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Last Updated: April 10, 2025

CLINICAL TRIALS PROFILE FOR MERREM IV


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All Clinical Trials for MERREM IV

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT00410527 ↗ Effectiveness of Short-Course Versus Standard Antibiotic Therapy in ICU Patients Completed National Institutes of Health Clinical Center (CC) Phase 4 2006-08-11 This study will compare two treatment strategies (standard versus short-course antibiotic therapy) for preventing resistant bacterial infection in patients in the intensive care unit (ICU). ICUs are the most frequently identified source of hospital-acquired infections. This study will examine the effectiveness of 3 days of antibiotic treatment in reducing the risk of developing antimicrobial-resistant bacteria as compared with standard antibiotic therapy of at least 8 days. It will also determine whether short-course therapy can reduce the duration and costs of ICU and hospital stays, of antibiotic treatment, and of costs involving treatment of infection-related problems. Patients of participating institutions who are in the ICU may be eligible for this study. Candidates must be 18 years of age or older. They must have been in the hospital for at least 3 days, developed new pulmonary infiltrates (fluid or cells in the airspaces of the lungs) during their ICU stay and must be at low risk of having pneumonia. Participants on short-course therapy take antibiotic for 3 days; those receiving standard therapy take antibiotic for at least 8 days. Both groups receive the treatment intravenously (through a vein). Sputum specimens are collected at baseline (before starting therapy) and on days 3, 10, and 28. Throat culture specimens are obtained at baseline and on days 3, 10, and 28. Nasal and anal or stool samples are collected at baseline and on days 10 and 28. Cultures of respiratory specimens obtained throughout the study period are examined for evidence of antimicrobial-resistant bacteria or the isolation of a potential pathogen. All patients are followed for 28 days after enrollment or until discharge from the hospital.
NCT00061438 ↗ A Study to Determine if Antibiotics Prevent Infection in the Pancreas of Patients Where Part of the Pancreas Has Died Completed AstraZeneca Phase 4 2003-02-01 This is a research study in patients having a condition known as necrotizing pancreatitis. This is inflammation of the pancreas (an intestinal organ which assists with digestion) that has resulted in the damage and death of some pancreatic tissue. This damaged pancreatic tissue may develop a bacterial infection, which can cause further -sometimes very serious- health problems. It may be possible to prevent or delay infection by giving 'prophylactic' antibiotics (that is - to provide protection before any infection starts). However, it is not certain that this antibiotic therapy will be successful. This study is being carried out to see whether the antibiotic 'Meropenem' (which is also known as MERREM I.V.) provides protection from developing a pancreatic infection. This will be done by comparing the progress of patients who receive meropenem with those who receive a non-active placebo solution (a solution that does not contain any active medication). Meropenem or placebo would be given in addition to the standard treatment received for pancreatitis. It is not known if meropenem will help prevent infections associated with necrotizing pancreatitis. Approximately 240 patients will take part in this study. Study participation will be carried out for up to 6 weeks, and patients will receive the study treatment up to a maximum of 21 days.
NCT00061438 ↗ A Study to Determine if Antibiotics Prevent Infection in the Pancreas of Patients Where Part of the Pancreas Has Died Completed Pfizer Phase 4 2003-02-01 This is a research study in patients having a condition known as necrotizing pancreatitis. This is inflammation of the pancreas (an intestinal organ which assists with digestion) that has resulted in the damage and death of some pancreatic tissue. This damaged pancreatic tissue may develop a bacterial infection, which can cause further -sometimes very serious- health problems. It may be possible to prevent or delay infection by giving 'prophylactic' antibiotics (that is - to provide protection before any infection starts). However, it is not certain that this antibiotic therapy will be successful. This study is being carried out to see whether the antibiotic 'Meropenem' (which is also known as MERREM I.V.) provides protection from developing a pancreatic infection. This will be done by comparing the progress of patients who receive meropenem with those who receive a non-active placebo solution (a solution that does not contain any active medication). Meropenem or placebo would be given in addition to the standard treatment received for pancreatitis. It is not known if meropenem will help prevent infections associated with necrotizing pancreatitis. Approximately 240 patients will take part in this study. Study participation will be carried out for up to 6 weeks, and patients will receive the study treatment up to a maximum of 21 days.
NCT00050401 ↗ Ventilator-Associated Pneumonia/Hospital-Acquired Pneumonia Requiring Mechanical Ventilatory Support Completed AstraZeneca Phase 3 2002-07-01 The purpose of the study is to find out if high dose antibiotic (meropenem, MERREM® I.V.), along with another drug called an aminoglycoside (a different type of antibiotic) is effective in decreasing or reducing the rate of antibiotic resistant Pseudomonas aeruginosa, Acinetobacter (germs that can cause pneumonia), and the rate of resistance in other difficult to treat germs which may cause hospital-acquired pneumonia requiring mechanical ventilatory support. The study hopes to show that by increasing the amount of meropenem administered and increasing the duration of infusion (release of the drug into the bloodstream), levels of the drug will stay at target levels in the bloodstream and decrease the ability of difficult to treat germs to resist, or not be killed by, the treatment using this antibiotic (meropenem) or other antibiotics.
NCT00050401 ↗ Ventilator-Associated Pneumonia/Hospital-Acquired Pneumonia Requiring Mechanical Ventilatory Support Completed Pfizer Phase 3 2002-07-01 The purpose of the study is to find out if high dose antibiotic (meropenem, MERREM® I.V.), along with another drug called an aminoglycoside (a different type of antibiotic) is effective in decreasing or reducing the rate of antibiotic resistant Pseudomonas aeruginosa, Acinetobacter (germs that can cause pneumonia), and the rate of resistance in other difficult to treat germs which may cause hospital-acquired pneumonia requiring mechanical ventilatory support. The study hopes to show that by increasing the amount of meropenem administered and increasing the duration of infusion (release of the drug into the bloodstream), levels of the drug will stay at target levels in the bloodstream and decrease the ability of difficult to treat germs to resist, or not be killed by, the treatment using this antibiotic (meropenem) or other antibiotics.
>Trial ID>Title>Status>Phase>Start Date>Summary
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Clinical Trial Conditions for MERREM IV

