the Minimum Inhibitory Concentration Over a Dosing Interval (%fT>MIC Aztreonam (ATM) of 8 mg/L) According to Clinical Response by Infection Type at TOC: Aztreonam | VAP: Clinical Cure | 95.29 Percentage of time | Geometric Coefficient of Variation 8.94 |
| Aztreonam-avibactam ± Metronidazole | Percentage of Time That Free Plasma Concentrations Are Above the Minimum Inhibitory Concentration Over a Dosing Interval (%fT>MIC Aztreonam (ATM) of 8 mg/L) According to Clinical Response by Infection Type at TOC: Aztreonam | VAP: Failure | 96.38 Percentage of time | Geometric Coefficient of Variation 10.02 |
| Aztreonam-avibactam ± Metronidazole | Percentage of Time That Free Plasma Concentrations Are Above the Minimum Inhibitory Concentration Over a Dosing Interval (%fT>MIC Aztreonam (ATM) of 8 mg/L) According to Clinical Response by Infection Type at TOC: Aztreonam | VAP: Indeterminate | 100 Percentage of time | — |
Percentage of Time That Free Plasma Concentrations Are Above the Minimum Inhibitory Concentration Over a Dosing Interval (%fT>MIC Aztreonam (ATM) of 8 mg/L) According to Microbiological Response by Infection Type at TOC: Aztreonam
Population PK predicted (%fT\>MIC ATM of 8 mg/L) for participants who received ATM-AVI in studies C3601002 (NCT03329092) and C3601009 (NCT03580044). Microbiological response included Favorable =baseline pathogens for participant had a favorable outcome. Eradication: Absence of causative pathogen from an appropriately obtained specimen at site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Unfavorable=persistence, persistence with increasing MIC, or presumed persistence. Persistence= Causative organism still present from appropriately obtained specimen at site of infection. Presumed persistence= Participant assessed as a clinical failure and repeat culture of specimens were not performed/clinically indicated. Indeterminate = death (after receiving \< 48 hours of study treatment) and for cIAI participants inadequate infection source control at time of initial surgical procedure.
Time frame: At TOC (Day 28)
Population: Analysis population included participants from PK and micro-ITT analysis set. All participants reported under 'Overall Number of Participants Analyzed' included participants evaluable for this outcome measure and contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' =participants evaluable for the specified rows.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Time That Free Plasma Concentrations Are Above the Minimum Inhibitory Concentration Over a Dosing Interval (%fT>MIC Aztreonam (ATM) of 8 mg/L) According to Microbiological Response by Infection Type at TOC: Aztreonam | cIAI: Favorable | 92.57 Percentage of time | Geometric Coefficient of Variation 17.66 |
| Aztreonam-avibactam ± Metronidazole | Percentage of Time That Free Plasma Concentrations Are Above the Minimum Inhibitory Concentration Over a Dosing Interval (%fT>MIC Aztreonam (ATM) of 8 mg/L) According to Microbiological Response by Infection Type at TOC: Aztreonam | cIAI: Unfavorable | 68.02 Percentage of time | Geometric Coefficient of Variation 171.87 |
| Aztreonam-avibactam ± Metronidazole | Percentage of Time That Free Plasma Concentrations Are Above the Minimum Inhibitory Concentration Over a Dosing Interval (%fT>MIC Aztreonam (ATM) of 8 mg/L) According to Microbiological Response by Infection Type at TOC: Aztreonam | cIAI: Indeterminate | 100 Percentage of time | Geometric Coefficient of Variation 0 |
| Aztreonam-avibactam ± Metronidazole | Percentage of Time That Free Plasma Concentrations Are Above the Minimum Inhibitory Concentration Over a Dosing Interval (%fT>MIC Aztreonam (ATM) of 8 mg/L) According to Microbiological Response by Infection Type at TOC: Aztreonam | HAP:Favorable | 95.53 Percentage of time | Geometric Coefficient of Variation 11.05 |
| Aztreonam-avibactam ± Metronidazole | Percentage of Time That Free Plasma Concentrations Are Above the Minimum Inhibitory Concentration Over a Dosing Interval (%fT>MIC Aztreonam (ATM) of 8 mg/L) According to Microbiological Response by Infection Type at TOC: Aztreonam | HAP: Unfavorable | 93.9 Percentage of time | Geometric Coefficient of Variation 14.14 |
| Aztreonam-avibactam ± Metronidazole | Percentage of Time That Free Plasma Concentrations Are Above the Minimum Inhibitory Concentration Over a Dosing Interval (%fT>MIC Aztreonam (ATM) of 8 mg/L) According to Microbiological Response by Infection Type at TOC: Aztreonam | HAP: Indeterminate | 100 Percentage of time | Geometric Coefficient of Variation 0 |
| Aztreonam-avibactam ± Metronidazole | Percentage of Time That Free Plasma Concentrations Are Above the Minimum Inhibitory Concentration Over a Dosing Interval (%fT>MIC Aztreonam (ATM) of 8 mg/L) According to Microbiological Response by Infection Type at TOC: Aztreonam | VAP: Favorable | 90.8 Percentage of time | Geometric Coefficient of Variation 12.3 |
| Aztreonam-avibactam ± Metronidazole | Percentage of Time That Free Plasma Concentrations Are Above the Minimum Inhibitory Concentration Over a Dosing Interval (%fT>MIC Aztreonam (ATM) of 8 mg/L) According to Microbiological Response by Infection Type at TOC: Aztreonam | VAP: Unfavorable | 97.42 Percentage of time | Geometric Coefficient of Variation 9.54 |
| Aztreonam-avibactam ± Metronidazole | Percentage of Time That Free Plasma Concentrations Are Above the Minimum Inhibitory Concentration Over a Dosing Interval (%fT>MIC Aztreonam (ATM) of 8 mg/L) According to Microbiological Response by Infection Type at TOC: Aztreonam | VAP: Indeterminate | 100 Percentage of time | — |
Percent of Time That Free Plasma Concentrations Are Above the Threshold Concentration Over a Dosing Interval (%fT>CT of 2.5mg/L) According to Clinical Response by Infection Type at TOC: Avibactam
Population PK predicted (%fT\>CT of 2.5mg/L) for participants who received aztreonam-avibactam in studies C3601002 (NCT03329092) and C3601009 (NCT03580044). Clinical response categories included, clinical cure=improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. For cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Failure was defined as participants who met any of the following criteria like death (after receiving at least 48 hours of study treatment) and participants who received treatment with further antibiotics for the index infection. Indeterminate was defined as death (after receiving less than 48 hours of study treatment) and for cIAI participants inadequate infection source control at time of initial surgical procedure.
Time frame: At TOC (Day 28)
Population: Analysis population included participants from PK and ITT analysis set. All participants reported under 'Overall Number of Participants Analyzed' included participants evaluable for this outcome measure and contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies participants evaluable for the specified rows.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percent of Time That Free Plasma Concentrations Are Above the Threshold Concentration Over a Dosing Interval (%fT>CT of 2.5mg/L) According to Clinical Response by Infection Type at TOC: Avibactam | cIAI: Clinical cure | 85.53 Percentage of time | Geometric Coefficient of Variation 43.26 |
| Aztreonam-avibactam ± Metronidazole | Percent of Time That Free Plasma Concentrations Are Above the Threshold Concentration Over a Dosing Interval (%fT>CT of 2.5mg/L) According to Clinical Response by Infection Type at TOC: Avibactam | cIAI: Failure | 71.92 Percentage of time | Geometric Coefficient of Variation 133.68 |
| Aztreonam-avibactam ± Metronidazole | Percent of Time That Free Plasma Concentrations Are Above the Threshold Concentration Over a Dosing Interval (%fT>CT of 2.5mg/L) According to Clinical Response by Infection Type at TOC: Avibactam | cIAI: Indeterminate | 98.52 Percentage of time | Geometric Coefficient of Variation 2.81 |
| Aztreonam-avibactam ± Metronidazole | Percent of Time That Free Plasma Concentrations Are Above the Threshold Concentration Over a Dosing Interval (%fT>CT of 2.5mg/L) According to Clinical Response by Infection Type at TOC: Avibactam | HAP:Clinical cure | 95.99 Percentage of time | Geometric Coefficient of Variation 11.57 |
| Aztreonam-avibactam ± Metronidazole | Percent of Time That Free Plasma Concentrations Are Above the Threshold Concentration Over a Dosing Interval (%fT>CT of 2.5mg/L) According to Clinical Response by Infection Type at TOC: Avibactam | HAP: Failure | 95.28 Percentage of time | Geometric Coefficient of Variation 12.12 |
| Aztreonam-avibactam ± Metronidazole | Percent of Time That Free Plasma Concentrations Are Above the Threshold Concentration Over a Dosing Interval (%fT>CT of 2.5mg/L) According to Clinical Response by Infection Type at TOC: Avibactam | HAP: Indeterminate | 92.75 Percentage of time | Geometric Coefficient of Variation 11.19 |
| Aztreonam-avibactam ± Metronidazole | Percent of Time That Free Plasma Concentrations Are Above the Threshold Concentration Over a Dosing Interval (%fT>CT of 2.5mg/L) According to Clinical Response by Infection Type at TOC: Avibactam | VAP: Clinical Cure | 92 Percentage of time | Geometric Coefficient of Variation 13.01 |
| Aztreonam-avibactam ± Metronidazole | Percent of Time That Free Plasma Concentrations Are Above the Threshold Concentration Over a Dosing Interval (%fT>CT of 2.5mg/L) According to Clinical Response by Infection Type at TOC: Avibactam | VAP: Failure | 94.08 Percentage of time | Geometric Coefficient of Variation 12.93 |
| Aztreonam-avibactam ± Metronidazole | Percent of Time That Free Plasma Concentrations Are Above the Threshold Concentration Over a Dosing Interval (%fT>CT of 2.5mg/L) According to Clinical Response by Infection Type at TOC: Avibactam | VAP: Indeterminate | 100 Percentage of time | — |
Percent of Time That Free Plasma Concentrations Are Above the Threshold Concentration Over a Dosing Interval; (%fT>CT of 2.5 mg/L) According to Microbiological Response by Infection Type at TOC: Avibactam
Population PK predicted (%fT\>CT of 2.5 mg/L) for participants who received ATM-AVI in studies C3601002 (NCT03329092) and C3601009 (NCT03580044). Microbiological response included Favorable =baseline pathogens for participant had a favorable outcome. Eradication: Absence of causative pathogen from an appropriately obtained specimen at site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Unfavorable=persistence, persistence with increasing MIC, or presumed persistence. Persistence= Causative organism still present from appropriately obtained specimen at site of infection. Presumed persistence= Participant assessed as a clinical failure and repeat culture of specimens were not performed/clinically indicated. Indeterminate = death (after receiving \< 48 hours of study treatment) and for cIAI participants inadequate infection source control at time of initial surgical procedure.
