Open-Label, Dose-Finding, Pharmacokinetics, Safety and Tolerability Study of Oritavancin in Pediatric Patients With Suspected or Confirmed Bacterial Infections

Last updated: February 27, 2025
Sponsor: Melinta Therapeutics, LLC
Overall Status: Active - Recruiting

Phase

1

Condition

Bacterial Infections

Treatment

Oritavancin

Clinical Study ID

NCT02134301
TMC-ORI-11-01
  • Ages < 18
  • All Genders

Study Summary

The purpose of this Phase 1 trial is to evaluate the pharmacokinetics, safety and tolerability of oritavancin in patients <18 years old with a confirmed or suspected bacterial infection.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Males and females <18 years of age

  • Neonates must be at least 34 weeks post-conception age

  • Parent or legal guardian has given informed consent, as appropriate; and pediatricpatient has given verbal assent where appropriate.

  • Suspected or diagnosed Gram positive bacterial infection for which the subject isreceiving standard antibiotic therapy; or peri-operative prophylactic use ofantibiotics

  • Intravenous access to administer study drug

  • The subject will be observed in the emergency room or hospital for at least 1 hourafter the study drug infusion is completed.

Exclusion

Exclusion Criteria:

  • Septic shock or acute haemodynamic instability.

  • History of immune-related hypersensitivity reaction to glycopeptides (such asvancomycin, dalbavancin, televancin, or teicoplanin) or any of their excipients.

  • Subjects who have taken vancomycin, telavancin, teicoplanin or other glycopeptidewithin 24 hours of screening or who are anticipated to need these drugs within 48hours after administration of study drug. Subjects who have taken dalbavancin areexcluded if taken within the previous 2 weeks or who are anticipated to needdalbavancin within 48 hours after administration of study drug.

  • Females who are of childbearing potential and unwilling to practice abstinence oruse at least two methods of contraception or female patients of childbearing who arelactating or have a positive pregnancy test result at screening

  • Males who are unwilling to practice abstinence or use an acceptable method of birthcontrol during the entire study period

  • Any surgical or medical condition which, in the opinion of the investigator, wouldput the patient at increased risk or is likely to interfere with study procedures orPK of the study drug.

  • Patients whom the investigator considers unlikely to adhere to the protocol, complywith study drug administration, or complete the clinical study

  • Treatment with investigational medicinal product or investigational device within 30days (or 5 times the half-life of the investigational medicine, whichever is longer)before enrollment and for the duration of the study.

  • Any clinically significant disease or condition affecting a major organ system,including but not limited to gastrointestinal, renal, hepatic, endocrinologic,broncho-pulmonary, neurological, metabolic or cardiovascular disease.

Study Design

Total Participants: 52
Treatment Group(s): 1
Primary Treatment: Oritavancin
Phase: 1
Study Start date:
May 01, 2014
Estimated Completion Date:
June 30, 2025

Study Description

This is a Phase 1, multicenter, open-label, PK, safety and tolerability study of oritavancin in pediatric patients (<18 years of age) with suspected or diagnosed Gram-positive bacterial infections or pediatric patients requiring peri-operative prophylactic antibiotics. Approximately 54 patients will be enrolled at 5-10 US centers. This study will include 5 age cohorts and patients will be entered in a stepwise approach starting with the older age cohort (12-<18 years). The starting dose will be IV oritavancin 15 mg/kg. The safety, tolerability and PK data will be reviewed at the completion of each cohort to ensure safety and determine the appropriate dose for the next age cohort. At least 8 patients will be enrolled in each cohort except for the birth to <3 month age cohort which will have at least 16 patients enrolled. Three PK samples will be collected over 14 days. The safety follow-up will complete with a 60-day phone call to the caregiver.

Connect with a study center

  • Arkansas Children's Hospital

    Little Rock, Arkansas 72202
    United States

    Completed

  • CHOC Children's

    Orange, California 92868
    United States

    Active - Recruiting

  • Childrens Hospital of Orange County

    Orange, California 92868
    United States

    Completed

  • Rady Children's Hospital

    San Diego, California 92123
    United States

    Active - Recruiting

  • Rady Children's Hospital San Diego

    San Diego, California 92123
    United States

    Active - Recruiting

  • Harbour-UCLA Medcial Center

    Torrance, California 90509
    United States

    Completed

  • UCLA Harbor Medical Center

    Torrance, California 90502
    United States

    Completed

  • Norton Children's Research Institute

    Louisville, Kentucky 40202
    United States

    Active - Recruiting

  • Univ of Louisville, Norton Children's Research Institute

    Louisville, Kentucky 40202
    United States

    Active - Recruiting

  • University of Nebraska Medical Center

    Omaha, Nebraska 68114
    United States

    Active - Recruiting

  • To be determined

    Parsippany, New Jersey 07054
    United States

    Site Not Available

  • Stony Brook University Medical Center

    Stony Brook, New York 11794
    United States

    Site Not Available

  • Rainbow Babies and Children's Hospital

    Cleveland, Ohio 44106
    United States

    Completed

  • Toledo Children's Hospital

    Toledo, Ohio 43606
    United States

    Terminated

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