Evidence map›Paper›PMID 27503642›Full record

ArticleAntimicrobial agents and chemotherapy2016

Phase I Study Assessing the Pharmacokinetic Profile, Safety, and Tolerability of a Single Dose of Ceftazidime-Avibactam in Hospitalized Pediatric Patients.

John S Bradley, Jon Armstrong, Antonio Arrieta, Raafat Bishai, Shampa Das, Shirley Delair, Timi Edeki, William C Holmes, Jianguo Li, Kathryn S Moffett and 6 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01893346 (A Phase I Study to Assess the Pharmacokinetics, Safety and Tolerability of a Single Dose of Ceftazidime-Avibactam), which is not on this map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01893346 phase1completednot on this map

A Phase I Study to Assess the Pharmacokinetics, Safety and Tolerability of a Single Dose of Ceftazidime-Avibactam (CAZ-AVI) in Children From 3 Months of Age to <18 Years Who Are Receiving Systemic Antibiotic Therapy for Suspected or Confirmed Infection

TypeinterventionalSponsorPfizerRan2013 to 2014Enrolled35ConditionsSystemic InfectionsArmsCAZ-AVI
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Efficacy of Ceftazidime-avibactam in treating Gram-negative infections: a systematic review and meta-analysis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Observational
  6. Review
  7. Review
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  9. Article
  10. Review
  11. Review
  12. Review
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  14. Article
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  16. Review
  17. Review
  18. Use of Antibiotics in Preterm Newborns.Antibiotics (Basel, Switzerland) · 2022
    Review
  19. Intravenous Ceftazidime-Avibactam in Extremely Premature Neonates With Carbapenem-Resistant Enterobacteriaceae: Two Case Reports.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2022
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 11 institutions in 2 countries.

John S BradleyUniversity of California, San Diego, California, USA jbradley@rchsd.org.
Jon ArmstrongAstraZeneca, Macclesfield, United Kingdom.
Antonio ArrietaChildren's Hospital of Orange County, Orange, California, USA.
Raafat BishaiAstraZeneca, Gaithersburg, Maryland, USA.
Shampa DasAstraZeneca, Macclesfield, United Kingdom.
Shirley DelairChildren's Hospital & Medical Center, Omaha, Nebraska, USA.
Timi EdekiAstraZeneca, Wilmington, Delaware, USA.
William C HolmesAstraZeneca, Gaithersburg, Maryland, USA.
Jianguo LiAstraZeneca, Waltham, Massachusetts, USA.
Kathryn S MoffettWest Virginia University, Morgantown, West Virginia, USA.
Deepa MukundanUniversity of Toledo, Toledo, Ohio, USA.
Norma PerezUniversity of Texas Health Science Center, Houston, Texas, USA.
José R RomeroUniversity of Arkansas for Medical Sciences and Arkansas Children's Hospital, Little Rock, Arkansas, USA.
David SpeicherUniversity Hospitals Rainbow Babies and Children's Hospital, Cleveland, Ohio, USA.
Janice E SullivanUniversity of Louisville and Kosair Children's Hospital, Louisville, Kentucky, USA.
Diansong ZhouAstraZeneca, Waltham, Massachusetts, USA.
AstraZeneca (United States) · USAstraZeneca (United Kingdom) · GBChildren's Hospital & Medical Center · USChildren's Hospital of Orange County · USRainbow Babies & Children's Hospital · USThe University of Texas Health Science Center at Houston · USUniversity of Arkansas for Medical Sciences · USUniversity of California, San Diego · USUniversity of Louisville · USUniversity of Toledo · USWest Virginia University · US

Funding

Center for Clinical and Translational Sciences (CCTS)UL1TR000371 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MCPHERSON, DAVID D · 2012 to 2016
$13.4M
NCATS NIH HHS UL1 TR000371
6 · The paper itself

Abstract

This study aimed to investigate the pharmacokinetics (PK), safety, and tolerability of a single dose of ceftazidime-avibactam in pediatric patients. A phase I, multicenter, open-label PK study was conducted in pediatric patients hospitalized with an infection and receiving systemic antibiotic therapy. Patients were enrolled into four age cohorts (cohort 1, ≥12 to <18 years; cohort 2, ≥6 to <12 years; cohort 3, ≥2 to <6 years; cohort 4, ≥3 months to <2 years). Patients received a single 2-h intravenous infusion of ceftazidime-avibactam (cohort 1, 2,000 to 500 mg; cohort 2, 2,000 to 500 mg [≥40 kg] or 50 to 12.5 mg/kg [<40 kg]; cohorts 3 and 4, 50 to 12.5 mg/kg). Blood samples were collected to describe individual PK characteristics for ceftazidime and avibactam. Population PK modeling was used to describe characteristics of ceftazidime and avibactam PK across all age groups. Safety and tolerability were assessed. Thirty-two patients received study drug. Mean plasma concentration-time curves, geometric mean maximum concentration (Cmax), and area under the concentration-time curve from time zero to infinity (AUC0-∞) were similar across all cohorts for both drugs. Six patients (18.8%) reported an adverse event, all mild or moderate in intensity. No deaths or serious adverse events occurred. The single-dose PK of ceftazidime and avibactam were comparable between each of the 4 age cohorts investigated and were broadly similar to those previously observed in adults. No new safety concerns were identified. (This study has been registered at ClinicalTrials.gov under registration no. NCT01893346.).

Indexed as

AdolescentAzabicyclo Compoundsbeta-Lactamase InhibitorsCeftazidimeChildChild, PreschoolDrug CombinationsFemaleHospitals, PediatricHumansInfantMaleavibactam, ceftazidime drug combinationAzabicyclo Compoundsbeta-Lactamase InhibitorsCeftazidimeDrug Combinations

Identifiers

PMID27503642
PMCPMC5038276
OpenAlexW2522293857

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.