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Efficacy and Safety Study of Oral CEM-101 Compared to Oral Levofloxacin in Treatment of Patients With Community-Acquired Bacterial Pneumonia

Primary Purpose

Community-Acquired Bacterial Pneumonia

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Levofloxacin
CEM-101
Sponsored by
Melinta Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Community-Acquired Bacterial Pneumonia focused on measuring Adults with Community-Acquired Bacterial Pneumonia

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Diagnosis of community acquired bacterial pneumonia (e.g. cough with purulent sputum or change in character of sputum consistent with bacterial infection, dyspnea or tachypnea, chest pain due to pneumonia, fever, presence of rales and/or signs of consolidation).
  2. No prior systemic antibacterial therapy, unless failed other therapy.
  3. Chest Xray shows new lobar or multilobar infiltrate(s) consistent with acute bacterial pneumonia.
  4. PORT Risk Class II, III, or IV <=105
  5. Ability to take oral medication.

Exclusion Criteria:

  1. Severe chronic obstructive pulmonary disease FEV1 <30%.
  2. Hospitalization within 90 days or residence in a long-term-care facility within 30 days prior to the onset of symptoms
  3. Chemotherapy or radiation therapy within the previous 3 months.
  4. Significant hepatic, hematological, renal abnormalities.
  5. Any concomitant condition that, in the opinion of the Investigator, would preclude an evaluation of a response or make it unlikely that the contemplated course of therapy and follow-up could be completed (e.g. life expectancy <30 days).

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Levofloxacin

CEM-101

Arm Description

Outcomes

Primary Outcome Measures

Clinical Success in the Intent to Treat (ITT) population at the Treatment of Cure (TOC) visit
Clinical Success defined as continued improvement or complete resolution of baseline signs and symptoms and if available, an improved/stable chest radiograph after the end of treatment
Clinical Success in the Clinically Evaluable (CE) population at the Treatment of Cure (TOC) Visit
Clinical Success defined as continued improvement or complete resolution of baseline signs and symptoms and if available, an improved/stable chest radiograph after the end of treatment

Secondary Outcome Measures

By Patient Microbiological Response in the Microbiological Intent to Treat (microlITT) population at the end of treatment (EOT)
Successful response is eradication, presumed eradication or combined eradication/presumed eradication of baseline pathogen.
By Patient Microbiological Response in the Microbiological Intent to Treat (microlITT) population at the Treatment of Cure (TOC) visit
Successful response is eradication, presumed eradication or combined eradication/presumed eradication of baseline pathogen
By-patient Microbiological Response in the Microbiologically Evaluable (ME) populations at the end of treatment (EOT)
Successful response is eradication, presumed eradication or combined eradication/presumed eradication of baseline pathogen
By-patient Microbiological Response in the Microbiologically Evaluable (ME) populations at Treatment of Cure (TOC) visit
Successful response is eradication, presumed eradication or combined eradication/presumed eradication of baseline pathogen
Clinical Response in the Intent to Treat (ITT) population at End of Treatment (EOT)
Clinical Success is defined as complete or near-complete resolution of the baseline signs and symptoms of community acquired bacterial pneumonia (CABP); no further study drug for treatment of CABP
Clinical Response in the microbiological intent to treat (microlITT) population at the end of treatment (EOT)
Clinical Success is defined as complete or near-complete resolution of the baseline signs and symptoms of community acquired bacterial pneumonia (CABP); no further study drug for treatment of CABP
Clinical Response in the clinically evaluable (CE) population at the end of treatment (EOT)
Clinical Success is defined as complete or near-complete resolution of the baseline signs and symptoms of community acquired bacterial pneumonia (CABP); no further study drug for treatment of CABP
Clinical REsponse in the Microbiologically Evaluable (ME) population at the end of treatment (EOT)
Clinical Success is defined as complete or near-complete resolution of the baseline signs and symptoms of community acquired bacterial pneumonia (CABP); no further study drug for treatment of CABP
Early Clinical Response in the intent to treat (ITT) population at Day 3
Clinical success is defined as being both clinically stable and showing clinical improvement based on the symptoms of community acquired bacterial pneumonia (CABP)
Percentage of patients at each visit who have resolution of all baseline signs and symptoms in the clinically evaluable (CE) population
Resolution of all baseline signs and symptoms in the clinically evaluable (CE) population
Percentage of patients at Day 3 who have resolution of cough, dyspnea, chest pain due to pneumonia and sputum production
Resolution of cough, dyspnea, chest pain due to pneumonia and sputum production
Percentage of patients at the end of treatment (EOT) who have resolution of cough, dyspnea, chest pain due to pneumonia and sputum production
resolution of cough, dyspnea, chest pain due to pneumonia and sputum production
Percentage of patients at Day 3 who are clinically stable
clinical stability defined as: Temperature <=37.8°C Heart rate <=100 beats/min Systolic blood pressure ≥90 mm Hg Ability to maintain oral intake Normal mental status (oriented to person, place or time)
Percentage of patients at the end of treatment (EOT) who are clinically stable
Clinically stable defined as: Temperature ≤37.8°C Heart rate ≤100 beats/min Systolic blood pressure ≥90 mm Hg Ability to maintain oral intake Normal mental status (oriented to person, place or time)

