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Trial ยท NCT03830333

Ceftolozane/Tazobactam (MK-7625A) Plus Metronidazole Versus Meropenem for Participants With Complicated Intra-abdominal Infection (MK-7625A-015)

NCT03830333, Phase 3, Completed, Merck Sharp & Dohme LLC; results first posted 2021-10-22

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Ceftolozane/Tazobactam (MK-7625A) Plus Metronidazole Versus Meropenem for Participants With Complicated Intra-abdominal Infection (MK-7625A-015). Trials, record NCT03830333. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03830333

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Ceftolozane/Tazobactam (MK-7625A) Plus Metronidazole Versus Meropenem for Participants With Complicated Intra-abdominal Infection (MK-7625A-015)
NCT number
NCT03830333
Status
Completed
Phases
Phase 3
Enrollment
268 participants, actual
Lead sponsor
Merck Sharp & Dohme LLC
Conditions
Complicated Intra-abdominal Infections
Interventions
Ceftolozane/Tazobactam, Metronidazole, Meropenem, Placebo
First posted
2019-02-05
Last updated
2023-01-17
Results first posted
2021-10-22

Source ClinicalTrials.gov

Registered outcomes8

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPercentage of Participants With Clinical Response (Clinical Cure or Clinical Failure) at Test of Cure (TOC) Visit: Clinically Evaluable (CE) PopulationUp to approximately Day 30
Clinical response was classified as "cure" or "failure". Clinical cure (favorable) was defined as complete resolution or significant improvement in signs and symptoms of the index infection, such that no additional antibacterial therapy or surgical or drainage procedure is required for the index infection. Clinical failure (unfavorable) was defined as death related to IAI at any time point; persisting or recurrent infection within the abdomen requiring additional intervention to cure; need for treatment with additional antibiotics for ongoing IAI symptoms; or post-surgical wound infection that requires additional antimicrobial therapy and/or non-routing wound care. The percentage of participants with clinical response of clinical cure or clinical failure at TOC was summarized.
SecondaryPercentage of Participants With Clinical Response (Clinical Cure, Clinical Failure, or Indeterminate) at TOC Visit: Intent to Treat (ITT) PopulationUp to approximately Day 30
Clinical response was classified as "cure", "failure", or "indeterminate". Clinical cure (favorable) was defined as complete resolution or significant improvement in signs and symptoms of the index infection, such that no additional antibacterial therapy or surgical or drainage procedure is required for the index infection. Clinical failure (unfavorable) was defined as death related to IAI at any time point; persisting or recurrent infection within the abdomen requiring additional intervention to cure; need for treatment with additional antibiotics for ongoing IAI symptoms; or post-surgical wound infection that requires additional antimicrobial therapy and/or non-routing wound care. Indeterminate (unfavorable) was defined as participants for whom study data were not available for evaluation of efficacy for any reason. The percentage of participants with clinical response of clinical cure, clinical failure, or indeterminate at TOC was summarized.
SecondaryPercentage of Participants With Clinical Response (Clinical Cure or Clinical Failure) at End of Therapy (EOT) Visit: CE PopulationUp to approximately Day 15
Clinical response was classified as "cure" or "failure". Clinical cure (favorable) was defined as complete resolution or significant improvement in signs and symptoms of the index infection, such that no additional antibacterial therapy or surgical or drainage procedure is required for the index infection. Clinical failure (unfavorable) was defined as death related to IAI at any time point; persisting or recurrent infection within the abdomen requiring additional intervention to cure; need for treatment with additional antibiotics for ongoing IAI symptoms; or post-surgical wound infection that requires additional antimicrobial therapy and/or non-routing wound care. The percentage of participants with clinical response of clinical cure or clinical failure at EOT was summarized.
SecondaryPercentage of Participants With Clinical Response (Clinical Cure, Clinical Failure, or Indeterminate) at EOT Visit: ITT PopulationUp to approximately Day 15
Clinical response was classified as "cure", "failure", or "indeterminate". Clinical cure (favorable) was defined as complete resolution or significant improvement in signs and symptoms of the index infection, such that no additional antibacterial therapy or surgical or drainage procedure is required for the index infection. Clinical failure (unfavorable) was defined as death related to IAI at any time point; persisting or recurrent infection within the abdomen requiring additional intervention to cure; need for treatment with additional antibiotics for ongoing IAI symptoms; or post-surgical wound infection that requires additional antimicrobial therapy and/or non-routing wound care. Indeterminate (unfavorable) was defined as participants for whom study data are not available for evaluation of efficacy for any reason. The percentage of participants with clinical response of clinical cure, clinical failure, or indeterminate at EOT was summarized.
SecondaryPercentage of Participants With Favorable Per-Participant Microbiological Response of Eradication or Presumed Eradication at TOC Visit: Expanded Microbiologically Evaluable (EME) PopulationUp to approximately Day 30
An overall microbiological response was determined by the Sponsor for each participant based on individual microbiological responses for each baseline bacterial pathogen. A favorable individual microbiological response was eradication (absence of the baseline bacterial pathogen in a specimen appropriately obtained from the original site of infection) or presumed eradication (absence of material to culture in a participant who is assessed as a clinical cure). In order for the participant to have a favorable overall microbiological response, each individual baseline bacterial pathogen must have had a favorable microbiological outcome. The percentage of participants with a favorable per-participant microbiological response of eradication or presumed eradication was reported for the TOC visit.
SecondaryPercentage of Participants With Favorable Microbiological Response of Eradication or Presumed Eradication, by Pathogen, at the TOC Visit: EME PopulationUp to approximately Day 30
A microbiological response was determined for each bacterial pathogen isolated at baseline by the Sponsor. Favorable microbiological responses included eradication (absence of the baseline bacterial pathogen in a specimen appropriately obtained from the original site of infection) or presumed eradication (absence of material to culture in a participant who is assessed as a clinical cure). The percentage of participants with a favorable microbiological response of eradication or presumed eradication was reported per pathogen for the TOC visit.
SecondaryPercentage of Participants Who Experienced 1 or More Adverse Events (AEs)Up to approximately Day 30
An AE was any untoward medical occurrence in a participant administered a pharmaceutical product that did not necessarily have to have a causal relationship with this treatment. An AE could therefore have been any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to the medicinal product. The percentage of participants who experienced 1 or more AEs were summarized.
SecondaryPercentage of Participants That Discontinued Study Treatment Due to an AEUp to Day 14
An AE was any untoward medical occurrence in a participant administered a pharmaceutical product that did not necessarily have to have a causal relationship with this treatment. An AE could therefore have been any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to the medicinal product. The percentage of participants who had study drug discontinued during the study due to an AE was summarized.

