ClinicalTrials.gg
CompletedNCT03477422PLEAUpdated Aug 29, 2019

CSE-1034 (Ceftriaxone+ Sulbactam+ EDTA) Compared to Meropenem in Complicated Urinary Tract Infections (cUTIs) Caused by ESBL Producing Gram Negative Bacteria

A Phase 3 interventional study of CSE-1034 (Ceftriaxone + Sulbactam + EDTA) and Meropenem in Urinary Tract Infection Complicated and Acute Pyelonephritis, sponsored by Venus Remedies Limited. Completed at 17 sites in India. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-08-29.

Sponsored by Venus Remedies Limited · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Registered 4 years 1 month after the study started (first participant enrolled Jan 2014, registered Mar 2018).
Phase
Phase 3
Study type
Interventional
Enrollment
230
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the effects of CSE-1034 (Ceftriaxone+ Sulbactam+ EDTA) compared to Meropenem for treating hospitalized patients with complicated urinary tract infections, including acute pyelonephritis caused by β-lactamase producing gram-negative bacteria

Read the detailed description

cUTIs are mostly caused by gram-negative bacteria, including Enterobacteriaceae (particularly Escherichia coli, Klebsiella pneumoniae and Proteus mirabilis) and Pseudomonas aeruginosa, and often possess mechanisms leading to multidrug resistance. These mechanisms primarily consist of ESBLs (extended-spectrum beta-lactamases) that can hydrolyse cephalosporins, penicillins and aztreonam, and are encoded on mobile genes. This has led to increased risk of failure with first-line antibiotics and increased the usage of last line drugs like carbapenems. However, over the past decade, with the emergence of carbapenem-resistant infections caused by gram-negative pathogens like CRE (carbapenem-resistant Enterobacteriaceae), CRAB (carbapenem-resistant Acinetobacter baumannii) and CRPA (carbapenem-resistant Pseudomonas aeruginosa), there is a major threat looming on the effectiveness of these last resort drugs, warranting the discovery of newer and alternate agents.

To this end, the concept of using Antibiotic Resistance Breakers (ARBs) to revive the potency of existing antibiotics has been widely discussed in the recent literature. ARBs, sometimes referred as antibiotic adjuvants, are non-antibiotic moieties which do not have any antimicrobial activity on its own, but, in combination with antibiotics enhance their antimicrobial activity and help overcome resistance barriers. Most beta lactamase inhibitors (BLIs) can be thought of as ARBs that do not have any significant antimicrobial activity when used alone, but in combination with a beta-lactam antibiotic, help restore the activity against beta-lactamase producing organisms.

CSE-1034 is a novel combination of Ceftriaxone (third generation beta-lactam cephalosporin), Sulbactam (beta-lactamase inhibitor) and Disodium EDTA (Class 1 Antibiotic Resistance Breaker), and it restores the in vitro activity of Ceftriaxone against ESBL/MBL producing gram-negative bacteria, including enzyme families that belong to Ambler class A (TEM, SHV, CTX-M), class B (NDM, VIM, IMP), class C (some variants of AmpC), and class D (OXA ESBLs); it is not active against serine carbapenemases (higher variants of KPC, OXA carbapenemases). CSE-1034 also has proven in vitro activity against multiple resistance mechanisms including efflux pumps, bacterial biofilms, membrane permeability, and transfer of resistance by means of conjugation.

Since CSE-1034 has shown its efficacy in ESBL producing Escherichia coli, Klebsiella species, Pseudomonas aeruginosa and Acinetobacter species in various in vitro and in vivo studies, therefore, to meet regulatory expectations, non-inferiority of CSE-1034 in comparison to Meropenem (drug of choice in ESBL producing pathogens) is under study in this phase-3 clinical trial.

02

Conditions studied

  • Urinary Tract Infection Complicated
  • Acute Pyelonephritis

Keywords

  • CSE-1034 Double Blind Study
  • Elores
  • Meropenem
  • PLEA-CT
  • Bacterial Infections
  • ESBL
  • MBL
  • beta-lactamase
  • Anti-Infective Agents, Urinary
  • Anti-Infective Agents
  • Urinary Tract Infections
  • Pyelonephritis
  • Infection
  • Sulbactam
  • EDTA
  • Disodium EDTA
  • Antibiotic Adjuvant Entity
  • Antibiotic Resistance Breaker
03

In context

Bacterial Infections

584 studies on the registry are indexed under Bacterial Infections; 84 are open to participants now.

