Skip to content

A 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.

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

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03329092
Acronym
REVISIT
Enrollment
422
Registered
2017-11-01
Start date
2018-04-05
Completion date
2023-02-23
Last updated
2024-12-10

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

Conditions

Complicated Intra-abdominal Infection, Hosptial Acquired Pneumonia, Ventilator Associated Pneumonia

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

DRUGMTZ

For cIAI only; 500 mg/100 mL metronidazole iv infusion over 1hr q8h

DRUGMER

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

DRUGCOL

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

Innovative Medicines Initiative
CollaboratorOTHER
Biomedical Advanced Research and Development Authority
CollaboratorFED
Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)

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

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

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

MeasureTime frameDescription
Percentage of Participants With Clinical Cure at Test of Cure (TOC) Visit: Intent-To-Treat (ITT) Analysis SetAt 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 SetAt 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

MeasureTime frameDescription
Percentage of Participants With Clinical Cure at TOC Visit by Type of Infection: ITT Analysis SetAt 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 SetAt 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 SetAt 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 SetAt 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 SetAt 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 SetAt 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 SetFrom randomization up to 28 daysPercentage 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 SetFrom randomization up to 28 daysPercentage of participants who died on or before 28 days after randomization is reported in this outcome measure.
Plasma Concentration of AztreonamAnytime 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 4Plasma 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 AvibactamAnytime 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 4Plasma 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: AztreonamAt 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: AztreonamAt 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: Aztreonam0 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: AztreonamAt 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 SetAt 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: AztreonamAt 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: Avibactam0 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: AvibactamAt 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: AvibactamAt 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: Avibactam0 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: AvibactamAt 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: AvibactamAt 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 AEsFrom 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 AbnormalitiesFrom 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 AbnormalitiesFrom 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 SignsFrom 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 FindingScreening, 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) FindingsBaseline (latest non-missing value before start of treatment) and Day 3Standard 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: Aztreonam0 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 SetAt 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

MeasureTime frameDescription
Number of Participants Admitted to the ICU: ITT Analysis SetFrom 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 SetFrom 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 SetFrom 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 SetFrom 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 SetAt 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 SetFrom 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 SetFrom 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 SetFrom 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 SetFrom 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 SetAt 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 SetAt 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 SetAt 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 SetAt 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 SetAt 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 SetAt 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 SetAt 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 SetAt 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 SetAt 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 SetAt 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 SetAt 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 SetAt 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 SetAt 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 SetAt 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 SetAt 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 SetAt 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 SetAt 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 SetAt 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 SetAt 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 SetAt 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 SetAt 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 SetAt 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 SetAt 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 SetUp to Day 28
Number of Participants According to Total Score for the Composite Endpoint of Symptom-Based Objective Clinical Measures: CE Analysis SetUp to Day 28CE 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 SetFrom randomization up to 14 daysPercentage 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 SetFrom randomization up to Day 28The 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 SetFrom randomization up to Day 28The 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 TreatmentFrom 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 SetFrom 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 SetFrom 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

ArmCount
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
Total422

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event31
Overall StudyDeath1711
Overall StudyLost to Follow-up11
Overall StudyOther22
Overall StudyPhysician Decision10
Overall StudyWithdrawal by Subject163

Baseline characteristics

CharacteristicTotalAztreonam-avibactam ± MetronidazoleMeropenem± Colistimethate
Age, Continuous54.8 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 Participants58 Participants21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
326 Participants213 Participants113 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
17 Participants11 Participants6 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
9 Participants7 Participants2 Participants
Race/Ethnicity, Customized
Asian
176 Participants107 Participants69 Participants
Race/Ethnicity, Customized
Black or African American
2 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Mixed
3 Participants2 Participants1 Participants
Race/Ethnicity, Customized
Not reported
3 Participants1 Participants2 Participants
Race/Ethnicity, Customized
Other
1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
White
228 Participants164 Participants64 Participants
Sex: Female, Male
Female
135 Participants96 Participants39 Participants
Sex: Female, Male
Male
287 Participants186 Participants101 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
20 / 28211 / 140
other
Total, other adverse events
113 / 27545 / 137
serious
Total, serious adverse events
53 / 27525 / 137

Outcome results

Primary

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.

ArmMeasureValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure at Test of Cure (TOC) Visit: Intent-To-Treat (ITT) Analysis Set68.4 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure at Test of Cure (TOC) Visit: Intent-To-Treat (ITT) Analysis Set65.7 Percentage of participants
95% CI: [-6.6, 12.4]
Primary

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.

ArmMeasureValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure at TOC Visit: Clinically Evaluable (CE) Analysis Set77.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure at TOC Visit: Clinically Evaluable (CE) Analysis Set74.3 Percentage of participants
95% CI: [-7, 13.2]
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Clinical Response by Infection Type at TOC: AvibactamcIAI: Clinical cure164.92 Milligram*hour per literGeometric Coefficient of Variation 45.91
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Clinical Response by Infection Type at TOC: AvibactamcIAI: Failure187.41 Milligram*hour per literGeometric Coefficient of Variation 96.93
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Clinical Response by Infection Type at TOC: AvibactamcIAI: Indeterminate213.92 Milligram*hour per literGeometric Coefficient of Variation 20.81
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Clinical Response by Infection Type at TOC: AvibactamHAP:Clinical cure291.47 Milligram*hour per literGeometric Coefficient of Variation 61.75
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Clinical Response by Infection Type at TOC: AvibactamHAP: Failure214.99 Milligram*hour per literGeometric Coefficient of Variation 36.09
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Clinical Response by Infection Type at TOC: AvibactamHAP: Indeterminate257.37 Milligram*hour per literGeometric Coefficient of Variation 71.75
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Clinical Response by Infection Type at TOC: AvibactamVAP: Clinical cure176.95 Milligram*hour per literGeometric Coefficient of Variation 31.43
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Clinical Response by Infection Type at TOC: AvibactamVAP: Failure178.68 Milligram*hour per literGeometric Coefficient of Variation 38.99
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Clinical Response by Infection Type at TOC: AvibactamVAP: Indeterminate218.09 Milligram*hour per liter
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss ) According to Clinical Response by Infection Type at TOC: AztreonamcIAI: Clinical cure816.18 Milligram*hours per liter (mg*h/L)Geometric Coefficient of Variation 41.83
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss ) According to Clinical Response by Infection Type at TOC: AztreonamcIAI: Failure877.5 Milligram*hours per liter (mg*h/L)Geometric Coefficient of Variation 85.91
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss ) According to Clinical Response by Infection Type at TOC: AztreonamcIAI: Indeterminate1069.1 Milligram*hours per liter (mg*h/L)Geometric Coefficient of Variation 15.82
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss ) According to Clinical Response by Infection Type at TOC: AztreonamHAP:Clinical cure1420.1 Milligram*hours per liter (mg*h/L)Geometric Coefficient of Variation 54.62
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss ) According to Clinical Response by Infection Type at TOC: AztreonamHAP: Failure1079.4 Milligram*hours per liter (mg*h/L)Geometric Coefficient of Variation 34.1
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss ) According to Clinical Response by Infection Type at TOC: AztreonamHAP: Indeterminate1056.8 Milligram*hours per liter (mg*h/L)Geometric Coefficient of Variation 35.68
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss ) According to Clinical Response by Infection Type at TOC: AztreonamVAP: Clinical cure858.39 Milligram*hours per liter (mg*h/L)Geometric Coefficient of Variation 32.49
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss ) According to Clinical Response by Infection Type at TOC: AztreonamVAP: Failure912.23 Milligram*hours per liter (mg*h/L)Geometric Coefficient of Variation 38.1
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss ) According to Clinical Response by Infection Type at TOC: AztreonamVAP: Indeterminate1084.6 Milligram*hours per liter (mg*h/L)
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: AvibactamcIAI: Favorable166.4 Milligram*hours per literGeometric Coefficient of Variation 40.88
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: AvibactamcIAI: Unfavorable177.65 Milligram*hours per literGeometric Coefficient of Variation 106.25
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: AvibactamcIAI: Indeterminate197.01 Milligram*hours per literGeometric Coefficient of Variation 7.31
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: AvibactamHAP:Favorable293.49 Milligram*hours per literGeometric Coefficient of Variation 95.13
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: AvibactamHAP: Unfavorable196.38 Milligram*hours per literGeometric Coefficient of Variation 61.95
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: AvibactamHAP: Indeterminate359.31 Milligram*hours per literGeometric Coefficient of Variation 71.12
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: AvibactamVAP: Favorable157.79 Milligram*hours per literGeometric Coefficient of Variation 43.71
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: AvibactamVAP: Unfavorable192.85 Milligram*hours per literGeometric Coefficient of Variation 38.42
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: AvibactamVAP: Indeterminate218.09 Milligram*hours per liter
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: AztreonamcIAI: Favorable830.23 Milligram*hours per literGeometric Coefficient of Variation 38.42
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: AztreonamcIAI: Unfavorable826.63 Milligram*hours per literGeometric Coefficient of Variation 95.22
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: AztreonamcIAI: Indeterminate1010.2 Milligram*hours per literGeometric Coefficient of Variation 9.17
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: AztreonamHAP:Favorable1446.1 Milligram*hours per literGeometric Coefficient of Variation 82.6
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: AztreonamHAP: Unfavorable909.59 Milligram*hours per literGeometric Coefficient of Variation 45.06
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: AztreonamHAP: Indeterminate1237.9 Milligram*hours per literGeometric Coefficient of Variation 38.16
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: AztreonamVAP: Favorable760.26 Milligram*hours per literGeometric Coefficient of Variation 40.54
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: AztreonamVAP: Unfavorable974.21 Milligram*hours per literGeometric Coefficient of Variation 37.82
Aztreonam-avibactam ± MetronidazoleArea Under the Plasma Concentration-time Curve Over 24 Hours at Steady-state (AUC24,ss) According to Microbiological Response by Infection Type at TOC: AztreonamVAP: Indeterminate1084.6 Milligram*hours per liter
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss ) According to Clinical Response by Infection Type at TOC: AvibactamcIAI: Clinical cure11.01 Milligram per liter (mg/L)Geometric Coefficient of Variation 42.14
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss ) According to Clinical Response by Infection Type at TOC: AvibactamcIAI: Failure12.48 Milligram per liter (mg/L)Geometric Coefficient of Variation 72.59
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss ) According to Clinical Response by Infection Type at TOC: AvibactamcIAI: Indeterminate14.04 Milligram per liter (mg/L)Geometric Coefficient of Variation 16.52
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss ) According to Clinical Response by Infection Type at TOC: AvibactamHAP:Clinical cure18.41 Milligram per liter (mg/L)Geometric Coefficient of Variation 55.07
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss ) According to Clinical Response by Infection Type at TOC: AvibactamHAP: Failure13.46 Milligram per liter (mg/L)Geometric Coefficient of Variation 33.52
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss ) According to Clinical Response by Infection Type at TOC: AvibactamHAP: Indeterminate15.24 Milligram per liter (mg/L)Geometric Coefficient of Variation 49.1
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss ) According to Clinical Response by Infection Type at TOC: AvibactamVAP: Clinical Cure11.64 Milligram per liter (mg/L)Geometric Coefficient of Variation 31.01
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss ) According to Clinical Response by Infection Type at TOC: AvibactamVAP: Failure11.44 Milligram per liter (mg/L)Geometric Coefficient of Variation 32.65
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss ) According to Clinical Response by Infection Type at TOC: AvibactamVAP: Indeterminate18.93 Milligram per liter (mg/L)
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-State (Cmax, ss) According to Clinical Response by Infection Type at TOC: AztreonamcIAI: Clinical cure52.47 Milligram per liter (mg/L)Geometric Coefficient of Variation 37.49
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-State (Cmax, ss) According to Clinical Response by Infection Type at TOC: AztreonamcIAI: Failure56.71 Milligram per liter (mg/L)Geometric Coefficient of Variation 62.52
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-State (Cmax, ss) According to Clinical Response by Infection Type at TOC: AztreonamcIAI: Indeterminate66.21 Milligram per liter (mg/L)Geometric Coefficient of Variation 12.7
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-State (Cmax, ss) According to Clinical Response by Infection Type at TOC: AztreonamHAP:Clinical cure85.24 Milligram per liter (mg/L)Geometric Coefficient of Variation 48.49
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-State (Cmax, ss) According to Clinical Response by Infection Type at TOC: AztreonamHAP: Failure64.57 Milligram per liter (mg/L)Geometric Coefficient of Variation 33.97
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-State (Cmax, ss) According to Clinical Response by Infection Type at TOC: AztreonamHAP: Indeterminate61.79 Milligram per liter (mg/L)Geometric Coefficient of Variation 27.2
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-State (Cmax, ss) According to Clinical Response by Infection Type at TOC: AztreonamVAP: Clinical Cure54.89 Milligram per liter (mg/L)Geometric Coefficient of Variation 30.42
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-State (Cmax, ss) According to Clinical Response by Infection Type at TOC: AztreonamVAP: Failure56.5 Milligram per liter (mg/L)Geometric Coefficient of Variation 31.1
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-State (Cmax, ss) According to Clinical Response by Infection Type at TOC: AztreonamVAP: Indeterminate85.34 Milligram per liter (mg/L)
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss) According to Microbiological Response by Infection Type at TOC: AztreonamcIAI: Favorable53.26 Milligram per liter (mg/L)Geometric Coefficient of Variation 34.03
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss) According to Microbiological Response by Infection Type at TOC: AztreonamcIAI: Unfavorable53.71 Milligram per liter (mg/L)Geometric Coefficient of Variation 67.14
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss) According to Microbiological Response by Infection Type at TOC: AztreonamcIAI: Indeterminate62.97 Milligram per liter (mg/L)Geometric Coefficient of Variation 9.49
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss) According to Microbiological Response by Infection Type at TOC: AztreonamHAP:Favorable86.9 Milligram per liter (mg/L)Geometric Coefficient of Variation 71.56
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss) According to Microbiological Response by Infection Type at TOC: AztreonamHAP: Unfavorable55.48 Milligram per liter (mg/L)Geometric Coefficient of Variation 38.83
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss) According to Microbiological Response by Infection Type at TOC: AztreonamHAP: Indeterminate66.2 Milligram per liter (mg/L)Geometric Coefficient of Variation 33.87
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss) According to Microbiological Response by Infection Type at TOC: AztreonamVAP: Favorable50.71 Milligram per liter (mg/L)Geometric Coefficient of Variation 37.56
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss) According to Microbiological Response by Infection Type at TOC: AztreonamVAP: Unfavorable59.77 Milligram per liter (mg/L)Geometric Coefficient of Variation 31.52
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss) According to Microbiological Response by Infection Type at TOC: AztreonamVAP: Indeterminate85.34 Milligram per liter (mg/L)
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss (mg/L)) According to Microbiological Response by Infection Type at TOC: AvibactamcIAI: Favorable11.1 Milligram per liter (mg/L)Geometric Coefficient of Variation 37.2
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss (mg/L)) According to Microbiological Response by Infection Type at TOC: AvibactamcIAI: Unfavorable11.83 Milligram per liter (mg/L)Geometric Coefficient of Variation 76.48
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss (mg/L)) According to Microbiological Response by Infection Type at TOC: AvibactamcIAI: Indeterminate13.03 Milligram per liter (mg/L)Geometric Coefficient of Variation 8.01
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss (mg/L)) According to Microbiological Response by Infection Type at TOC: AvibactamHAP:Favorable18.55 Milligram per liter (mg/L)Geometric Coefficient of Variation 84.68
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss (mg/L)) According to Microbiological Response by Infection Type at TOC: AvibactamHAP: Unfavorable12.31 Milligram per liter (mg/L)Geometric Coefficient of Variation 51.34
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss (mg/L)) According to Microbiological Response by Infection Type at TOC: AvibactamHAP: Indeterminate18.72 Milligram per liter (mg/L)Geometric Coefficient of Variation 55.03
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss (mg/L)) According to Microbiological Response by Infection Type at TOC: AvibactamVAP: Favorable10.75 Milligram per liter (mg/L)Geometric Coefficient of Variation 42.72
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss (mg/L)) According to Microbiological Response by Infection Type at TOC: AvibactamVAP: Unfavorable12.28 Milligram per liter (mg/L)Geometric Coefficient of Variation 32.85
Aztreonam-avibactam ± MetronidazoleMaximum Plasma Concentration for a Dosing Interval at Steady-state (Cmax,ss (mg/L)) According to Microbiological Response by Infection Type at TOC: AvibactamVAP: Indeterminate18.93 Milligram per liter (mg/L)
Secondary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Clinically Significant Electrocardiogram (ECG) FindingsBaseline16 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Clinically Significant Electrocardiogram (ECG) FindingsDay 311 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Clinically Significant Electrocardiogram (ECG) FindingsBaseline5 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Clinically Significant Electrocardiogram (ECG) FindingsDay 36 Participants
Secondary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormalities in Vital SignsSystolic BP (mmHg) Value less than (<) 90 and decrease from baseline more than equal (≥) 308 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormalities in Vital SignsDiastolic BP (mmHg) Value < 50 and decrease from baseline ≥ 2010 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormalities in Vital SignsDiastolic BP (mmHg) Value > 100 and increase from baseline ≥ 208 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormalities in Vital SignsHeart Rate (BPM) Value < 40 or > 120265 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormalities in Vital SignsSystolic BP (mmHg) Value more than (>) 150 and increase from baseline more than equal (≥ to 30)35 Participants
Meropenem± ColistimethateNumber of Participants With Abnormalities in Vital SignsHeart Rate (BPM) Value < 40 or > 120135 Participants
Meropenem± ColistimethateNumber of Participants With Abnormalities in Vital SignsSystolic BP (mmHg) Value more than (>) 150 and increase from baseline more than equal (≥ to 30)16 Participants
Meropenem± ColistimethateNumber of Participants With Abnormalities in Vital SignsSystolic BP (mmHg) Value less than (<) 90 and decrease from baseline more than equal (≥) 303 Participants
