ClinicalTrials.gg
CompletedNCT05373615Updated Dec 18, 2024

Cefiderocol Plasma Concentrations in Patients Receiving Renal Replacement Therapy

A Phase 1 interventional study of Cefiderocol in Pharmacokinetics, sponsored by Hartford Hospital. Completed at 1 site in United States. Open to participants aged 18 Years to 120 Years. Per ClinicalTrials.gov, last updated 2024-12-18.

Sponsored by Hartford Hospital · Phase 1, Interventional, and Basic science

From the registry’s dates

  • Primary completion was Nov 2024, 1 year 11 months ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
14
Allocation
Not applicable
Ages
18 Years to 120 Years
Sex
All
01

Study summary

Continuous renal replacement therapies (CRRT) such as continuous venovenous hemofiltration are used to provide renal support for critically ill patients with acute kidney injury (AKI), particularly patients who are hemodynamically unstable. It is well known that critically ill patients may experience alterations in antibiotic pharmacokinetics, and as a result, dosing modifications are generally required. There is a need to understand how CRRT affect the pharmacokinetics and disposition of drugs. This study is designed to assess the pharmacokinetics of the new broad-spectrum antibiotic, Cefiderocol, in critically ill patient receiving CRRT.

Read the detailed description

This is a prospective, multi-center, open-label, Phase 1b, pharmacokinetic study of Cefiderocol in 16 critically ill patients receiving CRRT support. Informed consent will be collected from all study participants, legal authorized representative, or their next of kin in order to participate. This is not a treatment study; all participants will receive standard of care antibiotics which may include cefiderocol as necessary to treat any current infection.

02

Conditions studied

  • Pharmacokinetics
03

In context

Lead sponsor

Hartford Hospital is the lead sponsor of 104 studies on the registry; 19 are open to participants now.

Of its 14 completed or terminated interventional studies of FDA-regulated products, 5 (36%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 120 Years
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. Age 18 years or older;
  2. Receiving CRRT including CVVH, CVVHD, and CVVHDF support.

Exclusion criteria

Exclusion Criteria:

  1. Females who are pregnant or breast-feeding;
  2. History of any moderate or severe hypersensitivity or allergic reaction to any β-lactam antibiotic (a history of mild rash to a cephalosporin followed by uneventful re-exposure is not a contraindication);
  3. A hemoglobin less than 8 gm/dl at baseline;
  4. Acute liver injury, defined as aspartate aminotransferase (AST) or alanine aminotransferase (ALT) > 5 times the upper limit of normal, or AST or ALT > 3 times the upper limit of normal with an associated total bilirubin > 2 times upper limit of normal;
  5. Any rapidly-progressing disease or immediately life-threatening illness (defined as imminent death within 48 hours in the opinion of the investigator);
  6. Any condition or circumstance that, in the opinion of the investigator, would compromise the safety of the patient or the quality of study data.
05

Study design

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

Study arms

  • Experimental
    Cefiderocol

    Participants will receive four to six doses of Cefiderocol as per current prescribing information based on effluent rate

    Drug: Cefiderocol

Interventions

  • After receipt of Cefiderocol, blood samples will be collected at various time points to determine the pharmacokinetics of Cefiderocol

06

What researchers measure

Primary outcomes

  1. Cefiderocol concentration

    The total and free plasma concentration of cefiderocol over time

    Time frame: 8 to 12 hours

  2. Cefiderocol clearance

    The Clearance in liters/hour of Cefiderocol from the plasma

    Time frame: 8 to 12 hours

  3. Cefiderocol maximum concentration

    The maximum concentration of Cefiderocol from the plasma

    Time frame: 8 to 12 hours

07

Study locations

1 site
  • Hartford Hospital
    Hartford, Connecticut 06102, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jul 2022 to primary completion in Nov 2024, 27 months.

How these figures are worked out, and which studies are left out of them.

Registered
May 10, 2022
First posted
May 13, 2022
StartActual
Jul 25, 2022
Primary completionActual
Nov 20, 2024
CompletionActual
Nov 20, 2024
Last update
Dec 18, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 18, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05373615
Lead sponsor
Hartford Hospital
Collaborators
Shionogi Inc.
Responsible party
Tomefa Asempa (Associate Director, Clinical and Translational Infectious Diseases Research, Hartford Hospital) — Principal investigator
First posted
May 13, 2022
Start date
Jul 25, 2022
Primary completion
Nov 20, 2024
Completion
Nov 20, 2024
Last update
Dec 18, 2024

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2024. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Cefiderocol

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