AzTrials
AzTrials

Hospital-acquired Bacterial Pneumonia/Ventilator-associated Bacterial PneumoniaPhase 2NCT07512596

Study on the Safety and Efficacy of Polymyxin E2 Methanesulfonate for Injection in the Treatment of Hospital-Acquired Bacterial Pneumonia/Ventilator-Associated Bacterial Pneumonia Caused by Carbapenem-Resistant Gram-Negative Bacteria

A Phase 2 study testing TQD3524, Meropenem for injection and Colistimethate Sodium for Injection in people with Hospital-acquired Bacterial Pneumonia/Ventilator-associated Bacterial Pneumonia, run by Chia Tai Tianqing Pharmaceutical Group Co., Ltd. at 27 sites in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Study on the Safety and Efficacy of Polymyxin E2 Methanesulfonate for Injection in the Treatment of Hospital-Acquired Bacterial Pneumonia/Ventilator-Associated Bacterial Pneumonia Caused by Carbapenem-Resistant Gram-Negative Bacteria. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
TQD3524, Meropenem for injection and Colistimethate Sodium for Injection
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
48 participants
Where
27 sitesChina
Study dates
21 Jul 2026to Jul 2027
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age ≥ 18 years old (based on the date of signing the informed consent form);
  • The subject (or their guardian) voluntarily signed the informed consent form;
  • Acute pulmonary infection with hospitalization duration exceeding 48 hours or within 7 days after discharge; or acute pulmonary infection patients who have undergone mechanical ventilation via oral or nasal tracheal intubation for at least 48 hours;
  • Chest imaging examination (X-ray or CT) within 72 hours prior to randomization reveals characteristics of new or worsening pulmonary infiltration;
  • At least one of the following physical signs or laboratory abnormalities: ① fever (temperature ≥38℃); ② hypothermia (temperature ≤35℃); ③ elevated peripheral white blood cell count (WBC ≥10×10^9/L); ④ decreased white blood cell count (WBC ≤4.5×10^9/L); ⑤ more than 15% of immature neutrophils such as band forms in peripheral blood;
  • At least one of the following clinical symptoms is present: ① new or acute worsening of pulmonary symptoms or signs, such as cough, dyspnea, increased respiratory rate (respiratory rate > 25 breaths per minute), expectoration, or the need for mechanical ventilation; ② hypoxemia (arterial blood gas oxygen partial pressure below 60 mmHg at standard atmospheric pressure, or a progressive decrease in the ratio of oxygen partial pressure to inspired oxygen concentration (PaO2/FiO2)); ③ deteriorating oxygenation requiring replacement of ventilation support system to improve oxygenation, or a change in the level of positive end-expiratory pressure support; ④ new respiratory secretions requiring suction;
Show all 9Show fewer
  • A specific carbapenem-resistant Gram-negative bacterium was cultured from qualified lower respiratory tract specimens within the first five days/screening period, with in vitro susceptibility testing confirming resistance to carbapenems;
  • Female subjects without reproductive potential must meet at least one of the following criteria: a) cessation of regular menstruation for at least 12 consecutive months; b) having undergone hysterectomy and/or bilateral oophorectomy. Female subjects with reproductive potential must have a negative serum pregnancy test result at the screening visit and agree to use reliable contraception throughout the study period;
  • Male subjects must agree to adopt reliable contraceptive measures throughout the entire study period.