Time frame: At TOC (Day 28)
Population: Analysis population included participants from PK and micro-ITT analysis set. All participants reported under 'Overall Number of Participants Analyzed' included participants evaluable for this outcome measure and contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' =participants evaluable for the specified rows.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percent of Time That Free Plasma Concentrations Are Above the Threshold Concentration Over a Dosing Interval; (%fT>CT of 2.5 mg/L) According to Microbiological Response by Infection Type at TOC: Avibactam | cIAI: Favorable | 87.93 Percentage of time | Geometric Coefficient of Variation 21.78 |
| Aztreonam-avibactam ± Metronidazole | Percent of Time That Free Plasma Concentrations Are Above the Threshold Concentration Over a Dosing Interval; (%fT>CT of 2.5 mg/L) According to Microbiological Response by Infection Type at TOC: Avibactam | cIAI: Unfavorable | 66.43 Percentage of time | Geometric Coefficient of Variation 170.59 |
| Aztreonam-avibactam ± Metronidazole | Percent of Time That Free Plasma Concentrations Are Above the Threshold Concentration Over a Dosing Interval; (%fT>CT of 2.5 mg/L) According to Microbiological Response by Infection Type at TOC: Avibactam | cIAI: Indeterminate | 99.24 Percentage of time | Geometric Coefficient of Variation 1.52 |
| Aztreonam-avibactam ± Metronidazole | Percent of Time That Free Plasma Concentrations Are Above the Threshold Concentration Over a Dosing Interval; (%fT>CT of 2.5 mg/L) According to Microbiological Response by Infection Type at TOC: Avibactam | HAP:Favorable | 92.26 Percentage of time | Geometric Coefficient of Variation 16.44 |
| Aztreonam-avibactam ± Metronidazole | Percent of Time That Free Plasma Concentrations Are Above the Threshold Concentration Over a Dosing Interval; (%fT>CT of 2.5 mg/L) According to Microbiological Response by Infection Type at TOC: Avibactam | HAP: Unfavorable | 90.03 Percentage of time | Geometric Coefficient of Variation 18.83 |
| Aztreonam-avibactam ± Metronidazole | Percent of Time That Free Plasma Concentrations Are Above the Threshold Concentration Over a Dosing Interval; (%fT>CT of 2.5 mg/L) According to Microbiological Response by Infection Type at TOC: Avibactam | HAP: Indeterminate | 100 Percentage of time | Geometric Coefficient of Variation 0 |
| Aztreonam-avibactam ± Metronidazole | Percent of Time That Free Plasma Concentrations Are Above the Threshold Concentration Over a Dosing Interval; (%fT>CT of 2.5 mg/L) According to Microbiological Response by Infection Type at TOC: Avibactam | VAP: Favorable | 87.47 Percentage of time | Geometric Coefficient of Variation 16.8 |
| Aztreonam-avibactam ± Metronidazole | Percent of Time That Free Plasma Concentrations Are Above the Threshold Concentration Over a Dosing Interval; (%fT>CT of 2.5 mg/L) According to Microbiological Response by Infection Type at TOC: Avibactam | VAP: Unfavorable | 95.52 Percentage of time | Geometric Coefficient of Variation 11.79 |
| Aztreonam-avibactam ± Metronidazole | Percent of Time That Free Plasma Concentrations Are Above the Threshold Concentration Over a Dosing Interval; (%fT>CT of 2.5 mg/L) According to Microbiological Response by Infection Type at TOC: Avibactam | VAP: Indeterminate | 100 Percentage of time | — |
Plasma Concentration of Avibactam
Plasma concentration for avibactam according to renal function (augmented, normal and mild, moderate and severe is presented in this outcome measure. Augmented = CrCL \> 150 mL/min; Normal & Mild = CrCL \> 50 to \<=150 mL/min; Moderate = CrCL \> 30 to ≤ 50 mL/min; Severe = CrCL \> 15 to ≤ 30 mL/min.
Time frame: Anytime between 25 to 30 minutes, 3.25 to 3.5 hours, 5.5 to 6.5 hours, 7.5 to 8.5 hours post start of infusion on Day 1; 2.75 to 3 hours, 3.5 to 4.5 hours, 5 to 6 and 7 to 8 hours post start of infusion on Day 4
Population: PK analysis set included all participants who had at least 1 plasma concentration data assessment available for ATM or AVI. All participants reported under 'Overall Number of Participants Analyzed' included participants evaluable for this outcome measure and contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies participants evaluable for the specified rows.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Moderate: 5 to 6 hours post start of infusion on Day 4 | 9.23 Milligram/Liter | Geometric Coefficient of Variation 72.89 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Augmented:25 to 30 minutes post start of infusion on Day 1 | 10.77 Milligram/Liter | Geometric Coefficient of Variation 353.86 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Augmented:3.25 to 3.5 hours post start of infusion on Day 1 | 12.6 Milligram/Liter | Geometric Coefficient of Variation 299.27 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Augmented: 5.5 hours to 6.5 hours post start of infusion on Day 1 | 4.75 Milligram/Liter | Geometric Coefficient of Variation 366.33 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Normal & Mild: 25 to 30 min post start of infusion on Day 1 | 8.81 Milligram/Liter | Geometric Coefficient of Variation 338.73 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Normal & Mild:3.25 to 3.5 hours post start of infusion on Day 1 | 13.76 Milligram/Liter | Geometric Coefficient of Variation 242.67 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Normal & Mild:5.5 hours to 6.5 hours post start of infusion on Day 1 | 4.85 Milligram/Liter | Geometric Coefficient of Variation 209.49 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Normal & Mild:7.5 to 8.5 hours post start of infusion on Day 1 | 7.18 Milligram/Liter | Geometric Coefficient of Variation 62.62 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Moderate: 25 to 30 min post start of infusion on Day 1 | 13.56 Milligram/Liter | Geometric Coefficient of Variation 383.79 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Moderate: 3.25 to 3.5 hours post start of infusion on Day 1 | 20.28 Milligram/Liter | Geometric Coefficient of Variation 262.6 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Moderate: 5.5 hours to 6.5 hours post start of infusion on Day 1 | 13.47 Milligram/Liter | Geometric Coefficient of Variation 160.75 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Moderate: 7.5 to 8.5 hours post start of infusion on Day 1 | 7.91 Milligram/Liter | — |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Severe: 25 to 30 min post start of infusion on Day 1 | 14.11 Milligram/Liter | Geometric Coefficient of Variation 202.08 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Severe: 3.25 to 3.5 hours post start of infusion on Day 1 | 13.62 Milligram/Liter | Geometric Coefficient of Variation 39.68 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Severe: 5.5 hours to 6.5 hours post start of infusion on Day 1 | 11.6 Milligram/Liter | Geometric Coefficient of Variation 54.34 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Severe: 7.5 to 8.5 hours post start of infusion on Day 1 | 8 Milligram/Liter | Geometric Coefficient of Variation 57.91 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Augmented: 2.75 to 3 hours post start of infusion on Day 4 | 9.75 Milligram/Liter | Geometric Coefficient of Variation 289.96 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Augmented: 3.5 to 4.5 hours post start of infusion on Day 4 | 6.23 Milligram/Liter | Geometric Coefficient of Variation 263.94 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Augmented: 5 to 6 hours post start of infusion on Day 4 | 3.19 Milligram/Liter | Geometric Coefficient of Variation 265.65 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Augmented: 7 to 8 hours post start of infusion on Day 4 | 2.72 Milligram/Liter | — |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Normal & Mild: 2.75 to 3 hours post start of infusion on Day 4 | 11.46 Milligram/Liter | Geometric Coefficient of Variation 504.77 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Normal & Mild: 3.5 to 4.5 hours post start of infusion on Day 4 | 6.29 Milligram/Liter | Geometric Coefficient of Variation 493.48 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Normal & Mild: 5 to 6 hours post start of infusion on Day 4 | 3.48 Milligram/Liter | Geometric Coefficient of Variation 382.3 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Normal & Mild: 7 to 8 hours post start of infusion on Day 4 | 6.19 Milligram/Liter | Geometric Coefficient of Variation 51.22 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Moderate: 2.75 to 3 hours post start of infusion on Day 4 | 16.98 Milligram/Liter | Geometric Coefficient of Variation 208.63 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Moderate: 3.5 to 4.5 hours post start of infusion on Day 4 | 12.86 Milligram/Liter | Geometric Coefficient of Variation 156.96 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Moderate: 7 to 8 hours post start of infusion on Day 4 | 4.35 Milligram/Liter | — |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Severe: 2.75 to 3 hours post start of infusion on Day 4 | 14.35 Milligram/Liter | Geometric Coefficient of Variation 44.72 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Severe: 3.5 to 4.5 hours post start of infusion on Day 4 | 11.68 Milligram/Liter | Geometric Coefficient of Variation 42.15 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Severe: 5 to 6 hours post start of infusion on Day 4 | 9.99 Milligram/Liter | Geometric Coefficient of Variation 67.87 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Avibactam | Renal Function: Severe: Moderate: 7 to 8 hours post start of infusion on Day 4 | 8.97 Milligram/Liter | Geometric Coefficient of Variation 47.28 |
