An Efficacy and Safety of Flomoxef Versus Cefepime in the Treatment of Participants With Urinary Tract Infections
An Efficacy and Safety of Flomoxef Versus Cefepime in the Treatment of Participants With Urinary Tract Infections
The purpose of this study is to compare the effectiveness of antibiotic flomoxef with
 cefepime for the treatment of complicated urinary tract infections (cUTIs) in Russian adults.
The drug being tested in this study is called Flomoxef. Flomoxef is being tested in people
 with a complicated urinary tract infection (cUTI) including a kidney infection. This study
 compares Flomoxef to Cefepime, another antibiotic.

 The study enrolled 13 patients.

 Participants are randomly assigned by a computer generated number to one of two treatment
 groups:

 -  Flomoxef - intravenous infusion 2g twice daily (every 12 hours); or

 -  Cefepime - intravenous infusion 1g twice daily (every 12 hours).

 This multi-center trial is conducted at 4 sites in the Russian Federation. The overall time
 to participate in this study is 30+/-3 days. Participants make six visits to the clinic.

 Study was prematurely terminated due to administrative and strategic reasons.
Inclusion Criteria:

 1. Is a man or woman aged 18 to 70 years, inclusive.

 2. Has pyuria (a white blood cell [WBC] count greater than 10/μL in unspun urine or
 greater than or equal to 10 per high power field in spun urine).

 3. Has clinical signs and/or symptoms of a complicated lower urinary tract infection
 (UTI) and/or acute pyelonephritis that include one or more of the following: fever
 (i.e, axillary temperature greater than 37.7°C), chills, malaise, flank pain, back
 pain, and/or costo-vertebral angle pain or tenderness and/or any symptoms of dysuria
 (dysuria, urinary urgency, urinary frequency, suprapubic discomfort, new urinary
 incontinence or worsening of pre-existing incontinence) that occur in the presence of
 a functional or anatomical abnormality of the urinary tract or in the presence of
 catheterization.

 4. Has a pretreatment baseline urine culture specimen obtained within 24 hours before the
 administration of the first dose of study drug (NOTE: Participants may be enrolled in
 this study and start intravenous (IV) study drug therapy before the Investigator knows
 the results of the baseline urine culture).

 5. Requires IV antibacterial therapy for the treatment of the presumed complicated UTI
 (cUTI).

 6. In the opinion of the investigator, is capable of understanding and complying with
 protocol requirements.

 7. Signs and dates a written, informed consent form and any required privacy
 authorization prior to the initiation of any study procedures, or has a legally
 acceptable representative sign the forms.

 8. Meets protocol-specified criteria regarding the use of contraception; and 9-Is willing
 and able to comply with study procedures.

 Exclusion Criteria:

 1. Has received any investigational compound within 30 days of screening.

 2. Is an immediate family member, study site employee, or is in a dependent relationship
 with a study site employee who is involved in the conduct of this study (eg, spouse,
 parent, child, or sibling) or may consent under duress.

 3. Is a female participant who is pregnant or lactating or intending to become pregnant
 before, during, or within one month after participating in this study, or intends to
 donate ova during such time period.

 4. Is a male participant who intends to donate sperm during the course of this study or
 for 12 weeks thereafter.

 5. Has participated in another clinical study within the past 30 days.

 6. Has a history of allergy to or intolerance of beta-lactams (penicillins,
 cephalosporins or carbopenems).

 7. Has signs, symptoms or history of any condition that, per protocol or in the opinion
 of the investigator, might compromise: 1) the safety or well-being of the participant
 or study staff, 2) the safety or well-being of the participant's offspring (such as
 through pregnancy or breast-feeding), or 3) the analysis of results.

 8. Has received any amount of potentially therapeutic antibacterial therapy after
 collection of the pretreatment baseline urine culture and before administration of the
 first dose of study drug.

 9. Has received any dose of a potentially therapeutic antibacterial agent for the
 treatment of the current UTI within 48 hours before providing the pretreatment
 baseline urine culture specimen.

 10. Has a current urinary catheter that is not scheduled to be removed before the
 End-of-Therapy (EOT) visit (intermittent straight catheterization during the IV study
 drug administration period is acceptable).

 11. Has any history of trauma to the pelvis or urinary tract within one year before the
 screening visit.

 12. Has any other contraindications to the medicines that are to be used in the study
 (according to the manufacturer's instructions).

 13. Is considered unlikely to survive the four-week study period or has any rapidly
 progressing disease or immediately life-threatening illness (including acute hepatic
 failure, respiratory failure or septic shock).