Meropenem± ColistimethateNumber of Participants With Abnormalities in Vital SignsDiastolic BP (mmHg) Value > 100 and increase from baseline ≥ 200 Participants
Meropenem± ColistimethateNumber of Participants With Abnormalities in Vital SignsDiastolic BP (mmHg) Value < 50 and decrease from baseline ≥ 205 Participants
Secondary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingGeneral appearance: Screening77 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingAbdomen: Screening184 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingAbdomen: End of Treatment56 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingAbdomen: Test of Cure31 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingCardiovascular: Screening50 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingCardiovascular: End of Treatment27 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingCardiovascular: Test of Cure20 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingEars: Screening1 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingEars: End of Treatment0 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingEars:Test of Cure0 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingEyes: Screening13 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingEyes End of Treatment7 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingEyes: Test of Cure6 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingGeneral appearance: End of Treatment34 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingGeneral appearance: Test of Cure16 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingHead: Screening12 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingHead: End of Treatment10 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingHead: Test of Cure6 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingLungs: Screening70 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingLungs: End of Treatment45 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingLungs: Test of Cure22 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingLymph nodes: Screening1 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingLymph nodes: End of Treatment1 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingLymph nodes: Test of Cure0 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingMusculoskeletal: Screening21 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingMusculoskeletal: End of Treatment17 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingMusculoskeletal: Test of Cure9 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingNeurological: Screening37 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingNeurological: End of Treatment34 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingNeurological: Test of Cure17 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingNose: Screening4 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingNose: End of Treatment2 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingNose: Test of Cure1 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingSkin: Screening47 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingSkin: End of Treatment33 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingSkin: Test of Cure21 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingThroat: Screening9 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingThroat: End of Treatment10 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Abnormal Physical Examination FindingThroat: Test of Cure4 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingLungs: End of Treatment15 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingNeurological: Test of Cure6 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingAbdomen: Screening103 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingLungs: Test of Cure8 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingAbdomen: End of Treatment30 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingSkin: End of Treatment22 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingAbdomen: Test of Cure12 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingLymph nodes: Screening0 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingCardiovascular: Screening22 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingNose: Screening3 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingCardiovascular: End of Treatment14 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingLymph nodes: End of Treatment0 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingCardiovascular: Test of Cure10 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingThroat: Test of Cure1 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingEars: Screening1 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingLymph nodes: Test of Cure0 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingEars: End of Treatment1 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingNose: End of Treatment0 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingEars:Test of Cure1 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingMusculoskeletal: Screening10 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingEyes: Screening4 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingSkin: Test of Cure12 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingEyes End of Treatment1 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingMusculoskeletal: End of Treatment9 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingEyes: Test of Cure1 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingGeneral appearance: Screening35 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingNose: Test of Cure0 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingGeneral appearance: End of Treatment15 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingMusculoskeletal: Test of Cure3 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingGeneral appearance: Test of Cure8 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingThroat: End of Treatment1 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingHead: Screening4 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingNeurological: Screening13 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingHead: End of Treatment5 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingSkin: Screening25 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingHead: Test of Cure2 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingNeurological: End of Treatment9 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingLungs: Screening37 Participants
Meropenem± ColistimethateNumber of Participants With Abnormal Physical Examination FindingThroat: Screening0 Participants
Secondary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Adverse Events (AEs) and Serious AEsAEs177 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Adverse Events (AEs) and Serious AEsSAEs53 Participants
Meropenem± ColistimethateNumber of Participants With Adverse Events (AEs) and Serious AEsAEs87 Participants
Meropenem± ColistimethateNumber of Participants With Adverse Events (AEs) and Serious AEsSAEs25 Participants
Secondary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesAspartate Aminotransferase >3.0* ULN and > 100% Increase from Baseline25 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesAlanine Aminotransferase > 3.0* ULN and > 100% Increase from Baseline24 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesAlkaline Phosphatase < 0.5* LLN and > 80% Decrease from Baseline0 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesAlkaline Phosphatase > 3.0* ULN and > 100% Increase from Baseline5 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesBilirubin > 1.5* ULN and > 100% Increase from Baseline2 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesDirect Bilirubin > 2.0* ULN and > 150% Increase from Baseline2 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesCreatinine > 2.0* ULN and > 100% Increase from Baseline0 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesSodium < 0.85* LLN and > 10% Decrease from Baseline0 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesSodium> 1.1* ULN and > 10% Increase from Baseline0 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesPotassium < 0.8* LLN and > 20% Decrease from Baseline6 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesPotassium > 1.2* ULN and > 20% Increase from Baseline5 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesChloride< 0.8* LLN and > 20% Decrease from Baseline0 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesChloride > 1.2* ULN and > 20% Increase from Baseline1 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesBicarbonate < 0.7* LLN and > 40% Decrease from Baseline0 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesBicarbonate > 1.3* ULN and > 40% Increase from Baseline3 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesCalcium < 0.7* LLN and > 30% Decrease from Baseline2 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesCalcium > 1.3* ULN and > 30% Increase from Baseline0 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesAlbumin < 0.5* LLN and > 50% Decrease from Baseline0 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesAlbumin > 1.5* ULN and > 50% Increase from Baseline0 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesGlucose < 0.6* LLN and > 40% Decrease from Baseline0 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesGlucose > 3.0* ULN and > 200% Increase from Baseline2 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesUrea Nitrogen < 0.2* LLN and > 100% Decrease from Baseline0 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesUrea Nitrogen > 3.0* ULN and > 200% Increase from Baseline0 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesChloride< 0.8* LLN and > 20% Decrease from Baseline0 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesAspartate Aminotransferase >3.0* ULN and > 100% Increase from Baseline14 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesAlbumin < 0.5* LLN and > 50% Decrease from Baseline0 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesAlanine Aminotransferase > 3.0* ULN and > 100% Increase from Baseline10 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesChloride > 1.2* ULN and > 20% Increase from Baseline0 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesAlkaline Phosphatase < 0.5* LLN and > 80% Decrease from Baseline0 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesGlucose > 3.0* ULN and > 200% Increase from Baseline0 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesAlkaline Phosphatase > 3.0* ULN and > 100% Increase from Baseline4 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesBicarbonate < 0.7* LLN and > 40% Decrease from Baseline0 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesBilirubin > 1.5* ULN and > 100% Increase from Baseline3 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesAlbumin > 1.5* ULN and > 50% Increase from Baseline0 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesDirect Bilirubin > 2.0* ULN and > 150% Increase from Baseline0 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesBicarbonate > 1.3* ULN and > 40% Increase from Baseline1 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesCreatinine > 2.0* ULN and > 100% Increase from Baseline3 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesUrea Nitrogen > 3.0* ULN and > 200% Increase from Baseline0 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesSodium < 0.85* LLN and > 10% Decrease from Baseline0 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesCalcium < 0.7* LLN and > 30% Decrease from Baseline1 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesSodium> 1.1* ULN and > 10% Increase from Baseline0 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesGlucose < 0.6* LLN and > 40% Decrease from Baseline1 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesPotassium < 0.8* LLN and > 20% Decrease from Baseline1 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesCalcium > 1.3* ULN and > 30% Increase from Baseline0 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesPotassium > 1.2* ULN and > 20% Increase from Baseline4 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Clinical Chemistry AbnormalitiesUrea Nitrogen < 0.2* LLN and > 100% Decrease from Baseline0 Participants
Secondary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesHemoglobin< 0.7* LLN and > 30% Decrease from Baseline8 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesNeutrophils/Leukocytes > 1.6* ULN and > 100% Increase from Baseline0 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesErythrocytes > 1.3* ULN and > 30% Increase from Baseline0 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesMonocytes/Leukocytes > 4.0* ULN and > 300% Increase from Baseline0 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesHematocrit > 1.3* ULN and > 30% Increase from Baseline0 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesLymphocytes/Leukocytes < 0.25* LLN and > 75% Decrease from Baseline1 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesLeukocytes < 0.65* LLN and > 60% Decrease from Baseline0 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesLymphocytes/Leukocytes > 1.5* ULN and > 100% Increase from Baseline0 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesHematocrit < 0.7*LLN and > 30% Decrease from Baseline6 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesEosinophils/Leukocytes > 4.0* ULN and > 300% Increase from Baseline0 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesLeukocytes > 1.5* ULN and > 100% Increase from Baseline12 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesBasophils/Leukocytes > 4.0* ULN and > 300% Increase from Baseline0 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesErythrocytes < 0.7* LLN and > 30% Decrease from Baseline7 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesPlatelets < 0.65* LLN and > 50% Decrease from Baseline3 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesNeutrophils/Leukocytes < 0.65* LLN and > 75% Decrease from Baseline0 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesPlatelets > 1.5* ULN and > 100% Increase from Baseline12 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesHemoglobin > 1.3* ULN and > 30% Increase from Baseline0 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesPlatelets > 1.5* ULN and > 100% Increase from Baseline7 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesHematocrit < 0.7*LLN and > 30% Decrease from Baseline3 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesHematocrit > 1.3* ULN and > 30% Increase from Baseline0 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesHemoglobin< 0.7* LLN and > 30% Decrease from Baseline3 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesHemoglobin > 1.3* ULN and > 30% Increase from Baseline0 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesErythrocytes < 0.7* LLN and > 30% Decrease from Baseline3 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesErythrocytes > 1.3* ULN and > 30% Increase from Baseline0 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesLeukocytes < 0.65* LLN and > 60% Decrease from Baseline0 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesLeukocytes > 1.5* ULN and > 100% Increase from Baseline5 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesNeutrophils/Leukocytes < 0.65* LLN and > 75% Decrease from Baseline0 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesNeutrophils/Leukocytes > 1.6* ULN and > 100% Increase from Baseline0 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesMonocytes/Leukocytes > 4.0* ULN and > 300% Increase from Baseline0 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesLymphocytes/Leukocytes < 0.25* LLN and > 75% Decrease from Baseline1 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesLymphocytes/Leukocytes > 1.5* ULN and > 100% Increase from Baseline0 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesEosinophils/Leukocytes > 4.0* ULN and > 300% Increase from Baseline0 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesBasophils/Leukocytes > 4.0* ULN and > 300% Increase from Baseline0 Participants
Meropenem± ColistimethateNumber of Participants With Potentially Clinically Significant Hematology AbnormalitiesPlatelets < 0.65* LLN and > 50% Decrease from Baseline2 Participants
Secondary