Plasma Concentration of Aztreonam
Plasma concentration for aztreonam according to renal function (augmented, normal and mild, moderate and severe is presented in this outcome measure. Augmented = Creatinine clearance (CrCL) \> 150 milliliters per minute (mL/min); Normal & Mild = CrCL \> 50 to \<=150 mL/min; Moderate = CrCL \> 30 to ≤ 50 mL/min; Severe = CrCL \> 15 to ≤ 30 mL/min.
Time frame: Anytime between 25 to 30 minutes, 3.25 to 3.5 hours, 5.5 to 6.5 hours, 7.5 to 8.5 hours post start of infusion on Day 1; 2.75 to 3 hours, 3.5 to 4.5 hours, 5 to 6 and 7 to 8 hours post start of infusion on Day 4
Population: PK analysis set included all participants who had at least 1 plasma concentration data assessment available for ATM or AVI. All participants reported under 'Overall Number of Participants Analyzed' included participants evaluable for this outcome measure and contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies participants evaluable for the specified rows.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Augmented:25 to 30 minutes post start of infusion on Day 1 | 43.3 Milligram/Liter | Geometric Coefficient of Variation 339.08 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Augmented:3.25 to 3.5 hours post start of infusion on Day 1 | 55.99 Milligram/Liter | Geometric Coefficient of Variation 287.36 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Augmented: 5.5 hours to 6.5 hours post loading infusion on Day 1 | 26.11 Milligram/Liter | Geometric Coefficient of Variation 338.5 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Normal & Mild: 25 to 30 min post start of infusion on Day 1 | 33.85 Milligram/Liter | Geometric Coefficient of Variation 234.46 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Normal & Mild:3.25 to 3.5 hours post start of infusion on Day 1 | 56.24 Milligram/Liter | Geometric Coefficient of Variation 222.32 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Normal & Mild:5.5 hours to 6.5 hours post start of infusion on Day 1 | 25.03 Milligram/Liter | Geometric Coefficient of Variation 115.83 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Normal & Mild:7.5 to 8.5 hours post start of infusion on Day 1 | 34.62 Milligram/Liter | Geometric Coefficient of Variation 54.42 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Moderate: 25 to 30 min post start of infusion on Day 1 | 54.49 Milligram/Liter | Geometric Coefficient of Variation 313.99 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Moderate: 3.25 to 3.5 hours post start of infusion on Day 1 | 73.72 Milligram/Liter | Geometric Coefficient of Variation 259.64 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Moderate: 5.5 hours to 6.5 hours post start of infusion on Day 1 | 52.45 Milligram/Liter | Geometric Coefficient of Variation 139.9 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Moderate: 7.5 to 8.5 hours post start of infusion on Day 1 | 34 Milligram/Liter | — |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Severe: 25 to 30 min post start of infusion on Day 1 | 48.98 Milligram/Liter | Geometric Coefficient of Variation 187.86 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Severe: 3.25 to 3.5 hours post start of infusion on Day 1 | 50.31 Milligram/Liter | Geometric Coefficient of Variation 30.13 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Severe: 5.5 hours to 6.5 hours post start of infusion on Day 1 | 48.54 Milligram/Liter | Geometric Coefficient of Variation 46.87 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Severe: 7.5 to 8.5 hours post start of infusion on Day 1 | 29.42 Milligram/Liter | Geometric Coefficient of Variation 34.88 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Augmented: 2.75 to 3 hours post start of infusion on Day 4 | 46.11 Milligram/Liter | Geometric Coefficient of Variation 234.31 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Augmented: 3.5 to 4.5 hours post start of infusion on Day 4 | 33.56 Milligram/Liter | Geometric Coefficient of Variation 204.99 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Augmented: 5 to 6 hours post start of infusion on Day 4 | 19.56 Milligram/Liter | Geometric Coefficient of Variation 205.84 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Augmented: 7 to 8 hours post start of infusion on Day 4 | 14.1 Milligram/Liter | — |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Normal & Mild: 2.75 to 3 hours post start of infusion on Day 4 | 56.59 Milligram/Liter | Geometric Coefficient of Variation 404.54 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Normal & Mild: 3.5 to 4.5 hours post start of infusion on Day 4 | 35.69 Milligram/Liter | Geometric Coefficient of Variation 422.52 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Normal & Mild: 5 to 6 hours post start of infusion on Day 4 | 21.75 Milligram/Liter | Geometric Coefficient of Variation 271.62 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Normal & Mild: 7 to 8 hours post start of infusion on Day 4 | 42.98 Milligram/Liter | Geometric Coefficient of Variation 62.54 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Moderate: 2.75 to 3 hours post start of infusion on Day 4 | 73.33 Milligram/Liter | Geometric Coefficient of Variation 183.2 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Moderate: 3.5 to 4.5 hours post start of infusion on Day 4 | 58 Milligram/Liter | Geometric Coefficient of Variation 129.36 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Moderate: 5 to 6 hours post start of infusion on Day 4 | 44.72 Milligram/Liter | Geometric Coefficient of Variation 59.15 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Moderate: 7 to 8 hours post start of infusion on Day 4 | 19.8 Milligram/Liter | — |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Severe: 2.75 to 3 hours post start of infusion on Day 4 | 54.91 Milligram/Liter | Geometric Coefficient of Variation 45.17 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Severe: 3.5 to 4.5 hours post start of infusion on Day 4 | 45.17 Milligram/Liter | Geometric Coefficient of Variation 34.89 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Severe: 5 to 6 hours post start of infusion on Day 4 | 45.11 Milligram/Liter | Geometric Coefficient of Variation 57.13 |
| Aztreonam-avibactam ± Metronidazole | Plasma Concentration of Aztreonam | Renal Function: Severe:7 to 8 hours post start of infusion on Day 4 | 32.69 Milligram/Liter | Geometric Coefficient of Variation 55.56 |
Duration of Mechanical Ventilation in HAP/VAP Participants: CE Analysis Set
Duration of mechanical ventilation was defined as the total number of calendar days on which the participant required mechanical ventilation from the date of randomization up to TOC. CE analysis set: all participants in ITT analysis set; met criteria for cIAI, or HAP/VAP; received at least 48 hours of study treatment or \<48 hours of treatment before discontinuing study drug due to AE; no concomitant antibiotics for any baseline pathogens between first dose and TOC (except protocol-allowed antibiotics); no prior antibiotics other than allowed per protocol; no important protocol deviations; no clinical outcome of indeterminate at TOC; no monomicrobial infections due to non-eligible pathogens and did not have only Gram-positive pathogens.
