Clinical Trials

Numerous clinical trials spanning Phase 1 through Phase 4 evaluate imipenem for bacterial infections, including complicated urinary tract infections, sepsis, bacterial pneumonia in cystic fibrosis, and carbapenem-resistant Enterobacteriaceae. These studies assess safety, pharmacokinetics, clinical efficacy, and combination regimens with relebactam and cilastatin in diverse populations, such as critically ill and obese patients. Sponsored by pharmaceutical companies, academic hospitals, and research foundations, their recruitment statuses range from completed and actively recruiting to withdrawn or enrolling by invitation.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07485010 NOT_YET_RECRUITING
Mycobacterium Abscessus Pulmonary Disease; Mycobacterium Abscessus Infection; Non-Tuberculous Mycobacterial (NTM) Infections; Non-Tuberculous Mycobacteria Pulmonary Disease
The University of Queensland
2027-04 PHASE2
NCT04310930 RECRUITING
Pulmonary Disease Due to Mycobacteria (Diagnosis)
The University of Queensland
2020-03-02 PHASE2; PHASE3
NCT07759453 NOT_YET_RECRUITING
Liver Transplant; Carbapenem-resistant Enterobacterales; CRE Colonization
IRCCS Azienda Ospedaliero-Universitaria di Bologna
2026-10-01 PHASE3
NCT05925309 RECRUITING
Biliary Atresia; Cholangitis; Anti-Bacterial Agents
Children's Hospital of Fudan University
2023-07-01
NCT07228702 ENROLLING_BY_INVITATION
Non-Tuberculous Mycobacterial (NTM) Pneumonia; Mycobacterium Abscessus Infection
Vancouver Coastal Health
2026-01-11 PHASE1
NCT07524920 NOT_YET_RECRUITING
MDR Bacteria
Ain Shams University
2026-04-01 PHASE2
NCT06569056 RECRUITING
Complicated Urinary Tract Infection(cUTI), Including Acute Pyelonephritis(AP)
Jiangsu HengRui Medicine Co., Ltd.
2024-09-25 PHASE3
NCT05204368 UNKNOWN
Complicated Urinary Tract Infection Including Acute Pyelonephritis
Evopoint Biosciences Inc.
2023-03-30 PHASE3
NCT06059846 COMPLETED
Urinary Tract Infection; Acute Pyelonephritis
Spero Therapeutics
2023-12-21 PHASE3
NCT05887908 COMPLETED
Complicated Urinary Tract Infection; Acute Pyelonephritis; cUTI; AP
Meiji Seika Pharma Co., Ltd.
2023-05-23 PHASE3
NCT05561764 TERMINATED
Cystic Fibrosis; Pneumonia, Bacterial
Hartford Hospital
2023-01-03 PHASE4
NCT05204563 COMPLETED
Hospital Acquired Bacterial Pneumonia or Ventilator-Associated Bacterial Pneumonia
Evopoint Biosciences Inc.
2022-07-31 PHASE3
NCT03012360 TERMINATED
Mechanical Ventilation Complication; Critical Illness
University Hospital, Lille
2018-02-08 PHASE4
NCT06144060 UNKNOWN
Patients With Complicated Urinary Tract Infection(cUTI), Including Acute Pyelonephritis(AP)
Jiangsu HengRui Medicine Co., Ltd.