This study's enrollment of 230 is above the median of 84 across 382 interventional studies indexed under Bacterial Infections.

Browse Bacterial Infections studies →

Lead sponsor

Venus Remedies Limited is the lead sponsor of 3 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Patients willing to provide and who are willing to or likely to comply with all study requirements
  2. Patients of either gender must have age ≥ 18 years
  3. Patients with suspected cUTI based on clinical signs and symptoms
  4. Urine culture results confirm bacterial urinary tract infection caused by β-lactamase producing gram- negative bacteria requiring intravenous therapy
  5. Patients with indwelling catheters should have the catheter removed or replaced (if removal is not clinically acceptable) before or as soon as possible, but not longer than 12 hours, after randomization
  6. Obstructive uropathy, where the obstruction is likely to be relieved by stent or nephrostomy tube no later than 24 hours after randomization
  7. Patients having received antibiotics for complicated urinary tract infection only if the duration of therapy was ≤ 24 hours within 72 hr of enrollment
  8. Patients having received prior antibiotics and not showing any improvement irrespective of duration of therapy
  9. Females of require a negative urine pregnancy test and must agree to abstinence or to use an effective method of

Exclusion criteria

Exclusion Criteria:

  1. Patients with cardiovascular, renal, hepatic, gastrointestinal conditions, neurological, psychiatric, respiratory, other severely , haematological, or malignant disease and other condition which may interfere with the assessment. History of uncontrolled diabetes mellitus, and were excluded.
  2. Patients with history of resistance to any of the drugs were excluded from the study
  3. Patients with history of or allergic response, any to penicillin, cephalosporin groups of drugs
  4. Patients with below 30 mL/min
  5. Patients having abnormal laboratory parameters which in the opinion of PI are clinically significant enough to pose any undue safety concern for the patient or can interfere with patient's assessment
  6. Perinephritic abscess or renal corticomedullary abscess, polycystic kidney disease, only one functional kidney, chronic vesicoureteral reflux
  7. Uncomplicated UTI
  8. Previous or planned renal transplantation or cystectomy
  9. Urinary tract surgery within 7 days prior to randomization or urinary tract surgery planned during the study period (except surgery to relieve obstruction, to place a stent or nephrostomy)
  10. Patients with a ≥ 35 kg/m\^2
  11. Pregnant or lactating women
  12. Participation in any clinical study within the previous 6 months
Terms in these criteria, in plain language(12)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
230 participants (actual)

Study arms

  • Experimental
    CSE-1034 (Ceftriaxone + Sulbactam + EDTA)

    CSE-1034 (Ceftriaxone + Sulbactam + EDTA) was an Experimental drug in this study and is a combination of Ceftriaxone 1000mg, Sulbactam 500mg and EDTA 37mg available as dry powder for reconstitution. It was administered twelve hourly through intravenous route as infusion over 30 minutes. The duration of the active treatment was for 5-14 days depending upon the severity of the disease, which was determined by the Principal Investigator (PI). Interventions: * Drug: CSE-1034 (Ceftriaxone + Sulbactam + EDTA) * Drug: Matching Placebo

    Drug: CSE-1034 (Ceftriaxone + Sulbactam + EDTA)

  • Active comparator
    Meropenem

    Meropenem was the active comparator in the study. It was also available as dry powder for reconstitution and contained active ingredient Meropenem 1000mg. It was administered eight hourly through intravenous route as infusion over 30 minutes.The duration of the active treatment was for 5-14 days depending upon the severity of the disease, which was determined by the PI. Interventions: * Drug: Meropenem * Drug: Matching Placebo

    Drug: Meropenem

Interventions

  • DrugCSE-1034 (Ceftriaxone + Sulbactam + EDTA)

    CSE-1034 (Ceftriaxone + Sulbactam + EDTA) was Experimental in this study and is a combination of Ceftriaxone 1000mg, Sulbactam 500mg and EDTA 37mg available as dry powder for reconstitution. Patients were given either CSE-1034 or placebo through IV route four times daily, strictly adhering to the time interval. Time of the first dose (Drug) was considered 0th hr, the second dose (Placebo) was given at 8th hour from first dose, third dose (Drug) at 12th hour from first dose and the fourth dose (Placebo) at 16th hour from first dose. The infusion was initiated within ± 30 min of schedule time.