Time frame: From randomization until TOC visit (Up to Day 28)
Population: CE analysis set. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Duration of Mechanical Ventilation in HAP/VAP Participants: CE Analysis Set | 17.4 Days | Standard Deviation 8.99 |
| Meropenem± Colistimethate | Duration of Mechanical Ventilation in HAP/VAP Participants: CE Analysis Set | 19.5 Days | Standard Deviation 11.16 |
Duration of Mechanical Ventilation in HAP/VAP Participants: ITT Analysis Set
Duration of mechanical ventilation was defined as the total number of calendar days on which the participant required mechanical ventilation from the date of randomization up to TOC.
Time frame: From randomization until TOC visit (Up to Day 28)
Population: The ITT analysis set included all randomized participants regardless of receipt of study drug. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Duration of Mechanical Ventilation in HAP/VAP Participants: ITT Analysis Set | 14.2 Days | Standard Deviation 9.94 |
| Meropenem± Colistimethate | Duration of Mechanical Ventilation in HAP/VAP Participants: ITT Analysis Set | 16.7 Days | Standard Deviation 11.16 |
Duration of Study Treatment
The duration of therapy in calendar days were calculated as follows: Date of last dose of study drug - date of first dose of study drug +1.
Time frame: From first dose of study treatment until last dose of treatment (Up to 14 days)
Population: The safety analysis set included all participants who received any amount of study treatment.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Duration of Study Treatment | 8.5 Days | Standard Deviation 3.52 |
| Meropenem± Colistimethate | Duration of Study Treatment | 8.9 Days | Standard Deviation 3.17 |
Length of Intensive Care Unit (ICU) Stay: CE Analysis Set
The total length of ICU stay was defined as the total number of calendar days on which the participant was in ICU for the period from date of randomization until the TOC visit. CE analysis set: all participants in ITT analysis set; met criteria for cIAI, or HAP/VAP; received at least 48 hours of study treatment or \<48 hours of treatment before discontinuing study drug due to AE; no concomitant antibiotics for any baseline pathogens between first dose and TOC (except protocol-allowed antibiotics); no prior antibiotics other than allowed per protocol; no important protocol deviations; no clinical outcome of indeterminate at TOC; no monomicrobial infections due to non-eligible pathogens and did not have only Gram-positive pathogens.
Time frame: From randomization until TOC visit (Up to Day 28)
Population: CE analysis set. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Length of Intensive Care Unit (ICU) Stay: CE Analysis Set | 12.1 Days | Standard Deviation 9.23 |
| Meropenem± Colistimethate | Length of Intensive Care Unit (ICU) Stay: CE Analysis Set | 12.4 Days | Standard Deviation 9.38 |
Length of Intensive Care Unit (ICU) Stay: ITT Analysis Set
The total length of ICU stay was defined as the total number of calendar days on which the participant was in ICU for the period from date of randomization until the TOC visit.
Time frame: From randomization until TOC visit (Up to Day 28)
Population: The ITT analysis set included all randomized participants regardless of receipt of study drug. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Length of Intensive Care Unit (ICU) Stay: ITT Analysis Set | 11.6 Days | Standard Deviation 9.1 |
| Meropenem± Colistimethate | Length of Intensive Care Unit (ICU) Stay: ITT Analysis Set | 12.5 Days | Standard Deviation 9.45 |
Number of Participants According to Total Score for the Composite Endpoint of Symptom-Based Objective Clinical Measures: CE Analysis Set
CE analysis set: all participants in ITT analysis set; met criteria for cIAI, or HAP/VAP; received at least 48 hours of study treatment or \<48 hours of treatment before discontinuing study drug due to AE; no concomitant antibiotics for any baseline pathogens between first dose and TOC (except protocol-allowed antibiotics); no prior antibiotics other than allowed per protocol; no important protocol deviations; no clinical outcome of indeterminate at TOC; no monomicrobial infections due to non-eligible pathogens and did not have only Gram-positive pathogens.
Time frame: Up to Day 28
Population: CE analysis set. A composite scoring system was never developed and therefore there is no data to report for this outcome measure.
Number of Participants According to Total Score for the Composite Endpoint of Symptom-Based Objective Clinical Measures: ITT Analysis Set
Time frame: Up to Day 28
Population: The ITT analysis set included all randomized participants regardless of receipt of study drug. A composite scoring system was never developed and therefore there is no data to report for this outcome measure.
Number of Participants Admitted to the ICU: CE Analysis Set
The number of participants admitted to the ICU were reported in this outcome measure. CE analysis set: all participants in ITT analysis set; met criteria for cIAI, or HAP/VAP; received at least 48 hours of study treatment or \<48 hours of treatment before discontinuing study drug due to AE; no concomitant antibiotics for any baseline pathogens between first dose and TOC (except protocol-allowed antibiotics); no prior antibiotics other than allowed per protocol; no important protocol deviations; no clinical outcome of indeterminate at TOC; no monomicrobial infections due to non-eligible pathogens and did not have only Gram-positive pathogens.
Time frame: From randomization until TOC visit (Up to Day 28)
Population: CE analysis set.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Number of Participants Admitted to the ICU: CE Analysis Set | 54 Participants |
| Meropenem± Colistimethate | Number of Participants Admitted to the ICU: CE Analysis Set | 24 Participants |
Number of Participants Admitted to the ICU: ITT Analysis Set
Number of participants admitted to the ICU up to TOC were reported in this outcome measure.
Time frame: From randomization until TOC visit (Up to Day 28)
Population: The ITT analysis set included all randomized participants regardless of receipt of study drug.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Number of Participants Admitted to the ICU: ITT Analysis Set | 80 Participants |
| Meropenem± Colistimethate | Number of Participants Admitted to the ICU: ITT Analysis Set | 39 Participants |
Number of Participants With Favorable Microbiological Response Per-Pathogen at at TOC Visit: Micro-ITT Analysis Set
Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Only those pathogens are reported which had more than or equal to 10 isolates for either treatment group.
Time frame: At TOC visit (Day 28)
Population: Micro-ITT analysis set is a subset of the ITT analysis set and included all participants who had at least one Gram-negative baseline pathogen from an adequate specimen obtained prior to the start of study treatment. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies number of participants evaluable for specified rows.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Favorable Microbiological Response Per-Pathogen at at TOC Visit: Micro-ITT Analysis Set | Escherichia coli | 91 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Favorable Microbiological Response Per-Pathogen at at TOC Visit: Micro-ITT Analysis Set | Klebsiella pneumoniae | 14 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Favorable Microbiological Response Per-Pathogen at at TOC Visit: Micro-ITT Analysis Set | Pseudomonas aeruginosa | 12 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Favorable Microbiological Response Per-Pathogen at at TOC Visit: Micro-ITT Analysis Set | Streptococcus anginosus group | 12 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Favorable Microbiological Response Per-Pathogen at at TOC Visit: Micro-ITT Analysis Set | Bacteroides fragilis | 14 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Favorable Microbiological Response Per-Pathogen at at TOC Visit: Micro-ITT Analysis Set | Bacteroides thetaiotaomicron | 8 Participants |
| Meropenem± Colistimethate | Number of Participants With Favorable Microbiological Response Per-Pathogen at at TOC Visit: Micro-ITT Analysis Set | Bacteroides fragilis | 7 Participants |
| Meropenem± Colistimethate | Number of Participants With Favorable Microbiological Response Per-Pathogen at at TOC Visit: Micro-ITT Analysis Set | Escherichia coli | 44 Participants |
| Meropenem± Colistimethate | Number of Participants With Favorable Microbiological Response Per-Pathogen at at TOC Visit: Micro-ITT Analysis Set | Streptococcus anginosus group | 4 Participants |
| Meropenem± Colistimethate | Number of Participants With Favorable Microbiological Response Per-Pathogen at at TOC Visit: Micro-ITT Analysis Set | Klebsiella pneumoniae | 15 Participants |
| Meropenem± Colistimethate | Number of Participants With Favorable Microbiological Response Per-Pathogen at at TOC Visit: Micro-ITT Analysis Set | Bacteroides thetaiotaomicron | 1 Participants |
| Meropenem± Colistimethate | Number of Participants With Favorable Microbiological Response Per-Pathogen at at TOC Visit: Micro-ITT Analysis Set | Pseudomonas aeruginosa | 3 Participants |
Number of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: ME Analysis Set
Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Only those pathogens are reported which had more than or equal to 10 isolates for either treatment group.
