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Trial · NCT03840148

Safety and Efficacy Study of Cefepime/VNRX-5133 in Patients With Complicated Urinary Tract Infections

NCT03840148, Phase 3, Completed, Venatorx Pharmaceuticals, Inc.; results first posted 2024-05-29

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Safety and Efficacy Study of Cefepime/VNRX-5133 in Patients With Complicated Urinary Tract Infections. Trials, record NCT03840148. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03840148

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Trial

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

Title
Safety and Efficacy Study of Cefepime/VNRX-5133 in Patients With Complicated Urinary Tract Infections
NCT number
NCT03840148
Status
Completed
Phases
Phase 3
Enrollment
661 participants, actual
Lead sponsor
Venatorx Pharmaceuticals, Inc.
Conditions
Urinary Tract Infections, Acute Pyelonephritis
Interventions
Cefepime/VNRX-5133 (taniborbactam), Meropenem
First posted
2019-02-15
Last updated
2025-06-06
Other registries' IDs
eudract:2018-001451-13
Results first posted
2024-05-29

Source ClinicalTrials.gov

Registered outcomes52

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

ListOutcomeTime frameDescription
PrimaryComposite Success at Test of Cure (TOC) in the Microbiological Intent-to-treat (microITT) PopulationAssessed at Test of Cure visit (occurred once per participant between Study Days 19 to 23)
Microbiologic success is eradication defined as demonstration that any gram-negative bacterial pathogen found at study entry (≥10\^5 CFU/mL) is eradicated to \<10\^3 CFU/mL. Clinical success is defined as symptomatic resolution or return to pre-morbid baseline of all UTI-core symptoms and patient is alive, and patient has not received additional antibacterial therapy for cUTI.
SecondaryMicrobiologic Success at Test of Cure (TOC) in the microITT PopulationAssessed at Test of Cure visit (occurred once per participant between Study Days 19 to 23)Microbiologic success is eradication defined as demonstration that any gram-negative bacterial pathogen found at study entry (≥10\^5 CFU/mL) is eradicated to \<10\^3 CFU/mL.
SecondaryClinical Success at Test of Cure (TOC) in the microITT PopulationAssessed at Test of Cure visit (occurred once per participant between Study Days 19 to 23)Symptomatic resolution or return to pre-morbid baseline of all UTI-core symptoms and patient is alive, and patient has not received additional antibacterial therapy for cUTI.
SecondaryComposite Success at Test of Cure (TOC) in the Extended Microbiological Intent-to-treat (emicroITT) PopulationAssessed at Test of Cure visit (occurred once per participant between Study Days 19 to 23)
Microbiologic success is eradication defined as demonstration that any gram-negative bacterial pathogen found at study entry (≥10\^5 CFU/mL) is eradicated to \<10\^3 CFU/mL. Symptomatic clinical success is defined as symptomatic resolution or return to pre-morbid baseline of all UTI-core symptoms and patient is alive, and patient has not received additional antibacterial therapy for cUTI.
SecondaryComposite Success at End of Treatment (EOT) in the microITT PopulationAssessed within 24 hours after last IV dose (up to 15 days from start of treatment)
Microbiologic success is eradication defined as demonstration that any gram-negative bacterial pathogen found at study entry (≥10\^5 CFU/mL) is eradicated to \<10\^3 CFU/mL. Clinical success is defined as symptomatic resolution or return to pre-morbid baseline of all UTI-core symptoms and patient is alive, and patient has not received additional antibacterial therapy for cUTI.
SecondaryMicrobiological Success at End of Treatment (EOT) in the microITT PopulationAssessed within 24 hours after last IV dose (up to 15 days from start of treatment)Microbiologic success is eradication defined as demonstration that any gram-negative bacterial pathogen found at study entry (≥10\^5 CFU/mL) is eradicated to \<10\^3 CFU/mL.
SecondaryClinical Success at End of Treatment (EOT) in the microITT PopulationAssessed within 24 hours after last IV dose (up to 15 days from start of treatment)
Clinical success is defined as symptomatic resolution or return to pre-morbid baseline of all UTI-core symptoms and patient is alive, and patient has not received additional antibacterial therapy for cUTI.
SecondaryComposite Success at Late Follow Up (LFU) in the microITT PopulationAssessed at Late Follow Up visit (occurred once per participant between Study Days 28 to 35)
Microbiologic success is eradication defined as demonstration that any gram-negative bacterial pathogen found at study entry (≥10\^5 CFU/mL) is eradicated to \<10\^3 CFU/mL. Clinical success is defined as symptomatic resolution or return to pre-morbid baseline of all UTI-core symptoms and patient is alive, and patient has not received additional antibacterial therapy for cUTI.
SecondaryMicrobiological Success at Late Follow Up (LFU) in the microITT PopulationAssessed at Late Follow Up visit (occurred once per participant between Study Days 28 to 35)Microbiologic success is eradication defined as demonstration that any gram-negative bacterial pathogen found at study entry (≥10\^5 CFU/mL) is eradicated to \<10\^3 CFU/mL.
SecondaryClinical Success at Late Follow Up (LFU) in the microITT PopulationAssessed at Late Follow Up visit (occurred once per participant between Study Days 28 to 35)
Clinical success is defined as symptomatic resolution or return to pre-morbid baseline of all UTI-core symptoms and patient is alive, and patient has not received additional antibacterial therapy for cUTI.

