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Not yet recruitingNCT07929493Updated Nov 10, 2026

A Study of Ceftobiprole Compared With Standard Antibiotic Treatment in Children With Staphylococcus Aureus Bacteremia (SAB) Infection, Including Right-sided Heart Infection

A Phase 3 interventional study of Ceftobiprole medocaril sodium and Standard of Care (SOC) in Staphylococcus Aureus Bacteremia and Endocarditis, Bacterial, sponsored by ISTx, LLC. Not yet recruiting. Open to participants aged 3 Days to 17 Years. Per ClinicalTrials.gov, last updated 2026-11-10.

Sponsored by ISTx, LLC · Phase 3, Interventional, and Treatment

Updated Nov 10, 2026Newly registeredGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
3 Days to 17 Years
Sex
All
01

Study summary

This clinical trial will evaluate the safety, and effectiveness of ceftobiprole compared to standard-of-care antibiotic treatment in children from birth to less than 18 years of age with Staphylococcus aureus bloodstream infection, including right-sided infective endocarditis (IE). The trial will also evaluate the pharmacokinetics of ceftobiprole.

02

Conditions studied

  • Staphylococcus Aureus Bacteremia
  • Endocarditis, Bacterial

Keywords

  • Phase 3
  • Staphylococcus aureus bacteremia
  • Pediatric
  • Right-sided infective endocarditis
  • Ceftobiprole
  • Standard-of-care
03

In context

Endocarditis, Bacterial

22 studies on the registry are indexed under Endocarditis, Bacterial; 9 are open to participants now.

This study's planned enrollment of 60 is above the median of 38 across 11 interventional studies indexed under Endocarditis, Bacterial.

Browse Endocarditis, Bacterial studies →

Lead sponsor

This is the only study on the registry with ISTx, LLC as lead sponsor.

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

04

Who can participate

Ages eligible
3 Days to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Pediatric age from birth to \< 18 years old, with body weight ≥ 3.7 kg at the time of consent. Participants in the birth to \< 2-year-old cohort should have a gestational age ≥ 37 weeks and postnatal age ≥ 3 days
  • Parent(s) or legal guardian(s) have provided documented , and participant has provided assent as per local standards.
  • SAB:

    1. Based on at least one blood culture obtained within 48 hours prior to randomization that is positive for S. aureus
    2. Persistent SAB

Key Exclusion Criteria:

  • Receipt of systemic antibacterial treatment for S. aureus infections exceeding 48 hours within the 7 days prior to randomization.
  • Infection with S. aureus known or suspected to be non-susceptible to ceftobiprole or available SOC comparator antibiotic options
  • Known concomitant bloodstream or non-bloodstream infections with Gram-negative bacteria at screening
  • Left-sided IE (known or suspected to be present at the time of randomization)
  • to the administration of study treatments, including known clinically-relevant to beta-lactam antibacterials
  • High probability of death within 7 days due to the underlying SAB or SAB-associated disease, or high probability of death within 28 days from an unrelated underlying disease
  • An of \< 0.5 x 10\^9/L
  • Septic shock or hypotension unresponsive to IV fluids with or without vasopressors for ≥ 4 hours
  • SAB in participants with other foreign body material that cannot be removed within 7 days after randomization
  • Suspected or confirmed central nervous system S. aureus infection
  • Immunocompromising conditions
  • Receipt of systemic (prednisolone ≥ 2 mg/kg per day, or equivalent) or drugs within 2 weeks prior to screening
  • Any severe, acute or chronic medical or psychiatric condition, recent neurological event, or laboratory abnormality that may increase the risk associated with study participation or administration of study treatments, or may interfere with the interpretation of study results, and which, in the judgment of the Investigator, would make the participant inappropriate for entry into this study
  • of \< 30 mL/min/1.73 m² for participants \< 2 years old and \< 15 mL/min/1.73 m² for participants ≥ 2 years old, or, for any age, requirement/anticipated requirement for plasmapheresis, peritoneal dialysis, hemodialysis, venovenous dialysis, continuous renal-replacement therapy (CRRT), or other forms of renal filtration.
  • History of seizures other than well-documented febrile seizures of childhood
  • (ALT) or aspartate transaminase (AST) levels > 5 × the (ULN), OR total > 2 × the ULN (except isolated unconjugated hyperbilirubinemia consistent with Gilbert's syndrome), OR severe hepatic disease classified as class C
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.

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.

