Single-Dose ZTI-01 for Pediatric Patients
(Pediatric_PK Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a single dose of ZTI-01, an antibiotic, in children under 12 who need treatment for bacterial infections. The goal is to understand how their bodies process the drug compared to adults, which can help determine the right dose for children. Children already receiving antibiotics for a known or suspected infection or for surgery preparation might be suitable candidates. As a Phase 1 trial, the research focuses on understanding how the treatment works in people, offering participants a chance to be among the first to receive this new treatment.
Will I have to stop taking my current medications?
The trial does not specify if you need to stop taking your current medications. However, you must be receiving standard antibiotics for a bacterial infection to participate.
Is there any evidence suggesting that this treatment is likely to be safe for humans?
Research has shown that fosfomycin, the main ingredient in ZTI-01, is very safe for children and is well-tolerated even with long-term use. Studies have found that fosfomycin can be safely combined with many other intravenous drugs, allowing it to be administered alongside other treatments. Although data on high doses is limited, existing evidence supports its safety in children. Overall, current studies and its use in other conditions consider fosfomycin safe.12345
Why do researchers think this study treatment might be promising?
Researchers are excited about ZTI-01 because it offers a fresh approach to treating bacterial infections in children using the active ingredient fosfomycin. Unlike many standard antibiotics, fosfomycin works by uniquely targeting bacterial cell wall synthesis, which can be effective against resistant strains. Additionally, ZTI-01 is administered as a single intravenous dose, potentially simplifying treatment and improving compliance compared to multi-dose regimens. This combination of a novel action mechanism and simplified delivery makes ZTI-01 a promising candidate in the fight against pediatric bacterial infections.
What evidence suggests that ZTI-01 might be an effective treatment for bacterial infections in pediatric patients?
Research has shown that ZTI-01, also known as fosfomycin for injection, effectively treats serious infections in children, particularly those caused by bacteria resistant to other treatments. It has successfully treated complicated urinary tract infections and pneumonia in both adults and children. Studies have found that fosfomycin works well against tough bacteria often resistant to other antibiotics. Although fosfomycin is mainly used for urinary tract infections, researchers are exploring its use for other serious infections due to its effectiveness. Early findings suggest that fosfomycin could be a valuable option for treating severe infections in children, offering a new way to combat resistant germs. Participants in this trial will receive a single dose of ZTI-01, with different cohorts based on age to evaluate its safety and effectiveness in pediatric patients.16789
Who Is on the Research Team?
John S Bradley, MD
Principal Investigator
Rady Children's Hospital / Department of Pediatrics, University of California, School of Medicine
Jennifer Schranz, MD
Principal Investigator
Nabriva Therapeutics
Are You a Good Fit for This Trial?
This trial is for children under 12 years old who are hospitalized and currently receiving antibiotics for a bacterial infection or as prevention around surgery. They must have normal organ function, not be at risk of pregnancy, and have proper intravascular access. Children with seizure disorders, significant lab abnormalities, known drug allergies, impaired kidney function, or certain viral infections cannot participate.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive a single, weight-adjusted dose of ZTI-01 via continuous IV infusion or syringe pump over a 1-hour period
Follow-up
Participants are monitored for safety and pharmacokinetics, including blood collection for fosfomycin concentration measurement and assessment of adverse events
What Are the Treatments Tested in This Trial?
Interventions
- ZTI-01
ZTI-01 is already approved in United States for the following indications:
- Complicated urinary tract infections (cUTI)
- Acute pyelonephritis (AP)
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Who Is Running the Clinical Trial?
Nabriva Therapeutics AG
Lead Sponsor