Outcomes52

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYComposite Success at Test of Cure (TOC) in the Microbiological Intent-to-treat (microITT) PopulationAssessed at Test of Cure visit (occurred once per participant between Study Days 19 to 23)
The microITT analysis population consists of all patients in the ITT analysis population who had a positive study entry urine culture defined as ≥10\^5 CFU/mL of a gram-negative pathogen(s) against which both cefepime/VNRX-5133 and meropenem have antibacterial activity AND those patients who had no more than 2 microorganisms identified in the study entry culture regardless of colony count.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYMicrobiologic Success at Test of Cure (TOC) in the microITT PopulationAssessed at Test of Cure visit (occurred once per participant between Study Days 19 to 23)
The microITT analysis population consists of all patients in the ITT analysis population who had a positive study entry urine culture defined as ≥10\^5 CFU/mL of a gram-negative pathogen(s) against which both cefepime/VNRX-5133 and meropenem have antibacterial activity AND those patients who had no more than 2 microorganisms identified in the study entry culture regardless of colony count.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYClinical Success at Test of Cure (TOC) in the microITT PopulationAssessed at Test of Cure visit (occurred once per participant between Study Days 19 to 23)
The microITT analysis population consists of all patients in the ITT analysis population who had a positive study entry urine culture defined as ≥10\^5 CFU/mL of a gram-negative pathogen(s) against which both cefepime/VNRX-5133 and meropenem have antibacterial activity AND those patients who had no more than 2 microorganisms identified in the study entry culture regardless of colony count.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYComposite Success at Test of Cure (TOC) in the Extended Microbiological Intent-to-treat (emicroITT) PopulationAssessed at Test of Cure visit (occurred once per participant between Study Days 19 to 23)
The extended microITT analysis population consists of all patients in the ITT analysis population who had a positive study entry urine culture defined as ≥10\^5 CFU/mL of a gram-negative pathogen(s) against which at least 1 study drug (cefepime/VNRX-5133 and/or meropenem) have antibacterial activity AND those patients who had no more than 2 microorganisms identified in the study entry culture regardless of colony count.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYComposite Success at End of Treatment (EOT) in the microITT PopulationAssessed within 24 hours after last IV dose (up to 15 days from start of treatment)
The microITT analysis population consists of all patients in the ITT analysis population who had a positive study entry urine culture defined as ≥10\^5 CFU/mL of a gram-negative pathogen(s) against which both cefepime/VNRX-5133 and meropenem have antibacterial activity AND those patients who had no more than 2 microorganisms identified in the study entry culture regardless of colony count.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYMicrobiological Success at End of Treatment (EOT) in the microITT PopulationAssessed within 24 hours after last IV dose (up to 15 days from start of treatment)
The microITT analysis population consists of all patients in the ITT analysis population who had a positive study entry urine culture defined as ≥10\^5 CFU/mL of a gram-negative pathogen(s) against which both cefepime/VNRX-5133 and meropenem have antibacterial activity AND those patients who had no more than 2 microorganisms identified in the study entry culture regardless of colony count.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYClinical Success at End of Treatment (EOT) in the microITT PopulationAssessed within 24 hours after last IV dose (up to 15 days from start of treatment)
The microITT analysis population consists of all patients in the ITT analysis population who had a positive study entry urine culture defined as ≥10\^5 CFU/mL of a gram-negative pathogen(s) against which both cefepime/VNRX-5133 and meropenem have antibacterial activity AND those patients who had no more than 2 microorganisms identified in the study entry culture regardless of colony count.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYComposite Success at Late Follow Up (LFU) in the microITT PopulationAssessed at Late Follow Up visit (occurred once per participant between Study Days 28 to 35)
The microITT analysis population consists of all patients in the ITT analysis population who had a positive study entry urine culture defined as ≥10\^5 CFU/mL of a gram-negative pathogen(s) against which both cefepime/VNRX-5133 and meropenem have antibacterial activity AND those patients who had no more than 2 microorganisms identified in the study entry culture regardless of colony count.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYMicrobiological Success at Late Follow Up (LFU) in the microITT PopulationAssessed at Late Follow Up visit (occurred once per participant between Study Days 28 to 35)
The microITT analysis population consists of all patients in the ITT analysis population who had a positive study entry urine culture defined as ≥10\^5 CFU/mL of a gram-negative pathogen(s) against which both cefepime/VNRX-5133 and meropenem have antibacterial activity AND those patients who had no more than 2 microorganisms identified in the study entry culture regardless of colony count.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYClinical Success at Late Follow Up (LFU) in the microITT PopulationAssessed at Late Follow Up visit (occurred once per participant between Study Days 28 to 35)
The microITT analysis population consists of all patients in the ITT analysis population who had a positive study entry urine culture defined as ≥10\^5 CFU/mL of a gram-negative pathogen(s) against which both cefepime/VNRX-5133 and meropenem have antibacterial activity AND those patients who had no more than 2 microorganisms identified in the study entry culture regardless of colony count.
ParticipantsCOUNT_OF_PARTICIPANTS