Outcomes8

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants With Clinical Response (Clinical Cure or Clinical Failure) at Test of Cure (TOC) Visit: Clinically Evaluable (CE) PopulationUp to approximately Day 30
All participants of the CE population who met the protocol definition of cIAI, had no significant protocol deviations, received the minimum duration of randomized IV study therapy, and had an efficacy assessment of cure or failure at the TOC visit were analyzed.
Percentage of ParticipantsNUMBER
SECONDARYPercentage of Participants With Clinical Response (Clinical Cure, Clinical Failure, or Indeterminate) at TOC Visit: Intent to Treat (ITT) PopulationUp to approximately Day 30
The ITT population consisted of all randomized participants. Participants in the ITT population were analyzed based on the treatment they were randomized to, irrespective of what they actually received.
Percentage of ParticipantsNUMBER
SECONDARYPercentage of Participants With Clinical Response (Clinical Cure or Clinical Failure) at End of Therapy (EOT) Visit: CE PopulationUp to approximately Day 15
All participants of the CE population who met the protocol definition of cIAI, had no significant protocol deviations, received the minimum duration of randomized IV study therapy, and had an efficacy assessment of cure or failure at the EOT visit were analyzed.
Percentage of ParticipantsNUMBER
SECONDARYPercentage of Participants With Clinical Response (Clinical Cure, Clinical Failure, or Indeterminate) at EOT Visit: ITT PopulationUp to approximately Day 15
The ITT population consisted of all randomized participants. Participants in the ITT population were analyzed based on the treatment they were randomized to, irrespective of what they actually received.
Percentage of ParticipantsNUMBER
SECONDARYPercentage of Participants With Favorable Per-Participant Microbiological Response of Eradication or Presumed Eradication at TOC Visit: Expanded Microbiologically Evaluable (EME) PopulationUp to approximately Day 30
The EME population consisted of all randomized participants who had cIAI as evidenced by identification of at least 1 baseline intra-abdominal pathogen, regardless of susceptibility to study drug and met all CE population criteria.
Percentage of ParticipantsNUMBER
SECONDARYPercentage of Participants With Favorable Microbiological Response of Eradication or Presumed Eradication, by Pathogen, at the TOC Visit: EME PopulationUp to approximately Day 30
The EME population consisted of all randomized participants with data available who had cIAI as evidenced by identification of at least 1 baseline intra-abdominal pathogen, regardless of susceptibility to study drug and met all CE population criteria.
Percentage of ParticipantsNUMBER
SECONDARYPercentage of Participants Who Experienced 1 or More Adverse Events (AEs)Up to approximately Day 30
The All Participants as Treated (APaT) population was used for the analysis of safety data in this study. The APaT population consisted of all randomized participants who received at least one dose of study treatment.
Percentage of ParticipantsNUMBER
SECONDARYPercentage of Participants That Discontinued Study Treatment Due to an AEUp to Day 14The APaT population was used for the analysis of safety data in this study. The APaT population consisted of all randomized participants who received at least one dose of study treatment.Percentage of ParticipantsNUMBER