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.

ArmMeasureValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants Who Died on or Before 28 Days After Randomization: ITT Analysis Set4.3 Percentage of participants
Meropenem± ColistimethatePercentage of Participants Who Died on or Before 28 Days After Randomization: ITT Analysis Set7.1 Percentage of participants
Secondary

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.

ArmMeasureValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants Who Died on or Before 28 Days After Randomization: Micro-ITT Analysis Set2.8 Percenatge of participants
Meropenem± ColistimethatePercentage of Participants Who Died on or Before 28 Days After Randomization: Micro-ITT Analysis Set6.4 Percenatge of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure at TOC Visit by Type of Infection: CE Analysis SetcIAI85.1 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure at TOC Visit by Type of Infection: CE Analysis SetHAP/VAP46.7 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure at TOC Visit by Type of Infection: CE Analysis SetcIAI79.5 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure at TOC Visit by Type of Infection: CE Analysis SetHAP/VAP54.5 Percentage of participants
Comparison: cIAI95% CI: [-4, 16.6]
Comparison: HAP/VAP95% CI: [-31.9, 17.3]
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure at TOC Visit by Type of Infection: ITT Analysis SetcIAI76.4 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure at TOC Visit by Type of Infection: ITT Analysis SetHAP/VAP45.9 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure at TOC Visit by Type of Infection: ITT Analysis SetcIAI74.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure at TOC Visit by Type of Infection: ITT Analysis SetHAP/VAP41.7 Percentage of participants
Comparison: cIAI95% CI: [-7.4, 13]
Comparison: HAP/VAP95% CI: [-15.5, 23.1]Difference
Secondary

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.

ArmMeasureValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure at TOC Visit: Microbiological Intent-To-Treat (Micro-ITT) Analysis Set72.9 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure at TOC Visit: Microbiological Intent-To-Treat (Micro-ITT) Analysis Set72.3 Percentage of participants
95% CI: [-10.2, 12.1]
Secondary

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.

ArmMeasureValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure at TOC Visit: Microbiologically Evaluable (ME) Analysis Set78.5 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure at TOC Visit: Microbiologically Evaluable (ME) Analysis Set75.9 Percentage of participants
95% CI: [-8.4, 14.7]
Secondary

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.

ArmMeasureValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure in Participants With MBL Positive Pathogen at TOC Visit: ME Analysis Set50.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure in Participants With MBL Positive Pathogen at TOC Visit: ME Analysis Set0 Percentage of participants
Secondary

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.

ArmMeasureValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure in Participants With Metallo-beta-lactamase (MBL) Positive Pathogen at TOC Visit: Micro-ITT Analysis Set28.6 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure in Participants With Metallo-beta-lactamase (MBL) Positive Pathogen at TOC Visit: Micro-ITT Analysis Set66.7 Percentage of participants
Secondary

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.

ArmMeasureValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response at TOC Visit: ME Analysis Set77.2 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response at TOC Visit: ME Analysis Set75.9 Percentage of participants
Secondary

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.

ArmMeasureValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response at TOC Visit: Micro- ITT Analysis Set75.7 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response at TOC Visit: Micro- ITT Analysis Set73.9 Percentage of participants
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Aztreonam-avibactam ± MetronidazolePercentage 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: AztreonamcIAI: Clinical cure90.4 Percentage of timeGeometric Coefficient of Variation 41.9
Aztreonam-avibactam ± MetronidazolePercentage 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: AztreonamcIAI: Failure73.81 Percentage of timeGeometric Coefficient of Variation 134.39
Aztreonam-avibactam ± MetronidazolePercentage 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: AztreonamcIAI: Indeterminate100 Percentage of timeGeometric Coefficient of Variation 0
Aztreonam-avibactam ± MetronidazolePercentage 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: AztreonamHAP:Clinical cure97.87 Percentage of timeGeometric Coefficient of Variation 7.67
Aztreonam-avibactam ± MetronidazolePercentage 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: AztreonamHAP: Failure97.2 Percentage of timeGeometric Coefficient of Variation 8.4
Aztreonam-avibactam ± MetronidazolePercentage 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: AztreonamHAP: Indeterminate100 Percentage of timeGeometric Coefficient of Variation 0
Aztreonam-avibactam ± MetronidazolePercentage 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: AztreonamVAP: Clinical Cure95.29 Percentage of timeGeometric Coefficient of Variation 8.94
Aztreonam-avibactam ± MetronidazolePercentage 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: AztreonamVAP: Failure96.38 Percentage of timeGeometric Coefficient of Variation 10.02
Aztreonam-avibactam ± MetronidazolePercentage 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: AztreonamVAP: Indeterminate100 Percentage of time
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Aztreonam-avibactam ± MetronidazolePercentage 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: AztreonamcIAI: Favorable92.57 Percentage of timeGeometric Coefficient of Variation 17.66
Aztreonam-avibactam ± MetronidazolePercentage 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: AztreonamcIAI: Unfavorable68.02 Percentage of timeGeometric Coefficient of Variation 171.87
Aztreonam-avibactam ± MetronidazolePercentage 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: AztreonamcIAI: Indeterminate100 Percentage of timeGeometric Coefficient of Variation 0
Aztreonam-avibactam ± MetronidazolePercentage 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: AztreonamHAP:Favorable95.53 Percentage of timeGeometric Coefficient of Variation 11.05
Aztreonam-avibactam ± MetronidazolePercentage 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: AztreonamHAP: Unfavorable93.9 Percentage of timeGeometric Coefficient of Variation 14.14
Aztreonam-avibactam ± MetronidazolePercentage 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: AztreonamHAP: Indeterminate100 Percentage of timeGeometric Coefficient of Variation 0
Aztreonam-avibactam ± MetronidazolePercentage 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: AztreonamVAP: Favorable90.8 Percentage of timeGeometric Coefficient of Variation 12.3
Aztreonam-avibactam ± MetronidazolePercentage 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: AztreonamVAP: Unfavorable97.42 Percentage of timeGeometric Coefficient of Variation 9.54
Aztreonam-avibactam ± MetronidazolePercentage 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: AztreonamVAP: Indeterminate100 Percentage of time
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Aztreonam-avibactam ± MetronidazolePercent 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: AvibactamcIAI: Clinical cure85.53 Percentage of timeGeometric Coefficient of Variation 43.26
Aztreonam-avibactam ± MetronidazolePercent 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: AvibactamcIAI: Failure71.92 Percentage of timeGeometric Coefficient of Variation 133.68
Aztreonam-avibactam ± MetronidazolePercent 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: AvibactamcIAI: Indeterminate98.52 Percentage of timeGeometric Coefficient of Variation 2.81
Aztreonam-avibactam ± MetronidazolePercent 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: AvibactamHAP:Clinical cure95.99 Percentage of timeGeometric Coefficient of Variation 11.57
Aztreonam-avibactam ± MetronidazolePercent 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: AvibactamHAP: Failure95.28 Percentage of timeGeometric Coefficient of Variation 12.12
Aztreonam-avibactam ± MetronidazolePercent 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: AvibactamHAP: Indeterminate92.75 Percentage of timeGeometric Coefficient of Variation 11.19
Aztreonam-avibactam ± MetronidazolePercent 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: AvibactamVAP: Clinical Cure92 Percentage of timeGeometric Coefficient of Variation 13.01
Aztreonam-avibactam ± MetronidazolePercent 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: AvibactamVAP: Failure94.08 Percentage of timeGeometric Coefficient of Variation 12.93
Aztreonam-avibactam ± MetronidazolePercent 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: AvibactamVAP: Indeterminate100 Percentage of time
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Aztreonam-avibactam ± MetronidazolePercent 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: AvibactamcIAI: Favorable87.93 Percentage of timeGeometric Coefficient of Variation 21.78
Aztreonam-avibactam ± MetronidazolePercent 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: AvibactamcIAI: Unfavorable66.43 Percentage of timeGeometric Coefficient of Variation 170.59
Aztreonam-avibactam ± MetronidazolePercent 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: AvibactamcIAI: Indeterminate99.24 Percentage of timeGeometric Coefficient of Variation 1.52
Aztreonam-avibactam ± MetronidazolePercent 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: AvibactamHAP:Favorable92.26 Percentage of timeGeometric Coefficient of Variation 16.44
Aztreonam-avibactam ± MetronidazolePercent 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: AvibactamHAP: Unfavorable90.03 Percentage of timeGeometric Coefficient of Variation 18.83
Aztreonam-avibactam ± MetronidazolePercent 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: AvibactamHAP: Indeterminate100 Percentage of timeGeometric Coefficient of Variation 0
Aztreonam-avibactam ± MetronidazolePercent 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: AvibactamVAP: Favorable87.47 Percentage of timeGeometric Coefficient of Variation 16.8
Aztreonam-avibactam ± MetronidazolePercent 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: AvibactamVAP: Unfavorable95.52 Percentage of timeGeometric Coefficient of Variation 11.79
Aztreonam-avibactam ± MetronidazolePercent 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: AvibactamVAP: Indeterminate100 Percentage of time
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Moderate: 5 to 6 hours post start of infusion on Day 49.23 Milligram/LiterGeometric Coefficient of Variation 72.89
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Augmented:25 to 30 minutes post start of infusion on Day 110.77 Milligram/LiterGeometric Coefficient of Variation 353.86
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Augmented:3.25 to 3.5 hours post start of infusion on Day 112.6 Milligram/LiterGeometric Coefficient of Variation 299.27
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Augmented: 5.5 hours to 6.5 hours post start of infusion on Day 14.75 Milligram/LiterGeometric Coefficient of Variation 366.33
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Normal & Mild: 25 to 30 min post start of infusion on Day 18.81 Milligram/LiterGeometric Coefficient of Variation 338.73
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Normal & Mild:3.25 to 3.5 hours post start of infusion on Day 113.76 Milligram/LiterGeometric Coefficient of Variation 242.67
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Normal & Mild:5.5 hours to 6.5 hours post start of infusion on Day 14.85 Milligram/LiterGeometric Coefficient of Variation 209.49
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Normal & Mild:7.5 to 8.5 hours post start of infusion on Day 17.18 Milligram/LiterGeometric Coefficient of Variation 62.62
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Moderate: 25 to 30 min post start of infusion on Day 113.56 Milligram/LiterGeometric Coefficient of Variation 383.79
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Moderate: 3.25 to 3.5 hours post start of infusion on Day 120.28 Milligram/LiterGeometric Coefficient of Variation 262.6
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Moderate: 5.5 hours to 6.5 hours post start of infusion on Day 113.47 Milligram/LiterGeometric Coefficient of Variation 160.75
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Moderate: 7.5 to 8.5 hours post start of infusion on Day 17.91 Milligram/Liter
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Severe: 25 to 30 min post start of infusion on Day 114.11 Milligram/LiterGeometric Coefficient of Variation 202.08
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Severe: 3.25 to 3.5 hours post start of infusion on Day 113.62 Milligram/LiterGeometric Coefficient of Variation 39.68
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Severe: 5.5 hours to 6.5 hours post start of infusion on Day 111.6 Milligram/LiterGeometric Coefficient of Variation 54.34
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Severe: 7.5 to 8.5 hours post start of infusion on Day 18 Milligram/LiterGeometric Coefficient of Variation 57.91
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Augmented: 2.75 to 3 hours post start of infusion on Day 49.75 Milligram/LiterGeometric Coefficient of Variation 289.96
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Augmented: 3.5 to 4.5 hours post start of infusion on Day 46.23 Milligram/LiterGeometric Coefficient of Variation 263.94
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Augmented: 5 to 6 hours post start of infusion on Day 43.19 Milligram/LiterGeometric Coefficient of Variation 265.65
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Augmented: 7 to 8 hours post start of infusion on Day 42.72 Milligram/Liter
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Normal & Mild: 2.75 to 3 hours post start of infusion on Day 411.46 Milligram/LiterGeometric Coefficient of Variation 504.77
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Normal & Mild: 3.5 to 4.5 hours post start of infusion on Day 46.29 Milligram/LiterGeometric Coefficient of Variation 493.48
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Normal & Mild: 5 to 6 hours post start of infusion on Day 43.48 Milligram/LiterGeometric Coefficient of Variation 382.3
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Normal & Mild: 7 to 8 hours post start of infusion on Day 46.19 Milligram/LiterGeometric Coefficient of Variation 51.22
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Moderate: 2.75 to 3 hours post start of infusion on Day 416.98 Milligram/LiterGeometric Coefficient of Variation 208.63
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Moderate: 3.5 to 4.5 hours post start of infusion on Day 412.86 Milligram/LiterGeometric Coefficient of Variation 156.96
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Moderate: 7 to 8 hours post start of infusion on Day 44.35 Milligram/Liter
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Severe: 2.75 to 3 hours post start of infusion on Day 414.35 Milligram/LiterGeometric Coefficient of Variation 44.72
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Severe: 3.5 to 4.5 hours post start of infusion on Day 411.68 Milligram/LiterGeometric Coefficient of Variation 42.15
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Severe: 5 to 6 hours post start of infusion on Day 49.99 Milligram/LiterGeometric Coefficient of Variation 67.87
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AvibactamRenal Function: Severe: Moderate: 7 to 8 hours post start of infusion on Day 48.97 Milligram/LiterGeometric Coefficient of Variation 47.28
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Augmented:25 to 30 minutes post start of infusion on Day 143.3 Milligram/LiterGeometric Coefficient of Variation 339.08
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Augmented:3.25 to 3.5 hours post start of infusion on Day 155.99 Milligram/LiterGeometric Coefficient of Variation 287.36
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Augmented: 5.5 hours to 6.5 hours post loading infusion on Day 126.11 Milligram/LiterGeometric Coefficient of Variation 338.5
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Normal & Mild: 25 to 30 min post start of infusion on Day 133.85 Milligram/LiterGeometric Coefficient of Variation 234.46
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Normal & Mild:3.25 to 3.5 hours post start of infusion on Day 156.24 Milligram/LiterGeometric Coefficient of Variation 222.32
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Normal & Mild:5.5 hours to 6.5 hours post start of infusion on Day 125.03 Milligram/LiterGeometric Coefficient of Variation 115.83
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Normal & Mild:7.5 to 8.5 hours post start of infusion on Day 134.62 Milligram/LiterGeometric Coefficient of Variation 54.42
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Moderate: 25 to 30 min post start of infusion on Day 154.49 Milligram/LiterGeometric Coefficient of Variation 313.99
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Moderate: 3.25 to 3.5 hours post start of infusion on Day 173.72 Milligram/LiterGeometric Coefficient of Variation 259.64
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Moderate: 5.5 hours to 6.5 hours post start of infusion on Day 152.45 Milligram/LiterGeometric Coefficient of Variation 139.9
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Moderate: 7.5 to 8.5 hours post start of infusion on Day 134 Milligram/Liter
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Severe: 25 to 30 min post start of infusion on Day 148.98 Milligram/LiterGeometric Coefficient of Variation 187.86
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Severe: 3.25 to 3.5 hours post start of infusion on Day 150.31 Milligram/LiterGeometric Coefficient of Variation 30.13
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Severe: 5.5 hours to 6.5 hours post start of infusion on Day 148.54 Milligram/LiterGeometric Coefficient of Variation 46.87
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Severe: 7.5 to 8.5 hours post start of infusion on Day 129.42 Milligram/LiterGeometric Coefficient of Variation 34.88
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Augmented: 2.75 to 3 hours post start of infusion on Day 446.11 Milligram/LiterGeometric Coefficient of Variation 234.31
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Augmented: 3.5 to 4.5 hours post start of infusion on Day 433.56 Milligram/LiterGeometric Coefficient of Variation 204.99
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Augmented: 5 to 6 hours post start of infusion on Day 419.56 Milligram/LiterGeometric Coefficient of Variation 205.84
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Augmented: 7 to 8 hours post start of infusion on Day 414.1 Milligram/Liter
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Normal & Mild: 2.75 to 3 hours post start of infusion on Day 456.59 Milligram/LiterGeometric Coefficient of Variation 404.54
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Normal & Mild: 3.5 to 4.5 hours post start of infusion on Day 435.69 Milligram/LiterGeometric Coefficient of Variation 422.52
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Normal & Mild: 5 to 6 hours post start of infusion on Day 421.75 Milligram/LiterGeometric Coefficient of Variation 271.62
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Normal & Mild: 7 to 8 hours post start of infusion on Day 442.98 Milligram/LiterGeometric Coefficient of Variation 62.54
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Moderate: 2.75 to 3 hours post start of infusion on Day 473.33 Milligram/LiterGeometric Coefficient of Variation 183.2
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Moderate: 3.5 to 4.5 hours post start of infusion on Day 458 Milligram/LiterGeometric Coefficient of Variation 129.36
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Moderate: 5 to 6 hours post start of infusion on Day 444.72 Milligram/LiterGeometric Coefficient of Variation 59.15
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Moderate: 7 to 8 hours post start of infusion on Day 419.8 Milligram/Liter
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Severe: 2.75 to 3 hours post start of infusion on Day 454.91 Milligram/LiterGeometric Coefficient of Variation 45.17
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Severe: 3.5 to 4.5 hours post start of infusion on Day 445.17 Milligram/LiterGeometric Coefficient of Variation 34.89
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Severe: 5 to 6 hours post start of infusion on Day 445.11 Milligram/LiterGeometric Coefficient of Variation 57.13
Aztreonam-avibactam ± MetronidazolePlasma Concentration of AztreonamRenal Function: Severe:7 to 8 hours post start of infusion on Day 432.69 Milligram/LiterGeometric Coefficient of Variation 55.56
Other Pre-specified

