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Phase 1 Completed N=12 Prevention

Pharmacokinetics and Safety of Cefazolin 3gm DUPLEX in Adults

Source: ClinicalTrials.gov NCT05205486 ↗
Enrolled (actual)
12
Serious AEs
0.0%
Results posted
Feb 2025
Primary outcomePrimary: Cefazolin Plasma Concentration Following Infusion — 491; 117; 99.7; 57.9 ug/mL

Summary

This study is designed to evaluate the pharmacokinetics (PK) of a single 3 gm dose of cefazolin from a DUPLEX container, in adult subjects (weighing >/= 120 kg) scheduled for surgery. Cefazolin will be administered as a 30-minute intravenous (IV) infusion, per cefazolin Package Insert. Five PK samples per subject will be obtained up to 8 hours after dosing. These data will then be assessed by the validated Cefazolin PK Model to verify there are no significant PK changes within this study population.

Outcome Measures

OutcomeResultp-value
PRIMARY
Cefazolin Plasma Concentration Following Infusion
491; 117; 99.7; 57.9; 18.4
SECONDARY
Number of Participants With Treatment-Emergent Adverse Events [Safety] According to Study Protocol
SECONDARY
Hematology: Hemoglobin (Hb)
138.5; 129.8
SECONDARY
Hematology: Hematocrit (Hct)
0.4733; 0.4066
SECONDARY
Hematology: Mean Corpuscular Volume (MCV)
98.33; 94.98
SECONDARY
Hematology: Mean Corpuscular Hemoglobin (MCH)
28.93; 30.20
SECONDARY
Hematology: Mean Corpuscular Hemoglobin Concentration
295.1; 323.2
SECONDARY
Hematology: Platelet Count
315.8; 236.0
SECONDARY
Hematology: RBC
4.811; 4.294
SECONDARY
Hematology: WBC
7.778; 11.170
SECONDARY
Clinical Chemistry: Sodium
140.6; 138.8
SECONDARY
Clinical Chemistry: Potassium
4.32; 3.99
SECONDARY
Clinical Chemistry: Chloride
103.3; 105.5
SECONDARY
Clinical Chemistry: CO2 (Bicarbonate)
22.7; 22.5
SECONDARY
Clinical Chemistry: Glucose
6.36; 7.71
SECONDARY
Clinical Chemistry: ALT
21.1; 28.2
SECONDARY
Clinical Chemistry: AST
19.6; 39.0
SECONDARY
Clinical Chemistry: Creatine Phosphokinase (CPK)
2.73; 3.76
SECONDARY
Clinical Chemistry: Lactic Acid Dehydrogenase (LDH)
238.5; 216.8
SECONDARY
Clinical Chemistry: Albumin
39.8; 38.0
SECONDARY
Clinical Chemistry: Alkaline Phosphatase
83.08; 78.58
SECONDARY
Clinical Chemistry: Uric Acid
334.7; 316.4
SECONDARY
Clinical Chemistry: Calcium
2.24; 2.11
SECONDARY
Clinical Chemistry: Phosphate
1.11; 1.10
SECONDARY
Clinical Chemistry: Total Protein
66.1; 67.2
SECONDARY
Clinical Chemistry: Total Bilirubin
7.65; 7.30
SECONDARY
Clinical Chemistry: Blood Urea Nitrogen
6.64; 5.63
SECONDARY
Clinical Chemistry: Creatinine
79.4; 68.46
SECONDARY
Vital Signs: Temperature
36.5; 36.6; 36.6; 36.5; 36.8; 36.4
SECONDARY
Vital Signs: Blood Pressure (Systolic)
139.8; 127.9; 128.4; 133.9; 137.5; 139.3
SECONDARY
Vital Signs: Heart Rate
79.8; 76.2; 79.8; 77.9; 80.5; 78.8
SECONDARY
Vital Signs: Respiratory Rate
17.2; 16.2; 16.8; 16.2; 17.0; 16.5
SECONDARY
Vital Signs: Weight
134.8
SECONDARY
Vital Signs: Height
173.4
SECONDARY
Vital Signs: BMI
45.13
SECONDARY
ECG: PR Interval
163.8; 154.2
SECONDARY
ECG: QRS Duration
84.0; 90.2
SECONDARY
ECG: QT Interval
377.1; 398.3
SECONDARY
Urine Pregnancy Test
7
SECONDARY
Vital Signs: Blood Pressure (Diastolic)
80.0; 77.7; 76.8; 76.8; 77.0; 81.2

Eligibility Criteria

Inclusion Criteria

  • Male or female aged >/= 18 years;
  • Must weigh >/= 120 kg
  • Able to understand and sign the Informed Consent Form(s) (ICF);
  • Is scheduled for surgery that is expected to last less than 3 hours;
  • Is scheduled for any type of surgery where a single-dose perioperative cefazolin prophylaxis is appropriate.

Exclusion Criteria

  • If female, is pregnant or lactating/breastfeeding.
  • If female that is of childbearing potential and sexually active, and is not using an effective method of birth control, e.g., oral contraceptives, double barrier methods, hormonal injectable or implanted contraceptives, tubal ligation, or have a partner with a vasectomy.
  • Has a history of renal impairment -- Subject has an eGFR of <80 mL/min/1.73m2 performed at Screening as calculated by the following equation: 186 x (Creatinine/88.4)-1.154 x (Age)-0.203 x (0.742 if female) x (1.210 if black) (FDA Guidance for Industry Pharmacokinetics in Patients with Impaired Renal Function)
  • Has a known allergy or hypersensitivity to β lactam/cephalosporin antibiotics, corn products, or dextrose-containing products or solutions, or any of the other ingredients of Cefazolin for Injection United States Pharmacopeia (USP) and Dextrose Injection USP in DUPLEX.
  • Has a result of any laboratory test (or repeat test, if done), obtained as standard of care, that is outside the normal limit of the site's laboratory reference range AND is considered by the investigator to be clinically significant.
  • Has had a recent (within 14 days prior to the planned surgery) administration of cefazolin.
  • Has had administration of any medication (e.g., prescription, herbal, over-the-counter medication[s] or dietary supplements) known to interact with cefazolin within 5 days prior to the study treatment administration.
  • Has a known history of human immunodeficiency virus, hepatitis B, or hepatitis C infection.
  • Has a current history of medical condition(s), which in the opinion of the investigator, would interfere with the evaluation of the study treatment.
  • Has a known history of organ transplant.
  • Has a clinically relevant disease/dysfunction of or a history of severe cardiac, pulmonary or hepatic disease.
  • Is undergoing any cardiovascular procedure including, but not limited to, major cardiac surgery, cardiac catheterizations (including electrophysiology studies), ablations, automatic implantable cardioverter-defibrillator (AICD), and pacemaker.
  • Has received any other investigational drug/device within 30 days prior to the study treatment administration.
  • Has any planned medical intervention or personal event that might interfere with ability to comply with the study requirements.
  • The subject has any condition that, in the opinion of the investigator, would compromise the safety of the subject or the quality of the data.
  • Is unable or unwilling to adhere to the study-specified procedures and restrictions.
  • Is an employee of the Sponsor, Investigator or study-center, has direct involvement in the study or other studies under the direction of that Investigator or study-center, or is a family member of the employees or the Investigator.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05205486). 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.

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