Full Information

First Posted
July 22, 2010
Last Updated
March 1, 2017
Sponsor
Melinta Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01168713
Brief Title
Efficacy and Safety Study of Oral CEM-101 Compared to Oral Levofloxacin in Treatment of Patients With Community-Acquired Bacterial Pneumonia
Official Title
A Randomized, Double-Blind, Multi-Center Study to Evaluate the Efficacy and Safety of Oral CEM-101 Compared to Oral Levofloxacin in the Treatment of Patients With Community-Acquired Bacterial Pneumonia
Study Type
Interventional

2. Study Status

Record Verification Date
March 2017
Overall Recruitment Status
Completed
Study Start Date
August 2010 (undefined)
Primary Completion Date
July 2011 (Actual)
Study Completion Date
July 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Melinta Therapeutics, Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Study to evaluate the safety and efficacy of oral CEM-101 compared to oral Levofloxacin in the treatment of adults with moderate to moderately severe community-acquired bacterial pneumonia.
Detailed Description
Community-acquired bacterial pneumonia is an acute infection of the pulmonary parenchyma with symptoms such as fever or hypothermia, chills, rigors, chest pain, and/or dyspnea. The widespread emergence of antibiotic resistant pathogens, including the macrolide-resistant Streptococcus pneumoniae, has resulted in a need for new and effective antibiotics that have activity again CABP pathogens. CEM-101 is the first fluoroketolide with excellent in vitro and in vivo activity against resistant S. pneumoniae and other key typical and atypical bacterial respiratory pathogens.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Community-Acquired Bacterial Pneumonia
Keywords
Adults with Community-Acquired Bacterial Pneumonia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
132 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Levofloxacin
Arm Type
Active Comparator
Arm Title
CEM-101
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Levofloxacin
Other Intervention Name(s)
Levaquin
Intervention Description
Levofloxacin once daily for 5 days: Levofloxacin 750 mg PO Days 1-5
Intervention Type
Drug
Intervention Name(s)
CEM-101
Other Intervention Name(s)
Solithromycin
Intervention Description
CEM-101 once daily for 5 days: CEM-101 800 mg PO Day 1 CEM-101 400 mg PO Days 2-5
Primary Outcome Measure Information:
Title
Clinical Success in the Intent to Treat (ITT) population at the Treatment of Cure (TOC) visit
Description
Clinical Success defined as continued improvement or complete resolution of baseline signs and symptoms and if available, an improved/stable chest radiograph after the end of treatment
Time Frame
5 to 10 days after the last dose of study drug
Title
Clinical Success in the Clinically Evaluable (CE) population at the Treatment of Cure (TOC) Visit
Description
Clinical Success defined as continued improvement or complete resolution of baseline signs and symptoms and if available, an improved/stable chest radiograph after the end of treatment
Time Frame
5 to 10 days after the last dose of study drug
Secondary Outcome Measure Information:
Title
By Patient Microbiological Response in the Microbiological Intent to Treat (microlITT) population at the end of treatment (EOT)
Description
Successful response is eradication, presumed eradication or combined eradication/presumed eradication of baseline pathogen.
Time Frame
5 days of study drug treatment
Title
By Patient Microbiological Response in the Microbiological Intent to Treat (microlITT) population at the Treatment of Cure (TOC) visit
Description
Successful response is eradication, presumed eradication or combined eradication/presumed eradication of baseline pathogen
Time Frame
5 to 10 days after the last dose of study drug
Title
By-patient Microbiological Response in the Microbiologically Evaluable (ME) populations at the end of treatment (EOT)
Description
Successful response is eradication, presumed eradication or combined eradication/presumed eradication of baseline pathogen
Time Frame
5 days of study drug treatment
Title
By-patient Microbiological Response in the Microbiologically Evaluable (ME) populations at Treatment of Cure (TOC) visit
Description
Successful response is eradication, presumed eradication or combined eradication/presumed eradication of baseline pathogen
Time Frame
5 to 10 days after the last dose of study drug
Title
Clinical Response in the Intent to Treat (ITT) population at End of Treatment (EOT)
Description
Clinical Success is defined as complete or near-complete resolution of the baseline signs and symptoms of community acquired bacterial pneumonia (CABP); no further study drug for treatment of CABP
