Pharmacokinetics of antibiotics in cerebrospinal fluid of children with malignant brain tumors – a pilot study

2024-518808-43-00 Human pharmacology (Phase I) - First administration to humans Ongoing, recruiting

Start 22 Oct 2018 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Human pharmacology (Phase I) - First administration to humans
Status Ongoing, recruiting
Participants planned 60
Countries 1
Sites 1

brain tumors

To measure concentrations of different antibiotics in CSF and plasma after intravenous or oral administration of different antibiotics in children with a malignant brain tumor and leptomeningeal dissemination or risk of leptomeningeal dissemination.

Key facts

Sponsor
Medical University Of Vienna
Participant type
Pediatric, Patients
Age range
0-17 years, 18-64 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Bacterial Infections and Mycoses [C01]
Trial duration
22 Oct 2018 → ongoing
Decision date (initial)
2024-12-11
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-518808-43-00
EudraCT number
2018-002813-37

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacokinetic

To measure concentrations of different antibiotics in CSF and plasma after intravenous or oral administration of different antibiotics in children with a malignant brain tumor and leptomeningeal dissemination or risk of leptomeningeal dissemination.

Secondary objectives 2

  1. -Pharmacokinetik/Pharmacodynamic relationships
  2. -Determination of target attainment for relevant pathogens

Conditions and MedDRA coding

brain tumors

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. Written informed consent of patients and/or parents
  2. Female or male, aged between 0 and 18 years (at time of initial diagnosis)
  3. CNS tumor with leptomeningeal dissemination or risk of leptomeningeal dissemination of any histology
  4. Ongoing treatment with intravenous or oral antibiotics for therapeutic reasons
  5. Ongoing treatment with intrathecal administered chemotherapy via an Ommaya reservoir for therapeutic reasons
  6. Life expectancy of at least 8 weeks

Exclusion criteria 3

  1. Treatment with intravenous or oral antibiotics or intrathecal therapy not indicated
  2. Contraindication for the puncture of the Ommaya reservoir or for administration of intrathecal chemotherapy (e.g. evidence of obstructive hydrocephalus or compartmentalization of CSF flow)
  3. Pregnancy or breast feeding

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 4

  1. Area under the concentration-time curve (AUC) from 0 to last observed concentration (AUC0-τ)
  2. AUC from 0 to 24 hours (AUC0-24)
  3. concentration during therapy and at defined time points after end of therapy
  4. Pharmacokinetic parameters describing rate/extent of distribution from plasma into CSF

Secondary endpoints 4

  1. ratio of the CSF AUC0-24 to the minimum inhibitory concentration (AUC0-24/MIC)
  2. percentage of the dosing interval during which drug concentrations in CSF exceed the MIC (%T>MIC)
  3. ratio of the peak CSF concentration to the MIC (Cmax/MIC)
  4. Determination of target attainment for relevant pathogens

Investigational products

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

Test 12

Linezolid Kabi 2 mg/ml Infusionslösung

PRD2479886 · Product

Active substance
Linezolid
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Authorisation status
Authorised
ATC code
J01XX08 — LINEZOLID
Marketing authorisation
135944
MA holder
FRESENIUS KABI AUSTRIA GMBH
MA country
Austria
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Gentamicin Sandoz 80 mg – Ampullen

PRD766741 · Product

Active substance
Gentamicin
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS INFUSION
Authorisation status
Authorised
ATC code
J01GB03 — GENTAMICIN
Marketing authorisation
1-18856
MA holder
SANDOZ GMBH
MA country
Austria
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cefotaxim-MIP 1 g – Pulver zur Herstellung einer Injektions- oder Infusionslösung

PRD625459 · Product

Active substance
Cefotaxime Sodium
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENIOUS INFUSION
Authorisation status
Authorised
ATC code
J01DD01 — -
Marketing authorisation
1-31395
MA holder
MIP PHARMA AUSTRIA GMBH
MA country
Austria
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Augmentin 875 mg/125 mg Filmtabletten

PRD11466180 · Product

Active substance
Amoxicillin
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Authorisation status
Authorised
ATC code
J01CR02 — AMOXICILLIN AND ENZYME INHIBITOR
Marketing authorisation
1-21396
MA holder
GLAXOSMITHKLINE PHARMA GMBH.
MA country
Austria
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Fomicyt 40 mg/ml Pulver zur Herstellung einer Infusionslösung

PRD7777251 · Product

Active substance
Fosfomycin
Substance synonyms
(3-METHYLOXIRAN-2-YL)PHOSPHONIC ACID, PHOSPHOMYCIN, PHOSPHONOMYCIN
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENIOUS INFUSION
Authorisation status
Authorised
ATC code
J01XX01 — FOSFOMYCIN
Marketing authorisation
139243
MA holder
INFECTOPHARM ARZNEIMITTEL UND CONSILIUM GMBH, DE, HEPPENHEIM
MA country
Austria
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cefuroxim „Astro“ - Trockenstechampulle

PRD4922276 · Product

Active substance
Cefuroxime Sodium
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS INFUSION
Authorisation status
Authorised
ATC code
J01DC02 — -
Marketing authorisation
1-22175
MA holder
ASTRO-PHARMA GMBH
MA country
Austria
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Vancomycin Hikma 1000 mg - Pulver für ein Konzentrat zur Herstellung einer Infusionslösung

PRD1183401 · Product

Active substance
Vancomycin
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Authorisation status
Authorised
ATC code
J01XA01 — VANCOMYCIN
Marketing authorisation
1-31670
MA holder
HIKMA FARMACÊUTICA (PORTUGAL), S.A.
MA country
Austria
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Ceftriaxon Kabi 1 g Pulver zur Herstellung einer Injektions- /Infusionslösung

PRD408948 · Product

Active substance
Ceftriaxone Sodium
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS INFUSION
Authorisation status
Authorised
ATC code
J01DD04 — -
Marketing authorisation
1-27378
MA holder
FRESENIUS KABI AUSTRIA GMBH
MA country
Austria
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Meropenem Hikma 1g Pulver zur Herstellung einer Injektions-/Infusionslösung

PRD719711 · Product

Active substance
Meropenem Anhydrous
Substance synonyms
ICI-194660
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS INFUSION
Authorisation status
Authorised
ATC code
J01DH02 — MEROPENEM
Marketing authorisation
1-29759
MA holder
HIKMA FARMACÊUTICA (PORTUGAL), S.A.
MA country
Austria
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Ciprofloxacin Noridem 2 mg/ml Infusionslösung

PRD384744 · Product

Active substance
Ciprofloxacin
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Authorisation status
Authorised
ATC code
J01MA02 — CIPROFLOXACIN
Marketing authorisation
1 30042
MA holder
NORIDEM ENTERPRISES LTD
MA country
Austria
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Eusaprim - Tabletten

PRD980537 · Product

Active substance
Sulfamethoxazole
Pharmaceutical form
TABLET
Route of administration
ORAL
Authorisation status
Authorised
ATC code
J01EE01 — SULFAMETHOXAZOLE AND TRIMETHOPRIM
Marketing authorisation
14.247
MA holder
ASPEN PHARMA TRADING LIMITED
MA country
Austria
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Ciproxin 500 mg Filmtabletten

PRD385404 · Product

Active substance
Ciprofloxacin
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Authorisation status
Authorised
ATC code
J01MA02 — CIPROFLOXACIN
Marketing authorisation
1-18296
MA holder
BAYER AUSTRIA GMBH
MA country
Austria
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Medical University Of Vienna

Sponsor organisation
Medical University Of Vienna
Address
Spitalgasse 23, Alsergrund Alsergrund
City
Vienna
Postcode
1090
Country
Austria

Scientific contact point

Organisation
Medical University Of Vienna
Contact name
Department of Clinical Pharmacology

Public contact point

Organisation
Medical University Of Vienna
Contact name
Department of Clinical Pharmacology

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Austria Ongoing, recruiting 60 1
Rest of world 0

Investigational sites

Austria

1 site · Ongoing, recruiting
Medical University Of Vienna
Department of Clinical Pharmacology, Waehringer Guertel 18-20, Alsergrund, Vienna

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 2018-10-22 2018-11-16

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-11-05 Austria Acceptable
2024-12-06
2024-12-11