A Phase 1 interventional study of Telavancin in Gram-Positive Bacterial Infections, sponsored by Cumberland Pharmaceuticals. Terminated at 7 sites in United States. Open to participants aged 12 Months to 17 Years. Per ClinicalTrials.gov, last updated 2024-06-24.
Sponsored by Cumberland Pharmaceuticals · Phase 1, Interventional, and Basic science
This is a multicenter, open-label, single-dose pharmacokinetic (PK) study. Infants, children, and adolescents will receive a single 10 mg/kg dose of telavancin infused intravenously (IV) over 60 minutes
This is a multicenter, open-label, single-dose pharmacokinetic (PK) study. Infants, children, and adolescents will receive a single 10 mg/kg dose of telavancin infused intravenously (IV) over 60 minutes in male or female infants, children, and adolescents (> 12 months to 17 years, inclusive) who require systemic antibiotic therapy for the treatment or prevention of a known or suspected bacterial infection.
Blood samples for PK assessment will be taken as follows: 1.0 hour (±5 min), 1.5 hours (±5 min), 2 hours (±5 min), 6 hours (±30 min), 12 hours (±30 min) and 24 hours (±30 minutes) after the beginning of the infusion. The timing of PK sampling may be optimized after the completion of the older age groups (Cohorts 1-3) to assure that the minimum numbers of samples are collected in the youngest age group > 12months to \< 24 months. Plasma exposures that will be compared to adult exposures are the primary assessment for this study.
Subject safety will be monitored during the study using standard measures, including physical examinations, vital signs, 12-lead ECGs, clinical laboratory assessments, urinalysis, concomitant medication usage, and adverse event reporting.
658 studies on the registry are indexed under Bacterial Infections; 100 are open to participants now.
This study's enrollment of 22 is below the median of 84 across 405 interventional studies indexed under Bacterial Infections.
Browse Bacterial Infections studies →Cumberland Pharmaceuticals is the lead sponsor of 47 studies on the registry; 1 is open to participants now.
Of its 5 completed or terminated interventional studies of FDA-regulated products, 5 (100%) have results posted.
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Exclusion Criteria:
Subject has clinically relevant cardiac abnormality, in the opinion of the investigator, such as:
Telavancin 10 mg/kg IV administered over approximately 60 minutes one time.
Drug: Telavancin
Also known as: VIBATIV, TD-6424
Pharmacokinetics- Area Under the Curve Extrapolated to Infinity for the Plasma Concentration Versus Time Curves for Telavancin
Plasma telavancin concentrations were measured at 1.0, 1.5, 2.0, 6.0, 12.0, 24.0 hours following IV infusion of telavancin, and area under the curve extrapolated to infinity was calculated for the plasma concentration versus time curves for telavancin following a single 10 mg/kg IV dose.
Time frame: 1.0, 1.5, 2.0, 6.0, 12.0, 24.0 hours
Pharmacokinetics- Maximum Plasma Concentration of Telavancin
Plasma telavancin concentrations were measured at 1.0, 1.5, 2.0, 6.0, 12.0, 24.0 hours following IV infusion of telavancin to provide the maximum plasma concentration of telavancin following a single 10 mg/kg IV dose.
Time frame: 1.0, 1.5, 2.0, 6.0, 12.0, 24.0 hours
Pharmacokinetics- Time to Maximum Plasma Telavancin Concentration
Plasma telavancin concentrations were measured at 1.0, 1.5, 2.0, 6.0, 12.0, 24.0 hours following IV infusion of telavancin to provide the time to maximum plasma concentration of telavancin following a single 10 mg/kg IV dose.
Time frame: 1.0, 1.5, 2.0, 6.0, 12.0, 24.0 hours
Pharmacokinetics- Terminal Elimination Half-life for Plasma Telavancin
Plasma telavancin concentrations were measured at 1.0, 1.5, 2.0, 6.0, 12.0, 24.0 hours following IV infusion of telavancin, and the terminal elimination half-life was calculated from the plasma concentration versus time curves for telavancin following a single 10 mg/kg IV dose.
Time frame: 1.0, 1.5, 2.0, 6.0, 12.0, 24.0 hours
Pharmacokinetics- Area Under the Curve From Time Zero to the Last Sample for the Telavancin Plasma Concentration Versus Time Curve
Plasma telavancin concentrations were measured at 1.0, 1.5, 2.0, 6.0, 12.0, 24.0 hours following IV infusion of telavancin, and area under the curve from time zero to the last sample was calculated for the plasma concentration versus time curves for telavancin following a single 10 mg/kg IV dose.
Time frame: 1.0, 1.5, 2.0, 6.0, 12.0, 24.0 hours
Safety- Number of Treatment-emergent Adverse Events.