Time frame: At EOT (Within 24 hours after last infusion on Day 14)
Population: The ME analysis set included all participants commonly included in both micro-ITT and CE analysis sets and included participants who had at least 1 etiologic pathogen from an adequate baseline culture regardless of susceptibility to study agents. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies number of participants evaluable for specified rows.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: ME Analysis Set | Klebsiella pneumoniae | 17 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: ME Analysis Set | Bacteroides fragilis | 13 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: ME Analysis Set | Streptococcus anginosus group | 13 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: ME Analysis Set | Bacteroides thetaiotaomicron | 8 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: ME Analysis Set | Escherichia coli | 90 Participants |
| Meropenem± Colistimethate | Number of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: ME Analysis Set | Bacteroides thetaiotaomicron | 1 Participants |
| Meropenem± Colistimethate | Number of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: ME Analysis Set | Escherichia coli | 44 Participants |
| Meropenem± Colistimethate | Number of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: ME Analysis Set | Klebsiella pneumoniae | 17 Participants |
| Meropenem± Colistimethate | Number of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: ME Analysis Set | Streptococcus anginosus group | 3 Participants |
| Meropenem± Colistimethate | Number of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: ME Analysis Set | Bacteroides fragilis | 6 Participants |
Number of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: Micro-ITT Analysis Set
Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Only those pathogens are reported which had more than or equal to 10 isolates for either treatment group.
Time frame: At EOT (Within 24 hours after last infusion on Day 14)
Population: Micro-ITT analysis set is a subset of the ITT analysis set and included all participants who had at least one Gram-negative baseline pathogen from an adequate specimen obtained prior to the start of study treatment. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies number of participants evaluable for specified rows.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: Micro-ITT Analysis Set | Escherichia coli | 95 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: Micro-ITT Analysis Set | Klebsiella pneumoniae | 19 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: Micro-ITT Analysis Set | Pseudomonas aeruginosa | 14 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: Micro-ITT Analysis Set | Streptococcus anginosus group | 13 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: Micro-ITT Analysis Set | Bacteroides fragilis | 13 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: Micro-ITT Analysis Set | Bacteroides thetaiotaomicron | 8 Participants |
| Meropenem± Colistimethate | Number of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: Micro-ITT Analysis Set | Bacteroides fragilis | 7 Participants |
| Meropenem± Colistimethate | Number of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: Micro-ITT Analysis Set | Escherichia coli | 48 Participants |
| Meropenem± Colistimethate | Number of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: Micro-ITT Analysis Set | Streptococcus anginosus group | 4 Participants |
| Meropenem± Colistimethate | Number of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: Micro-ITT Analysis Set | Klebsiella pneumoniae | 18 Participants |
| Meropenem± Colistimethate | Number of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: Micro-ITT Analysis Set | Bacteroides thetaiotaomicron | 1 Participants |
| Meropenem± Colistimethate | Number of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: Micro-ITT Analysis Set | Pseudomonas aeruginosa | 5 Participants |
Number of Participants With Favorable Microbiological Response Per-Pathogen at TOC Visit: ME Analysis Set
Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Only those pathogens are reported which had more than or equal to 10 isolates for either treatment group.
Time frame: At TOC visit (Day 28)
Population: The ME analysis set included all participants commonly included in both micro-ITT and CE analysis sets and included participants who had at least 1 etiologic pathogen from an adequate baseline culture regardless of susceptibility to study agents. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies number of participants evaluable for specified rows.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Favorable Microbiological Response Per-Pathogen at TOC Visit: ME Analysis Set | Klebsiella pneumoniae | 13 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Favorable Microbiological Response Per-Pathogen at TOC Visit: ME Analysis Set | Bacteroides fragilis | 14 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Favorable Microbiological Response Per-Pathogen at TOC Visit: ME Analysis Set | Streptococcus anginosus group | 12 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Favorable Microbiological Response Per-Pathogen at TOC Visit: ME Analysis Set | Bacteroides thetaiotaomicron | 8 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Favorable Microbiological Response Per-Pathogen at TOC Visit: ME Analysis Set | Escherichia coli | 86 Participants |
| Meropenem± Colistimethate | Number of Participants With Favorable Microbiological Response Per-Pathogen at TOC Visit: ME Analysis Set | Bacteroides thetaiotaomicron | 1 Participants |
| Meropenem± Colistimethate | Number of Participants With Favorable Microbiological Response Per-Pathogen at TOC Visit: ME Analysis Set | Escherichia coli | 40 Participants |
| Meropenem± Colistimethate | Number of Participants With Favorable Microbiological Response Per-Pathogen at TOC Visit: ME Analysis Set | Klebsiella pneumoniae | 14 Participants |
| Meropenem± Colistimethate | Number of Participants With Favorable Microbiological Response Per-Pathogen at TOC Visit: ME Analysis Set | Streptococcus anginosus group | 3 Participants |
| Meropenem± Colistimethate | Number of Participants With Favorable Microbiological Response Per-Pathogen at TOC Visit: ME Analysis Set | Bacteroides fragilis | 6 Participants |
Number of Participants With Mechanical Ventilation: CE Analysis Set
Number of participants with mechanical ventilation were reported in this outcome measure. CE analysis set: all participants in ITT analysis set; met criteria for cIAI, or HAP/VAP; received at least 48 hours of study treatment or \<48 hours of treatment before discontinuing study drug due to AE; no concomitant antibiotics for any baseline pathogens between first dose and TOC (except protocol-allowed antibiotics); no prior antibiotics other than allowed per protocol; no important protocol deviations; no clinical outcome of indeterminate at TOC; no monomicrobial infections due to non-eligible pathogens and did not have only Gram-positive pathogens.
Time frame: From randomization until TOC visit (Up to Day 28)
Population: CE analysis set. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Mechanical Ventilation: CE Analysis Set | 24 Participants |
| Meropenem± Colistimethate | Number of Participants With Mechanical Ventilation: CE Analysis Set | 13 Participants |
Number of Participants With Mechanical Ventilation: ITT Analysis Set
Number of participants with mechanical ventilation were reported in this outcome measure.
Time frame: From randomization until TOC visit (Up to Day 28)
Population: The ITT analysis set included all randomized participants regardless of receipt of study drug. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Mechanical Ventilation: ITT Analysis Set | 43 Participants |
| Meropenem± Colistimethate | Number of Participants With Mechanical Ventilation: ITT Analysis Set | 21 Participants |
Number of Participants With Unplanned Surgical Interventions in cIAI Participants: CE Analysis Set
Unplanned surgical interventions was defined as those occurring after the initial qualifying surgical intervention and prior to the TOC visit. Number of cIAI participants with unplanned surgical intervention according to clinical response categories of cure and failure is reported in this outcome measure.
Time frame: From randomization until TOC visit (Up to Day 28)
Population: CE analysis set. All participants reported under 'Overall Number of Participants Analyzed' include participants evaluable for this outcome measure and contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies number of participants evaluable for specified rows.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Unplanned Surgical Interventions in cIAI Participants: CE Analysis Set | Cure | 1 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Unplanned Surgical Interventions in cIAI Participants: CE Analysis Set | Failure | 5 Participants |
| Meropenem± Colistimethate | Number of Participants With Unplanned Surgical Interventions in cIAI Participants: CE Analysis Set | Cure | 1 Participants |
| Meropenem± Colistimethate | Number of Participants With Unplanned Surgical Interventions in cIAI Participants: CE Analysis Set | Failure | 9 Participants |
Number of Participants With Unplanned Surgical Interventions in Complicated Intra-abdominal Infections (cIAI) Participants: ITT Analysis Set
Unplanned surgical interventions was defined as those occurring after the initial qualifying surgical intervention and prior to the TOC visit. Number of cIAI participants with unplanned surgical intervention according to clinical response categories of cure and failure is reported in this outcome measure.
Time frame: From randomization until TOC visit (Up to Day 28)
Population: The ITT analysis set included all randomized participants regardless of receipt of study drug. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies number of participants evaluable for specified rows.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Unplanned Surgical Interventions in Complicated Intra-abdominal Infections (cIAI) Participants: ITT Analysis Set | Cure | 1 Participants |
| Aztreonam-avibactam ± Metronidazole | Number of Participants With Unplanned Surgical Interventions in Complicated Intra-abdominal Infections (cIAI) Participants: ITT Analysis Set | Failure | 5 Participants |
| Meropenem± Colistimethate | Number of Participants With Unplanned Surgical Interventions in Complicated Intra-abdominal Infections (cIAI) Participants: ITT Analysis Set | Cure | 1 Participants |
| Meropenem± Colistimethate | Number of Participants With Unplanned Surgical Interventions in Complicated Intra-abdominal Infections (cIAI) Participants: ITT Analysis Set | Failure | 10 Participants |
Percentage of Participants Who Died on or Before 14 Days From Randomization: ITT Analysis Set
Percentage of participants who died on or before 14 days from randomization is reported in this outcome measure.