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.

ArmMeasureValue (MEAN)Dispersion
Aztreonam-avibactam ± MetronidazoleDuration of Mechanical Ventilation in HAP/VAP Participants: CE Analysis Set17.4 DaysStandard Deviation 8.99
Meropenem± ColistimethateDuration of Mechanical Ventilation in HAP/VAP Participants: CE Analysis Set19.5 DaysStandard Deviation 11.16
Other Pre-specified

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.

ArmMeasureValue (MEAN)Dispersion
Aztreonam-avibactam ± MetronidazoleDuration of Mechanical Ventilation in HAP/VAP Participants: ITT Analysis Set14.2 DaysStandard Deviation 9.94
Meropenem± ColistimethateDuration of Mechanical Ventilation in HAP/VAP Participants: ITT Analysis Set16.7 DaysStandard Deviation 11.16
Other Pre-specified

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.

ArmMeasureValue (MEAN)Dispersion
Aztreonam-avibactam ± MetronidazoleDuration of Study Treatment8.5 DaysStandard Deviation 3.52
Meropenem± ColistimethateDuration of Study Treatment8.9 DaysStandard Deviation 3.17
Other Pre-specified

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.

ArmMeasureValue (MEAN)Dispersion
Aztreonam-avibactam ± MetronidazoleLength of Intensive Care Unit (ICU) Stay: CE Analysis Set12.1 DaysStandard Deviation 9.23
Meropenem± ColistimethateLength of Intensive Care Unit (ICU) Stay: CE Analysis Set12.4 DaysStandard Deviation 9.38
Other Pre-specified

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.

ArmMeasureValue (MEAN)Dispersion
Aztreonam-avibactam ± MetronidazoleLength of Intensive Care Unit (ICU) Stay: ITT Analysis Set11.6 DaysStandard Deviation 9.1
Meropenem± ColistimethateLength of Intensive Care Unit (ICU) Stay: ITT Analysis Set12.5 DaysStandard Deviation 9.45
Other Pre-specified

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.

Other Pre-specified

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.

Other Pre-specified

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Aztreonam-avibactam ± MetronidazoleNumber of Participants Admitted to the ICU: CE Analysis Set54 Participants
Meropenem± ColistimethateNumber of Participants Admitted to the ICU: CE Analysis Set24 Participants
Other Pre-specified

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Aztreonam-avibactam ± MetronidazoleNumber of Participants Admitted to the ICU: ITT Analysis Set80 Participants
Meropenem± ColistimethateNumber of Participants Admitted to the ICU: ITT Analysis Set39 Participants
Other Pre-specified

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Favorable Microbiological Response Per-Pathogen at at TOC Visit: Micro-ITT Analysis SetEscherichia coli91 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Favorable Microbiological Response Per-Pathogen at at TOC Visit: Micro-ITT Analysis SetKlebsiella pneumoniae14 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Favorable Microbiological Response Per-Pathogen at at TOC Visit: Micro-ITT Analysis SetPseudomonas aeruginosa12 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Favorable Microbiological Response Per-Pathogen at at TOC Visit: Micro-ITT Analysis SetStreptococcus anginosus group12 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Favorable Microbiological Response Per-Pathogen at at TOC Visit: Micro-ITT Analysis SetBacteroides fragilis14 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Favorable Microbiological Response Per-Pathogen at at TOC Visit: Micro-ITT Analysis SetBacteroides thetaiotaomicron8 Participants
Meropenem± ColistimethateNumber of Participants With Favorable Microbiological Response Per-Pathogen at at TOC Visit: Micro-ITT Analysis SetBacteroides fragilis7 Participants
Meropenem± ColistimethateNumber of Participants With Favorable Microbiological Response Per-Pathogen at at TOC Visit: Micro-ITT Analysis SetEscherichia coli44 Participants
Meropenem± ColistimethateNumber of Participants With Favorable Microbiological Response Per-Pathogen at at TOC Visit: Micro-ITT Analysis SetStreptococcus anginosus group4 Participants
Meropenem± ColistimethateNumber of Participants With Favorable Microbiological Response Per-Pathogen at at TOC Visit: Micro-ITT Analysis SetKlebsiella pneumoniae15 Participants
Meropenem± ColistimethateNumber of Participants With Favorable Microbiological Response Per-Pathogen at at TOC Visit: Micro-ITT Analysis SetBacteroides thetaiotaomicron1 Participants
Meropenem± ColistimethateNumber of Participants With Favorable Microbiological Response Per-Pathogen at at TOC Visit: Micro-ITT Analysis SetPseudomonas aeruginosa3 Participants
Other Pre-specified

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: ME Analysis SetKlebsiella pneumoniae17 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: ME Analysis SetBacteroides fragilis13 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: ME Analysis SetStreptococcus anginosus group13 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: ME Analysis SetBacteroides thetaiotaomicron8 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: ME Analysis SetEscherichia coli90 Participants
Meropenem± ColistimethateNumber of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: ME Analysis SetBacteroides thetaiotaomicron1 Participants
Meropenem± ColistimethateNumber of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: ME Analysis SetEscherichia coli44 Participants
Meropenem± ColistimethateNumber of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: ME Analysis SetKlebsiella pneumoniae17 Participants
Meropenem± ColistimethateNumber of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: ME Analysis SetStreptococcus anginosus group3 Participants
Meropenem± ColistimethateNumber of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: ME Analysis SetBacteroides fragilis6 Participants
Other Pre-specified

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: Micro-ITT Analysis SetEscherichia coli95 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: Micro-ITT Analysis SetKlebsiella pneumoniae19 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: Micro-ITT Analysis SetPseudomonas aeruginosa14 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: Micro-ITT Analysis SetStreptococcus anginosus group13 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: Micro-ITT Analysis SetBacteroides fragilis13 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: Micro-ITT Analysis SetBacteroides thetaiotaomicron8 Participants
Meropenem± ColistimethateNumber of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: Micro-ITT Analysis SetBacteroides fragilis7 Participants
Meropenem± ColistimethateNumber of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: Micro-ITT Analysis SetEscherichia coli48 Participants
Meropenem± ColistimethateNumber of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: Micro-ITT Analysis SetStreptococcus anginosus group4 Participants
Meropenem± ColistimethateNumber of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: Micro-ITT Analysis SetKlebsiella pneumoniae18 Participants
Meropenem± ColistimethateNumber of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: Micro-ITT Analysis SetBacteroides thetaiotaomicron1 Participants
Meropenem± ColistimethateNumber of Participants With Favorable Microbiological Response Per-Pathogen at EOT Visit: Micro-ITT Analysis SetPseudomonas aeruginosa5 Participants
Other Pre-specified