    Also known as: Elores

  • Meropenem was the Comparator in the study. It was also available as dry powder for reconstitution and contained active ingredient Meropenem 1000mg.Patients were given either Meropenem or placebo through IV route four times daily, strictly adhering to the time interval. Time of the first dose (Drug) was considered 0th hr, the second dose (Drug) was given at 8th hour from first dose, third dose (Placebo) at 12th hour from first dose and the fourth dose (Drug) at 16th hour from first dose. The infusion was initiated within ± 30 min of schedule time.

    Also known as: Meronem

06

What researchers measure

Primary outcomes

  1. Proportion of patients with symptomatic resolution (or return to premorbid state) of all UTI-specific symptoms (frequency/urgency/ flank pain / suprapubic pain) at the TOC visit in the Microbiological Modified Intent-To-Treat (mMITT) analysis set

    This was the first co-primary outcome measure for the Food and Drug Administration (FDA). For this outcome measure, success was achieved with a clinical outcome of Cure at the Test of Cure (TOC) visit. Cure was defined as all or most pre-therapy signs and symptoms of the index infection had improved or resolved such that no additional antibiotics was required.

    Time frame: TOC visit (16 to 25 days after randomization)

  2. Proportion of patients with both a per-patient microbiological eradication and symptomatic resolution (or return to premorbid state) of all UTI-specific symptoms (frequency/urgency/ flank pain / suprapubic pain) at the TOC visit in the mMITT analysis set

    This was the second co-primary outcome measure for the Food and Drug Administration (FDA). For this composite outcome measure, overall success was achieved with a clinical outcome of Cure and microbiologic outcome of Eradication at TOC visit. Cure was defined as all or most pre-therapy signs and symptoms of the index infection had improved or resolved such that no additional antibiotics was required. Eradication was defined using the FDA's colony-forming units per millilitre (CFU/mL) criteria that the bacterial pathogen(s) found at baseline was/were reduced to \<10\^4 CFU/mL of urine culture and a negative blood culture for an organism that was identified as an uropathogen (if repeated after positive at baseline blood culture).

    Time frame: TOC visit (16 to 25 days after randomization)

  3. Proportion of patients with a favorable per-patient microbiological response at the TOC visit in the mMITT analysis set

    This was the primary outcome measure for the European Medicines Agency (EMA). For this measure, a microbiologic outcome of Eradication was defined using the EMA's CFU/mL criteria: bacterial pathogen(s) found at baseline was reduced to \<10\^3 CFU/mL of urine culture and a negative blood culture for an organism that was identified as an uropathogen (if repeated after positive at baseline blood culture).

    Time frame: TOC visit (16 to 25 days after randomization)

Secondary outcomes

  1. Proportion of patients with a favorable per-patient microbiological response in the mMITT analysis set

    This secondary outcome measure focused on the microbiological success in the mMITT population at the End of Treatment (EOT), and Late Follow-Up (LFU) visits. A microbiologic outcome of Eradication was met if urine culture obtained at the relevant visit demonstrates \<10\^4 CFU/mL (for FDA) or \< 10\^3 CFU/mL (for EMA) of the original uro-pathogen, and the patient was not bacteremic (if the patient was bacteremic at Screening, the bacteremia has resolved)

    Time frame: EOT (6 to 15 days after randomization) & LFU Visit (23 to 32 days after randomization)

  2. Proportion of patients with a favorable per-patient microbiological response in the Microbiological Evaluable (ME) analysis set

    This secondary outcome measure focused on the microbiological success in the ME population at the EOT, TOC, and LFU visits. A microbiologic outcome of Eradication was met if urine culture obtained at the relevant visit demonstrates \<10\^4 CFU/mL (for FDA) or \< 10\^3 CFU/mL (for EMA) of the original uro-pathogen, and the patient was not bacteremic (if the patient was bacteremic at Screening, the bacteremia has resolved)

    Time frame: EOT (6 to 15 days after randomization), TOC (16 to 25 days after randomization) & LFU Visit (23 to 32 days after randomization)