Treatment-emergent adverse events were monitored during the study using standard measures, including physical examinations, vital signs, 12-lead ECGs, clinical laboratory assessments, urinalysis, and symptom reporting.
Time frame: Day 0 (screening) through follow-up on Day 8 (+/- 1 day)
Safety- Number of Subjects With Treatment-emergent Adverse Events
Treatment-emergent adverse events were monitored during the study using standard measures, including physical examinations, vital signs, 12-lead ECGs, clinical laboratory assessments, urinalysis, and symptom reporting.
Time frame: Day 0 (screening) through follow-up on Day 8 (+/- 1 day)
| Milestone | Cohort 1 (Age 12 to 17 Years) | Cohort 2 (Age 6 to 11 Years) | Cohort 3 (Age 2 to 5 Years) |
|---|---|---|---|
| Started | 14 | 7 | 1 |
| Completed | 14 | 7 | 1 |
| Not completed | 0 | 0 | 0 |
Plasma telavancin concentrations were measured at 1.0, 1.5, 2.0, 6.0, 12.0, 24.0 hours following IV infusion of telavancin, and area under the curve extrapolated to infinity was calculated for the plasma concentration versus time curves for telavancin following a single 10 mg/kg IV dose.
| h*mcg/ml | Cohort 1 (Age 12 to 17 Years) | Cohort (Age 6 to 11 Years) | Cohort 3 (Age 2 to 5 Years) |
|---|---|---|---|
| Pharmacokinetics- Area Under the Curve Extrapolated to Infinity for the Plasma Concentration Versus Time Curves for Telavancin | 345 ± 58.8 | 351 ± 79.7 | 229 ± NA |
Plasma telavancin concentrations were measured at 1.0, 1.5, 2.0, 6.0, 12.0, 24.0 hours following IV infusion of telavancin to provide the maximum plasma concentration of telavancin following a single 10 mg/kg IV dose.
| mcg/mL | Cohort 1 (Age 12 to 17 Years) | Cohort (Age 6 to 11 Years) | Cohort 3 (Age 2 to 5 Years) |
|---|---|---|---|
| Pharmacokinetics- Maximum Plasma Concentration of Telavancin | 58.3 ± 8.40 | 60.1 ± 11.9 | 53.1 ± NA |
Plasma telavancin concentrations were measured at 1.0, 1.5, 2.0, 6.0, 12.0, 24.0 hours following IV infusion of telavancin to provide the time to maximum plasma concentration of telavancin following a single 10 mg/kg IV dose.
| hours | Cohort 1 (Age 12 to 17 Years) | Cohort (Age 6 to 11 Years) | Cohort 3 (Age 2 to 5 Years) |
|---|---|---|---|
| Pharmacokinetics- Time to Maximum Plasma Telavancin Concentration | 1.02 (1.00 to 1.55) | 1.09 (1.00 to 1.32) | 1.18 (1.18 to 1.18) |
Plasma telavancin concentrations were measured at 1.0, 1.5, 2.0, 6.0, 12.0, 24.0 hours following IV infusion of telavancin, and the terminal elimination half-life was calculated from the plasma concentration versus time curves for telavancin following a single 10 mg/kg IV dose.
| hours | Cohort 1 (Age 12 to 17 Years) | Cohort (Age 6 to 11 Years) | Cohort 3 (Age 2 to 5 Years) |
|---|---|---|---|
| Pharmacokinetics- Terminal Elimination Half-life for Plasma Telavancin | 5.60 ± 1.01 | 5.19 ± 0.751 | 2.73 ± NA |
Plasma telavancin concentrations were measured at 1.0, 1.5, 2.0, 6.0, 12.0, 24.0 hours following IV infusion of telavancin, and area under the curve from time zero to the last sample was calculated for the plasma concentration versus time curves for telavancin following a single 10 mg/kg IV dose.
| h*mcg/mL | Cohort 1 (Age 12 to 17 Years) | Cohort (Age 6 to 11 Years) | Cohort 3 (Age 2 to 5 Years) |
|---|---|---|---|
| Pharmacokinetics- Area Under the Curve From Time Zero to the Last Sample for the Telavancin Plasma Concentration Versus Time Curve | 326 ± 50.0 | 333 ± 74.2 | 228 ± NA |
Treatment-emergent adverse events were monitored during the study using standard measures, including physical examinations, vital signs, 12-lead ECGs, clinical laboratory assessments, urinalysis, and symptom reporting.
| events | Cohort 1 (Age 12 to 17 Years) | Cohort (Age 6 to 11 Years) | Cohort 3 (Age 2 to 5 Years) |
|---|---|---|---|
| Safety- Number of Treatment-emergent Adverse Events. | 16 | 11 | 0 |
Treatment-emergent adverse events were monitored during the study using standard measures, including physical examinations, vital signs, 12-lead ECGs, clinical laboratory assessments, urinalysis, and symptom reporting.