Who cannot join

  • Those who currently suffer from epilepsy/myasthenia gravis or have a history of seizures (excluding febrile seizures in childhood)/myasthenia gravis;
  • Those who are undergoing hemodialysis or peritoneal dialysis;
  • Combined infections with other lung microbiota: viral pneumonia, fungal pneumonia, pulmonary tuberculosis, atypical pathogen infections, etc;
  • Current concurrent infection of other parts/organs;
  • Patients with concurrent refractory septic shock, who still exhibit persistent hypotension despite adequate fluid resuscitation or vasopressor therapy prior to randomization;
  • Individuals with immune deficiency or compromised immune function, including but not limited to: human immunodeficiency virus infection, hematological malignancies, bone marrow transplantation, immunosuppressive therapy, and systemic corticosteroid treatment (defined as a daily dose equivalent to prednisone ≥20mg and a treatment duration >14 days);
Show all 20Show fewer
  • During the screening period, any of the following laboratory abnormalities is present: aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) levels are more than 5 times the upper limit of normal, or AST and/or ALT levels are more than 3 times the upper limit of normal and total bilirubin levels are more than 1.5 times the upper limit of normal, or neutrophil count < 1.0×10^9/L, or platelet count < 60×10^9/L; creatinine clearance rate (cLcr) ≤ 50 mL/min;
  • Suffering from lung diseases that can interfere with treatment response assessment;
  • Patients with lung abscess, empyema, and mechanical obstructive pneumonia;
  • New York Heart Association (NYHA) class III-IV heart failure;
  • Transplant patients;
  • Patients with an estimated survival time of less than 1 month according to the clinical judgment of the researchers;
  • Individuals with allergic reactions to polymyxins or carbapenems;
  • Sbjects requiring >2 systemic antimicrobial drugs for the treatment of Gram-negative bacterial infections;
  • Patients with an Acute Physiology and Chronic Health Evaluation II (APACHE II) score greater than 30;
  • Women who are pregnant or breastfeeding;
  • Use potentially effective antibiotics to treat carbapenem resistant gram-negative bacterial infections within 72 hours prior to randomization, and the treatment duration exceeds 24 hours;
  • When the culture results of samples from the first 5 days/screening period are available, it is found that the subject has Hospital-Acquired Pneumonia/Ventilator-Associated Pneumonia (HAP/VAP) caused by gram-negative bacteria that are expected to have no response to polymyxin drugs;
  • Subjects who have participated in other clinical trials within 30 days prior to the first dose of medication;
  • Other factors determined by the researcher that make the subject unsuitable for participating in this study.

Trial locations and contacts

27 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Yanbin Liu, Doctor contact

18980601983

dr_liuyanbin@foxmail.com

27 sites in 1 country

China27 sites, 27 recruiting
  • Beijing Tsinghua Changgung Hospital

    Beijing, Beijing Municipality, 102200

    Xuzhu Ma, Doctor, 13910204904, mxz@btch.edu.cn

    Not yet recruiting
  • The First Affiliated Hospital of Bengbu Medical College

    Bengbu, Anhui, 233000

    Shibing Zhao, Master, 13855212871, zhaoshibing523@163.com

    Not yet recruiting
  • Xiangya Hospital of Central South University

    Changsha, Hunan, 410000

    Yuanyuan Li, Doctor, 13975806790, Leeround@163.com

    Not yet recruiting
  • People's Hospital of Hunan Province

    Changsha, Hunan, 410005

    Yan Cao, Doctor, 15116485862, 13383771@qq.com

    Not yet recruiting
  • The Third Hospital of Changsha

    Changsha, Hunan, 410015

    Yingqun Zhu, Master, 13319559218, 1104633835@qq.com

    Not yet recruiting
  • Chengdu Third People's Hospital

    Chengdu, Sichuan, 610031

    Guoping Li, Doctor, 18982791605, lzlgp@163.com

    Not yet recruiting
  • Nuclear Industry 416 Hospital

    Chengdu, Sichuan, 610051

    ZhiQiang Xu, Master, 13551800077, 20744929@qq.com

    Not yet recruiting
  • Sichuan Provincial People's Hospital

    Chengdu, Sichuan, 610072

    Chun Pan, Doctor, 13814009925, panchun1982@gmail.com

    Recruiting
  • The First Affiliated Hospital of Chongqing Medical University

    Chongqing, Chongqing Municipality, 400016

    Xiaoli Han, Master, 13271943396, hxl093@163.com

    Not yet recruiting
  • Foshan Nanhai District People's Hospital

    Foshan, Guangdong, 528200

    Zongmian Zhang, Bachelor, 13590550630, mian74@qq.com

    Not yet recruiting
  • First Affiliated Hospital of Gannan Medical University

    Ganzhou, Jiangxi, 341000

    Shaochun Yang, Master, 13766399775, yangshch680709@hotmail.com

    Not yet recruiting
  • The First Clinical College of Guangzhou Medical University

    Guangzhou, Guangdong, 510120

    Chao Zhuo, Doctor, 18928868397, chaosheep@sina.com

    Not yet recruiting
  • Shanghai General Hospital

    Shanghai, Shanghai Municipality, 200080

    Min Zhang, Doctor, 13482345145, maggie_zhangmin@163.com

    Not yet recruiting
  • Shanghai Pulmonary Hospital

    Shanghai, Shanghai Municipality, 200433

    Haiwen Lu, Doctor, 13917110982, haiwen_lu@163.cm

    Not yet recruiting
  • Peking University Shenzhen Hospital

    Shenzhen, Guangdong, 518036

    Lei Huang, Doctor, 13510331883, hl0248@outlook.com

    Ruilin Sun, Doctor, 13825167802, hl0248@outlook.com

    Not yet recruiting
  • The Second Hospital Of Hebei Medical University

    Shijiazhuang, Hebei, 050000

    Zhigang Cai, Doctor, 18233106552, zhigang_cai@163.com

    Not yet recruiting
  • Tianjin Medical University General Hospital

    Tianjin, Tianjin Municipality, 300052

    Jie Cao, Master, 13132088076, jiecao13995@163.com

    Not yet recruiting
  • Tianjin First Central Hospital

    Tianjin, Tianjin Municipality, 300191

    HongMei Gao, Doctor, 13072256661, ghm182@163.com

    Not yet recruiting
  • The First Affiliated Hospital of Xi'an Jiao Tong University

