New antibiotic shows promise for newborns with dangerous infections
NCT ID NCT06086626
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looked at how the antibiotic cefiderocol works in hospitalized infants under 3 months old with suspected or confirmed gram-negative bacterial infections. Researchers measured drug levels in the blood and checked for side effects in 30 babies. The goal was to find the right dose and ensure safety, not to prove the drug cures the infection.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- cefiderocol (an antibiotic given intravenously)
- What this could lead to
- If successful, this could provide a new antibiotic option for hard-to-treat bacterial infections in very young infants.
- What could go wrong
- This is a small, early-phase study focused on safety and dosing, not on proving the drug works. It may not lead to a new standard treatment.
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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30 people
The number who actually took part.
- Started
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Mar 2024
- Finished
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Mar 2025
- Lead sponsor
-
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
-
Up to 3 months
- Sex
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Anyone
- Healthy volunteers
-
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.
Eligibility Criteria: Key Inclusion Criteria: 1. Written informed consent has been provided by parent(s) or legally authorized representative(s) in accordance with local regulatory requirements 2. Hospitalized infants from birth to \< 3 months (\< 90 days) of age at the time written informed consent is provided. Enrollment of premature infants will not be restricted, but they must have a GA ≥ 26 weeks, PNA of 0 to 3 months, and weight of at least 1 kilogram (kg) 3. Require systemic IV antibiotic treatment for suspected or confirmed aerobic Gram-negative infections including, but not limited to, complicated urinary tract infection, complicated intra-abdominal infection, hospital-acquired/ ventilator-associated bacterial pneumonia, and BSI/sepsis 4. For the multiple-dose phase, within 72 hours of the start of potentially effective treatment with SOC antibiotics for the suspected or confirmed primary aerobic Gram-negative infection Key Exclusion Criteria: 1. Documented history of any moderate or severe hypersensitivity or allergic reaction to any β-lactam antibiotic 2. Life expectancy of \< 72 hours after enrollment 3. Urine output \< 1.0 milliliter (mL)/kg/hour within the 24 hours prior to study drug administration on Day 1 4. Serum creatinine value greater than the maximum for GA and PNA shown below within the 24 hours prior to study drug administration on Day 1 5. Neonatal acute kidney injury (AKI), defined as a serum creatinine level greater than 1.5 milligrams per decilieter (mg/dL) (133 micromoles\[μmol\]/liter \[L\]) or an increase of 0.3 mg/dL (17 to 27 μmol/L) per day from a previous lower value 6. Acute kidney injury based on an increase in serum creatinine ≥ 0.3 mg/dL within 48 hours from an established baseline value 7. 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 8. Receiving renal replacement therapy 9. Received any other investigational medicinal product within 30 days of study drug administration 10. Receiving treatment with a vasopressor at Screening 11. Has a confirmed or strongly suspected infection at Screening with a pathogen known to be resistant to cefiderocol or only a Gram-positive pathogen or viral, fungal, or parasitic pathogen as the sole cause of infection 12. Anticipated need for antibacterial therapy longer than 14 days (example , osteomyelitis or endocarditis); this applies to both study treatment with cefiderocol, as well as adjunctive IV antibacterial treatment for suspected coinfection with Gram-positive organisms or multidrug resistant Gram-negative organisms 13. Suspected or confirmed central nervous system (CNS) infection, including suspected CNS infection who do not have a lumbar puncture (LP) but who are treated for potential CNS infection, evidence suggestive of CNS infection based on LP results (polymorphonuclear pleocytosis, hypoglycorrhachia, and increased protein concentration), regardless of culture results, LP with organisms on Gram stain or culture-positive cerebrospinal fluid Note: Other protocol-defined Inclusion/Exclusion criteria may apply.
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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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Arkansas Children's Hospital
Little Rock, Arkansas, 72202, United States
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Chang Gung Memorial Hospital, Linkou Department of Pediatrics
Taoyuan City, 333, Taiwan
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Duke University
Durham, North Carolina, 27705, United States
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Tygerberg Hospital
Cape Town, Western Cape, 8000, South Africa
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- New antibiotic shows promise for kids with tough infections
- New tetracycline drugs take on superbugs in Real-World trial
- New hope for kids with tough infections: experimental antibiotic combo tested