Safety, Tolerability, Pharmacokinetics of Intravenous RPX7009 in Healthy Adult Subjects

Sponsor
Rempex Pharmaceuticals (a wholly owned subsidiary of The Medicines Company) (Industry)
Overall Status
Completed
CT.gov ID
NCT01751269
Collaborator
(none)
80
1
2
7
11.5

Study Details

Study Description

Brief Summary

RPX7009 (beta-lactamase inhibitor) is being studies in combination with a carbapenem biapenem to treat bacterial infections, including those due to multi-drug resistant bacteria.

Condition or Disease Intervention/Treatment Phase
Phase 1

Detailed Description

The worldwide spread of resistance to antibiotics among Gram-negative bacteria, particularly members of the ESKAPE group of pathogens, has resulted in a crisis in the treatment of hospital acquired infections. In particular, the recent dissemination of a serine carbapenemase (e.g., KPC) in Enterobacteriaceae in US hospitals now poses a considerable threat to the carbapenems and other members of the beta-lactam class of antimicrobial agents.

Rempex is developing a fixed combination antibiotic of a carbapenem plus a new beta-lactamase inhibitor (RPX7009) which has activity against serine beta-lactamases, including KPC. This Phase 1 study will assess the safety, tolerability and pharmacokinetics of RPX7009, administered alone, in healthy adult subjects.

Study Design

Study Type:
Interventional
Actual Enrollment :
80 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
A Phase 1, Randomized, Double-Blind, Placebo-Controlled, Ascending Single and Multiple-Dose Study of the Safety, Tolerability, Pharmacokinetics of Intravenous RPX7009 in Healthy Adult Subjects.
Study Start Date :
Dec 1, 2012
Actual Primary Completion Date :
Jul 1, 2013
Actual Study Completion Date :
Jul 1, 2013

Arms and Interventions

Arm Intervention/Treatment
Experimental: Ascending Single and Multiple dose of RPX7009

Ascending Single and Multiple dose of RPX7009

Drug: RPX7009
Ten (10) cohorts of 8 subjects (6 active and 2 placebo) are planned for evaluation.
Other Names:
  • (beta-lactamase inhibitor)
  • Placebo Comparator: Normal Saline

    Ascending Single and multiple dose of normal saline.

    Drug: Placebo
    Ten (10) cohorts of 8 subjects (6 active and 2 placebo) are planned for evaluation.
    Other Names:
  • Normal saline
  • Outcome Measures

    Primary Outcome Measures

    1. Safety from baseline through the end of the study. [Study Day 1 to Day 13.]

      Number of patients with adverse events; assessed by patient reporting, collection of vital signs, ECGs and absolute values and changes over time of hematology, chemistry and urinalysis.

    Secondary Outcome Measures

    1. Composite of PK parameters RPX7009 & placebo following single dose administration. [Study Day 1 to Day 12]

      Plasma AUC0-t, AUC0-inf, Cmax, and Tmax.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 55 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • Healthy adult males and/or females (of Non Child-bearing potential), 18 to 55 years of age

    • Body mass index (BMI) ≥ 18.5 and ≤ 29.9 (kg/m2) and weight between 55.0 and 100.0 kg (inclusive).

    • Medically healthy with clinically insignificant screening results

    • Non-tobacco/nicotine-containing product users for a minimum of 6 months prior to Day

    • Sexually abstinent or use acceptable methods of birth control
    Exclusion Criteria:
    • History or presence of significant cardiovascular, pulmonary, hepatic, renal, hematological, gastrointestinal, endocrine, immunologic, dermatologic, neurological, or psychiatric disease.

    • History or presence of alcoholism or drug abuse within the 2 years prior to Day 1.

    • Documented hypersensitivity reaction or anaphylaxis to any medication.

    • Use of any over-the-counter (OTC) medication, including herbal products and vitamins, within the 7 days prior to Day 1. Up to 2 grams per day of acetaminophen is allowed for acute events at the discretion of the PI.

    • Plasma donation within 7 days prior to Day 1.

    • Subjects who have any abnormalities on laboratory values at screening or check-in (Day -1).

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 CMAX Adelaide South Australia Australia 5000

    Sponsors and Collaborators

    • Rempex Pharmaceuticals (a wholly owned subsidiary of The Medicines Company)

    Investigators

    • Study Director: Jefferey Loutit, MBChB, Sponsor GmbH

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Rempex Pharmaceuticals (a wholly owned subsidiary of The Medicines Company)
    ClinicalTrials.gov Identifier:
    NCT01751269
    Other Study ID Numbers:
    • Rempex 402
    First Posted:
    Dec 17, 2012
    Last Update Posted:
    Jul 24, 2013
    Last Verified:
    Jul 1, 2013
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Jul 24, 2013