Time frame: From randomization up to 14 days
Population: The ITT analysis set included all randomized participants regardless of receipt of study drug.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants Who Died on or Before 14 Days From Randomization: ITT Analysis Set | 2.8 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants Who Died on or Before 14 Days From Randomization: ITT Analysis Set | 3.6 Percentage of participants |
Percentage of Participants With Clinical Cure at End of Treatment (EOT) Visit: ITT Analysis Set
Clinical cure was defined as improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. 95% CI was based on Jeffrey's method.
Time frame: At EOT visit (Within 24 hours after last infusion on Day 14)
Population: The ITT analysis set included all randomized participants regardless of the treatment received.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure at End of Treatment (EOT) Visit: ITT Analysis Set | 75.9 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure at End of Treatment (EOT) Visit: ITT Analysis Set | 73.6 Percentage of participants |
Percentage of Participants With Clinical Cure at EOT Visit: CE Analysis Set
Clinical cure = improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. 95% CI was based on Jeffrey's method. CE analysis set: all participants in ITT analysis set; met criteria for cIAI, or HAP/VAP; received at least 48 hours of study treatment or \<48 hours of treatment before discontinuing study drug due to AE; no concomitant antibiotics for any baseline pathogens between first dose and TOC (except protocol-allowed antibiotics); no prior antibiotics other than allowed per protocol; no important protocol deviations; no clinical outcome of indeterminate at TOC; no monomicrobial infections due to non-eligible pathogens and did not have only Gram-positive pathogens.
Time frame: At EOT visit (Within 24 hours after last infusion on Day 14)
Population: Analysis was performed on CE analysis set.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure at EOT Visit: CE Analysis Set | 82.2 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure at EOT Visit: CE Analysis Set | 81.9 Percentage of participants |
Percentage of Participants With Clinical Cure at EOT Visit: ME Analysis Set
Clinical cure was defined as improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. 95% CI was based on Jeffrey's method.
Time frame: At EOT visit (Within 24 hours after last infusion on Day 14)
Population: The ME analysis set included all participants commonly included in both micro-ITT and CE analysis sets and included participants who have at least 1 etiologic pathogen from an adequate baseline culture regardless of susceptibility to study agents.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure at EOT Visit: ME Analysis Set | 84.6 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure at EOT Visit: ME Analysis Set | 83.5 Percentage of participants |
Percentage of Participants With Clinical Cure at EOT Visit: Micro-ITT Analysis Set
Clinical cure was defined as improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. For cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. 95% CI was based on Jeffrey's method.
Time frame: At EOT visit (Within 24 hours after last infusion on Day 14)
Population: Micro-ITT analysis set was a subset of the ITT analysis set and included all participants who had at least one Gram-negative baseline pathogen from an adequate specimen obtained prior to the start of study treatment.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure at EOT Visit: Micro-ITT Analysis Set | 79.7 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure at EOT Visit: Micro-ITT Analysis Set | 80.9 Percentage of participants |
Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis Set
Clinical cure was defined as improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. Percentage of participants with clinical cure by pathogen resistance type (ATM non-susceptible and Meropenem non-susceptible based on EUCAST criteria and CLSI criteria, ESBL-positive, Carbapenemase-positive, Serene Carbapenemase and Metallo-beta-lactamase-positive) is reported in this outcome measure.
Time frame: At EOT (Within 24 hours after last infusion on Day 14)
Population: The ME analysis set included all participants commonly included in both micro-ITT and CE analysis sets and included participants who had at least 1 etiologic pathogen from an adequate baseline culture regardless of susceptibility to study agents. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies number of participants evaluable for specified rows.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Meropenem non-susceptible, EUCAST | 69.2 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Meropenem non-susceptible, CLSI | 69.2 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis Set | ESBL-positive | 77.3 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Carbapenemase-positive | 80.0 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Serene Carbapenemase | 66.7 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Metallo-beta-lactamase-positive | 100.0 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis Set | ATM non-susceptible, EUCAST | 81.1 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis Set | ATM non-susceptible, CLSI | 76.7 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis Set | ATM non-susceptible, CLSI | 76.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Meropenem non-susceptible, EUCAST | 62.5 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Serene Carbapenemase | 33.3 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Meropenem non-susceptible, CLSI | 62.5 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis Set | ATM non-susceptible, EUCAST | 78.6 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis Set | ESBL-positive | 82.4 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Metallo-beta-lactamase-positive | 0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Carbapenemase-positive | 25.0 Percentage of participants |
Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set
Clinical cure was defined as improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. Percentage of participants with clinical cure by pathogen resistance type (ATM non-susceptible and Meropenem non-susceptible based on European Committee on Antimicrobial Susceptibility Testing \[EUCAST\] criteria and Clinical and Laboratory Standards Institute \[CLSI\] criteria, Extended spectrum beta-lactamases \[ESBL\]-positive, Carbapenemase-positive, Serene Carbapenemase and Metallo-beta-lactamase-positive) is reported in this outcome measure.
Time frame: At EOT visit (Within 24 hours after last infusion on Day 14)
Population: Micro-ITT analysis set was a subset of the ITT analysis set and included all participants who had at least one Gram-negative baseline pathogen from an adequate specimen obtained prior to the start of study treatment. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies number of participants evaluable for specified rows.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | ATM non-susceptible, EUCAST | 74.5 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | ATM non-susceptible, CLSI | 68.4 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Meropenem non-susceptible, EUCAST | 57.9 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Meropenem non-susceptible, CLSI | 58.8 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | ESBL-positive | 72.0 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Carbapenemase-positive | 61.5 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Serene Carbapenemase | 57.1 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Metallo-beta-lactamase-positive | 57.1 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Metallo-beta-lactamase-positive | 66.7 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | ATM non-susceptible, EUCAST | 75.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | ESBL-positive | 75.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | ATM non-susceptible, CLSI | 74.2 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Serene Carbapenemase | 33.3 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Meropenem non-susceptible, EUCAST | 72.7 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Carbapenemase-positive | 50.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Meropenem non-susceptible, CLSI | 75.0 Percentage of participants |
Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis Set
Clinical cure was defined as improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. Percentage of participants with clinical cure by pathogen resistance type (ATM non-susceptible and Meropenem non-susceptible based on EUCAST criteria and CLSI criteria, ESBL-positive, Carbapenemase-positive, Serene Carbapenemase and Metallo-beta-lactamase-positive) is reported in this outcome measure.
Time frame: At TOC visit (Day 28)
Population: The ME analysis set included all participants commonly included in both micro-ITT and CE analysis sets and included participants who had at least 1 etiologic pathogen from an adequate baseline culture regardless of susceptibility to study agents. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies number of participants evaluable for specified rows.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis Set | ATM non-susceptible, EUCAST Criteria | 70.3 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis Set | ATM non-susceptible, CLSI Criteria | 66.7 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Meropenem non-susceptible, EUCAST Criteria | 46.2 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Meropenem non-susceptible, CLSI Criteria | 46.2 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis Set | ESBL-positive | 72.7 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Carbapenemase-positive | 40.0 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Serene Carbapenemase | 33.3 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Metallo-beta-lactamase-positive | 50.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Metallo-beta-lactamase-positive | 0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis Set | ATM non-susceptible, EUCAST Criteria | 60.7 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis Set | ESBL-positive | 76.5 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis Set | ATM non-susceptible, CLSI Criteria | 64.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Serene Carbapenemase | 0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Meropenem non-susceptible, EUCAST Criteria | 37.5 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Carbapenemase-positive | 0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Meropenem non-susceptible, CLSI Criteria | 37.5 Percentage of participants |
Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set
Clinical cure was defined as improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. Percentage of participants with clinical cure by pathogen resistance type (ATM non-susceptible and Meropenem non-susceptible based on EUCAST criteria and CLSI criteria, ESBL-positive, Carbapenemase-positive, Serene Carbapenemase and Metallo-beta-lactamase-positive) is reported in this outcome measure.
Time frame: At TOC (Day 28)
Population: Micro-ITT analysis set was a subset of the ITT analysis set and included all participants who had at least one Gram-negative baseline pathogen from an adequate specimen obtained prior to the start of study treatment. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies number of participants evaluable for specified rows.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | ATM non-susceptible, EUCAST | 63.6 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | ATM non-susceptible, CLSI | 60.5 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Meropenem non-susceptible, | 42.1 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Meropenem non-susceptible, CLSI | 41.2 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | ESBL-positive | 68.0 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Carbapenemase-positive | 30.8 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Serene Carbapenemase | 28.6 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Metallo-beta-lactamase-positive | 28.6 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Metallo-beta-lactamase-positive | 66.7 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | ATM non-susceptible, EUCAST | 55.6 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | ESBL-positive | 70.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | ATM non-susceptible, CLSI | 61.3 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Serene Carbapenemase | 0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Meropenem non-susceptible, | 45.5 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Carbapenemase-positive | 33.3 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Meropenem non-susceptible, CLSI | 50.0 Percentage of participants |
Percentage of Participants With Clinical Cure by Type of Infection at EOT Visit: CE Analysis Set
Clinical cure = improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. 95% CI was based on Jeffrey's method. CE analysis set: all participants in ITT analysis set; met criteria for cIAI, or HAP/VAP; received at least 48 hours of study treatment or \<48 hours of treatment before discontinuing study drug due to AE; no concomitant antibiotics for any baseline pathogens between first dose and TOC (except protocol-allowed antibiotics); no prior antibiotics other than allowed per protocol; no important protocol deviations; no clinical outcome of indeterminate at TOC; no monomicrobial infections due to non-eligible pathogens and did not have only Gram-positive pathogens.