| Participants | Cohort 1 (Age 12 to 17 Years) | Cohort (Age 6 to 11 Years) | Cohort 3 (Age 2 to 5 Years) |
|---|---|---|---|
| Safety- Number of Subjects With Treatment-emergent Adverse Events | 6 | 4 | 0 |
Collected over Eight days following telavancin administration. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Cohort 1 (Age 12 to 17 Years) | 0/14 (0%) | 0/14 (0%) | 6/14 (42.9%) |
| Cohort (Age 6 to 11 Years) | 0/7 (0%) | 0/7 (0%) | 4/7 (57.1%) |
| Cohort 3 (Age 2 to 5 Years) | 0/1 (0%) | 0/1 (0%) | 0/1 (0%) |
| Event | Cohort 1 (Age 12 to 17 Years) | Cohort (Age 6 to 11 Years) | Cohort 3 (Age 2 to 5 Years) |
|---|---|---|---|
| NauseaGastrointestinal disorders | 2/14 | 2/7 | 0/1 |
| VomitingGastrointestinal disorders | 0/14 | 2/7 | 0/1 |
| Abdominal PainGastrointestinal disorders | 0/14 | 1/7 | 0/1 |
| DiarrhoeaGastrointestinal disorders | 0/14 | 1/7 | 0/1 |
| Electrocardiogram QT prolongedInvestigations | 0/14 | 1/7 | 0/1 |
| DizzinessNervous system disorders | 1/14 | 1/7 | 0/1 |
| DysgeusiaNervous system disorders | 2/14 | 0/7 | 0/1 |
| HeadacheNervous system disorders | 2/14 | 0/7 | 0/1 |
| Taste disorderNervous system disorders | 1/14 | 1/7 | 0/1 |
| Urine abnormalityRenal and urinary disorders | 2/14 | 1/7 | 0/1 |
| Age, Continuous(Years) | Cohort 1 (Age 12 to 17 Years) | Cohort 2 (Age 6 to 11 Years) | Cohort 3 (Age 2 to 5 Years) | Total |
|---|---|---|---|---|
| Mean | 15.1 ± 1.69 | 8.57 ± 2.44 | 2 ± NA | 12.4 ± 4.27 |
| Sex: Female, Male(Participants) | Cohort 1 (Age 12 to 17 Years) | Cohort 2 (Age 6 to 11 Years) | Cohort 3 (Age 2 to 5 Years) | Total |
|---|---|---|---|---|
| Female | 8 | 1 | 1 | 10 |
| Male | 6 | 6 | 0 | 12 |
| Ethnicity (NIH/OMB)(Participants) | Cohort 1 (Age 12 to 17 Years) | Cohort 2 (Age 6 to 11 Years) | Cohort 3 (Age 2 to 5 Years) | Total |
|---|---|---|---|---|
| Ethnicity — Hispanic or Latino | 4 | 4 | 1 | 9 |
| Ethnicity — Not Hispanic or Latino | 9 | 3 | 0 | 12 |
| Ethnicity — Unknown or Not Reported | 1 | 0 | 0 | 1 |
| Race (NIH/OMB)(Participants) | Cohort 1 (Age 12 to 17 Years) | Cohort 2 (Age 6 to 11 Years) | Cohort 3 (Age 2 to 5 Years) | Total |
|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 |
| Asian | 0 | 0 | 0 | 0 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 |
| Black or African American | 1 | 0 | 0 | 1 |
| White | 13 | 7 | 1 | 21 |
| More than one race | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 |
| Weight(kg) | Cohort 1 (Age 12 to 17 Years) | Cohort 2 (Age 6 to 11 Years) | Cohort 3 (Age 2 to 5 Years) | Total |
|---|---|---|---|---|
| Mean | 64.2 ± 15.3 | 35.6 ± 10.5 | 12.3 ± NA | 52.9 ± 21.4 |
| Height(cm) | Cohort 1 (Age 12 to 17 Years) | Cohort 2 (Age 6 to 11 Years) | Cohort 3 (Age 2 to 5 Years) | Total |
|---|---|---|---|---|
| Mean | 165 ± 11.9 | 136 ± 13.6 | 81.0 ± NA | 152 ± 24.8 |
| BMI(kg/m2) | Cohort 1 (Age 12 to 17 Years) | Cohort 2 (Age 6 to 11 Years) | Cohort 3 (Age 2 to 5 Years) | Total |
|---|---|---|---|---|
| Mean | 23.2 ± 3.63 | 18.8 ± 2.11 | 18.7 ± NA | 21.6 ± 3.86 |
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Cumberland Pharmaceuticals