Pharmacokinetics of Cefepime After Intraperitoneal Administration via Cycler-Therapy in Apd Patients without Peritonitis

2023-509930-21-00 Protocol 2 Therapeutic use (Phase IV) Ended

Start 1 May 2024 · End 30 Oct 2025 · Status Ended · 1 EU/EEA countries · 1 sites · Protocol 2

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ended
Participants planned 8
Countries 1
Sites 1

CKD 5, Peritoneal Dialysis

The aim of the study is to determine if there is sufficient blood plasma and dialysate concentration of Cefepim after intraperitoneal application of Cefepim and to study the drugs pharmacodynamics and pharmacokinetics to assess the effectiveness after intraperitoneal application

Key facts

Sponsor
Noe LGA Gesundheit Region Mitte GmbH
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Phenomena and Processes [G] - Chemical Phenomena [G02], Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Therapeutics [E02], Diseases [C] - Bacterial Infections and Mycoses [C01]
Trial duration
1 May 2024 → 30 Oct 2025
Decision date (initial)
2024-04-15
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No
Funding sources
Karl Landsteiner Privatuniversität · NÖ Landesgesundheitsagentur

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Efficacy, Bioequivalence, Pharmacokinetic

The aim of the study is to determine if there is sufficient blood plasma and dialysate concentration of Cefepim after intraperitoneal application of Cefepim and to study the drugs pharmacodynamics and pharmacokinetics to assess the effectiveness after intraperitoneal application

Conditions and MedDRA coding

CKD 5, Peritoneal Dialysis

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2023-507930-26-00 PHARMACOKINETICS OF CEFEPIME AFTER INTRAPERITONEAL ADMINISTRATION VIA CYCLER-THERAPY IN APD PATIENTS WITHOUT PERITONITIS Noe LGA Gesundheit Region Mitte GmbH
2020-000865-18 Pharmacokinetics of meropenem and aztreonam after intraperitoneal administration via cycler-therapy in APD patients without peritonitis

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Males or females over the age of 18
  2. APD regime has to be established for a minimum of 1 month
  3. For short nighttime dwells patient need to use a glucose-based PDF (1,36% and/or 2.27%) and Icodextrin for the long daytime dwell
  4. Preparedness and Compliance to the protocol
  5. Signed informed consent

Exclusion criteria 8

  1. Any form of systemic infection
  2. Any disease that might hinder proper study performance or puts the patient at risk
  3. Severe hepatic impairment (Child-Pugh Class C)
  4. Severe hepatic impairment (Child-Pugh Class C)
  5. Pregnancy or woman of childbearing potential not minded to use appropriate contraception during the time of the study
  6. Allergic or hypersensitive reactions against cephalosporins
  7. Hemoglobin below 9 g/dl
  8. BMI below 19 or above 35

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 4

  1. AUC
  2. Cmax
  3. Half-life (t1/2)
  4. Time to reach maximum drug concentration (tmax)

Secondary endpoints 3

  1. Ratios of AUC and Cmax of different compartments
  2. Time above the minimal inhibitory concentration T>MIC
  3. Ratio of AUC from 0 to 24 hours (AUC 0-24)/MIC

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Cefepim-MIP 1 g Pulver zur Herstellung einer Injektions- / Infusionslösung

PRD2422469 · Product

Active substance
Cefepime
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRA-ABDOMINAL USE
Max daily dose
6 g gram(s)
Max total dose
60 g gram(s)
Max treatment duration
10 Day(s)
Authorisation status
Authorised
ATC code
J01DE01 — -
Marketing authorisation
135975
MA holder
MIP PHARMA GMBH
MA country
Austria
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Noe LGA Gesundheit Region Mitte GmbH

Sponsor organisation
Noe LGA Gesundheit Region Mitte GmbH
Address
Dunant-Platz 1
City
St. Poelten
Postcode
3100
Country
Austria

Scientific contact point

Organisation
Noe LGA Gesundheit Region Mitte GmbH
Contact name
Dominik Tüchler

Public contact point

Organisation
Noe LGA Gesundheit Region Mitte GmbH
Contact name
Dominik Tüchler

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Austria Ended 8 1
Rest of world 0

Investigational sites

Austria

1 site · Ended
Noe LGA Gesundheit Region Mitte GmbH
University Hospital St. Poelten, Department for Internal Medicine 1, Dunant-Platz 1, 3100, St. Poelten

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Austria 2024-05-01 2025-10-30 2024-05-08 2024-07-22

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 11 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_CRF_Tracking Document_V2_V3 EU CT 2023-509930-21-00 1
Protocol (for publication) D1_CRF_V3 EU CT 2023-509930-21-00 3
Protocol (for publication) D1_Protocol_V3 EU CT 2023-509930-21-00 3
Protocol (for publication) D1_Track Change Version_V2 to V3_RFI003_Protocol EU CT 2023-509930-21-00 1
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Subject information and informed consent form (for publication) L2_Other subject information material informed consent sheet_V3 3
Subject information and informed consent form (for publication) L2_Track Change Version_V1 to V2_RFI002_Other subject information material informed consent sheet 1
Subject information and informed consent form (for publication) L2_Track Change Version_V2 to V3_RFI004_Other subject information material informed consent sheet 3
Summary of Product Characteristics (SmPC) (for publication) G1_IMPD_Q Cefepim-MIP_1g 1
Synopsis of the protocol (for publication) D1_Protocol synopsis MS German EU CT_V2 2023-509930-21-00 2
Synopsis of the protocol (for publication) D1_Tracking Document_V1_V2_Protocol synopsis MS German EU CT 2023-509930-21-00 1

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-12-12 Austria Acceptable
2024-04-09
2024-04-15
2 NON SUBSTANTIAL MODIFICATION NSM-1 2024-08-05 Austria Acceptable
2024-04-09
2024-08-05