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Favorable Microbiological Response Per-Pathogen at TOC Visit: ME Analysis SetKlebsiella pneumoniae13 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Favorable Microbiological Response Per-Pathogen at TOC Visit: ME Analysis SetBacteroides fragilis14 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Favorable Microbiological Response Per-Pathogen at TOC Visit: ME Analysis SetStreptococcus anginosus group12 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Favorable Microbiological Response Per-Pathogen at TOC Visit: ME Analysis SetBacteroides thetaiotaomicron8 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Favorable Microbiological Response Per-Pathogen at TOC Visit: ME Analysis SetEscherichia coli86 Participants
Meropenem± ColistimethateNumber of Participants With Favorable Microbiological Response Per-Pathogen at TOC Visit: ME Analysis SetBacteroides thetaiotaomicron1 Participants
Meropenem± ColistimethateNumber of Participants With Favorable Microbiological Response Per-Pathogen at TOC Visit: ME Analysis SetEscherichia coli40 Participants
Meropenem± ColistimethateNumber of Participants With Favorable Microbiological Response Per-Pathogen at TOC Visit: ME Analysis SetKlebsiella pneumoniae14 Participants
Meropenem± ColistimethateNumber of Participants With Favorable Microbiological Response Per-Pathogen at TOC Visit: ME Analysis SetStreptococcus anginosus group3 Participants
Meropenem± ColistimethateNumber of Participants With Favorable Microbiological Response Per-Pathogen at TOC Visit: ME Analysis SetBacteroides fragilis6 Participants
Other Pre-specified

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Mechanical Ventilation: CE Analysis Set24 Participants
Meropenem± ColistimethateNumber of Participants With Mechanical Ventilation: CE Analysis Set13 Participants
Other Pre-specified

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Mechanical Ventilation: ITT Analysis Set43 Participants
Meropenem± ColistimethateNumber of Participants With Mechanical Ventilation: ITT Analysis Set21 Participants
Other Pre-specified

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Unplanned Surgical Interventions in cIAI Participants: CE Analysis SetCure1 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Unplanned Surgical Interventions in cIAI Participants: CE Analysis SetFailure5 Participants
Meropenem± ColistimethateNumber of Participants With Unplanned Surgical Interventions in cIAI Participants: CE Analysis SetCure1 Participants
Meropenem± ColistimethateNumber of Participants With Unplanned Surgical Interventions in cIAI Participants: CE Analysis SetFailure9 Participants
Other Pre-specified

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Unplanned Surgical Interventions in Complicated Intra-abdominal Infections (cIAI) Participants: ITT Analysis SetCure1 Participants
Aztreonam-avibactam ± MetronidazoleNumber of Participants With Unplanned Surgical Interventions in Complicated Intra-abdominal Infections (cIAI) Participants: ITT Analysis SetFailure5 Participants
Meropenem± ColistimethateNumber of Participants With Unplanned Surgical Interventions in Complicated Intra-abdominal Infections (cIAI) Participants: ITT Analysis SetCure1 Participants
Meropenem± ColistimethateNumber of Participants With Unplanned Surgical Interventions in Complicated Intra-abdominal Infections (cIAI) Participants: ITT Analysis SetFailure10 Participants
Other Pre-specified

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.

ArmMeasureValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants Who Died on or Before 14 Days From Randomization: ITT Analysis Set2.8 Percentage of participants
Meropenem± ColistimethatePercentage of Participants Who Died on or Before 14 Days From Randomization: ITT Analysis Set3.6 Percentage of participants
Other Pre-specified

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.

ArmMeasureValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure at End of Treatment (EOT) Visit: ITT Analysis Set75.9 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure at End of Treatment (EOT) Visit: ITT Analysis Set73.6 Percentage of participants
95% CI: [-6.2, 11.5]
Other Pre-specified

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.

ArmMeasureValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure at EOT Visit: CE Analysis Set82.2 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure at EOT Visit: CE Analysis Set81.9 Percentage of participants
95% CI: [-8.3, 9.9]
Other Pre-specified

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.

ArmMeasureValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure at EOT Visit: ME Analysis Set84.6 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure at EOT Visit: ME Analysis Set83.5 Percentage of participants
95% CI: [-8.5, 12]
Other Pre-specified

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.

ArmMeasureValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure at EOT Visit: Micro-ITT Analysis Set79.7 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure at EOT Visit: Micro-ITT Analysis Set80.9 Percentage of participants
95% CI: [-10.7, 9.4]
Other Pre-specified

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.

ArmMeasureGroupValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis SetMeropenem non-susceptible, EUCAST69.2 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis SetMeropenem non-susceptible, CLSI69.2 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis SetESBL-positive77.3 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis SetCarbapenemase-positive80.0 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis SetSerene Carbapenemase66.7 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis SetMetallo-beta-lactamase-positive100.0 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis SetATM non-susceptible, EUCAST81.1 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis SetATM non-susceptible, CLSI76.7 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis SetATM non-susceptible, CLSI76.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis SetMeropenem non-susceptible, EUCAST62.5 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis SetSerene Carbapenemase33.3 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis SetMeropenem non-susceptible, CLSI62.5 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis SetATM non-susceptible, EUCAST78.6 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis SetESBL-positive82.4 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis SetMetallo-beta-lactamase-positive0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: ME Analysis SetCarbapenemase-positive25.0 Percentage of participants
Other Pre-specified

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.

ArmMeasureGroupValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetATM non-susceptible, EUCAST74.5 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetATM non-susceptible, CLSI68.4 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetMeropenem non-susceptible, EUCAST57.9 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetMeropenem non-susceptible, CLSI58.8 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetESBL-positive72.0 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetCarbapenemase-positive61.5 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetSerene Carbapenemase57.1 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetMetallo-beta-lactamase-positive57.1 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetMetallo-beta-lactamase-positive66.7 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetATM non-susceptible, EUCAST75.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetESBL-positive75.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetATM non-susceptible, CLSI74.2 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetSerene Carbapenemase33.3 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetMeropenem non-susceptible, EUCAST72.7 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetCarbapenemase-positive50.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetMeropenem non-susceptible, CLSI75.0 Percentage of participants
Other Pre-specified

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.

ArmMeasureGroupValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis SetATM non-susceptible, EUCAST Criteria70.3 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis SetATM non-susceptible, CLSI Criteria66.7 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis SetMeropenem non-susceptible, EUCAST Criteria46.2 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis SetMeropenem non-susceptible, CLSI Criteria46.2 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis SetESBL-positive72.7 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis SetCarbapenemase-positive40.0 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis SetSerene Carbapenemase33.3 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis SetMetallo-beta-lactamase-positive50.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis SetMetallo-beta-lactamase-positive0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis SetATM non-susceptible, EUCAST Criteria60.7 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis SetESBL-positive76.5 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis SetATM non-susceptible, CLSI Criteria64.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis SetSerene Carbapenemase0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis SetMeropenem non-susceptible, EUCAST Criteria37.5 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis SetCarbapenemase-positive0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: ME Analysis SetMeropenem non-susceptible, CLSI Criteria37.5 Percentage of participants
Other Pre-specified

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.

ArmMeasureGroupValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetATM non-susceptible, EUCAST63.6 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetATM non-susceptible, CLSI60.5 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetMeropenem non-susceptible,42.1 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetMeropenem non-susceptible, CLSI41.2 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetESBL-positive68.0 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetCarbapenemase-positive30.8 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetSerene Carbapenemase28.6 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetMetallo-beta-lactamase-positive28.6 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetMetallo-beta-lactamase-positive66.7 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetATM non-susceptible, EUCAST55.6 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetESBL-positive70.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetATM non-susceptible, CLSI61.3 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetSerene Carbapenemase0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetMeropenem non-susceptible,45.5 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetCarbapenemase-positive33.3 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetMeropenem non-susceptible, CLSI50.0 Percentage of participants
Other Pre-specified

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.

ArmMeasureGroupValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Type of Infection at EOT Visit: CE Analysis SetcIAI88.7 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Type of Infection at EOT Visit: CE Analysis SetHAP/VAP57.8 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Type of Infection at EOT Visit: CE Analysis SetcIAI85.5 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Type of Infection at EOT Visit: CE Analysis SetHAP/VAP68.2 Percentage of participants
Comparison: cIAI95% CI: [-5.2, 13.2]
Comparison: HAP/VAP95% CI: [-32.6, 14.9]
Other Pre-specified

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.

ArmMeasureGroupValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Type of Infection at EOT Visit: ITT Analysis SetcIAI81.7 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Clinical Cure by Type of Infection at EOT Visit: ITT Analysis SetHAP/VAP59.5 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Type of Infection at EOT Visit: ITT Analysis SetcIAI79.8 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Clinical Cure by Type of Infection at EOT Visit: ITT Analysis SetHAP/VAP55.6 Percentage of participants
Comparison: cIAI95% CI: [-6.9, 11.9]
Comparison: HAP/VAP95% CI: [-15.2, 23.4]
Other Pre-specified

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.

ArmMeasureValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per Participant Microbiological Response at EOT Visit : ME Analysis Set85.9 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per Participant Microbiological Response at EOT Visit : ME Analysis Set86.1 Percentage of participants
Other Pre-specified

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.

ArmMeasureValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per Participant Microbiological Response at EOT Visit: Micro-ITT Analysis Set84.6 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per Participant Microbiological Response at EOT Visit: Micro-ITT Analysis Set83.9 Percentage of participants
Other Pre-specified

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.

ArmMeasureGroupValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetATM non-susceptible: CLSI70.0 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetATM non-susceptible: EUCAST75.0 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetMeropenem non-susceptible: CLSI53.8 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetMeropenem non-susceptible: EUCAST53.8 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetESBL-positive77.3 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetCarbapenamase-positive44.4 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetSerene Carbapenamase-positive33.3 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetMetallo-beta-lactamase-positive66.7 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetMetallo-beta-lactamase-positive0.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetATM non-susceptible: CLSI80.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetESBL-positive88.2 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetATM non-susceptible: EUCAST82.1 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetSerene Carbapenamase-positive33.3 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetMeropenem non-susceptible: CLSI62.5 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetCarbapenamase-positive25.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetMeropenem non-susceptible: EUCAST62.5 Percentage of participants
Other Pre-specified

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.

ArmMeasureGroupValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetATM non-susceptible: CLSI68.8 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetATM non-susceptible : EUCAST76.2 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetMeropenem non-susceptible : CLSI57.1 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetMeropenem non-susceptible : EUCAST57.1 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetESBL-positive78.3 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetCarbapenamase-positive50.0 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetSerene Carbapenamase-positive33.3 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetMetallo-beta-lactamase-positive75.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetMetallo-beta-lactamase-positive0.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetATM non-susceptible: CLSI78.6 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetESBL-positive84.2 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetATM non-susceptible : EUCAST80.6 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetSerene Carbapenamase-positive33.3 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetMeropenem non-susceptible : CLSI66.7 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetCarbapenamase-positive25.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetMeropenem non-susceptible : EUCAST66.7 Percentage of participants
Other Pre-specified

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.

ArmMeasureGroupValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetATM non-susceptible: CLSI60.0 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetATM non-susceptible: EUCAST66.7 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetMeropenem non-susceptible: CLSI30.8 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetMeropenem non-susceptible: EUCAST30.8 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetESBL-positive72.7 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetCarbapenamase-positive22.2 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetSerene Carbapenamase-positive16.7 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetMetallo-beta-lactamase-positive33.3 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetMetallo-beta-lactamase-positive0.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetATM non-susceptible: CLSI60.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetESBL-positive76.5 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetATM non-susceptible: EUCAST60.7 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetSerene Carbapenamase-positive0.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetMeropenem non-susceptible: CLSI25.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetCarbapenamase-positive0.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetMeropenem non-susceptible: EUCAST25.0 Percentage of participants
Other Pre-specified

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.

ArmMeasureGroupValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetESBL-positive73.9 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetMeropenem non-susceptible: CLSI28.6 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetCarbapenamase-positive20.0 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetATM non-susceptible: EUCAST66.7 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetSerene Carbapenamase-positive16.7 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetMeropenem non-susceptible : EUCAST28.6 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetMetallo-beta-lactamase-positive25.0 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetATM non-susceptible: CLSI59.4 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetMetallo-beta-lactamase-positive0.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetATM non-susceptible: EUCAST60.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetMeropenem non-susceptible: CLSI25.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetMeropenem non-susceptible : EUCAST25.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetESBL-positive73.7 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetCarbapenamase-positive0.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetSerene Carbapenamase-positive0.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Participant Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetATM non-susceptible: CLSI59.3 Percentage of participants
Other Pre-specified

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.

ArmMeasureGroupValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetATM non-susceptible: CLSI75.8 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetATM non-susceptible: EUCAST78.6 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetMeropenem non-susceptible: CLSI62.5 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetMeropenem non-susceptible: EUCAST62.5 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetESBL-positive77.3 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetCarbapenemase-positive70.0 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetSerine-carbapenemase-positive50. Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetMetallo-beta-lactamase-positive100.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetMetallo-beta-lactamase-positive0.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetATM non-susceptible: CLSI80.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetESBL-positive88.2 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetATM non-susceptible: EUCAST82.8 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetSerine-carbapenemase-positive33.3 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetMeropenem non-susceptible: CLSI62.5 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetCarbapenemase-positive25.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: ME Analysis SetMeropenem non-susceptible: EUCAST62.5 Percentage of participants
Other Pre-specified

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.

ArmMeasureGroupValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetATM non-susceptible: CLSI68.3 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetATM non-susceptible: EUCAST73.3 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetMeropenem non-susceptible: CLSI60.0 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetMeropenem non-susceptible : EUCAST59.1 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetESBL-positive72.0 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetCarbapenemase-positive61.5 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetSerine-carbapenemase-positive42.9 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetMetallo-beta-lactamase-positive71.4 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetMetallo-beta-lactamase-positive66.7 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetATM non-susceptible: CLSI77.4 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetESBL-positive80.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetATM non-susceptible: EUCAST78.4 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetSerine-carbapenemase-positive33.3 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetMeropenem non-susceptible: CLSI75.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetCarbapenemase-positive50.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at EOT Visit: Micro-ITT Analysis SetMeropenem non-susceptible : EUCAST72.7 Percentage of participants
Other Pre-specified

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.

ArmMeasureGroupValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetATM non-susceptible: CLSI63.6 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetATM non-susceptible: EUCAST66.7 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetMeropenem non-susceptible: CLSI31.3 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetMeropenem non-susceptible : EUCAST31.3 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetESBL-positive:77.3 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetCarbapenemase-positive:30.0 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetSerine-carbapenemase-positive16.7 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetMetallo-beta-lactamase-positive:50.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetMetallo-beta-lactamase-positive:0.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetATM non-susceptible: CLSI60.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetESBL-positive:76.5 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetATM non-susceptible: EUCAST62.1 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetSerine-carbapenemase-positive0.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetMeropenem non-susceptible: CLSI25.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetCarbapenemase-positive:0.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: ME Analysis SetMeropenem non-susceptible : EUCAST25.0 Percentage of participants
Other Pre-specified

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.

ArmMeasureGroupValue (NUMBER)
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetATM non-susceptible: CLSI58.5 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetATM non-susceptible: EUCAST63.3 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetMeropenem non-susceptible: CLSI30.0 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetMeropenem non-susceptible: EUCAST31.8 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetESBL-positive72.0 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetCarbapenemase-positive23.1 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetSerine-carbapenemase-positive14.3 Percentage of participants
Aztreonam-avibactam ± MetronidazolePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetMetallo-beta-lactamase-positive28.6 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetMetallo-beta-lactamase-positive66.7 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetATM non-susceptible: CLSI58.1 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetESBL-positive70.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetATM non-susceptible: EUCAST56.8 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetSerine-carbapenemase-positive0.0 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetMeropenem non-susceptible: CLSI41.7 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetCarbapenemase-positive33.3 Percentage of participants
Meropenem± ColistimethatePercentage of Participants With Favorable Per-Pathogen Microbiological Response by Pathogen Resistance Type at TOC Visit: Micro-ITT Analysis SetMeropenem non-susceptible: EUCAST36.4 Percentage of participants
Other Pre-specified

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.

ArmMeasureValue (MEAN)Dispersion
Aztreonam-avibactam ± MetronidazoleTotal Length of Hospital Stay up to TOC Visit: CE Analysis Set13.0 DaysStandard Deviation 8.55
Meropenem± ColistimethateTotal Length of Hospital Stay up to TOC Visit: CE Analysis Set12.3 DaysStandard Deviation 7.29
Other Pre-specified

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.

ArmMeasureValue (MEAN)Dispersion
Aztreonam-avibactam ± MetronidazoleTotal Length of Hospital Stay up to TOC Visit: ITT Analysis Set13.6 DaysStandard Deviation 9.42
Meropenem± ColistimethateTotal Length of Hospital Stay up to TOC Visit: ITT Analysis Set12.9 DaysStandard Deviation 8.05

Source: ClinicalTrials.gov · Data processed: Feb 19, 2026