Intravenous Fosfomycin Pharmacokinetics Study
Summary
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Area Under the Concentration-time Curve (AUC 0-8 and AUC 0-inf ) of ZTI-01 |
780.9; 959.4; 1086.0 | — |
| PRIMARY Clearance (CL) of ZTI-01 |
5.69 | — |
| PRIMARY Intrapulmonary Pharmacokinetics of ZTI-01 |
31.8; 17.5 | — |
| PRIMARY Maximum Measured Plasma Concentration (Cmax) of ZTI-01 |
297.5; 335.1 | — |
| PRIMARY Number of Participants Experiencing Abnormal Clinical Chemistry Laboratory Assessments |
2; 2; 19; 19; 31; 16 | — |
| PRIMARY Number of Participants Experiencing Abnormal Clinical Hematology Laboratory Assessments |
7; 1; 7; 7; 6; 0 | — |
| PRIMARY Number of Participants Experiencing Abnormal Clinical Coagulation Laboratory Assessments |
9; 6 | — |
| PRIMARY Number of Participants Experiencing Abnormal Clinical Urinalysis Laboratory Assessments |
2; 1; 1 | — |
| PRIMARY Number of Participants Experiencing Abnormal Physical Examination Findings |
2; 3; 4; 1; 2 | — |
| PRIMARY Number of Participants Experiencing Abnormal Vital Sign Measurements |
2; 3; 2; 13; 6; 9 | — |
| PRIMARY Number of Participants Experiencing Adverse Events (AEs) |
15; 9; 10; 37; 1; 5 | — |
| PRIMARY Number of Participants With Prolonged QTc, PR, or QRS Intervals in Electrocardiogram (ECG) Readings |
1; 0; 0 | — |
| PRIMARY Terminal Elimination Half-life (t1/2) of ZTI-01 |
2.62 | — |
| PRIMARY Terminal-phase Elimination Rate Constant (Lambdaz) of ZTI-01 |
0.2703 | — |
| PRIMARY Time to Peak Concentration (Tmax) of ZTI-01 |
1.07; 1.06 | — |
| PRIMARY Volume of Distribution at Steady State (Vss) of ZTI-01 |
18.08 | — |
Eligibility Criteria
Inclusion Criteria
- Healthy* men and women aged 18-45 years with no clinically significant findings** at Screening and Baseline (Day -1 to Day 1)
*Healthy is defined by the absence of any medical condition described in the exclusion criteria in a subject with a normal physical exam including vital signs. If the subject has another current, ongoing medical condition, the condition cannot meet any of the following criteria: 1) first diagnosed within 3 months of enrollment; 2) is worsening in terms of clinical outcome in the last 6 months; or 3) involves need for medication.
**Including findings on medical history, physical exam, vital signs, 12-lead Electrocardiogram (ECG), or clinical laboratory tests.
- Body Mass Index (BMI) = 18 - 30 kg / m^2, inclusive, and body weight > 50 kg (110 lbs).
- Females who have been surgically sterilized via bilateral oophorectomy and/or hysterectomy at least 90 days prior to Screening are considered lacking childbearing potential and will be eligible*.
*Postmenopausal females are not eligible, as the definition of menopause would require age > 45, and all subjects in this study are age 140 mmHg or diastolic pressure > 90 mmHg).
- Abnormal Electrocardiogram (ECG) at screening, as determined by the investigator to be clinically significant.
- History or presence of renal impairment or chronic renal disease.
- History or presence of liver disease (Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), or total bilirubin above the upper limit of normal).
- History or presence of chronic pulmonary disease, including asthma, requiring use of medication in the year before screening.
- History of intolerance or hypersensitivity to phosphonic acid derivative antibiotics or any of its constituents (i.e., oral or intravenous fosfomycin).
- Have cancer or have a history of cancer within the past 5 years, with the exception of non-melanomatous skin cancer, treated, without evidence of recurrence.
- Any medical condition that prevents a subject from undergoing bronchoscopy with bronchoalveolar lavage (BAL).
- Serum creatinine above the upper limit of normal, or estimated creatinine clearance (CrCl) 14 drinks for males or > 7 drinks for females. One drink is equivalent to 12 g of alcohol: 12 ounces (360 mL) of beer, 5 ounces (150 mL) of wine, or 1.5 ounces (45 mL) of 80 proof distilled spirits.
- History of > / = 10 pack-years smoking, or history of any nicotine use* in the 6 months before Baseline (Day -1 to Day 1)** or positive urinine cotinine screen at Basline (Day -1 to Day 1).
*Including cigarettes, pipe, cigar, chewing tobacco, nicotine patch.
**A positive urine cotinine at screening is allowed if negative at baseline.
- History of illicit drug use within 6 months of Baseline (Day -1 to Day 1)*.
*Use of cannabinoids within 1 month of Baseline (Day -1 to Day 1) is excluded, but other use of cannabinoids within 6 months is permitted.
- Use of any prescription drugs, except acceptable contraception methods listed above, within 30 days of Baseline (Day -1 to Day 1).
- Involvement in other investigational studies of any type (drugs, devices, procedures) within 30 days of Baseline (Day -1 to Day 1).
- Blood or blood products donation within 30 days of Baseline (Day -1 to Day 1).
- Planning egg or sperm donation any time before Day 3 follow-up call.
- Use of any non-prescription medications, vitamins, consumption > 2 times/week of products containing genuine licorice, caffeine, or dietary or herbal supplements within 7 days of Baseline (Day -1 to Day 1)*.
*Excluded from this list is intermittent use of acetaminophen at doses 37.8 degrees Celsius (> 100.0 degrees Fahrenheit), within 7 days of Baseline (Day -1 to Day 1).
- Currently pregnant or breastfeeding as determined by subject report.
- Positive tests for human immunodeficiency virus (HIV) 1 and 2 antibodies, hepatitis B surface antigen (HBsAg), or hepatitis C virus (HCV) antibody.
- Positive urine drug
Data sourced from ClinicalTrials.gov (NCT03910673). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.