Recruiting
Phase 2

Aztreonam-Avibactam

Sponsor:

Pfizer

Code:

NCT06462235

Conditions

Gram-negative Bacterial Infection

Eligibility Criteria

Sex: All

Age: 0

Healthy Volunteers: Not accepted

Interventions

Part A: ATM-AVI Single Dose, Cohorts 1-4

Part B: Multiple-dose ATM-AVI, Cohorts 1-4

Study Details

Brief summary:

The purpose of this study is to learn about the safety and effects of ATM-AVI for the possible treatment of infections caused by a type of bacteria called gram-negative bacteria.

The study medicine is a combination of an antibiotic, aztreonam (ATM), and another medicine, avibactam (AVI), which is used to help stop bacteria from being resistant to antibiotics. Antibiotics are medicines that fights bacteria and infections.

The study will include newborns and infants up to 9 months of age who are admitted in the hospital.

The study is conducted in 2 parts: Part A and Part B.

In Part A, all participants will receive a single intravenous (injected directly into a vein) infusion of ATM-AVI. This is to study the safety and effects of a single amount.

In Part B, all participants will receive multiple intravenous infusions of ATM-AVI as treatment for a possible or confirmed infection with gram-negative bacteria.

Conditions

Gram-negative Bacterial Infection

Study ID

NCT06462235

Start date

Sep 25, 2024

Status verified date

Jun, 2026

Completion date

Apr 25, 2027

Anticipated

Primary completion date

Apr 25, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 0

Healthy Volunteers: Not accepted

Inclusion Criteria

Participants must meet the following key inclusion criteria to be eligible for enrollment into the study:

1. Hospitalized with age from birth <9 months, including preterm birth
2. Part A: Receiving IV antibiotics for treatment of suspected or confirmed bacterial infection, including but not limited to cIAI, cUTI, HAP/VAP, BSI, or sepsis.
3. Part B: Suspected or confirmed gram-negative bacterial infection requiring IV antibiotics, including but not limited to cIAI, cUTI, HAP/VAP, BSI, or sepsis.

Participants with any of the following characteristics/conditions will be excluded:

1. Received any other investigational medicinal product within the longer of 30 days or 5 half-lives before enrollment.
2. Any medical or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study.
3. Severe renal impairment or known significant renal disease, as evidenced by elevated serum creatinine at screening, or urinary output <0.5 mL/kg/h for 6 consecutive hours or requirement for dialysis.
4. Part B Only: Received >24 hours of systemic antibiotic treatment for gram-negative organisms at time of enrollment, unless documented treatment failure or lack of improvement in at least one objective sign or symptom of infection after ≥48 hours of antibiotics.

Study Design

Enrollment

48 participants

Anticipated

Allocation

Non randomized

Intervention Model

Single group

Primary purpose

Basic Science

Interventions and Outcome Measures

Arms

experimental: Part A, Cohorts 1-4

Single dose pharmacokinetics.

experimental: Part B, Cohorts 1-4

Multi-dose pharmacokinetics and treatment

Interventions

Part A: ATM-AVI Single Dose, Cohorts 1-4

Single intravenous infusion of aztreonam-avibactam over 3 hours to assess pharmacokinetics, safety, and toleration.

Part B: Multiple-dose ATM-AVI, Cohorts 1-4

Multiple intravenous infusions of aztreonam-avibactam over 3 hours, repeated every 6-8 hours up to 14 days to assess pharmacokinetics, safety, toleration, and efficacy.

Primary outcome measure

  • Maximum Predicted Plasma Concentration (Cmax) of ATM and AVI [ Time Frame: Up to Day 15 ]
  • Area under the Concentration-Time Curve (AUC) of ATM-AVI [ Time Frame: Up to Day 15 ]
  • Plasma Elimination Half-Life (t1/2) [ Time Frame: Up to Day 15 ]
  • Apparent Clearance (CL) [ Time Frame: Up to Day 15 ]
  • Plasma concentrations of ATM and AVI by nominal sampling time [ Time Frame: Up to Day 15 ]
  • Proportion of Participants reporting Adverse Events (AE) [ Time Frame: Baseline up to Day 50 ]
  • Proportion of Participants reporting Serious Adverse Events (SAE) [ Time Frame: Baseline up to Day 50 ]
  • Proportion of Participants reporting AEs leading to discontinuation of study drug [ Time Frame: Baseline up to Day 50 ]
  • Proportion of Participants reporting AEs resulting in death [ Time Frame: Baseline up to Day 50 ]
  • Proportion of Participants reporting liver injury and acute kidney injury [ Time Frame: Baseline up to Day 50 ]

Central Contacts and Locations

Central contacts

Locations

Children's Hospital of Orange County Southwest Tower

Recruiting

Orange, California, United States, 92868

Children's Hospital of Orange County

Recruiting

Orange, California, United States, 92868

Children's Hospital Colorado

Recruiting

Aurora, Colorado, United States, 80045

Riley Hospital for Children at Indiana University Health

Recruiting

Indianapolis, Indiana, United States, 46202

Norton Children's Hospital

Recruiting

Louisville, Kentucky, United States, 40202

Novak Center for Children's Health

Recruiting

Louisville, Kentucky, United States, 40202

University of Louisville, Norton Children's Research Institute

Recruiting

Louisville, Kentucky, United States, 40202

Tufts Medical Center

Recruiting

Boston, Massachusetts, United States, 02111

Duke University - Main Hospital and Clinics

Recruiting

Durham, North Carolina, United States, 27710

Memorial Hermann Hospital - Texas Medical Center

Recruiting

Houston, Texas, United States, 77030

The University of Texas Health Science Center at Houston

Recruiting

Houston, Texas, United States, 77030

More Information

Sponsor

Pfizer

Last update posted

Jun 11, 2026

Last verified

Jun, 2026

Keywords

  • gram-negative
  • aztreonam-avibactam
  • neonate
  • infant

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by Pfizer on 2026-06-11.