Time Frame
5 days of study drug treatment
Title
Clinical Response in the microbiological intent to treat (microlITT) population at the end of treatment (EOT)
Description
Clinical Success is defined as complete or near-complete resolution of the baseline signs and symptoms of community acquired bacterial pneumonia (CABP); no further study drug for treatment of CABP
Time Frame
5 days of study drug treatment
Title
Clinical Response in the clinically evaluable (CE) population at the end of treatment (EOT)
Description
Clinical Success is defined as complete or near-complete resolution of the baseline signs and symptoms of community acquired bacterial pneumonia (CABP); no further study drug for treatment of CABP
Time Frame
5 days of study drug treatment
Title
Clinical REsponse in the Microbiologically Evaluable (ME) population at the end of treatment (EOT)
Description
Clinical Success is defined as complete or near-complete resolution of the baseline signs and symptoms of community acquired bacterial pneumonia (CABP); no further study drug for treatment of CABP
Time Frame
5 days of study drug treatment
Title
Early Clinical Response in the intent to treat (ITT) population at Day 3
Description
Clinical success is defined as being both clinically stable and showing clinical improvement based on the symptoms of community acquired bacterial pneumonia (CABP)
Time Frame
3 days of study drug treatment
Title
Percentage of patients at each visit who have resolution of all baseline signs and symptoms in the clinically evaluable (CE) population
Description
Resolution of all baseline signs and symptoms in the clinically evaluable (CE) population
Time Frame
Day 3, Day 5 (end of treatment), and 5 to 10 days after the last dose of study drug (test of cure visit)
Title
Percentage of patients at Day 3 who have resolution of cough, dyspnea, chest pain due to pneumonia and sputum production
Description
Resolution of cough, dyspnea, chest pain due to pneumonia and sputum production
Time Frame
3 days of study drug treatment
Title
Percentage of patients at the end of treatment (EOT) who have resolution of cough, dyspnea, chest pain due to pneumonia and sputum production
Description
resolution of cough, dyspnea, chest pain due to pneumonia and sputum production
Time Frame
5 days of study drug treatment
Title
Percentage of patients at Day 3 who are clinically stable
Description
clinical stability defined as: Temperature <=37.8°C Heart rate <=100 beats/min Systolic blood pressure ≥90 mm Hg Ability to maintain oral intake Normal mental status (oriented to person, place or time)
Time Frame
3 days of study drug treatment
Title
Percentage of patients at the end of treatment (EOT) who are clinically stable
Description
Clinically stable defined as: Temperature ≤37.8°C Heart rate ≤100 beats/min Systolic blood pressure ≥90 mm Hg Ability to maintain oral intake Normal mental status (oriented to person, place or time)
Time Frame
5 days of study drug treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Diagnosis of community acquired bacterial pneumonia (e.g. cough with purulent sputum or change in character of sputum consistent with bacterial infection, dyspnea or tachypnea, chest pain due to pneumonia, fever, presence of rales and/or signs of consolidation). No prior systemic antibacterial therapy, unless failed other therapy. Chest Xray shows new lobar or multilobar infiltrate(s) consistent with acute bacterial pneumonia. PORT Risk Class II, III, or IV <=105 Ability to take oral medication. Exclusion Criteria: Severe chronic obstructive pulmonary disease FEV1 <30%. Hospitalization within 90 days or residence in a long-term-care facility within 30 days prior to the onset of symptoms Chemotherapy or radiation therapy within the previous 3 months. Significant hepatic, hematological, renal abnormalities. Any concomitant condition that, in the opinion of the Investigator, would preclude an evaluation of a response or make it unlikely that the contemplated course of therapy and follow-up could be completed (e.g. life expectancy <30 days).
Facility Information:
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35242
Country
United States
City
Flagstaff
State/Province
Arizona
ZIP/Postal Code
86001
Country
United States
City
Bell Gardens
State/Province
California
ZIP/Postal Code
90201
Country
United States
City
Chula Vista
State/Province
California
ZIP/Postal Code
91911
Country
United States
City
LeMesa
State/Province
California
ZIP/Postal Code
91942
Country
United States
City
Los Angeles
State/Province
California
ZIP/Postal Code
90015
Country
United States
City
Montclaire