Results by group331

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

OutcomeGroupCategoryValueSpreadUnits
Composite Success at Test of Cure (TOC) in the Microbiological Intent-to-treat (microITT) PopulationCefepime/VNRX-5133 (Taniborbactam)207Participants
Composite Success at Test of Cure (TOC) in the Microbiological Intent-to-treat (microITT) PopulationMeropenem83Participants
Microbiologic Success at Test of Cure (TOC) in the microITT PopulationCefepime/VNRX-5133 (Taniborbactam)229Participants
Microbiologic Success at Test of Cure (TOC) in the microITT PopulationMeropenem95Participants
Clinical Success at Test of Cure (TOC) in the microITT PopulationCefepime/VNRX-5133 (Taniborbactam)251Participants
Clinical Success at Test of Cure (TOC) in the microITT PopulationMeropenem116Participants
Composite Success at Test of Cure (TOC) in the Extended Microbiological Intent-to-treat (emicroITT) PopulationCefepime/VNRX-5133 (Taniborbactam)216Participants
Composite Success at Test of Cure (TOC) in the Extended Microbiological Intent-to-treat (emicroITT) PopulationMeropenem86Participants
Composite Success at End of Treatment (EOT) in the microITT PopulationCefepime/VNRX-5133 (Taniborbactam)261Participants
Composite Success at End of Treatment (EOT) in the microITT PopulationMeropenem123Participants