  3. Proportion of patients with a favorable per-patient microbiological response in the extended ME analysis set

    This secondary outcome measure focused on the microbiological success in the extended ME population at the EOT, TOC, and LFU visits. A microbiologic outcome of Eradication was met if urine culture obtained at the relevant visit demonstrates \<10\^4 CFU/mL (for FDA) or \< 10\^3 CFU/mL (for EMA) of the original uro-pathogen, and the patient was not bacteremic (if the patient was bacteremic at Screening, the bacteremia has resolved)

    Time frame: EOT (6 to 15 days after randomization), TOC (16 to 25 days after randomization) & LFU Visit (23 to 32 days after randomization)

  4. Proportion of patients with symptomatic resolution (or return to premorbid state) of all UTI-specific symptoms (frequency/urgency/ flank pain / suprapubic pain) in the mMITT analysis set

    This secondary outcome measure focused on a clinical outcome of Cure in the mMITT analysis set. For this outcome measure, success was achieved with a clinical outcome of Cure at the EOT, and LFU visit for mMITT population. Cure was defined as all or most pre-therapy signs and symptoms of the index infection had improved or resolved such that no additional antibiotics was required.

    Time frame: EOT (6 to 15 days after randomization) & LFU Visit (23 to 32 days after randomization)

  5. Proportion of patients with symptomatic resolution (or return to premorbid state) of all UTI-specific symptoms (frequency/urgency/ flank pain / suprapubic pain) in the CE analysis set

    This secondary outcome measure focused on a clinical outcome of Cure in the Clinical Evaluable (CE) analysis sets. For this outcome measure, success was achieved with a clinical outcome of Cure at the EOT, TOC, and LFU visit for CE population. Cure was defined as all or most pre-therapy signs and symptoms of the index infection had improved or resolved such that no additional antibiotics was required.

    Time frame: EOT (6 to 15 days after randomization), TOC (16 to 25 days after randomization) & LFU Visit (23 to 32 days after randomization)

  6. Proportion of patients with symptomatic resolution (or return to premorbid state) of all UTI-specific symptoms (frequency/urgency/ flank pain / suprapubic pain) in the extended ME analysis set

    This secondary outcome measure focused on a clinical outcome of Cure in the extended ME analysis set. For this outcome measure, success was achieved with a clinical outcome of Cure at the EOT, TOC, and LFU visit for extended ME population. Cure was defined as all or most pre-therapy signs and symptoms of the index infection had improved or resolved such that no additional antibiotics was required.

    Time frame: EOT (6 to 15 days after randomization), TOC (16 to 25 days after randomization) & LFU Visit (23 to 32 days after randomization)

  7. Proportion of favorable per-pathogen microbiological response in the mMITT analysis set

    This secondary outcome measure focused on the per-pathogen (Enterobacter species, Escherichia coli, Proteus mirabilis, Pseudomonas aeruginosa and Acinetobacter baumannii) microbiological outcome of Eradication in the m-MITT population at EOT, TOC, and LFU visit. A microbiologic outcome of Eradication was met if urine culture obtained at the relevant visit demonstrates \<10\^4 CFU/mL (for FDA) or \< 10\^3 CFU/mL (for EMA) of the original uro-pathogen, and the patient was not bacteremic (if the patient was bacteremic at Screening, the bacteremia has resolved)

    Time frame: EOT (6 to 15 days after randomization), TOC (16 to 25 days after randomization) & LFU Visit (23 to 32 days after randomization)

  8. Proportion of favorable per-pathogen microbiological response in the ME analysis set

    This secondary outcome measure focused on the per-pathogen (Enterobacter species, Escherichia coli, Proteus mirabilis, Pseudomonas aeruginosa and Acinetobacter baumannii) microbiological outcome of Eradication in the ME population at EOT, TOC, and LFU visit. A microbiologic outcome of Eradication was met if urine culture obtained at the relevant visit demonstrates \<10\^4 CFU/mL (for FDA) or \< 10\^3 CFU/mL (for EMA) of the original uro-pathogen, and the patient was not bacteremic (if the patient was bacteremic at Screening, the bacteremia has resolved)

    Time frame: EOT (6 to 15 days after randomization), TOC (16 to 25 days after randomization) & LFU Visit (23 to 32 days after randomization)