Condition Name

22220-0.200.20.40.60.811.21.41.61.822.2Febrile NeutropeniaBloodstream InfectionsPneumoniaComplicated Intra-abdominal Infections[disabled in preview]
Condition Name for MERREM IV
Intervention Trials
Febrile Neutropenia 2
Bloodstream Infections 2
Pneumonia 2
Complicated Intra-abdominal Infections 2
[disabled in preview] 0
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Condition MeSH

664300123456InfectionsInfectionCommunicable DiseasesIntraabdominal Infections[disabled in preview]
Condition MeSH for MERREM IV
Intervention Trials
Infections 6
Infection 6
Communicable Diseases 4
Intraabdominal Infections 3
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Clinical Trial Locations for MERREM IV

Trials by Country

+
Trials by Country for MERREM IV
Location Trials
United States 63
Australia 8
Canada 3
South Africa 2
Romania 2
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Trials by US State

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Trials by US State for MERREM IV
Location Trials
Texas 5
Ohio 5
New York 5
California 4
Indiana 4
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Clinical Trial Progress for MERREM IV

Clinical Trial Phase

42.9%21.4%21.4%14.3%022.533.544.555.56Phase 4Phase 3Phase 2[disabled in preview]
Clinical Trial Phase for MERREM IV
Clinical Trial Phase Trials
Phase 4 6
Phase 3 3
Phase 2 3
[disabled in preview] 2
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Clinical Trial Status

66.7%13.3%6.7%13.3%012345678910CompletedTerminatedRecruiting[disabled in preview]
Clinical Trial Status for MERREM IV
Clinical Trial Phase Trials
Completed 10
Terminated 2
Recruiting 1
[disabled in preview] 2
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Clinical Trial Sponsors for MERREM IV