2023-12 PHASE2
NCT04983901 COMPLETED
Hematopoietic and Lymphoid Cell Neoplasm; Malignant Solid Neoplasm
M.D. Anderson Cancer Center
2021-09-14 PHASE2
NCT05146154 WITHDRAWN
Obesity; Critical Illness
University of Illinois at Chicago
2023-01-01 PHASE4
NCT04493151 COMPLETED
Sepsis
Joseph L. Kuti, PharmD
2021-01-01 PHASE1
NCT04785924 WITHDRAWN
Carbapenem-Resistant Enterobacteriaceae Infection; KPC; Gram-Negative Bacterial Infections; Antibiotic Resistant Infection
Wake Forest University Health Sciences
2021-06-07 PHASE4
NCT05561764 Recruiting
Cystic Fibrosis|Pneumonia Bacterial
Hartford Hospital|Merck Sharp & Dohme LLC|Q2 Solutions|Connecticut Children''s Medical Center|St. Christopher''s Hospital for Children|University of Texas Southwestern Medical Center|University of Pittsburgh Medical Center|Indiana University Health Methodist Hospital|James Whitcomb Riley Hospital for Children
2023-01-03 Phase 4
NCT05146154 Enrolling by invitation
Obesity|Critical Illness
University of Illinois at Chicago|Merck Sharp & Dohme LLC
2023-01-01 Phase 4
NCT05516433 Recruiting
Enterobacteriaceae Infections
Fondation Hôpital Saint-Joseph
2023-01-23 --
NCT03583333 COMPLETED
Hospital-Acquired Bacterial Pneumonia; Ventilator-Associated Bacterial Pneumonia
Merck Sharp & Dohme LLC
2018-09-18 PHASE3
NCT05285046 Unknown status
Bacterial Infections|Antibiotic Resistant Infection
D''Or Institute for Research and Education
2022-04-01 --
NCT04208763 UNKNOWN
Spontaneous Bacterial Peritonitis
Institute of Liver and Biliary Sciences, India
2019-12-20
NCT04801043 COMPLETED
Bacterial Infections
Evopoint Biosciences Inc.
2021-03-02 PHASE1
NCT04787562 COMPLETED
Bacterial Infections
Evopoint Biosciences Inc.
2021-02-25 PHASE1
NCT04147221 COMPLETED
Sepsis
Hartford Hospital
2020-02-10 PHASE1
NCT03177720 COMPLETED
Pneumonia
Medical University of Vienna
2016-05-29 PHASE1
NCT03894046 COMPLETED
Acinetobacter Baumannii-calcoaceticus Complex; Hospital-acquired Bacterial Pneumonia; Ventilator-associated Bacterial Pneumonia; Bacteremia; Colistin Resistant ABC
Entasis Therapeutics
2019-09-05 PHASE3
NCT04802863 COMPLETED
Bacterial Infections
Evopoint Biosciences Inc.
2021-03-25 PHASE1
NCT04802863 Completed
Bacterial Infections
Evopoint Biosciences Inc.
2021-03-25 Phase 1
NCT04801043 Completed
Bacterial Infections
Evopoint Biosciences Inc.
2021-03-02 Phase 1
NCT04482569 COMPLETED
Bacterial Infections
Evopoint Biosciences Inc.
2020-07-10 PHASE1
NCT03543436 COMPLETED
Urinary Tract Infections
Assistance Publique - Hôpitaux de Paris
2019-01-04 PHASE3
NCT03008746 COMPLETED
Chronic Obstructive Pulmonary Disease
CHU de Reims
2017-01-12
NCT03019965 COMPLETED
Sepsis
Coordinación de Investigación en Salud, Mexico
2017-02-01
NCT03884881 UNKNOWN
Pneumonia; Metagenomic Next Generation Sequencing
Xiangya Hospital of Central South University
2018-01-01
NCT03733340 UNKNOWN
Antibacterial Prophylaxis; Hematological Malignancies; Allogenetic Hematopoietic Stem Cell Transplantation; Imipenem
Nanfang Hospital, Southern Medical University
2018-12-01 PHASE2; PHASE3
NCT02149329 COMPLETED
Febrile Neutropenia; Hematological Malignancy
Amsterdam UMC, location VUmc
2014-12 PHASE4
NCT02493764 COMPLETED
Bacterial Pneumonia
Merck Sharp & Dohme LLC
2015-11-24 PHASE3
NCT03293485 COMPLETED
Complicated Intra-abdominal Infection; Complicated Urinary Tract Infection
Merck Sharp & Dohme LLC
2017-10-04 PHASE3
NCT03445195 COMPLETED
Complicated Urinary Tract Infection; Acute Pyelonephritis
Entasis Therapeutics
2018-01-17 PHASE2
NCT03776305 UNKNOWN
Critically Ill Patients With ECMO
Prince of Songkla University
2015-12-01 PHASE4
NCT02474706 TERMINATED
Urinary Tract Infections
Central Hospital, Nancy, France