Time frame: At EOT visit (Within 24 hours after last infusion on Day 24)
Population: CE analysis set. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies number of participants evaluable for specified rows.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Type of Infection at EOT Visit: CE Analysis Set | cIAI | 88.7 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Type of Infection at EOT Visit: CE Analysis Set | HAP/VAP | 57.8 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Type of Infection at EOT Visit: CE Analysis Set | cIAI | 85.5 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Type of Infection at EOT Visit: CE Analysis Set | HAP/VAP | 68.2 Percentage of participants |
Percentage of Participants With Clinical Cure by Type of Infection at EOT Visit: ITT Analysis Set
Clinical cure was defined as improvement in baseline signs and symptoms such that after study treatment, no further antimicrobial treatment for the index infection (i.e., cIAI or HAP/VAP) was required. Additionally, for cIAI participants, no unplanned drainage or surgical intervention was necessary since the initial procedure. Clinical cure was determined by the Independent Clinical Adjudication Committee. 95% CI was based on Jeffrey's method.
Time frame: At EOT visit (Within 24 hours after last infusion on Day 14)
Population: The ITT analysis set included all randomized participants regardless of the treatment received. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies number of participants evaluable for specified rows.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Type of Infection at EOT Visit: ITT Analysis Set | cIAI | 81.7 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Clinical Cure by Type of Infection at EOT Visit: ITT Analysis Set | HAP/VAP | 59.5 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Type of Infection at EOT Visit: ITT Analysis Set | cIAI | 79.8 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Clinical Cure by Type of Infection at EOT Visit: ITT Analysis Set | HAP/VAP | 55.6 Percentage of participants |
Percentage of Participants With Favorable Per Participant Microbiological Response at EOT Visit : ME Analysis Set
Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure.
Time frame: At EOT visit (Within 24 hours after last infusion on Day 14)
Population: The ME analysis set included all participants commonly included in both micro-ITT and CE analysis sets and included participants who had at least 1 etiologic pathogen from an adequate baseline culture regardless of susceptibility to study agents.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per Participant Microbiological Response at EOT Visit : ME Analysis Set | 85.9 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per Participant Microbiological Response at EOT Visit : ME Analysis Set | 86.1 Percentage of participants |
Percentage of Participants With Favorable Per Participant Microbiological Response at EOT Visit: Micro-ITT Analysis Set
Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure.
Time frame: At EOT visit (Within 24 hours after last infusion on Day 14)
Population: Micro-ITT analysis set is a subset of the ITT analysis set and included all participants who had at least one Gram-negative baseline pathogen from an adequate specimen obtained prior to the start of study treatment. Participants with a per participant response of indeterminate were excluded from this analysis. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per Participant Microbiological Response at EOT Visit: Micro-ITT Analysis Set | 84.6 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per Participant Microbiological Response at EOT Visit: Micro-ITT Analysis Set | 83.9 Percentage of participants |
Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set
Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Percentage of participants with favorable microbiological response by pathogen resistance type (ATM non-susceptible, Meropenem non-susceptible based on EUCAST criteria and CLSI criteria, ESBL-positive, Carbapenemase-positive, Serene Carbapenemase and Metallo-beta-lactamase-positive) is reported in this outcome measure.
Time frame: At EOT (Within 24 hours after last infusion on Day 14)
Population: ME analysis set =all participants commonly included in both micro-ITT and CE analysis sets and included participants who had at least 1 etiologic pathogen from an adequate baseline culture regardless of susceptibility to study agents. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies number of participants evaluable for specified rows.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | ATM non-susceptible: CLSI | 70.0 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | ATM non-susceptible: EUCAST | 75.0 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Meropenem non-susceptible: CLSI | 53.8 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Meropenem non-susceptible: EUCAST | 53.8 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | ESBL-positive | 77.3 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Carbapenamase-positive | 44.4 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Serene Carbapenamase-positive | 33.3 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Metallo-beta-lactamase-positive | 66.7 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Metallo-beta-lactamase-positive | 0.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | ATM non-susceptible: CLSI | 80.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | ESBL-positive | 88.2 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | ATM non-susceptible: EUCAST | 82.1 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Serene Carbapenamase-positive | 33.3 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Meropenem non-susceptible: CLSI | 62.5 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Carbapenamase-positive | 25.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Meropenem non-susceptible: EUCAST | 62.5 Percentage of participants |
Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set
Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Percentage of participants with favorable microbiological response by pathogen resistance type (ATM non-susceptible and Meropenem non-susceptible based on EUCAST criteria and CLSI criteria, ESBL-positive, Carbapenemase-positive, Serene Carbapenemase and Metallo-beta-lactamase-positive) is reported in this outcome measure.
Time frame: At EOT (Within 24 hours after last infusion on Day 14)
Population: Micro-ITT analysis set=subset of ITT analysis set \& included all participants who had at least 1 Gram-negative baseline pathogen from an adequate specimen obtained prior to start of study treatment.Here, 'Overall Number of Participants Analyzed' signifies participants included in micro-ITT analysis set and contributed data to table. Number Analyzed=number of participants evaluable for specified rows and participants with per participant response of indeterminate were excluded from analysis.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | ATM non-susceptible: CLSI | 68.8 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | ATM non-susceptible : EUCAST | 76.2 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Meropenem non-susceptible : CLSI | 57.1 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Meropenem non-susceptible : EUCAST | 57.1 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | ESBL-positive | 78.3 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Carbapenamase-positive | 50.0 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Serene Carbapenamase-positive | 33.3 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Metallo-beta-lactamase-positive | 75.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Metallo-beta-lactamase-positive | 0.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | ATM non-susceptible: CLSI | 78.6 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | ESBL-positive | 84.2 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | ATM non-susceptible : EUCAST | 80.6 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Serene Carbapenamase-positive | 33.3 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Meropenem non-susceptible : CLSI | 66.7 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Carbapenamase-positive | 25.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Meropenem non-susceptible : EUCAST | 66.7 Percentage of participants |
Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set
Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Percentage of participants with favorable microbiological response by pathogen resistance type (ATM non-susceptible, Meropenem non-susceptible based on EUCAST criteria and CLSI criteria, ESBL-positive, Carbapenemase-positive, Serene Carbapenemase and Metallo-beta-lactamase-positive) is reported in this outcome measure.
Time frame: At TOC visit (Day 28)
Population: ME analysis set =all participants commonly included in both micro-ITT and CE analysis sets and included participants who had at least 1 etiologic pathogen from an adequate baseline culture regardless of susceptibility to study agents. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies number of participants evaluable for specified rows.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | ATM non-susceptible: CLSI | 60.0 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | ATM non-susceptible: EUCAST | 66.7 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Meropenem non-susceptible: CLSI | 30.8 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Meropenem non-susceptible: EUCAST | 30.8 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | ESBL-positive | 72.7 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Carbapenamase-positive | 22.2 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Serene Carbapenamase-positive | 16.7 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Metallo-beta-lactamase-positive | 33.3 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Metallo-beta-lactamase-positive | 0.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | ATM non-susceptible: CLSI | 60.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | ESBL-positive | 76.5 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | ATM non-susceptible: EUCAST | 60.7 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Serene Carbapenamase-positive | 0.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Meropenem non-susceptible: CLSI | 25.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Carbapenamase-positive | 0.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Meropenem non-susceptible: EUCAST | 25.0 Percentage of participants |
Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set
Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Percentage of participants with favorable microbiological response by pathogen resistance type (ATM non-susceptible and Meropenem non-susceptible based on EUCAST criteria and CLSI criteria, ESBL-positive, Carbapenemase-positive, Serene Carbapenemase and Metallo-beta-lactamase-positive) is reported in this outcome measure.
