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. 2022 Nov 17;66(12):e00935-22. doi: 10.1128/aac.00935-22

TABLE 1.

Investigational product cohorts (8 subjects/cohort) in COMBINEa

Cohort Drug regimen
1 2.5 g CZA i.v. as 2-h infusions every 8 h for 7 days
2 2.5 g CZA i.v. as 2-h infusion × 1, then 0.32 g/h i.v. daily as CI (7.5 g/day) for 7 days
3 2 g ATM i.v. as 2-h infusions every 6 h for 7 days
4 2 g ATM i.v. as a 2-h infusion × 1, then 0.33 g/h i.v. daily as a CI (8 g/day) for 7 days
5b 2.5 g CZA i.v. as 2-h infusions every 8 h for 7 days and 1.5 g ATM i.v. as 2-h infusions every 6 h for 7 days
6b 2.5 g CZA i.v. as 2-h infusions every 8 h for 7 days and 2 g ATM i.v. as 2-h infusions every 6 h for 7 days
a

CZA, ceftazidime-avibactam; i.v., intravenously; CI, continuous infusion; ATM, aztreonam.

b

Cohorts 5 and 6 reflect modified treatment regimens following recommendations of the Safety Monitoring Committee (SMC). Initial regimen for cohort 5: 2.5 g CZA i.v. as 2-h infusions every 8 h and 2 g ATM i.v. as 2-h infusions every 6 h for 7 days. Initial regimen for cohort 6: 2.5 g CZA i.v. as a 2-h infusion × 1, 0.32 g/h i.v. daily as CI (7.5 g/day) and 2 g ATM i.v. as 2-h infusion × 1, and then 0.33 g/h i.v. daily as CI (8 g/day) for 7 days. A halting rule was observed in cohort 4 (2 subjects experienced grade 3 elevations in ALT/AST values deemed to be related to the study product), and a SMC meeting was convened. In response to the observed study halt, the SMC recommended that dosing in cohorts 5 and 6 be changed, and additional safeguards were incorporated into the study protocol.