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TerminatedNCT02013141Updated Jun 24, 2024Results posted

Telavancin Pediatric PK Study (Ages >12 Months to 17 Years)

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

Why this study was terminated
FDA waived the pediatric study requirement for this application
Phase
Phase 1
Study type
Interventional
Enrollment
22
Allocation
Not applicable
Ages
12 Months to 17 Years
Sex
All
01

Study summary

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

Read the detailed description

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.

02

Conditions studied

  • Gram-Positive Bacterial Infections

Keywords

  • Gram positive bacteria
  • Telavancin
  • VIBATIV
  • Pediatric
  • Pharmacokinetics
03

In context

Bacterial Infections

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 →

Lead sponsor

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.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
12 Months to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Subject is > 12 months to 17 years of age (inclusive)
  2. Subject's weight is within the 3rd to 97th percentile (inclusive) for age and sex.
  3. Written informed consent and assent (if appropriate for older age groups) has been obtained per institutional review board (IRB) policy and requirements, consistent with ICH guidelines.
  4. Male and female subjects of reproductive potential (i.e., post-pubertal males and post-menarche females) must agree to use a highly effective method of contraception throughout study period and for 30 days after administration of study drug. A highly effective method of birth control is defined as one that results in a low failure rate (i.e., \<1% per year) when used consistently and correctly, such as condom + diaphragm, condom + spermicide, diaphragm + spermicide; or intrauterine device (IUD) with documented failure rate of \<1% per year; or oral/injectable/implanted hormonal contraceptives used in combination with an additional double-barrier method; or sexual abstinence.
  5. Female subjects who are post menarche are required to have a negative serum pregnancy test before the administration of study drug.
  6. Subject requires or recently completed systemic antibiotic therapy for the treatment or prevention of a known or suspected bacterial infection. If completed, the last administered dose of systemic antibiotic must be within 24 hours of enrollment.

Exclusion criteria

Exclusion Criteria:

  1. Subject has an estimated creatinine clearance \<50 mL/min/1.73 m2 (Schwartz equation).
  2. Any clinically significant abnormal laboratory value, including hematology, chemistry, or urinalysis that in the judgement of the investigator would make it difficult to assess the pharmacokinetic profile and safety of a single dose of telavancin or would compromise the safety of the subject.
  3. Any clinically significant medical history, abnormal physical examination finding, or vital sign measurement, including evidence of hemodynamic instability or significant collections of fluid outside normal vascular and tissue compartments (e.g., large pleural effusions, ascites), that in the judgement of the investigator would make it difficult to assess the pharmacokinetic profile or safety of a single dose of telavancin or would compromise the safety of the subject.
  4. Subject has clinically relevant cardiac abnormality, in the opinion of the investigator, such as:

    1. A mean QTcF >440 msec, congenital long QT syndrome, second or third degree heart block at rest.
    2. Hemodynamically significant heart disease, eg, hemodynamically unstable congenital heart defect, uncompensated heart failure, uncorrected abnormal calcium, hyperkalemia, or any other unstable cardiac condition.
    3. An arrhythmic heart condition requiring medical therapy
  5. Subject is receiving an anticoagulant AND requires specific coagulation testing (Prothrombin Time/International Normalized Ratio, Activated Partial Thromboplastin Time, Activated Clotting Time, or Coagulation Based Factor X Activity Assay) within 24 hours of receiving the telavancin dose. NOTE: Although telavancin does not interfere with coagulation, it interferes with some assays used to monitor coagulation.
  6. Subjects who are receiving concomitant vancomycin treatment should not be assessed for vancomycin serum concentrations within 24 hours of receiving the Telavancin dose. NOTE: Telavancin might interfere with some Vancomycin therapeutic drug monitoring assays. Caution should be exercised when interpreting vancomycin drug monitoring levels in the presence of telavancin.
  7. Subject has a history of allergies or hypersensitivities to glycopeptide antibiotics (e.g., vancomycin), telavancin, or the formulation excipients.
  8. Subject requires, or is anticipated to require, concomitant [within 24 hours before or 24 hours following the single dose of study medication (telavancin)] administration of agents that in the clinical judgment of the investigator increase the risk of torsade de pointes.
  9. Subject is considered unlikely to comply with the study procedures.
  10. Subject was treated with an investigational drug within 30 days or five half-lives, whichever is longer, before study entry.
  11. Subject has any other condition that, in the opinion of an investigator, would confound or interfere with evaluation of safety of the investigational drug, or prevent compliance with the study protocol.
05

Study design

Phase
Phase 1
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
22 participants (actual)

Study arms

  • Experimental
    Telavancin

    Telavancin 10 mg/kg IV administered over approximately 60 minutes one time.

    Drug: Telavancin

Interventions

  • DrugTelavancin

    Also known as: VIBATIV, TD-6424

06

What researchers measure

Primary outcomes

  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

Secondary outcomes

  1. 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)

  2. 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)

07

Results

Posted Jun 24, 2024
Limitations and caveats
Information on the pharmacokinetics and safety of a single dose of telavancin in subjects aged 2 to 5 years is limited as Cohort 3 only enrolled 1 participant due to early termination of the study. No infants were enrolled due to early termination of the study, and therefore, no information is available on the pharmacokinetics and safety of a single dose of telavancin in infants.