    Xi'an, Shaanxi, 710000

    YingLi He, Doctor, 18991232863, Heyingli2000@163.com

    Not yet recruiting
  • Xi'an Chest Hospital

    Xi'an, Shaanxi, 710100

    Jianying Li, Doctor, 13572168322, 363121217@qq.com

    Not yet recruiting
  • Yan'an University Xianyang Hospital

    Xianyang, Shaanxi, 712000

    Jianhou Jia, Master, 13892007197, jjh20@126.com

    Not yet recruiting
  • Northern Jiangsu People's Hospital

    Yangzhou, Jiangsu, 225000

    Lingfeng Min, Doctor, 18051061783, minlingfeng@126.com

    Not yet recruiting
  • Henan Provincial People's Hospital

    Zhengzhou, Henan, 450003

    Yi Kang, Doctor, 13938553839, 13938553839@163.com

    Not yet recruiting
  • Zhengzhou Central Hospital

    Zhengzhou, Henan, 450007

    Yanqiu Gao, Master, 13673999263, 13673999263@163.com

    Not yet recruiting
  • The Fifth Affiliated Hospital of Zhengzhou University

    Zhengzhou, Henan, 450052

    Yonghai Feng, Master, 13623712087, 13623712087@163.com

    Not yet recruiting
  • The Second Affiliated Hospital of Zhengzhou University

    Zhengzhou, Henan, 450052

    Xiaojun Liu, Bachelor, 13939199151, drliuxiaojun@163.com

    Not yet recruiting
  • The Fifth Affiliated Hospital, Sun Yat-sen University

    Zhuhai, Guangdong, 519000

    Liu Xi, Doctor, 15992670630, liuxi26@mail.sysu.edu.cn

    Not yet recruiting

Other trials in China

About this study

Official title: Randomized, Double-blind, Parallel-controlled, Multicenter Phase II Clinical Study to Evaluate the Efficacy and Safety of Polymyxin E2 Mesylate Intravenous Infusion Combined With Nebulized Inhalation in the Treatment of Hospital-acquired Bacterial Pneumonia/Ventilator-associated Bacterial Pneumonia Caused by Carbapenem-resistant Gram-negative Bacteria

Study on the Safety and Efficacy of Polymyxin E2 Methanesulfonate for Injection in the Treatment of Hospital-Acquired Bacterial Pneumonia/Ventilator-Associated Bacterial Pneumonia Caused by Carbapenem-Resistant Gram-Negative Bacteria.

Being tested
TQD3524, Meropenem for injection, Colistimethate Sodium for Injection

What participants receive

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

  • TQD3524Drug

    After entering the body, TQD3524 can be hydrolyzed into polymyxin E2 and its derivatives, exerting bactericidal effects .

  • Meropenem for injectionDrug

    Meropenem for injection is a β-lactam.

  • Colistimethate Sodium for InjectionDrug

    Colistimethate Sodium for Injection is a prodrug of polymyxin E. After entering the body, polymyxin E mesylate is hydrolyzed to polymyxin E (colistin), which exerts bactericidal activity.

