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Nosocomial PneumoniaPhase 1NCT04223752

Safety and Pharmacokinetics of Ceftolozane/Tazobactam in Pediatric Participants With Nosocomial Pneumonia (MK-7625A-036)

A Phase 1 study testing Ceftolozane/Tazobactam in people with Nosocomial Pneumonia, run by Merck Sharp & Dohme LLC at 24 sites in 9 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This is a phase 1, open-label, non-comparative, multicenter clinical study to evaluate the safety, tolerability, and pharmacokinetics of ceftolozane/tazobactam (MK-7625A) in pediatric participants with nosocomial pneumonia (NP). Read more about this study

Who is it for?
Ages 7 days to 17 years
Conditions the study is for
Nosocomial Pneumonia
What is being tested?
Ceftolozane/Tazobactam
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
41 participants
Where
24 sitesin 9 countries
Study dates
17 Apr 2020to 14 Sep 2024
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 7 days to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Is hospitalized and anticipated to receive a minimum of 8 days of concomitant standard-of-care [SOC] antibiotic therapy for proven or suspected NP.
  • If male, is abstinent from heterosexual intercourse, or agrees to use contraception during the intervention period and for ≥30 days after the last dose of study intervention.
  • If female, is not pregnant or breastfeeding, or is not a woman of childbearing potential (WOCBP), or is a WOCBP using acceptable contraception, is a WOCBP with negative urine or serum pregnancy test within 48 hours of the first dose of study intervention, or is abstinent from heterosexual intercourse.

Who cannot join

  • Has a documented history of any moderate or severe hypersensitivity (or allergic) reaction to any β-lactam antibacterial.
  • Participants 3 months to <18 years of age: has moderate to severe impairment of renal function, defined as an estimated creatinine clearance (CrCL) <50 mL/min/1.73 m2 based on the revised Schwartz equation or requirement for peritoneal dialysis, hemodialysis, or hemofiltration.
  • Participants <3 months of age: has CrCL <20 mL/min/1.73 m2 based on the revised Schwartz equation or requirement for peritoneal dialysis, hemodialysis, or hemofiltration.
  • Is receiving or is anticipated to receive piperacillin/tazobactam while receiving ceftolozane/tazobactam or has received piperacillin/tazobactam within 24 hours prior to the first dose of ceftolozane/tazobactam.
  • Has participated in any clinical study of a therapeutic investigational product within 30 days prior to the first dose of ceftolozane/tazobactam.
  • Has previous participation in any study of ceftolozane or ceftolozane/tazobactam.
Show all 9Show fewer
  • Has any condition or circumstance that, in the opinion of the investigator, would compromise the safety of the participant or the quality of study data.
  • Has any rapidly progressing disease or immediately life-threatening illness including acute hepatic failure or septic shock.
  • Has active immunosuppression.

Trial locations and contacts

24 sites in 9 countries.

24 sites in 9 countries

United States6 sites
  • Children's Wisconsin ( Site 1321)

    Milwaukee, Wisconsin, 53226

  • West Virginia University ( Site 1310)

    Morgantown, West Virginia, 26506

  • Montefiore Medical Center [Bronx, NY] ( Site 1313)

    New York, New York, 10467

  • AdventHealth Orlando ( Site 1318)

    Orlando, Florida, 32803

  • Mayo Clinic in Rochester, Minnesota ( Site 1322)

    Rochester, Minnesota, 55902

  • Sanford Children's Hospital ( Site 1301)

    Sioux Falls, South Dakota, 57105

Other trials in United States

Colombia4 sites
  • Ciensalud Ips S A S ( Site 1501)

    Barranquilla, Atlántico, 08001

  • Clinica de la Costa S.A.S. ( Site 1500)

    Barranquilla, Atlántico, 080020

  • Hospital General de Medellin ( Site 1503)

    Medellín, Antioquia, 0500515

  • Oncomédica S.A.S ( Site 1506)

