New antibiotic shows promise for kids with tough infections
NCT ID NCT04335539
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested the safety and how the body processes the antibiotic cefiderocol in hospitalized children aged 3 months to 18 years with serious bacterial infections. The goal was to see if the drug is safe and how it works in the body. 53 children participated, and the study is now complete.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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53 people
The number who actually took part.
- Started
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Aug 2020
- Finished
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Feb 2023
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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3 months to 17 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Participant's parent(s) or legally authorized representative (LAR) provides written informed consent in accordance with regional and country-specific laws and regulations. 2. Participant provides written informed assent, when feasible (age of assent to be determined by institutional review boards/independent ethics committees \[IRB's/IEC's\] or be consistent with local legal requirements). 3. Hospitalized participant is 3 months to \<18 years of age at the time written informed consent/assent is obtained for the single-dose phase. Hospitalized participant is 3 months to \<12 years of age at the time written informed consent/assent is obtained for the multiple-dose phase. Premature babies will not be restricted, but the participant must have an adjusted or postnatal age of 3 months. 4. Participant has a suspected or confirmed infection (including but not limited to complicated urinary tract infection \[cUTI\], complicated intra-abdominal infection \[cIAI\], hospital-acquired pneumonia \[HAP\] /ventilator-acquired pneumonia \[VAP\], sepsis, or bloodstream infections \[BSI\]) that requires hospitalization for treatment with IV antibiotics. 5. If participant is a sexually active female of childbearing potential and has reached menarche or Tanner stage 3, participant agrees to use barrier contraception (including condom, diaphragm, or cervical cap) with spermicide or agrees to use a highly effective method of contraception (including contraceptive implant, injectable contraceptive, combination oral contraceptive, or an intrauterine \[IUD\] contraceptive device) from Screening up to 28 days after administration of the last dose of cefiderocol. Exclusion Criteria: 1. Participant has a documented history of any hypersensitivity or allergic reaction to any β-lactam antibiotic (Note: for β-lactams, a history of a mild rash followed by uneventful re-exposure is not a contraindication to enrollment). 2. Multiple-dose only: Participant has an infection caused only by a confirmed Gram-positive pathogen. 3. Participant has a suspected or confirmed central nervous system (CNS) infection (eg, meningitis, brain abscess, shunt infection) or osteomyelitis (which would require prolonged antibiotic therapy). 4. Participant has cystic fibrosis. 5. Single-dose phase: Participant has moderate or severe renal impairment based on estimated glomerular filtration rate (eGFR) (based on Schwartz equation if ≥ 3 months to \< 1 year of age and modified Bedside Schwartz equation if ≥ 1 to \< 18 years of age) of \< 60 milliliter (mL) per minute (min)/1.73 \^2² at Screening. Multiple-dose phase: Participant has an eGFR (based on Schwartz equation if ≥ 3 months to \< 1 year of age and modified Bedside Schwartz equation if ≥ 1 to \< 18 years of age) of \< 15 mL/min/1.73 \^2² at Screening. 6. Participant has end-stage renal disease (ESRD), is on hemodialysis (HD), or receiving continuous venovenous hemofiltration (CVVH). 7. Participant has experienced shock in the prior month or is in shock at the time of Screening. 8. Participant has severe neutropenia or is severely immunocompromised. 9. Participant has multiorgan failure. 10. Participant has a life expectancy of \< 30 days due to severity of a concurrent illness. 11. Participant is a female who has a positive pregnancy test at Screening. 12. Participant is a female who is breastfeeding. 13. Participant has received any other investigational medicinal product (IMP) within 30 days. 14. Participant has any condition or circumstance that, in the opinion of the investigator, would compromise the safety of the participant or the quality of the study data, including acute trauma to the pelvis or urinary tract. 15. Participant is receiving vasopressor therapy at Screening.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Bernu Kliniska Universitates Slimnica Childrens Hospital - Tornakalna
Riga, Latvia
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Cliniques Universitaires Saint-Luc
Brussels, Belgium
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Daugavpils regional Hospital
Daugavpils, Latvia
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Dnipropetrovsk Regional Children Clinical Hospital
Kharkiv, Ukraine
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Heim Pl Orszgos Gyermekgygyszati Intzet
Pilisborosjenő, Hungary
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Higher State Educational Institute of Ukraine Ukrainian Medical Stamatological Academy
Poltava, Ukraine
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Hospital Germans Trias i Pujol
Barcelona, Spain
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Hospital Universitario y Politecnico La Fe
Valencia, Spain
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JSC "EVEX Medical Corporation"- M Lashvili Childrens Central Hospital
Tbilisi, Georgia
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JSC "Medical Corporation Evex" " M. Iashvili Batumi Maternal and Child Central Hospital"
Batumi, Georgia
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Khon Kaen University (KKU) - Faculty of Medicine-Srinagarind Hospital
Khon Kaen, Thailand
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King Chulalongkorn Memorial Hospital, Chulalongkorn University
Bangkok, Thailand
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Ltd Unimedi Kakheti Childrens New Clinic
Tbilisi, Georgia
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National Childrens Specialized Hospital OHMATDYT of the Ministry of Health of Ukraine
Kiev, Ukraine
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PHPT-Chiangrai PrachanuKroh Hospital
Chiang Mai, Thailand
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Regional Children Clinical Hospital
Kharkiv, Ukraine
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Siriraj Hospital
Bangkok Noi, Thailand
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Smolensk State Medical University
Smolensk, Russia
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St. Petersburg State Pediatric Medical University
Saint Petersburg, Russia
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Szegedi Tudomnyegyetem
Szegedi Tudomnyegyetem, Hungary
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Tallinn Childrens Hospital
Tallinn, Estonia
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Tartu Ulikooli Kliinikum - Anestesioloogia ja Intensiivravi Kliinik
Tartu, Estonia
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Universitair Ziekenhuis Brussel
Brussels, 1200, Belgium
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Other studies related to the condition(s) this trial covers.
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