Sponsor Name

trials011223344PfizerAstraZenecaThe University of Queensland[disabled in preview]
Sponsor Name for MERREM IV
Sponsor Trials
Pfizer 4
AstraZeneca 3
The University of Queensland 2
[disabled in preview] 2
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Sponsor Type

50.0%42.3%7.7%002468101214IndustryOtherNIH[disabled in preview]
Sponsor Type for MERREM IV
Sponsor Trials
Industry 13
Other 11
NIH 2
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MERREM IV: Clinical Trials Update, Market Analysis, and Future Projections

MERREM IV, a powerful carbapenem antibiotic, has been a cornerstone in treating severe bacterial infections for years. As we delve into the latest clinical trials, market trends, and future projections for this critical medication, we'll uncover valuable insights for healthcare professionals and industry stakeholders alike.

Understanding MERREM IV

MERREM IV, also known as meropenem, is a broad-spectrum antibiotic used to treat a variety of complicated bacterial infections. It's particularly effective against:

  • Intra-abdominal infections
  • Bacterial meningitis
  • Complicated skin and skin structure infections
MERREM IV is indicated for the treatment of bacterial meningitis caused by Haemophilus influenzae, Neisseria meningitidis and penicillin-susceptible isolates of Streptococcus pneumoniae[1].

This versatility has made MERREM IV a crucial tool in the fight against severe infections, especially in hospital settings.

Recent Clinical Trials

Recent clinical trials have continued to explore the efficacy and safety of MERREM IV in various patient populations and infection types.

Comparative Studies

A multicenter, randomized, open-label trial compared MERREM IV with PRIMAXIN IV (imipenem/cilastatin) for treating serious bacterial infections[7]. This study aimed to evaluate the comparative efficacy and safety profiles of these two carbapenem antibiotics.

Pediatric Studies

Research has also focused on the use of MERREM IV in pediatric patients. One study supported the use of MERREM IV in children less than 3 months old with intra-abdominal infections[9]. This expands the potential patient population for the drug, addressing a critical need in neonatal care.

Efficacy in Resistant Infections

With the rising concern of antibiotic resistance, trials have investigated MERREM IV's effectiveness against resistant strains. These studies are crucial in determining the drug's ongoing utility in an era of increasing antimicrobial resistance.

Market Analysis

The market for MERREM IV and its active pharmaceutical ingredient (API) has shown significant growth and is projected to continue expanding.

Global Market Size

According to Cognitive Market Research, the global meropenem API market is expected to grow at a compound annual growth rate (CAGR) of 4.00% from 2024 to 2031[5]. This growth indicates a sustained demand for the drug and its components.

Regional Market Breakdown

North America

North America dominates the meropenem API market, accounting for around 40% of global revenue in 2024. The region is expected to grow at a CAGR of 2.2% from 2024 to 2031[2].

Asia Pacific

The Asia Pacific region is experiencing rapid growth in meropenem API demand, with an expected CAGR of 6.0% from 2024 to 2031[2]. This surge is driven by increasing antibiotic resistance, improved healthcare awareness, and expanded generic availability.

Europe

Europe held a 26.14% market share in 2025, with projections indicating growth from 1,903.4 Million USD in 2025 to 4,328.1 Million USD by 2033, representing a 10.8% CAGR[5].

Middle East and Africa

The Middle East and Africa market, while smaller, is showing promising growth. It's expected to grow at a CAGR of 3.7% from 2024 to 2031[5].

Market Drivers

Several factors are contributing to the growth of the MERREM IV market:

  1. Increasing prevalence of antibiotic-resistant bacteria
  2. Rising rates of healthcare-associated infections (HAIs)
  3. Growing elderly population more susceptible to severe infections
  4. Expansion of MERREM IV use in hospital formularies

Future Projections

The future of MERREM IV looks promising, with several trends shaping its trajectory.

