Ceftobiprole in the Treatment of Pediatric Patients With Pneumonia

Last updated: May 9, 2023
Sponsor: Basilea Pharmaceutica
Overall Status: Completed

Phase

3

Condition

Pneumonia

Treatment

IV standard-of-care cephalosporin

ceftobiprole medocaril

Clinical Study ID

NCT03439124
BPR-PIP-002
  • Ages 3-17
  • All Genders

Study Summary

This was a study of the safety and efficacy of ceftobiprole medocaril compared with intravenous (IV) standard-of-care cephalosporin treatment with or without vancomycin in pediatric patients with either hospital-acquired bacterial pneumonia (HAP) or community-acquired bacterial pneumonia (CAP) requiring hospitalization, and requiring intravenous (IV) antibiotic therapy.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Male of female aged 3 months to < 18 years with a body weight of at least 5 kg
  • Diagnosis of either hospital-acquired pneumonia or community-acquired pneumoniarequiring hospitalization and administration of IV antibiotic therapy
  • New or progressive imaging findings consistent with bacterial pneumonia
  • Requirement for IV antibacterial treatment for pneumonia
  • Other inclusion criteria may apply

Exclusion

Exclusion Criteria:

  • Known resistance of the causative pathogen to ceftobiprole or IV standard-of-carecephalosporin treatment (± vancomycin)
  • On mechanical ventilation
  • Chest trauma with severe lung contusion or flail chest
  • Acute respiratory distress syndrome
  • Empyema or lung abscess
  • Anatomical bronchial obstruction
  • Active or currently treated pulmonary tuberculosis
  • Atypical bacterial pneumonia, or viral pneumonia without bacterial superinfection, orneed for antibiotic coverage with a macrolide
  • Pertussis, chemical pneumonitis, or cystic fibrosis
  • Severe immunodeficiency
  • Significant laboratory abnormalities including: Hematocrit <20%; absolute neutrophilcount <0.5x10⁹/L; platelet count <50x10⁹/L; alanine aminotransferase, aspartateaminotransferase, or bilirubin >5 times the age-specific upper limit of normal;
  • Creatinine clearance <50 mL/min/1.73 m²
  • Use of systemic antimicrobial therapy for more than 24 hours in the 48 hours beforerandomization
  • History of a previous clinically-relevant hypersensitivity or serious adverse reactionto beta lactam antibiotics or to vancomycin
  • Poorly controlled seizure disorder
  • Other exclusion criteria may apply

Study Design

Total Participants: 138
Treatment Group(s): 2
Primary Treatment: IV standard-of-care cephalosporin
Phase: 3
Study Start date:
November 27, 2017
Estimated Completion Date:
March 16, 2020

Study Description

This was a randomized, investigator-blind, active-controlled multi-center study to evaluate the safety, tolerability, pharmacokinetics and efficacy of ceftobiprole medocaril compared with IV standard-of-care cephalosporin treatment with or without vancomycin in pediatric patients aged 3 months to less than 18 years with HAP or CAP requiring hospitalization and therapy with IV antibiotics. Randomization was stratified by four age groups (3 months to < 2 years; 2 years to < 6 years; 6 years to < 12 years; 12 years to < 18 years), and by diagnosis of HAP or CAP.

Connect with a study center

  • University Multiprofile Hospital for Active Treatment "Dr. Georgi Stranski"

    Pleven, 5800
    Bulgaria

    Site Not Available

  • University Multiprofile Hospital for Active Treatment "Sveti Georgi"

    Plovdiv, 4002
    Bulgaria

    Site Not Available

  • Multiprofile Hospital for Active Treatment

    Ruse, 7002
    Bulgaria

    Site Not Available

  • University Multiprofile Hospital for Active Treatment "Aleksandrovska"

    Sofia, 1431
    Bulgaria

    Site Not Available

  • Amtel Hospital First Clinical LLC

    Tbilisi, 0144
    Georgia

    Site Not Available

  • JSC Evex Hospitals 1

    Tbilisi, 0159
    Georgia

    Site Not Available

  • JSC Evex Hospitals 2

    Tbilisi, 0159
    Georgia

    Site Not Available

  • LTD High Technology Medical Center University Clinic

    Tbilisi, 0144
    Georgia

    Site Not Available

  • Ltd Tbilisi Pediatric Private Clinic

    Tbilisi, 0191
    Georgia

    Site Not Available

  • Tbilisi State Medical University G. Zhvania Pediatric Academic Clinic

    Tbilisi, 0159
    Georgia

    Site Not Available

  • Principal SMO Ltd.

    Baja, 6500
    Hungary

    Site Not Available

  • Central Hospital of Southern Pest National Institute of Hematology and Infectious Diseases

    Budapest, 1097
    Hungary

    Site Not Available

  • Semmelweis University

    Budapest, 1094
    Hungary

    Site Not Available

  • Bekes County Central Hospital

    Gyula, 5700
    Hungary

    Site Not Available

  • Kanizsai Dorottya Hospital

    Nagykanizsa, 8800
    Hungary

    Site Not Available

  • Fejer County St. Gyorgy University Teaching Hospital

    Szekesfehervar, 8000
    Hungary

    Site Not Available

  • Torokbalint Pulmonology Institute

    Torokbalint, 2045
    Hungary

    Site Not Available

  • Alessandrescu-Rusescu National Institute for Mother and Child Health

    Bucharest, 020395
    Romania

    Site Not Available

  • Cluj Children's Emergency Clinical Hospital

    Cluj-Napoca, 400217
    Romania

    Site Not Available

  • Craiova Filantropia Clinical City Hospital

    Craiova, 200341
    Romania

    Site Not Available

  • Sf. Maria" Children's Emergency Clinical Hospital

    Iaşi, 700309
    Romania

    Site Not Available

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