  9. Proportion of favorable per-pathogen microbiological response in the extended ME analysis set

    This secondary outcome measure focused on the per-pathogen (Enterobacter species, Escherichia coli, Proteus mirabilis, Pseudomonas aeruginosa and Acinetobacter baumannii) microbiological outcome of Eradication in the extended ME population at EOT, TOC, and LFU visit. A microbiologic outcome of Eradication was met if urine culture obtained at the relevant visit demonstrates \<10\^4 CFU/mL (for FDA) or \< 10\^3 CFU/mL (for EMA) of the original uro-pathogen, and the patient was not bacteremic (if the patient was bacteremic at Screening, the bacteremia has resolved)

    Time frame: EOT (6 to 15 days after randomization), TOC (16 to 25 days after randomization) & LFU Visit (23 to 32 days after randomization)

  10. Proportion of patients with symptomatic resolution (as defined in the co-primary variables) for patients infected with a Meropenem -resistant pathogen in the extended ME analysis set

    This secondary outcome measure focused on a clinical outcome of Cure in the patients infected with a Meropenem resistant pathogen in the extended ME analysis set. For this outcome measure, success was achieved with a clinical outcome of Cure at the TOC visit in extended ME population. Cure was defined as all or most pre-therapy signs and symptoms of the index infection had improved or resolved such that no additional antibiotics was required.

    Time frame: TOC visit (16 to 25 days after randomization)

  11. Proportion of patients with favorable per-patient microbiological response for patients infected with a Meropenem-resistant pathogen in the extended ME analysis sets

    This secondary outcome measure focused on the microbiological success in the patients infected with a Meropenem-resistant pathogen in the extended ME analysis population at the TOC visit. A microbiologic outcome of Eradication was met if urine culture obtained at the relevant visit demonstrates \<10\^4 CFU/mL (for FDA) or \< 10\^3 CFU/mL (for EMA) of the original uro-pathogen, and the patient was not bacteremic (if the patient was bacteremic at Screening, the bacteremia has resolved)

    Time frame: TOC visit (16 to 25 days after randomization)

  12. Time to first defervescence while on IV study therapy in patients in the mMITT analysis set who had fever at study entry

    This secondary outcome measure focused on the time to first defervescence in patients having fever study entry. Time to first defervescence was calculated for patients with a fever (\>38°C) at Baseline. Defervescence (\<37.8°C) was defined as absence of fever based on the highest temperature within a 24-hour period. Time to first defervescence while on IV study therapy (days) in the mMITT analysis set for patients who have fever at study entry was defined as the time from the first dose of IV study therapy to the first absence of fever.

    Time frame: EOT (6 to 15 days after randomization)

  13. Time to first defervescence while on IV study therapy in patients in the ME analysis set who had fever at study entry

    This secondary outcome measure focused on the time to first defervescence in patients having fever study entry. Time to first defervescence was calculated for patients with a fever (\>38°C) at Baseline. Defervescence (\<37.8°C) was defined as absence of fever based on the highest temperature within a 24-hour period. Time to first defervescence while on IV study therapy (days) in the ME analysis set for patients who have fever at study entry was defined as the time from the first dose of IV study therapy to the first absence of fever.

    Time frame: EOT (6 to 15 days after randomization)

  14. Time to first defervescence while on IV study therapy in patients in the extended ME analysis set who had fever at study entry

    This secondary outcome measure focused on the time to first defervescence in patients having fever study entry. Time to first defervescence was calculated for patients with a fever (\>38°C) at Baseline. Defervescence (\<37.8°C) was defined as absence of fever based on the highest temperature within a 24-hour period. Time to first defervescence while on IV study therapy (days) in the extended ME analysis set for patients who have fever at study entry was defined as the time from the first dose of IV study therapy to the first absence of fever.

    Time frame: EOT (6 to 15 days after randomization)

  15. Time to first defervescence while on IV study therapy in patients in the CE analysis set who had fever at study entry

    This secondary outcome measure focused on the time to first defervescence in patients having fever study entry. Time to first defervescence was calculated for patients with a fever (\>38°C) at Baseline. Defervescence (\<37.8°C) was defined as absence of fever based on the highest temperature within a 24-hour period. Time to first defervescence while on IV study therapy (days) in the CE analysis set for patients who have fever at study entry was defined as the time from the first dose of IV study therapy to the first absence of fever.