2016-03 PHASE4
NCT02452047 COMPLETED
Bacterial Infections
Merck Sharp & Dohme LLC
2015-08-21 PHASE3
NCT02971423 COMPLETED
Acinetobacter Baumannii Infection
Entasis Therapeutics
2016-10 PHASE1
NCT02897206 COMPLETED
Acute Pancreatitis
University Hospital Rijeka
2014-10 PHASE4
NCT02321800 COMPLETED
Urinary Tract Infections
Shionogi
2015-02-05 PHASE2
NCT01852630 COMPLETED
Spontaneous Bacterial Peritonitis
Institute of Liver and Biliary Sciences, India
2012-12
NCT02616354 UNKNOWN
Sepsis
Southeast University, China
2015-01 PHASE4
NCT01721408 COMPLETED
Intra-abdominal Infection
Pfizer
2012-11 PHASE4
NCT01659866 COMPLETED
Infection
Northwestern University
2012-08 PHASE4
NCT01505634 COMPLETED
Urinary Tract Infections; Pyelonephritis
Merck Sharp & Dohme LLC
2012-05-16 PHASE2
NCT01820026 UNKNOWN
Cirrhosis
University of Roma La Sapienza
2012-12 PHASE4
NCT02683603 COMPLETED
Pneumonia, Ventilator-Associated
Tunis University
2013-04 PHASE4
NCT01506271 COMPLETED
Intra-abdominal Infections
Merck Sharp & Dohme LLC
2012-06-01 PHASE2
NCT00871104 COMPLETED
Infective Endocarditis
Juan A. Arnaiz
2009-07 PHASE4
NCT01714570 COMPLETED
Febrile; Neutropenia; Hematopoietic Stem Cell Transplantation
Chinese PLA General Hospital
2012-11
NCT01379157 COMPLETED
Ventilator Associated Pneumonia
Prince of Songkla University
2011-11 PHASE4
NCT02213783 COMPLETED
Patients With Febrile Neutropenia
Prince of Songkla University
2011-02 PHASE4
NCT01356472 UNKNOWN
Methicillin-resistant Staphylococcus Aureus; Pneumonia, Ventilator-Associated
Ruijin Hospital
2011-06 PHASE4
NCT01297842 UNKNOWN
Drug Safety
Mahidol University
2011-05 PHASE4
NCT01381549 TERMINATED
Infections, Urinary Tract
GlaxoSmithKline
2011-06-28 PHASE2
NCT01275170 COMPLETED
Infectious Disease
Merck Sharp & Dohme LLC
2011-01-28 PHASE1
NCT00950222 COMPLETED
Ventilator Associated Pneumonia
Assistance Publique - Hôpitaux de Paris
2009-06
NCT00589693 TERMINATED
Ventilator-Associated Pneumonia
Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
2008-04 PHASE3
NCT00707239 TERMINATED
Pneumonia, Bacterial
Pfizer
2008-12 PHASE2
NCT00690378 COMPLETED
Complicated Urinary Tract Infection
Pfizer
2008-11 PHASE2
NCT01489124 COMPLETED
Ventilator-Associated Pneumonia
Sutep Jaruratanasirikul
2008-01 PHASE4
NCT00515034 COMPLETED
Pneumonia, Ventilator-Associated; Pneumonia, Bacterial; Pneumonia; Abdominal Abscess; Bacterial Infections
Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
2007-10 PHASE2
NCT00445094 COMPLETED
Infection; Pneumonia
Merck Sharp & Dohme LLC
2006-11 PHASE4
NCT00136201 COMPLETED
Abdominal Abscess
Wyeth is now a wholly owned subsidiary of Pfizer
2005-11 PHASE3
NCT00081744 COMPLETED
Gram-Positive Bacterial Infections; Cross Infection
Wyeth is now a wholly owned subsidiary of Pfizer
2002-11 PHASE3
NCT00619710 COMPLETED
Skin Infection; Abscess; Cellulitis
Pfizer
2001-02 PHASE3
NCT00080496 COMPLETED
Bacterial Pneumonia
Wyeth is now a wholly owned subsidiary of Pfizer
2003-07 PHASE3
NCT00236834 COMPLETED
Nosocomial Pneumonia
Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
1997-12 PHASE3

(data from https://clinicaltrials.gov, updated on 2026-03-20)

Check the Imipenem product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Imipenem binds to bacterial penicillin-binding proteins while inhibiting AmpC β-lactamases, thereby disrupting cell wall peptidoglycan synthesis and inducing osmotic cell lysis. This potent bactericidal action provides clinical efficacy against multidrug-resistant pathogens in conditions such as complicated urinary tract infections, bacterial pneumonia, and sepsis evaluated across clinical trials.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.