Continued Market Growth

The global meropenem API market is projected to maintain steady growth, driven by ongoing demand for effective broad-spectrum antibiotics.

Focus on Combination Therapies

To combat antibiotic resistance, there's increasing interest in combination therapies. For example, VABOMERE, a combination of meropenem and vaborbactam, represents a new direction in carbapenem antibiotic development[8].

Expanding Indications

Ongoing research may lead to new approved indications for MERREM IV, potentially expanding its use in different patient populations or infection types.

Generic Competition

As patents expire, the market may see an increase in generic versions of meropenem, potentially affecting pricing and market dynamics.

Challenges and Opportunities

Antibiotic Stewardship

The growing emphasis on antibiotic stewardship presents both a challenge and an opportunity for MERREM IV. While it may limit unnecessary use, it also positions MERREM IV as a critical tool for severe infections when other antibiotics fail.

Research and Development

Continued investment in R&D is crucial for maintaining MERREM IV's relevance. This includes exploring new formulations, combination therapies, and potential synergies with other treatments.

Global Health Initiatives

MERREM IV could play a significant role in global health initiatives targeting antibiotic-resistant infections, potentially opening new markets and applications.

Pricing and Accessibility

The cost of MERREM IV can vary significantly. For instance, a 1 gm solution reconstituted can cost around $372.20 at full price, or as low as $53.39 with a SingleCare coupon[2]. Ensuring accessibility while maintaining profitability will be a key challenge for manufacturers and healthcare systems.

Competitive Landscape

The meropenem market includes several key players:

  • Menarini Group
  • Pfizer Inc.
  • Sun Pharmaceutical Industries Ltd
  • Lupin
  • Aurobindo Pharma

These companies are shaping the market through licensing agreements, product developments, and strategic partnerships.

Regulatory Considerations

Regulatory bodies continue to monitor the use of broad-spectrum antibiotics like MERREM IV. Manufacturers must navigate evolving guidelines and restrictions to ensure compliance while meeting market demand.

Key Takeaways

  • MERREM IV remains a critical antibiotic for treating severe bacterial infections.
  • The global meropenem API market is projected to grow at a CAGR of 4.00% from 2024 to 2031.
  • North America and Asia Pacific are key regions driving market growth.
  • Combination therapies and new formulations represent future opportunities for MERREM IV.
  • Antibiotic stewardship and regulatory considerations will continue to shape the market landscape.
  • Ongoing research and development are crucial for maintaining MERREM IV's relevance in the face of antibiotic resistance.

FAQs

  1. What is the primary use of MERREM IV? MERREM IV is primarily used to treat severe bacterial infections, including intra-abdominal infections, bacterial meningitis, and complicated skin and skin structure infections.

  2. How is the global market for meropenem API expected to grow? The global meropenem API market is projected to grow at a CAGR of 4.00% from 2024 to 2031.

  3. What are the main challenges facing the MERREM IV market? Key challenges include antibiotic resistance, regulatory restrictions, and balancing accessibility with profitability.

  4. Are there any new developments in MERREM IV formulations? Yes, there's growing interest in combination therapies, such as VABOMERE, which combines meropenem with vaborbactam to combat antibiotic resistance.

  5. How does MERREM IV pricing vary? Pricing can vary significantly. For example, a 1 gm solution reconstituted can range from $372.20 at full price to as low as $53.39 with certain discounts.

Sources cited: [1] https://labeling.pfizer.com/ShowLabeling.aspx?id=9318 [2] https://www.drugpatentwatch.com/p/drug-price/drugname/MEROPENEM+IV [5] https://www.cognitivemarketresearch.com/meropenem-api-market-report [7] https://dede.www.astrazenecaclinicaltrials.com/study/3591US%2F0022/ [8] https://aspe.hhs.gov/sites/default/files/documents/b0962d8b3a6a3a825216485a4a988c76/antimicrobial-drugs-market-returns-analysis.pdf [9] https://www.fffenterprises.com/assets/downloads/product-information/pfizer/pi-MERREM.pdf

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