    Time frame: EOT (6 to 15 days after randomization)

  16. Number of deaths due to cUTI with more than 5 days of treatment till TOC visit

    This secondary outcome measure focused on the number deaths from day 01 dosing to TOC visit due to cUTI in patients received more than 5 days of treatment.

    Time frame: EOT (6 to 15 days after randomization), TOC (16 to 25 days after randomization)

  17. Total duration of treatment in the ME analysis sets

    This secondary outcome measure focused on the number of days IV therapy was used for management of patients with cUTI including acute pyelonephritis

    Time frame: EOT (6 to 15 days after randomization)

  18. Total duration of treatment in the CE analysis sets

    This secondary outcome measure focused on the number of days IV therapy was used for management of patients with cUTI including acute pyelonephritis

    Time frame: EOT (6 to 15 days after randomization)

  19. To measure the difference change in Patient Quality of life using Medical Outcome Study (MOS)-Short Form Survey (SF-36) scale

    This secondary outcome measure focused on the MOS-SF-36 scale questionnaire. It was evaluated using the RAND methodology that measures the results based on eight different scales, namely - Physical functioning, Role limitations due to physical health, Role Limitations due to emotional problems, Energy/Fatigue, Emotional well-being, General Health, Health change, Pain and Social functioning. Broadly, the QoL scales are divided into two main sub-groups that provide a summary of the physical functioning and the mental functioning of the patient. Scores represent the percentage of the total possible score achieved, 100 being the highest score possible (denoting best outcome) and 0 being the lowest (denoting worst outcome)

    Time frame: EOT (6 to 15 days after randomization), TOC (16 to 25 days after randomization) & LFU Visit (23 to 32 days after randomization)

  20. Analysis of pharmacoeconomic data of CSE-1034 versus the comparator for mMITT population

    This secondary outcome measure focused on Pharmacoeconomics data of CSE-1034 versus the Meropenem. The difference in cost incurred in management of cUTI (medications cost + hospitalization charges + cost of interventions and cost of laboratory investigations) were analyzed for mMITT population at EOT for CSE-1034 versus the comparator .

    Time frame: EOT (6 to 15 days after randomization)

  21. Analysis of pharmacoeconomic data of CSE-1034 versus the comparator for CE population

    This secondary outcome measure focused on Pharmacoeconomics data of CSE-1034 versus the Meropenem. The difference in cost incurred in management of cUTI (medications cost + hospitalization charges + cost of interventions and cost of laboratory investigations) were analyzed for CE population at EOT for CSE-1034 versus the comparator .

    Time frame: EOT (6 to 15 days after randomization)

Other outcomes

  1. Safety endpoints-Incidence of Treatment Emergent Adverse Events (TEAE) in Safety Population

    Proportion of patients with any treatment-emergent adverse event reported during study period

    Time frame: First infusion to Day 32

  2. Safety endpoints-Incidence of TEAE resulting in discontinuation of study drug therapy in Safety Population

    Proportion of patients in the Safety analysis set for whom the assigned study treatment was discontinued, or interrupted.

    Time frame: From first infusion to last infusion of study therapy. Duration of study therapy was 1 to 14 days.

  3. Safety endpoints-Incidence of Serious Adverse Events (SAEs) in Safety Population

    Proportion of patients in the Safety analysis set who have any SAE during the study period.