    Montería, Departamento de Córdoba, 230002

Other trials in Colombia

Ukraine4 sites
  • SI Dnipropetrovsk Regional Children Clinical Hospital DOR ( Site 1205)

    Dnipro, Dnipropetrovsk Oblast, 49100

  • Ivano-Frankivsk Regional Children Clinical Hospital ( Site 1204)

    Ivano-Frankivsk, Ivano-Frankivsk Oblast, 76018

  • Kharkiv City Children Hospital 16 ( Site 1200)

    Kharkiv, Kharkiv Oblast, 61075

  • Institution of Pediatr Obstetr and Gynec NAMS of Ukraine ( Site 1203)

    Kyiv, Kyivska Oblast, 04050

Other trials in Ukraine

Russia3 sites
  • Morozovskaya Children City Clinical Hospital ( Site 0901)

    Moscow, Moscow, 119049

  • St. Olga Children City Hospital ( Site 0906)

    Saint Petersburg, Sankt-Peterburg, 194156

  • Smolensk Regional Clinical Hospital ( Site 0903)

    Smolensk, Smolensk Oblast, 214018

Other trials in Russia

Estonia2 sites
  • SA Tallinna Lastehaigla/Tallinn Children's Hospital ( Site 0201)

    Tallinn, Harju, 13419

  • SA Tartu Ulikooli Kliinikum Lastekliinik ( Site 0200)

    Tartu, Tartu, 50406

Other trials in Estonia

Mexico2 sites
  • Instituto Nacional de Pediatria-Unidad de Apoyo a la Investigación Clínica ( Site 1602)

    Mexico City, Mexico City, 04530

  • Hospital Infantil de Mexico Federico Gomez-Infectious Diseases ( Site 1600)

    Mexico City, Mexico City, 06720

Other trials in Mexico

Chile1 site
  • Hospital Roberto del Río ( Site 1400)

    Santiago, Region M. de Santiago, 8380418

Other trials in Chile

Greece1 site
  • Hippokration General Hospital of Thessaloniki ( Site 0400)

    Thessaloniki, Central Macedonia, 546 42

Other trials in Greece

Spain1 site
  • Hospital Universitario Sant Joan de Deu ( Site 1100)

    Esplugues de Llobregat, Barcelona, 08950

Other trials in Spain

About this study

Official title: A Phase 1, Open-label, Non-comparative, Multicenter Clinical Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Ceftolozane/Tazobactam (MK-7625A) in Pediatric Participants With Nosocomial Pneumonia

This is a phase 1, open-label, non-comparative, multicenter clinical study to evaluate the safety, tolerability, and pharmacokinetics of ceftolozane/tazobactam (MK-7625A) in pediatric participants with nosocomial pneumonia (NP).

Being tested
Ceftolozane/Tazobactam
Medical subject headings
Healthcare-Associated Pneumonia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Ceftolozane/TazobactamDrug

    Also called MK-7625A

    Participants 12 to <18 years of age: IV ceftolozane 2 g with tazobactam 1 g infused over a 60-minute period.

    Participants <12 years of age: IV ceftolozane 40 mg/kg with tazobactam 20 mg/kg infused over a 60-minute period (not to exceed a dose of ceftolozane 2g and tazobactam 1 g).

Study groups in NCT04223752
Study groupRoleWhat they receive
Group 1: Ceftolozane/Tazobactam 12 to <18 Years of AgeExperimentalParticipants 12 to <18 years of age with nosocomial pneumonia receive intravenous (IV) ceftolozane/tazobactam every 8 hours for 8-14 days.
Receives: Drug: Ceftolozane/Tazobactam
Group 2: Ceftolozane/Tazobactam 7 to <12 Years of AgeExperimentalParticipants 7 to <12 years of age with nosocomial pneumonia receive IV ceftolozane/tazobactam every 8 hours for 8-14 days.
Receives: Drug: Ceftolozane/Tazobactam
Group 3: Ceftolozane/Tazobactam 2 to <7 Years of AgeExperimentalParticipants 2 to <7 years of age with nosocomial pneumonia receive IV ceftolozane/tazobactam every 8 hours for 8-14 days.
Receives: Drug: Ceftolozane/Tazobactam
Group 4: Ceftolozane/Tazobactam 3 Months to <2 Years of AgeExperimentalParticipants 3 months to <2 years of age with nosocomial pneumonia receive IV ceftolozane/tazobactam every 8 hours for 8-14 days.
Receives: Drug: Ceftolozane/Tazobactam
Group 5: Ceftolozane/Tazobactam Birth to <3 Months of AgeExperimentalParticipants from birth to <3 months of age with nosocomial pneumonia receive IV ceftolozane/tazobactam every 8 hours for 8-14 days.
Receives: Drug: Ceftolozane/Tazobactam