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.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Investigator)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    Ceftobiprole

    Participants randomized to this arm will receive intravenous (IV) ceftobiprole.

    Drug: Ceftobiprole medocaril sodium

  • Active comparator
    Standard-of-Care (SOC)

    Participants randomized to this arm will receive intravenous (IV) standard-of-care (SOC) antibiotic treatment selected according to local guidelines or site-specific standard practice.

    Drug: Standard of Care (SOC)

Interventions

  • DrugCeftobiprole medocaril sodium

    Ceftobiprole dosing is based on age/body weight and renal function and given at 7.5 mg/kg, 10 mg/kg, or 15 mg/kg (equivalent to 10 mg/kg, 13.3 mg/kg, or 20 mg/kg respectively of ceftobiprole medocaril sodium) q8h, q12h or q24h up to a maximum of 500 mg (equivalent to 667 mg of ceftobiprole medocaril sodium), with all doses infused over 2 hours.

  • DrugStandard of Care (SOC)

    Dosage is per local product label based on the participant's age/body weight, and, if applicable, renal function.

06

What researchers measure

Primary outcomes

  1. Percentage of Participants with Treatment-Emergent Adverse Events (TEAEs)

    Time frame: Day 1 through last follow-up (LFU) [up to 11 weeks]

  2. Percentage of participants with serious adverse events (SAEs)

    Time frame: Baseline through LFU [up to 11 weeks]

  3. Percentage of participants with treatment-related adverse events (AEs)

    Time frame: Day 1 through LFU [up to 11 weeks]

  4. Percentage of participants with adverse events of special interest (AESIs)

    Time frame: Baseline through LFU [up to 11 weeks]

  5. Percentage of participants with adverse events (AEs) leading to discontinuation of study-drug treatment

    Time frame: Baseline through LFU [up to 11 weeks]

  6. Percentage of participants with treatment-emergent abnormal hematology laboratory test results

    Time frame: Baseline through the end-of-treatment (EOT) visit [up to approximately 6 weeks]

  7. Percentage of participants with treatment-emergent abnormal blood chemistry laboratory test results

    Time frame: Baseline through the EOT visit [up to approximately 6 weeks]

  8. Percentage of participants with treatment-emergent abnormal urinalysis test results

    Time frame: Baseline through the EOT visit [up to approximately 6 weeks]

  9. Change from baseline in body temperature

    Time frame: Baseline through LFU visit [up to 11 weeks]

  10. Change from baseline in systolic blood pressure

    Time frame: Baseline through LFU visit [up to 11 weeks]

  11. Change from baseline in diastolic blood pressure

    Time frame: Baseline through LFU visit [up to 11 weeks]

  12. Change from baseline in respiratory rate

    Time frame: Baseline through LFU visit [up to 11 weeks]

  13. Change from baseline in heart rate

    Time frame: Baseline through LFU visit [up to 11 weeks]

Secondary outcomes

  1. Percentage of All-Cause Mortality (ACM)

    Defined as death from any cause including death due to SAB

    Time frame: Through 28 days after EOT [up to approximately 10 weeks]

  2. Percentage of new metastatic foci or other complications of SAB

    Complications are considered new between Day 8 and TOC

    Time frame: Day 8 through test-of-cure (TOC) [up to approximately 8 Weeks]

  3. Percentage of participants with Clinical Success at the TOC Visit

    Success is defined as either cure or improvement

    Time frame: TOC visit [7-14 days after EOT]

  4. Percentage of participants with Microbiological Success at the TOC Visit

    Microbiological success is defined as eradication or presumed eradication.

    Time frame: TOC visit (7-14 days after EOT)

  5. Percentage of participants with Overall Success at the TOC Visit

    Overall success is defined as the achievement of both clinical success and microbiological success

    Time frame: TOC visit (7-14 days after EOT)

  6. Ceftobiprole Plasma Concentration

    Time frame: Day 3

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Nov 10, 2026
Show all 1 update
  1. Nov 10, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07929493
Lead sponsor
ISTx, LLC
Collaborators
Innoviva Specialty Therapeutics
Responsible party
Sponsor
First posted
Nov 10, 2026
Start date
Oct 30, 2026 (estimated)
Primary completion
Oct 31, 2028 (estimated)
Completion
Oct 31, 2028 (estimated)
Last update
Nov 10, 2026

Study contacts

ISTX Clinical Trials
Contact
Clinicaltrials@istx.com
617-715-3600

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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