Participant flow

Participant flow — Overall Study
MilestoneCohort 1 (Age 12 to 17 Years)Cohort 2 (Age 6 to 11 Years)Cohort 3 (Age 2 to 5 Years)
Started1471
Completed1471
Not completed000

Outcome measures

PrimaryPharmacokinetics- 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
Reported as:
Mean · h*mcg/ml
Pharmacokinetics- Area Under the Curve Extrapolated to Infinity for the Plasma Concentration Versus Time Curves for Telavancin
h*mcg/mlCohort 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 Telavancin345 ± 58.8351 ± 79.7229 ± NA
PrimaryPharmacokinetics- 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
Reported as:
Mean · mcg/mL
Pharmacokinetics- Maximum Plasma Concentration of Telavancin
mcg/mLCohort 1 (Age 12 to 17 Years)Cohort (Age 6 to 11 Years)Cohort 3 (Age 2 to 5 Years)
Pharmacokinetics- Maximum Plasma Concentration of Telavancin58.3 ± 8.4060.1 ± 11.953.1 ± NA
PrimaryPharmacokinetics- 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
Reported as:
Median · hours
Pharmacokinetics- Time to Maximum Plasma Telavancin Concentration
hoursCohort 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 Concentration1.02 (1.00 to 1.55)1.09 (1.00 to 1.32)1.18 (1.18 to 1.18)
PrimaryPharmacokinetics- 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
Reported as:
Mean · hours
Pharmacokinetics- Terminal Elimination Half-life for Plasma Telavancin
hoursCohort 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 Telavancin5.60 ± 1.015.19 ± 0.7512.73 ± NA
PrimaryPharmacokinetics- 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
Reported as:
Mean · h*mcg/mL
Pharmacokinetics- Area Under the Curve From Time Zero to the Last Sample for the Telavancin Plasma Concentration Versus Time Curve
h*mcg/mLCohort 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 Curve326 ± 50.0333 ± 74.2228 ± NA
SecondarySafety- 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)
Reported as:
Number · events
Safety- Number of Treatment-emergent Adverse Events.
eventsCohort 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.16110
SecondarySafety- 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)
Reported as:
Count of participants · Participants
Safety- Number of Subjects With Treatment-emergent Adverse Events
ParticipantsCohort 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 Events640

Adverse events

Collected over Eight days following telavancin administration. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
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%)
Most frequent other events
Showing 10 of 16
Most frequent other events
EventCohort 1 (Age 12 to 17 Years)Cohort (Age 6 to 11 Years)Cohort 3 (Age 2 to 5 Years)
NauseaGastrointestinal disorders2/142/70/1
VomitingGastrointestinal disorders0/142/70/1
Abdominal PainGastrointestinal disorders0/141/70/1
DiarrhoeaGastrointestinal disorders0/141/70/1
Electrocardiogram QT prolongedInvestigations0/141/70/1
DizzinessNervous system disorders1/141/70/1
DysgeusiaNervous system disorders2/140/70/1
HeadacheNervous system disorders2/140/70/1
Taste disorderNervous system disorders1/141/70/1
Urine abnormalityRenal and urinary disorders2/141/70/1

Baseline characteristics

Age, Continuous
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
Mean15.1 ± 1.698.57 ± 2.442 ± NA12.4 ± 4.27
Sex: Female, Male
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
Female81110
Male66012
Ethnicity (NIH/OMB)
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 Latino4419
Ethnicity — Not Hispanic or Latino93012
Ethnicity — Unknown or Not Reported1001
Race (NIH/OMB)
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 Native0000
Asian0000
Native Hawaiian or Other Pacific Islander0000
Black or African American1001
White137121
More than one race0000
Unknown or Not Reported0000
Weight
Weight(kg)Cohort 1 (Age 12 to 17 Years)Cohort 2 (Age 6 to 11 Years)Cohort 3 (Age 2 to 5 Years)Total
Mean64.2 ± 15.335.6 ± 10.512.3 ± NA52.9 ± 21.4
Height
Height(cm)Cohort 1 (Age 12 to 17 Years)Cohort 2 (Age 6 to 11 Years)Cohort 3 (Age 2 to 5 Years)Total
Mean165 ± 11.9136 ± 13.681.0 ± NA152 ± 24.8
BMI
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
Mean23.2 ± 3.6318.8 ± 2.1118.7 ± NA21.6 ± 3.86
08

Study locations

7 sites
  • Arkansas Children's Hospital
    Little Rock, Arkansas 72202, United States
  • Children's Hospital of Orange County
    Orange, California 92868, United States
  • Rady Children's Hospital San Diego
    San Diego, California 92123, United States
  • Children's Mercy Hospital
    Kansas City, Missouri 64108, United States
  • Rutgers-Robert Wood Johnson Medical School
    New Brunswick, New Jersey 08901, United States
  • Rainbow Babies and Children's Hospital
    Cleveland, Ohio 44106, United States
  • Toledo Children's Hospital
    Toledo, Ohio 43606, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Aug 26, 2019

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 24, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02013141
Lead sponsor
Cumberland Pharmaceuticals
Responsible party
Sponsor
First posted
Dec 17, 2013
Start date
Dec 2014
Primary completion
Mar 2021
Completion
Mar 2021
Results posted
Jun 24, 2024
Last update
Jun 24, 2024

Study contacts

Medical Monitor
study director · Cumberland Pharmaceuticals, Inc.

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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