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New antibiotic combo tested in kids to fight superbug infections

NCT ID NCT06801223

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 Results may not be published yet.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This status has not been confirmed recently, so it may be out of date.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 27, 2026 · Last updated Jun 27, 2026

Summary

This study is testing an antibiotic called Sulbactam-Durlobactam in hospitalized children from birth to under 18 years old who have or may have an Acinetobacter infection. The goal is to find the right dose and check that it is safe. About 48 children will receive the drug through an IV at different schedules. This is an early-stage trial, so it focuses on how the drug moves through the body and any side effects, not yet on curing 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
Sulbactam-Durlobactam (an antibiotic combination)
What this could lead to
If successful, this could provide a safe and effective antibiotic dosing regimen for children with hard-to-treat Acinetobacter infections.
What could go wrong
This is a very early phase 1b study with only 48 children, so it is primarily checking safety and drug levels, not yet proving the drug works. Side effects are possible, and the results may not apply to all children.

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 48 people

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

Expected to start

Oct 2026

An estimate. Start dates often move.

Expected to finish

May 2028

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

1 day to 18 years

Sex

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

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: 1. Patient from birth (defined as post-natal age of 7 days) to \<18 years of age at the time of written informed consent (and assent, if applicable) and is hospitalized. 2. Patient and/or parent(s) or legal guardian(s) have provided the written informed consent and/or assent. 3. Patient has confirmed or suspected diagnosis of ABC infection and requires IV antibiotics for treatment. 4. Patient has expected survival of 30 days after enrollment in the study. 5. If patient is an individual of childbearing potential or reproductive potential, then the patient must remain abstinent OR must utilize one of the highly effective methods of contraception (ie, condom, combined oral contraceptive, implant, or injectable) from at least 30 days prior to screening until at least 30 days after administration of the last dose of study drug. Exclusion Criteria: 1. Patient is a preterm infant, born at \<28 weeks gestational age. 2. Patient has history of significant hypersensitivity or allergic reaction to any β-lactam, any contraindication to the excipients used in the formulation, or any contraindication to the use of β-lactam antibiotics. Note: For β-lactams, a history of a mild rash followed by uneventful re-exposure is not a contraindication to enrollment. 3. Patient is in refractory septic shock at the time of enrollment, defined as persistent hypotension despite adequate fluid resuscitation or vasopressive therapy. 4. Patient is pregnant, breastfeeding, or intends to become pregnant. 5. Patient is receiving peritoneal dialysis or cardiopulmonary bypass. 6. Patient has received blood transfusion within 24 hours of study drug administration. 7. Patient is a newborn with clinically significant anemia who, in the opinion of the investigator, will not be able to tolerate the necessary blood draws to complete the study activities. 8. Patient (or patient's mother, if the patient is being breastfed) is using or will need to use any medications known to inhibit organic anion transporter 1 (OAT1) (eg, probenecid). 9. Patient has clinically significant renal, hepatic, or hemodynamic instability. 10. For Cohorts 1 through 3 only: patient has weight outside of the 5th to 95th percentile based on age. 11. Patient has an age-appropriate estimated creatinine clearance that indicates renal impairment. 12. Patient has the following laboratory results at Screening: 1. Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) \>3×upper limit of normal (ULN) and, 2. Total bilirubin \>2×ULN for age with conjugated/direct bilirubin \>20% of the total. Note: Patients with AST or ALT up to 5×ULN are eligible if these elevations are acute and are documented as being directly related to the infectious process being treated. 13. Patient has clinically significant abnormal laboratory test results not related to the underlying infection that might expose the patient to risk by participating in the trial, confound the results of the trial, or interfere with the patient's participation for the full duration of the trial. 14. Patient (or patient's mother, if the patient is being breastfed) has participated in a clinical study involving investigational medication or an investigational device within the last 30 days or 5 half-lives, whichever is longer, prior to first dose of the study drug. 15. Patient has any condition that, in the opinion of the investigator, would compromise the safety of the patient or the quality of the data. 16. Patient is unable or unwilling, in the opinion of the investigator, to comply with the protocol. 17. Patient (or patient's mother, if the patient is being breastfed) has previously received durlobactam. 18. Patient (or patient's mother, if the patient is being breastfed) has received sulbactam and/or sulbactam-containing regimens (eg, Unasyn) within 72 hours of first dose of the study drug. 19. Patient (or patient's mother, if the patient is being breastfed) has received amphotericin B within 7 days of first dose of the study drug.

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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

    4 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

  • ECU Brody School of Medicine

    RECRUITING

    Greenville, North Carolina, 27834, United States

  • Rady Children's Hospital

    RECRUITING

    San Diego, California, 92123, United States

  • UCLA Medical Center

    RECRUITING

    Los Angeles, California, 90095, United States

  • University of Texas Medical Branch at Galveston

    RECRUITING

    Galveston, Texas, 77555-5302, United States

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