Study groups in NCT07512596
Study groupRoleWhat they receive
Low-dose TQD3524 + Meropenem for injectionExperimentalTQD3524: 2.5mg/kg, q12h, intravenous drip, for a duration of 7 to 14 days, with a maximum of 21 days TQD3524 : 70mg, q12h, nebulized inhalation, for a duration of 7 to 14 days, with a maximum of 21 days Meropenem for injection: 2g, q8h,intravenous drip, for a duration of 7 to 14 days, with a maximum of 21 days
Receives: Drug: TQD3524; Drug: Meropenem for injection
Colistimethate Sodium for Injection + Meropenem for injection (Low-dose control)Active comparatorColistimethate Sodium for Injection: 2.5mg/kg, q12h, intravenous drip, for a duration of 7 to 14 days, with a maximum of 21 days Colistimethate Sodium for Injection: 70mg, q12h, nebulized inhalation, for a duration of 7 to 14 days, with a maximum of 21 days Meropenem for injection: 2g, q8h,intravenous drip, for a duration of 7 to 14 days, with a maximum of 21 days
Receives: Drug: Meropenem for injection; Drug: Colistimethate Sodium for Injection
High-dose TQD3524 + Meropenem for injectionExperimentalTQD3524: 3.75mg/kg, q12h, intravenous drip, for a duration of 7 to 14 days, with a maximum of 21 days TQD3524 : 70mg, q12h, nebulized inhalation, for a duration of 7 to 14 days, with a maximum of 21 days Meropenem for injection: 2g, q8h,intravenous drip, for a duration of 7 to 14 days, with a maximum of 21 days
Receives: Drug: TQD3524; Drug: Meropenem for injection
Colistimethate Sodium for Injection + Meropenem for injection (High-dose control)Active comparatorColistimethate Sodium for Injection: 2.5mg/kg, q12h, intravenous drip, for a duration of 7 to 14 days, with a maximum of 21 days Colistimethate Sodium for Injection: 70mg, q12h, nebulized inhalation, for a duration of 7 to 14 days, with a maximum of 21 days Meropenem for injection: 2g, q8h,intravenous drip, for a duration of 7 to 14 days, with a maximum of 21 days
Receives: Drug: Meropenem for injection; Drug: Colistimethate Sodium for Injection

What is being measured

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

  1. The proportion of subjects who achieved clinical cure

    The proportion of subjects who achieved clinical cure in the modified intention-to-treat (mITT) population at the treatment-end visit (TOC) based on clinical efficacy evaluation.

    Measured: Up to 28 days

  2. The percentage difference in subjects achieving clinical cure between the experimental group and the control group

    During the TOC visit, the percentage difference in subjects achieving clinical cure between the modified intention-to-treat (mITT) populations of the test group and the control group.

    Measured: Up to 28 days

Secondary outcomes (10)
  1. The bacterial clearance rate

    The bacterial clearance rate at the Time of Clinical Outcome (TOC) visit and the End of Treatment (EOT) visit in the microbiologically Improved Intent-to-Treat (micro-mITT) population and the Microbiologically Evaluable (ME) population.

    Measured: Up to 28 days

  2. The proportion of subjects who achieved clinical cure

    The proportion of subjects in the mITT population who achieved clinical cure in the clinical efficacy evaluation at the EOT visit.

    Measured: Up to 21 days

  3. The proportion of subjects who achieved clinical cure

    The proportion of subjects in the clinically evaluable (CE) population who achieved clinical cure in the clinical efficacy assessment at the EOT visit.

    Measured: Up to 21 days

  4. The proportion of subjects who achieved clinical cure

    The proportion of subjects in the CE population who achieve clinical cure in the clinical efficacy evaluation during the TOC visit

    Measured: Up to 28 days

  5. All-cause mortality

    All-cause mortality rate in the mITT population on Day 28 ± 2 after the first dose.

    Measured: Up to 28 days

  6. Average duration of mechanical ventilation

    The average duration of mechanical ventilation in the mITT population.

    Measured: Up to 28 days

  7. Average length of hospital stay

    The average length of hospital stay from the first dose to the end of the follow-up period in the mITT population.

    Measured: Up to 28 days

  8. Change in APACHE II score

    Changes in APACHE II scores before and after treatment in the mITT population. The higher the score, the more severe the condition.

    Measured: Up to 28 days

  9. Change value of procalcitonin

    Change in procalcitonin levels from baseline during TOC visits in the mITT population.

    Measured: Up to 28 days

  10. The proportion of patients experiencing adverse reactions

    The proportion of patients experiencing adverse reactions.

    Measured: Up to 28 days

Timeline

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

  1. First posted6 Apr 2026
  2. Study start21 Jul 2026
  3. Primary completionJul 2027 (estimated)
  4. Study completionJul 2027 (estimated)

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
48 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07512596
Sponsor's protocol ID
TQD3524-II-02
Status last verified
Sep 2026
First submitted
27 Mar 2026
Last updated
4 Sep 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing TQD3524, Meropenem for injection and Colistimethate Sodium for Injection in people with Hospital-acquired Bacterial Pneumonia/Ventilator-associated Bacterial Pneumonia, run by Chia Tai Tianqing Pharmaceutical Group Co., Ltd. at 27 sites in China.

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 9 inclusion and 20 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: looking for participants now, as of the sponsor's last update on 4 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 27 sites in China. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Yanbin Liu, Doctor (18980601983, dr_liuyanbin@foxmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The proportion of subjects who achieved clinical cure (time frame: Up to 28 days). The study lists 2 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 4 Sep 2026.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in