State/Province
California
ZIP/Postal Code
91763
Country
United States
City
Norwalk
State/Province
California
ZIP/Postal Code
90650
Country
United States
City
Oceanside
State/Province
California
ZIP/Postal Code
92056
Country
United States
City
Oxnard
State/Province
California
ZIP/Postal Code
93030
Country
United States
City
Pasadena
State/Province
California
ZIP/Postal Code
91105
Country
United States
City
Torrence
State/Province
California
ZIP/Postal Code
90501
Country
United States
City
Waterbury
State/Province
Connecticut
ZIP/Postal Code
06708
Country
United States
City
Debary
State/Province
Florida
ZIP/Postal Code
32713
Country
United States
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32605
Country
United States
City
Hialeah
State/Province
Florida
ZIP/Postal Code
33012
Country
United States
City
Kissimmee
State/Province
Florida
ZIP/Postal Code
34741
Country
United States
City
Orlando
State/Province
Florida
ZIP/Postal Code
32837
Country
United States
City
Blue Ridge
State/Province
Georgia
ZIP/Postal Code
30513
Country
United States
City
Columbus
State/Province
Georgia
ZIP/Postal Code
31904
Country
United States
City
Savannah
State/Province
Georgia
ZIP/Postal Code
31406
Country
United States
City
Idaho Falls
State/Province
Idaho
ZIP/Postal Code
83404
Country
United States
City
Morton
State/Province
Illinois
ZIP/Postal Code
61550
Country
United States
City
Dubuque
State/Province
Iowa
ZIP/Postal Code
52001
Country
United States
City
New Orleans
State/Province
Louisiana
ZIP/Postal Code
70112
Country
United States
City
Fall River
State/Province
Massachusetts
ZIP/Postal Code
02720
Country
United States
City
New Bedford
State/Province
Massachusetts
ZIP/Postal Code
02740
Country
United States
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48202
Country
United States
City
Traverse City
State/Province
Michigan
ZIP/Postal Code
49684
Country
United States
City
Butte
State/Province
Montana
ZIP/Postal Code
59701
Country
United States
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89109
Country
United States
City
Akron
State/Province
Ohio
ZIP/Postal Code
44304
Country
United States
City
Carlisle
State/Province
Ohio
ZIP/Postal Code
45005
Country
United States
City
Eugene
State/Province
Oregon
ZIP/Postal Code
97404
Country
United States
City
West Reading
State/Province
Pennsylvania
ZIP/Postal Code
19611
Country
United States
City
Simpsonville
State/Province
South Carolina
ZIP/Postal Code
29681
Country
United States
City
Rapid City
State/Province
South Dakota
ZIP/Postal Code
57702
Country
United States
City
Franklin
State/Province
Tennessee
ZIP/Postal Code
37067
Country
United States
City
Corsicana
State/Province
Texas
ZIP/Postal Code
75110
Country
United States
City
Houston
State/Province
Texas
ZIP/Postal Code
77002
Country
United States
City
Houston
State/Province
Texas
ZIP/Postal Code
77093
Country
United States
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78238
Country
United States
City
Draper
State/Province
Utah
ZIP/Postal Code
84020
Country
United States
City
Magna
State/Province
Utah
ZIP/Postal Code
84044
Country
United States
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84121
Country
United States
City
Calgary
State/Province
Alberta
ZIP/Postal Code
T2N2T9
Country
Canada
City
Hamilton
State/Province
Ontario
ZIP/Postal Code
L8N3Z5
Country
Canada
City
Hamilton
State/Province
Ontario
ZIP/Postal Code
L8N4A6
Country
Canada
City
Hamilton
State/Province
Ontario
ZIP/Postal Code
L8V1C3
Country
Canada
City
Ottawa
State/Province
Ontario
ZIP/Postal Code
K1Y 4E9
Country
Canada
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M9W 4L6
Country
Canada
City
Chicoutimi
State/Province
Quebec
ZIP/Postal Code
G7H-5H6
Country
Canada
City
Sherbrooke
State/Province
Quebec
ZIP/Postal Code
J1H5N4
Country
Canada
City
St. Jerome
State/Province
Quebec
ZIP/Postal Code
J7Z5T3
Country
Canada
City
Trios-Rivieres
State/Province
Quebec
ZIP/Postal Code
G8Z3R9
Country
Canada

12. IPD Sharing Statement

Citations:
PubMed Identifier
23507282
Citation
Oldach D, Clark K, Schranz J, Das A, Craft JC, Scott D, Jamieson BD, Fernandes P. Randomized, double-blind, multicenter phase 2 study comparing the efficacy and safety of oral solithromycin (CEM-101) to those of oral levofloxacin in the treatment of patients with community-acquired bacterial pneumonia. Antimicrob Agents Chemother. 2013 Jun;57(6):2526-34. doi: 10.1128/AAC.00197-13. Epub 2013 Mar 18.
Results Reference
derived

Learn more about this trial

Efficacy and Safety Study of Oral CEM-101 Compared to Oral Levofloxacin in Treatment of Patients With Community-Acquired Bacterial Pneumonia

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