Participant flow12

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

PeriodMilestoneGroupParticipantsUnits counted
Study Drug DispositionSTARTEDCefepime/VNRX-5133 (Taniborbactam)441
Study Drug DispositionSTARTEDMeropenem220
Study Drug DispositionCOMPLETEDCefepime/VNRX-5133 (Taniborbactam)414
Study Drug DispositionCOMPLETEDMeropenem212
Study Drug DispositionNOT COMPLETEDCefepime/VNRX-5133 (Taniborbactam)27
Study Drug DispositionNOT COMPLETEDMeropenem8
Study Completion DispositionSTARTEDCefepime/VNRX-5133 (Taniborbactam)441
Study Completion DispositionSTARTEDMeropenem220
Study Completion DispositionCOMPLETEDCefepime/VNRX-5133 (Taniborbactam)426
Study Completion DispositionCOMPLETEDMeropenem214

Adverse events60

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherHeadacheNervous system disordersCefepime/VNRX-5133 (Taniborbactam)2744027
otherHeadacheNervous system disordersMeropenem82178
otherDiarrhoeaGastrointestinal disordersCefepime/VNRX-5133 (Taniborbactam)1844018
otherDiarrhoeaGastrointestinal disordersMeropenem52175
otherConstipationGastrointestinal disordersCefepime/VNRX-5133 (Taniborbactam)1444014
otherConstipationGastrointestinal disordersMeropenem32173
otherHypertensionVascular disordersCefepime/VNRX-5133 (Taniborbactam)944010
otherHypertensionVascular disordersMeropenem22172
otherNauseaGastrointestinal disordersCefepime/VNRX-5133 (Taniborbactam)94409
otherNauseaGastrointestinal disordersMeropenem22172

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCefepime/VNRX-5133 (Taniborbactam)1440
Total, all-cause mortalityMeropenem0217
Total, other adverse eventsCefepime/VNRX-5133 (Taniborbactam)93440
Total, other adverse eventsMeropenem37217
Total, serious adverse eventsCefepime/VNRX-5133 (Taniborbactam)9440
Total, serious adverse eventsMeropenem4217

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
38354140DERIVEDPubMed
38780262DERIVEDPubMed
40827922DERIVEDPubMed

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 comparisons24

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

ComparisonSource
Cefepime/VNRX-5133 (Taniborbactam) vs Meropenem: Microbiologic Success at Late Follow Up (LFU) in the ME PopulationTrial comparisons
Cefepime/VNRX-5133 (Taniborbactam) vs Meropenem: Clinical Success at End of Treatment (EOT) in the microITT PopulationTrial comparisons
Cefepime/VNRX-5133 (Taniborbactam) vs Meropenem: Composite Success at Late Follow Up (LFU) in the microITT PopulationTrial comparisons
Cefepime/VNRX-5133 (Taniborbactam) vs Meropenem: Composite Success at End of Treatment (EOT) in the microITT PopulationTrial comparisons
Cefepime/VNRX-5133 (Taniborbactam) vs Meropenem: Clinical Success at Test of Cure (TOC) in the microITT PopulationTrial comparisons
Cefepime/VNRX-5133 (Taniborbactam) vs Meropenem: Composite Success at Test of Cure (TOC) in the Extended Microbiological Intent-to-treat (emicroITT) PopulationTrial comparisons
Cefepime/VNRX-5133 (Taniborbactam) vs Meropenem: Clinical Success at Late Follow Up (LFU) in the CE PopulationTrial comparisons
Cefepime/VNRX-5133 (Taniborbactam) vs Meropenem: Number of Patients With Treatment-Emergent Adverse EventsTrial comparisons
Cefepime/VNRX-5133 (Taniborbactam) vs Meropenem: Clinical Success at End of Treatment (EOT) in the Clinically Evaluable (CE) PopulationTrial comparisons
Cefepime/VNRX-5133 (Taniborbactam) vs Meropenem: Clinical Success at Test of Cure (TOC) in the CE PopulationTrial 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/NCT03840148

GET https://conductscience.org/api/trials/v1/NCT03840148/registered?page=2