    Time frame: First infusion to Day 32

07

Study locations

17 sites
  • Sher-i-Kashmir Institute of Medical Sciences (SKIMS)
    Srinagar, Jammu & Kashmir 190011, India
  • Sapthagiri Institute of Medical Sciences and Research Center
    Bangalore, Karnataka 560 090, India
  • KLES, Dr Prabhakar Kore Hospital and Medical Centre , , India
    Belgaum, Karnataka 590010, India
  • Deenanath Mangeshkar Hospital and Research Centre
    Pune, Maharashtra 411004, India
  • Christian Medical College & Hospital
    Ludhiana, Punjab 141008, India
  • S.P. Medical College
    Bikaner, Rajasthan 334003, India
  • J. N. Medical College, Aligarh Muslim University
    Alīgarh, Uttar Pradesh 202002, India
  • King George's Medical University (KGMU), -, India
    Lucknow, Uttar Pradesh 226003, India
  • M.V. Hospital and Research Centre
    Lucknow, Uttar Pradesh 226003, India
  • Ajanta Hospital & Research Centre, 765, ABC Complex, Kanpur Road, Alambagh, -, , India.
    Lucknow, Uttar Pradesh 226005, India
  • Trimurti Hospital
    Varanasi, Uttar Pradesh 221002, India
  • Sudbhawana Hospital
    Varanasi, Uttar Pradesh 221005, India
  • Om Surgical Centre and Maternity Home
    Varanasi, Uttar Pradesh 221007, India
  • P. G. I. M. E. R., Sector 12, - India
    Chandigarh, 160012, India
  • PGIMER Dr. RML Hospital
    New Delhi, 110001, India
  • All India Institute of Medical Science
    New Delhi, 110029, India
  • Sir Ganga Ram Hospital
    New Delhi, 110060, India
08

References and documents

Publications

  • Mir MDA, Chaudhary S, Payasi A, Sood R, Mavuduru RS, Shameem M. CSE (Ceftriaxone+ Sulbactam+ Disodium EDTA) Versus Meropenem for the Treatment of Complicated Urinary Tract Infections, Including Acute Pyelonephritis: PLEA, a Double-Blind, Randomized Noninferiority Trial. Open Forum Infect Dis. 2019 Oct 1;6(10):ofz373. doi: 10.1093/ofid/ofz373. PubMed 31433059 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 29, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03477422
Lead sponsor
Venus Remedies Limited
Responsible party
Sponsor
First posted
Mar 26, 2018
Start date
Jan 11, 2014
Primary completion
May 8, 2017
Completion
May 8, 2017
Last update
Aug 29, 2019

Study contacts

Rajeev Sood
principal investigator · PGIMER Dr. RML Hospital, Baba Kharak Singh Marg, Connaught Place, New Delhi- 110001, India
Kim Mammen
principal investigator · Christian Medical College & Hospital, Ludhiana, Punjab-141008, India
R.P Agrawal
principal investigator · S.P. Medical College, Bikaner- 334003, Rajasthan, India
Manjunath M
principal investigator · Sapthagiri Institute of Medical Sciences and Research Center, #15, Chikkasandra, Hesaragatta Main Road, Bangalore-560 090, Karnataka, India
Pratibha Phadke
principal investigator · Deenanath Mangeshkar Hospital and Research Centre, Erandwane, Pune - 411004
Sudhir Chadha
principal investigator · Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi- 110060, India
A.K. Deb
principal investigator · Sudbhawana Hospital, B 31/8023-B, Bhogabir, Lanka, Varanasi- 221005, India
Dharamraj Maurya
principal investigator · M.V. Hospital and Research Centre, 314/30, Mirza Mandi, Chowk, Lucknow- 226003, India
Deepak Dewan
principal investigator · Ajanta Hospital & Research Centre, 765, ABC Complex, Kanpur Road, Alambagh, Lucknow-Uttar Pradesh, 226005, India.
Shalini Srivastava
principal investigator · Om Surgical Centre and Maternity Home, SA 17/3, P-4, Sri Krishna Nagar, Paharia, Ghazipur Road, Varanasi- 221007, India
Ram Murti Singh
principal investigator · Trimurti Hospital, Gilat Bazaar, Varanasi- 221002, India
Rahul Janak Sinha
principal investigator · King George's Medical University (KGMU), Lucknow-226003, India
Madhav Prabhu
principal investigator · KLES, Dr Prabhakar Kore Hospital and Medical Centre, Nehru Nagar, Belagavi- 590010, Belgaum, Karnataka, India
Mohd. Shameem
principal investigator · J. N. Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
Prem Nath Dogra
principal investigator · All India Institute of Medical Science, Ansari Nagar, New Delhi- 110029, India
Ravimohan S Mavuduru
principal investigator · P. G. I. M. E. R., Sector 12, Chandigarh-160012, India
Parvaiz Koul
principal investigator · SKIMS, Srinagar, Jammu & Kashmir- 190011, India

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2019. You cannot join it, but the record below documents what was studied.

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