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With Any Adverse Events (AEs)

    An AE was defined as any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The percentage of participants experiencing any AE was reported for each arm.

    Measured: Up to 31 days

  2. Percentage of Participants With Any Serious AEs (SAEs)

    An SAE was defined as any untoward medical consequence that, at any dose, results in death, is life-threatening, requires inpatient hospitalization or prolongs existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or any other important medical event. The percentage of participants with any SAE was reported for each arm.

    Measured: Up to 31 days

  3. Percentage of Participants With Any Drug-related AEs

    A drug-related AE was defined as any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, and considered related to the study intervention. The percentage of participants with any drug related AEs was reported for each arm.

    Measured: Up to 31 days

  4. Percentage of Participants With Any Drug-related SAEs

    A drug-related SAE was defined any untoward medical consequence that, at any dose, results in death, is life-threatening, requires inpatient hospitalization or prolongs existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or any other important medical event, that is considered related to the study intervention. The percentage of participants with any drug related SAEs was reported for each arm.

    Measured: Up to 31 days

  5. Percentage of Participants With AEs Leading to Discontinuation of Study Intervention

    An AE was defined as any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The percentage of participants with AEs leading to discontinuation of study intervention was reported for each arm.

    Measured: Up to 14 days

Secondary outcomes (12)
  1. Plasma Concentrations of Ceftolozane

    The plasma concentrations of ceftolozane were determined in each group. Blood samples were collected at pre-specified timepoints to determine the plasma concentrations of ceftolozane in participants receiving ceftolozane/tazobactam.

    Measured: Day 3: 1, between 4-5, and between 7-8 hours post start of infusion

  2. Area Under the Concentration-time Curve of an 8-hour Dosing Interval (AUC0-8) of Plasma Ceftolozane

    AUC0-8 was defined as a measure of ceftolozane exposure that was calculated as the product of plasma drug concentration and time. Blood samples were collected at pre-specified timepoints to determine the AUC0-8 of ceftolozane in participants receiving ceftolozane/tazobactam.

    Measured: Day 3: 1, between 4-5, and between 7-8 hours post start of infusion

  3. Maximum Observed Concentration During a Dosage Interval (Cmax) of Plasma Ceftolozane

    Cmax was defined as the maximum concentration of ceftolozane observed in plasma. Blood samples were collected at pre-specified timepoints to determine the Cmax of ceftolozane in participants receiving ceftolozane/tazobactam.

    Measured: Day 3: 1, between 4-5, and between 7-8 hours post start of infusion

  4. Elimination Half-life (t1/2) of Plasma Ceftolozane

    Elimination half-life (t1/2) was defined as the time needed to reduce the level of ceftolozane in the blood by one-half (1/2). Blood samples collected at pre-specified timepoints were used to determine the apparent terminal half-life (t1/2) of ceftolozane in participants receiving ceftolozane/tazobactam.

    Measured: Day 3: 1, between 4-5, and between 7-8 hours post start of infusion

  5. Clearance (CL) of Plasma Ceftolozane

    CL was defined as the total clearance of ceftolozane in plasma over time, assessed as the rate at which ceftolozane was removed from the plasma. Blood samples were collected at pre-specified timepoints to determine the CL of ceftolozane in participants receiving ceftolozane/tazobactam.

