TABLE 1.
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 |
CZA, ceftazidime-avibactam; i.v., intravenously; CI, continuous infusion; ATM, aztreonam.
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.