Results by group50

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants With Clinical Response (Clinical Cure or Clinical Failure) at Test of Cure (TOC) Visit: Clinically Evaluable (CE) PopulationCeftolozane/Tazobactam + MetronidazoleClinical Cure (favorable)95.2Percentage of Participants
Percentage of Participants With Clinical Response (Clinical Cure or Clinical Failure) at Test of Cure (TOC) Visit: Clinically Evaluable (CE) PopulationMeropenem + PlaceboClinical Cure (favorable)93.1Percentage of Participants
Percentage of Participants With Clinical Response (Clinical Cure or Clinical Failure) at Test of Cure (TOC) Visit: Clinically Evaluable (CE) PopulationCeftolozane/Tazobactam + MetronidazoleClinical Failure (unfavorable)4.8Percentage of Participants
Percentage of Participants With Clinical Response (Clinical Cure or Clinical Failure) at Test of Cure (TOC) Visit: Clinically Evaluable (CE) PopulationMeropenem + PlaceboClinical Failure (unfavorable)6.9Percentage of Participants
Percentage of Participants With Clinical Response (Clinical Cure, Clinical Failure, or Indeterminate) at TOC Visit: Intent to Treat (ITT) PopulationCeftolozane/Tazobactam + MetronidazoleClinical Cure (favorable)85.1Percentage of Participants
Percentage of Participants With Clinical Response (Clinical Cure, Clinical Failure, or Indeterminate) at TOC Visit: Intent to Treat (ITT) PopulationMeropenem + PlaceboClinical Cure (favorable)89.6Percentage of Participants
Percentage of Participants With Clinical Response (Clinical Cure, Clinical Failure, or Indeterminate) at TOC Visit: Intent to Treat (ITT) PopulationCeftolozane/Tazobactam + MetronidazoleClinical Failure (unfavorable)14.2Percentage of Participants
Percentage of Participants With Clinical Response (Clinical Cure, Clinical Failure, or Indeterminate) at TOC Visit: Intent to Treat (ITT) PopulationMeropenem + PlaceboClinical Failure (unfavorable)9.7Percentage of Participants
Percentage of Participants With Clinical Response (Clinical Cure, Clinical Failure, or Indeterminate) at TOC Visit: Intent to Treat (ITT) PopulationCeftolozane/Tazobactam + MetronidazoleIndeterminate (unfavorable)0.7Percentage of Participants
Percentage of Participants With Clinical Response (Clinical Cure, Clinical Failure, or Indeterminate) at TOC Visit: Intent to Treat (ITT) PopulationMeropenem + PlaceboIndeterminate (unfavorable)0.7Percentage of Participants

Participant flow8

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDCeftolozane/Tazobactam + Metronidazole134
Overall StudySTARTEDMeropenem + Placebo134
Overall StudyClinically Evaluable PopulationCeftolozane/Tazobactam + Metronidazole105
Overall StudyClinically Evaluable PopulationMeropenem + Placebo116
Overall StudyCOMPLETEDCeftolozane/Tazobactam + Metronidazole126
Overall StudyCOMPLETEDMeropenem + Placebo130
Overall StudyNOT COMPLETEDCeftolozane/Tazobactam + Metronidazole8
Overall StudyNOT COMPLETEDMeropenem + Placebo4

Adverse events36

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherConstipationGastrointestinal disordersCeftolozane/Tazobactam + Metronidazole11341
otherConstipationGastrointestinal disordersMeropenem + Placebo81349
otherDiarrhoeaGastrointestinal disordersCeftolozane/Tazobactam + Metronidazole81348
otherDiarrhoeaGastrointestinal disordersMeropenem + Placebo1113412
otherPyrexiaGeneral disordersCeftolozane/Tazobactam + Metronidazole913411
otherPyrexiaGeneral disordersMeropenem + Placebo1413415
otherHypokalaemiaMetabolism and nutrition disordersCeftolozane/Tazobactam + Metronidazole71347
otherHypokalaemiaMetabolism and nutrition disordersMeropenem + Placebo21342
otherCoughRespiratory, thoracic and mediastinal disordersCeftolozane/Tazobactam + Metronidazole71347
otherCoughRespiratory, thoracic and mediastinal disordersMeropenem + Placebo91349

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCeftolozane/Tazobactam + Metronidazole0134
Total, all-cause mortalityMeropenem + Placebo1134
Total, other adverse eventsCeftolozane/Tazobactam + Metronidazole28134
Total, other adverse eventsMeropenem + Placebo33134
Total, serious adverse eventsCeftolozane/Tazobactam + Metronidazole7134
Total, serious adverse eventsMeropenem + Placebo7134

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
35987467RESULTPubMed
40913503DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Ceftolozane/Tazobactam + Metronidazole vs Meropenem + Placebo: deaths from any causeTrial comparisons
Ceftolozane/Tazobactam + Metronidazole vs Meropenem + Placebo: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03830333

GET https://conductscience.org/api/trials/v1/NCT03830333/results?page=2