    Measured: Day 3: 1, between 4-5, and between 7-8 hours post start of infusion

  6. Volume of Distribution (Vd) of Plasma Ceftolozane

    Vd was defined as the distributed volume of study drug in plasma at steady state. It is the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of the drug. Blood samples were collected at pre-specified timepoints to determine the Vd of ceftolozane in participants receiving ceftolozane/tazobactam.

    Measured: Day 3: 1, between 4-5, and between 7-8 hours post start of infusion

  7. Plasma Concentrations of Tazobactam

    The plasma concentrations of tazobactam were determined in each group. Blood samples were collected at pre-specified timepoints to determine the plasma concentrations of tazobactam in participants receiving ceftolozane/tazobactam. No data were calculated for a timepoint if >50% of samples were below limit of quantification (BLOQ).

    Measured: Day 3: 1, between 4-5, and between 7-8 hours post start of infusion

  8. Area Under the Concentration-time Curve of an 8-hour Dosing Interval (AUC0-8) of Plasma Tazobactam

    AUC0-8 was defined as a measure of tazobactam exposure that was calculated as the product of plasma drug concentration and time. Blood samples were collected at pre-specified timepoints to determine the AUC0-8 of tazobactam in participants receiving ceftolozane/tazobactam.

    Measured: Day 3: 1, between 4-5, and between 7-8 hours post start of infusion

  9. Maximum Observed Concentration During a Dosage Interval (Cmax) of Plasma Tazobactam

    Cmax was defined as the maximum concentration of tazobactam observed in plasma. Blood samples were collected at pre-specified timepoints to determine the Cmax of tazobactam in participants receiving ceftolozane/tazobactam. The analysis population consisted of participants who received at least 6 doses of ceftolozane/tazobactam and had at least 1 quantifiable plasma concentration of tazobactam.

    Measured: Day 3: 1, between 4-5, and between 7-8 hours post start of infusion

  10. Elimination Half-life (t1/2) of Plasma Tazobactam

    Elimination half-life (t1/2) was defined as the time needed to reduce the level of tazobactam in the blood by one-half (1/2). Blood samples collected at pre-specified timepoints were used to determine the apparent terminal half-life (t1/2) of tazobactam in participants receiving ceftolozane/tazobactam.

    Measured: Day 3: 1, between 4-5, and between 7-8 hours post start of infusion

  11. Clearance (CL) of Plasma Tazobactam

    CL was defined as the total clearance of tazobactam in plasma over time, assessed as the rate at which tazobactam was removed from the plasma. Blood samples were collected at pre-specified timepoints to determine the CL of tazobactam in participants receiving ceftolozane/tazobactam.

    Measured: Day 3: 1, between 4-5, and between 7-8 hours post start of infusion

  12. Volume of Distribution (Vd) of Plasma Tazobactam

    Vd is defined as the distributed volume of study drug in plasma at steady state. It is the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of the drug. Blood samples were collected at pre-specified timepoints to determine the Vd of tazobactam in participants receiving ceftolozane/tazobactam.

    Measured: Day 3: 1, between 4-5, and between 7-8 hours post start of infusion

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Jan 2020
  2. Study start17 Apr 2020
  3. Primary completion14 Sep 2024
  4. Study completion14 Sep 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
41 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04223752
Sponsor's protocol ID
7625A-036
Other IDs
MK-7625A-036, 2022-501110-56-00, U1111-1279-4959, 2018-004704-19, 2018
Status last verified
Aug 2025
First submitted
8 Jan 2020
Last updated
22 Sep 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Ceftolozane/Tazobactam in people with Nosocomial Pneumonia, run by Merck Sharp & Dohme LLC at 24 sites in 9 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 22 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 24 sites in United States, Colombia, Ukraine, Russia, Estonia and 4 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 22 Sep 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants With Any Adverse Events (AEs) (time frame: Up to 31 days). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Sep 2025.

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