Time frame: At TOC visit (Day 28)
Population: Micro-ITT analysis set=subset of ITT analysis set \& included all participants who had at least 1 Gram-negative baseline pathogen from an adequate specimen obtained prior to start of study treatment. Here, 'Overall Number of Participants Analyzed' signifies participants included in micro-ITT analysis set and contributed data to table. Number Analyzed=number of participants evaluable for specified rows and participants with per participant response of indeterminate were excluded from analysis.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | ESBL-positive | 73.9 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Meropenem non-susceptible: CLSI | 28.6 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Carbapenamase-positive | 20.0 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | ATM non-susceptible: EUCAST | 66.7 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Serene Carbapenamase-positive | 16.7 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Meropenem non-susceptible : EUCAST | 28.6 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Metallo-beta-lactamase-positive | 25.0 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | ATM non-susceptible: CLSI | 59.4 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Metallo-beta-lactamase-positive | 0.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | ATM non-susceptible: EUCAST | 60.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Meropenem non-susceptible: CLSI | 25.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Meropenem non-susceptible : EUCAST | 25.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | ESBL-positive | 73.7 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Carbapenamase-positive | 0.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Serene Carbapenamase-positive | 0.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | ATM non-susceptible: CLSI | 59.3 Percentage of participants |
Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set
Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Percentage of participants with favorable per-pathogen microbiological response by pathogen resistance type (ATM non-susceptible, Meropenem non-susceptible based on EUCAST criteria and CLSI criteria, ESBL-positive, Carbapenemase-positive, Serene Carbapenemase and Metallo-beta-lactamase-positive) is reported in this outcome measure.
Time frame: At EOT (Within 24 hours after last infusion on Day 14)
Population: The ME analysis set included all participants commonly included in both micro-ITT and CE analysis sets and included participants who had at least 1 etiologic pathogen from an adequate baseline culture regardless of susceptibility to study agents. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies number of participants evaluable for specified rows.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | ATM non-susceptible: CLSI | 75.8 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | ATM non-susceptible: EUCAST | 78.6 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Meropenem non-susceptible: CLSI | 62.5 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Meropenem non-susceptible: EUCAST | 62.5 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | ESBL-positive | 77.3 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Carbapenemase-positive | 70.0 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Serine-carbapenemase-positive | 50. Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Metallo-beta-lactamase-positive | 100.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Metallo-beta-lactamase-positive | 0.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | ATM non-susceptible: CLSI | 80.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | ESBL-positive | 88.2 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | ATM non-susceptible: EUCAST | 82.8 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Serine-carbapenemase-positive | 33.3 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Meropenem non-susceptible: CLSI | 62.5 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Carbapenemase-positive | 25.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis Set | Meropenem non-susceptible: EUCAST | 62.5 Percentage of participants |
Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set
Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Percentage of participants with favorable per-pathogen microbiological response by pathogen resistance type (ATM non-susceptible, Meropenem non-susceptible based on EUCAST criteria and CLSI criteria, ESBL-positive, Carbapenemase-positive, Serene Carbapenemase and Metallo-beta-lactamase-positive) is reported in this outcome measure.
Time frame: At EOT (Within 24 hours after last infusion on Day 14)
Population: Micro-ITT analysis set is a subset of the ITT analysis set and included all participants who had at least one Gram-negative baseline pathogen from an adequate specimen obtained prior to the start of study treatment. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies number of participants evaluable for specified rows.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | ATM non-susceptible: CLSI | 68.3 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | ATM non-susceptible: EUCAST | 73.3 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Meropenem non-susceptible: CLSI | 60.0 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Meropenem non-susceptible : EUCAST | 59.1 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | ESBL-positive | 72.0 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Carbapenemase-positive | 61.5 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Serine-carbapenemase-positive | 42.9 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Metallo-beta-lactamase-positive | 71.4 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Metallo-beta-lactamase-positive | 66.7 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | ATM non-susceptible: CLSI | 77.4 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | ESBL-positive | 80.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | ATM non-susceptible: EUCAST | 78.4 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Serine-carbapenemase-positive | 33.3 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Meropenem non-susceptible: CLSI | 75.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Carbapenemase-positive | 50.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis Set | Meropenem non-susceptible : EUCAST | 72.7 Percentage of participants |
Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set
Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Percentage of participants with favorable per-pathogen microbiological response by pathogen resistance type (ATM non-susceptible, Meropenem non-susceptible based on EUCAST criteria and CLSI criteria, ESBL-positive, Carbapenemase-positive, Serene Carbapenemase and Metallo-beta-lactamase-positive) is reported in this outcome measure.
Time frame: At TOC visit (Day 28)
Population: The ME analysis set included all participants commonly included in both micro-ITT and CE analysis sets and included participants who had at least 1 etiologic pathogen from an adequate baseline culture regardless of susceptibility to study agents. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies number of participants evaluable for specified rows.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | ATM non-susceptible: CLSI | 63.6 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | ATM non-susceptible: EUCAST | 66.7 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Meropenem non-susceptible: CLSI | 31.3 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Meropenem non-susceptible : EUCAST | 31.3 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | ESBL-positive: | 77.3 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Carbapenemase-positive: | 30.0 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Serine-carbapenemase-positive | 16.7 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Metallo-beta-lactamase-positive: | 50.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Metallo-beta-lactamase-positive: | 0.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | ATM non-susceptible: CLSI | 60.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | ESBL-positive: | 76.5 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | ATM non-susceptible: EUCAST | 62.1 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Serine-carbapenemase-positive | 0.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Meropenem non-susceptible: CLSI | 25.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Carbapenemase-positive: | 0.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis Set | Meropenem non-susceptible : EUCAST | 25.0 Percentage of participants |
Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set
Participants were determined to have a favorable microbiological response if all baseline pathogens for that participant had a favorable outcome (eradicated or presumed eradicated). Eradication: Absence of causative pathogen from an appropriately obtained specimen at the site of infection. Presumed eradication: repeat culture of specimens were not performed/clinically indicated in a participant who had a clinical response of cure. Percentage of participants with favorable per-pathogen microbiological response by pathogen resistance type (ATM non-susceptible, Meropenem non-susceptible based on EUCAST criteria and CLSI criteria, ESBL-positive, Carbapenemase-positive, Serene Carbapenemase and Metallo-beta-lactamase-positive) is reported in this outcome measure.
Time frame: At TOC visit (Day 28)
Population: Micro-ITT analysis set is a subset of the ITT analysis set and included all participants who had at least one Gram-negative baseline pathogen from an adequate specimen obtained prior to the start of study treatment. All participants reported under 'Overall Number of Participants Analyzed' contributed data to the table but may not have evaluable data for every row. Here, 'Number Analyzed' signifies number of participants evaluable for specified rows.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | ATM non-susceptible: CLSI | 58.5 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | ATM non-susceptible: EUCAST | 63.3 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Meropenem non-susceptible: CLSI | 30.0 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Meropenem non-susceptible: EUCAST | 31.8 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | ESBL-positive | 72.0 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Carbapenemase-positive | 23.1 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Serine-carbapenemase-positive | 14.3 Percentage of participants |
| Aztreonam-avibactam ± Metronidazole | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Metallo-beta-lactamase-positive | 28.6 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Metallo-beta-lactamase-positive | 66.7 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | ATM non-susceptible: CLSI | 58.1 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | ESBL-positive | 70.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | ATM non-susceptible: EUCAST | 56.8 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Serine-carbapenemase-positive | 0.0 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Meropenem non-susceptible: CLSI | 41.7 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Carbapenemase-positive | 33.3 Percentage of participants |
| Meropenem± Colistimethate | Percentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis Set | Meropenem non-susceptible: EUCAST | 36.4 Percentage of participants |
Total Length of Hospital Stay up to TOC Visit: CE Analysis Set
The total length of hospital stay was defined as the total number of calendar days on which the participant was in the hospital from the date of randomization up to and including the specified time point of TOC. CE analysis set: all participants in ITT analysis set; met criteria for cIAI, or HAP/VAP; received at least 48 hours of study treatment or \<48 hours of treatment before discontinuing study drug due to AE; no concomitant antibiotics for any baseline pathogens between first dose and TOC (except protocol-allowed antibiotics); no prior antibiotics other than allowed per protocol; no important protocol deviations; no clinical outcome of indeterminate at TOC; no monomicrobial infections due to non-eligible pathogens and did not have only Gram-positive pathogens.
Time frame: From randomization up to Day 28
Population: CE analysis set.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Total Length of Hospital Stay up to TOC Visit: CE Analysis Set | 13.0 Days | Standard Deviation 8.55 |
| Meropenem± Colistimethate | Total Length of Hospital Stay up to TOC Visit: CE Analysis Set | 12.3 Days | Standard Deviation 7.29 |
Total Length of Hospital Stay up to TOC Visit: ITT Analysis Set
The total length of hospital stay was defined as the total number of calendar days on which the participant was in the hospital from the date of randomization up to and including the specified time point of TOC.
Time frame: From randomization up to Day 28
Population: The ITT analysis set included all randomized participants regardless of receipt of study drug. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Aztreonam-avibactam ± Metronidazole | Total Length of Hospital Stay up to TOC Visit: ITT Analysis Set | 13.6 Days | Standard Deviation 9.42 |
| Meropenem± Colistimethate | Total Length of Hospital Stay up to TOC Visit: ITT Analysis Set | 12.9 Days | Standard Deviation 8.05 |