New antibiotic cocktail aimed at Drug-Resistant infections in babies
NCT ID NCT06462235
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests a combination of two antibiotics, aztreonam and avibactam, in newborns and infants up to 9 months old who have serious infections caused by gram-negative bacteria. The trial has two parts: one to see how a single dose moves through the body, and another to test multiple doses over up to 14 days. Researchers will monitor safety and how well the drug works, aiming to find a better treatment for these tough infections in young babies.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- aztreonam and avibactam (antibiotic combination, with or without metronidazole)
- What this could lead to
- If successful, this could provide a safe and effective antibiotic option for hard-to-treat bacterial infections in very young infants.
- What could go wrong
- This is an early Phase 2 trial with only 48 participants, so results may not apply to all infants. The drug combination may still cause side effects or not work as well as hoped.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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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About 48 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2024
- Expected to finish
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Apr 2027
An estimate. End dates often move.
- 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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Up to 39 weeks
- 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 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.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
26 sites in 5 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Chang Gung Medical Foundation Linkou Chang Gung Memorial Hospital
RECRUITINGTaoyuan, 33305, Taiwan
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Children's Hospital Colorado
RECRUITINGAurora, Colorado, 80045, United States
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Children's Hospital of Orange County
RECRUITINGOrange, California, 92868, United States
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Children's Hospital of Orange County Southwest Tower
RECRUITINGOrange, California, 92868, United States
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Clinica Del Niño Y La Madre
RECRUITINGMar del Plata, Buenos Aires, 7600, Argentina
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Clinica Privada del Sol S.A
RECRUITINGCórdoba, Córdoba Province, X5000IIH, Argentina
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Duke University - Main Hospital and Clinics
RECRUITINGDurham, North Carolina, 27710, United States
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Hospital del Niño Jesús
RECRUITINGSan Miguel de Tucumán, Tucumán Province, 4000, Argentina
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Hsinchu Municipal Mackay Children's Hospital
RECRUITINGHsinchu, Hsinchu, 300046, Taiwan
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Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation
RECRUITINGHualien City, Hualien, 970, Taiwan
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Institute of Child Health
RECRUITINGKolkata, West Bengal, 700017, India
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Medanta Hospital Lucknow
RECRUITINGLucknow, Uttar Pradesh, 226030, India
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Memorial Hermann Hospital - Texas Medical Center
RECRUITINGHouston, Texas, 77030, United States
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Nirmal Hospital Pvt Ltd.
RECRUITINGSurat, Gujarat, 395002, India
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Norton Children's Hospital
RECRUITINGLouisville, Kentucky, 40202, United States
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Novak Center for Children's Health
RECRUITINGLouisville, Kentucky, 40202, United States
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RajaRajeswari Medical College and Hospital
RECRUITINGBengaluru, Karnataka, 560074, India
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Rambam Health Care Campus
RECRUITINGHaifa, Northern District, 3109601, Israel
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Riley Hospital for Children at Indiana University Health
RECRUITINGIndianapolis, Indiana, 46202, United States
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Sahyadri Super Speciality Hospital
RECRUITINGPune, Maharashtra, 411006, India
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Sanatorio Sagrado Corazón
RECRUITINGCiudad Autónoma de Buenos Aires, Buenos Aires, 1039, Argentina
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Schneider Children's Medical Center
RECRUITINGPetah Tikva, Central District, 49202, Israel
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Taichung Veterans General Hospital
RECRUITINGTaichung, 407, Taiwan
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The University of Texas Health Science Center at Houston
RECRUITINGHouston, Texas, 77030, United States
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Tufts Medical Center
RECRUITINGBoston, Massachusetts, 02111, United States
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University of Louisville, Norton Children's Research Institute
RECRUITINGLouisville, Kentucky, 40202, United States
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