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New antibiotic combo tested in kidney patients

NCT ID NCT07104162

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now This study
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This early-stage study is testing a single dose of an experimental antibiotic combination (cefiderocol/xeruborbactam) given through a vein. The goal is to see how safe it is and how the body processes it in 40 adults with different levels of kidney function, including those on dialysis. The results will help determine the right dose for future studies.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
Cefiderocol/Xeruborbactam (a combination of two antibiotics given through a vein)
What this could lead to
If successful, this study will help doctors understand how to safely dose this antibiotic combination in patients with kidney problems, potentially leading to better treatment for serious bacterial infections.
What could go wrong
This is a very early (Phase 1) study with only 40 people, focused on safety and drug levels, not on curing infections. It may not lead to a new treatment, and side effects are possible.

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

Phase 1

The first testing in people. Mainly checks safety and dose, usually in a small group.

Participants

About 40 people

The number the study aims to enrol. It can still change while the study runs.

Started

Sep 2025

Expected to finish

Dec 2026

An estimate. End dates often move.

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

18 to 80 years

Sex

Anyone

Healthy volunteers

Accepted

You do not need to have the condition being studied to take part.

Show 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: An individual will be eligible to be included in the study only if all of the following criteria apply: All participants * Able to understand the study conduct and tasks required of the participants, sign the informed consent form and willing to cooperate with all tests and examinations required by the protocol. * Aged 18 to 80 years, inclusive, at the time of consent. * If male, agrees to be sexually abstinent or agrees to use 2 approved methods of contraception (refer to Inclusion Criterion 4) when engaging in heterosexual activity from Day -1 through 90 days following the last administration of the study intervention, and to not donate sperm during this same period of time. If the sexual partner is surgically sterile, contraception is not necessary. * If female of childbearing potential, must either be sexually abstinent for 14 days prior to Day -1 and remain so through 30 days following dosing of the study intervention or have been using (or agree to use) 2 acceptable methods of birth control when engaging in heterosexual activity * If female of childbearing potential, must agree not to donate eggs (ova, oocytes) for the purpose of reproduction from Day -1 through 30 days following the last administration of the study intervention. * If female of non-childbearing potential, must either be postmenopausal (defined as 12 months spontaneous amenorrhea) with serum follicle stimulating hormone (FSH) level in the laboratory-defined postmenopausal range or have undergone sterilization procedures at least 6 months prior to Day -1; documentation of sterilization procedure must be obtained * Has a BMI ≥ 18.5 kg/m2 and ≤ 45 kg/m2, inclusive. * Has negative test results for hepatitis B surface antigen (HBsAg), anti-Hepatitis C virus (HCV) antibody, anti-human immunodeficiency virus (HIV) antibody, and SARS-CoV-2. Participants with normal renal function: * Has an eGFR ≥ 90 mL/min calculated using the 2021 CKD-EPI equation adjusted for the participant's BSA at screening * Meets matching criteria for age, BMI, and gender of pooled renally impaired participants as defined in the protocol. Participants with renal impairment * Stable mild to severe renal impairment, as assessed by eGFR calculated using the 2021 CKD-EPI equation adjusted for the participant's BSA at screening * Is on a stable medication regimen Participants with ESRD on hemodialysis * Receiving stable IHD at least 3 times a week for at least 3 months, using an arteriovenous fistula, graft, or catheter * Is on a stable medication regimen Exclusion Criteria: An individual must not meet any of the following exclusion criteria to be eligible to participate in the study: * Has unstable or new medical condition(s) * Has had surgery under general anesthesia within the past 3 months prior to Day -1, determined by the investigator to be clinically relevant. * Documented hypersensitivity reaction or anaphylaxis to any medication. * History of seizures, convulsions * Current evidence or history of malignancy * If female, is pregnant, lactating, or has a positive pregnancy test at screening or Day -1. * Received any investigational drug within 30 days or 5 half-lives, whichever is longer, of Day -1 for the current clinical study. * Blood donation or significant blood loss (ie, \> 500 mL) within 56 days prior to Day -1. * Plasma or platelet donation within 14 days prior to Day -1. * Any acute illness requiring antibiotic drug therapy within 30 days prior to Day -1 or a febrile illness within 7 days prior to Day -1. * Vigorous exercise from 72 hours prior to Day -1 through the final FU/EOS Visit. * Positive drug test at the Screening Visit or Day -1 * Positive alcohol test at screening or Day -1 and/or recent history (ie, within 6 months prior to Day -1) of excessive alcohol intake. * Concurrent use of medications known to affect the elimination of serum creatinine and competitors of renal tubular secretion * Employees of the investigative site involved in this study. * Unable or unwilling to adhere to the study-specified procedures and restrictions. * QTcF interval \> 500 msec, previous history or family history of prolonged QT syndrome at screening or Day -1. * Use of products containing alcohol, caffeine, xanthine, or ephedrine within 24 hours prior to Day -1; use of alcohol 48 hours prior to Day -1; use of proton pump inhibitors (eg, omeprazole and pantoprazole) 7 days prior to Day -1, including both over-the-counter (OTC) and prescription drugs in these categories; or consumption of grapefruit/grapefruit juice, Seville oranges, pomelo, exotic citrus fruits or grapefruit hybrids or juices containing such products within 7 days prior to Day -1. * Has any clinically significant abnormalities in laboratory values at screening or Day -1, defined in the study protocol. Participants with normal renal function: • Abnormal and clinically significant findings on physical examination, medical history, serum chemistry, hematology, or urinalysis per Investigator discretion. Participants with renal impairment, including those on IHD: * Abnormal and clinically significant findings on physical examination, medical history, serum chemistry, hematology, or urinalysis per Investigator discretion. Participants in the renal impairment group will have consideration for the degree of renal impairment and presence of comorbidities. * Has renal disease secondary to hepatic disease (hepatorenal syndrome)

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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.

  1. The places running it

    2 sites. The list below names each one and where it is.

  2. The official record

    ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.

    Open the record ↗

  3. 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

  • Orlando Clinical Research Center

    RECRUITING

    Orlando, Florida, 32809, United States

  • University of Miami Clinical Pharmacology

    RECRUITING

    Miami, Florida, 33136, United States

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