Safety and Efficacy Study of Single-Dose Oral CEM-101 in Patients With Uncomplicated Urogenital Gonorrhea
Primary Purpose
Uncomplicated Urogenital Gonorrhea
Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
solithromycin
Solithromycin (CEM-101)
Sponsored by
About this trial
This is an interventional treatment trial for Uncomplicated Urogenital Gonorrhea
Eligibility Criteria
Inclusion Criteria:
- Evidence of a urogenital gonococcal infection (prior culture, NAAT test, Gram stain, sexual contact)
- Willing to abstain from anal, oral, or vaginal sexual intercourse or use condoms until study completion.
- Females of childbearing potential (including females less than 2 years post-menopausal) must have a negative pregnancy test at enrollment.
Exclusion Criteria:
- Confirmed, or suspected, complicated or systemic gonococcal infections such as pelvic inflammatory disease, arthritis, or endocarditis.
- Known HIV, chronic hepatitis B, or hepatitis C infection.
- Known concomitant infection which would require additional systemic antibiotics.
- Use of systemic or intravaginal antibiotics within 30 days prior to study drug administration.
- Current use of corticosteroid drugs or other immunosuppressive therapy.
- Cytotoxic chemotherapy or radiation therapy within the previous 3 months.
- Known significant renal, hepatic, or hematologic impairment.
- History of intolerance or hypersensitivity to macrolide antibiotics.
- 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
- Jefferson County Department of Health
- Harborview STD Clinic
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Solithromycin (CEM-101)
Solithromycin 1000 mg
Arm Description
A single oral dose of 1200 mg solithromycin
A single oral dose of 1000 mg solithromycin
Outcomes
Primary Outcome Measures
The bacterial eradication rate, as measured by conversion from positive Neisseria gonorrhoeae baseline urethral or cervical culture to negative
Secondary Outcome Measures
Safety and tolerability of a single oral dose of CEM-101 in adult patients with uncomplicated urogenital gonorrhea
Adverse event reporting, clinical laboratory evaluations
The bacterial eradication of rectal or pharyngeal gonococcal infection (if positive culture at baseline)
Eradication or persistence of N. gonorrhoeae nucleic acid (as measured by positive NAAT assay) from urethral and cervical specimens
Eradication or persistence of Chlamydia trachomatis nucleic acid (as measured by positive NAAT assay) from urethral and cervical specimens
In vitro minimum inhibitory concentrations (MICs) of gonococcal strains isolated
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01591447
Brief Title
Safety and Efficacy Study of Single-Dose Oral CEM-101 in Patients With Uncomplicated Urogenital Gonorrhea
Official Title
An Open-Label Study to Evaluate the Efficacy and Safety of a Single-Dose of Oral CEM-101 in the Treatment of Male and Female Patients With Uncomplicated Urogenital Gonorrhea
Study Type
Interventional
2. Study Status
Record Verification Date
March 2017
Overall Recruitment Status
Completed
Study Start Date
May 2012 (undefined)
Primary Completion Date
June 2013 (Actual)
Study Completion Date
June 2013 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Melinta Therapeutics, Inc.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
To determine the safety and efficacy of a single dose of solithromycin (CEM-101) for the treatment of uncomplicated urogenital gonorrhea.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Uncomplicated Urogenital Gonorrhea
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
60 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Solithromycin (CEM-101)
Arm Type
Experimental
Arm Description
A single oral dose of 1200 mg solithromycin
Arm Title
Solithromycin 1000 mg
Arm Type
Experimental
Arm Description
A single oral dose of 1000 mg solithromycin
Intervention Type
Drug
Intervention Name(s)
solithromycin
Intervention Description
A single oral dose of 1200 mg solithromycin (CEM-101)
Intervention Type
Drug
Intervention Name(s)
Solithromycin (CEM-101)
Intervention Description
A single oral dose of 1000 mg solithromycin
Primary Outcome Measure Information:
Title
The bacterial eradication rate, as measured by conversion from positive Neisseria gonorrhoeae baseline urethral or cervical culture to negative
Time Frame
3 to 9 days after study drug dosing
Secondary Outcome Measure Information:
Title
Safety and tolerability of a single oral dose of CEM-101 in adult patients with uncomplicated urogenital gonorrhea
Description
Adverse event reporting, clinical laboratory evaluations
Time Frame
One day after study drug dosing, and 3 to 9 days after study drug dosing
Title
The bacterial eradication of rectal or pharyngeal gonococcal infection (if positive culture at baseline)
Time Frame
3 to 9 days after study drug dosing
Title
Eradication or persistence of N. gonorrhoeae nucleic acid (as measured by positive NAAT assay) from urethral and cervical specimens
Time Frame
3 to 9 days after study drug dosing
Title
Eradication or persistence of Chlamydia trachomatis nucleic acid (as measured by positive NAAT assay) from urethral and cervical specimens
Time Frame
3 to 9 days after study drug dosing
Title
In vitro minimum inhibitory concentrations (MICs) of gonococcal strains isolated
Time Frame
Baseline and (if applicable) 3 to 9 days after study drug dosing
10. Eligibility
Sex
All
Minimum Age & Unit of Time
19 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Evidence of a urogenital gonococcal infection (prior culture, NAAT test, Gram stain, sexual contact)
Willing to abstain from anal, oral, or vaginal sexual intercourse or use condoms until study completion.
Females of childbearing potential (including females less than 2 years post-menopausal) must have a negative pregnancy test at enrollment.
Exclusion Criteria:
Confirmed, or suspected, complicated or systemic gonococcal infections such as pelvic inflammatory disease, arthritis, or endocarditis.
Known HIV, chronic hepatitis B, or hepatitis C infection.
Known concomitant infection which would require additional systemic antibiotics.
Use of systemic or intravaginal antibiotics within 30 days prior to study drug administration.
Current use of corticosteroid drugs or other immunosuppressive therapy.
Cytotoxic chemotherapy or radiation therapy within the previous 3 months.
Known significant renal, hepatic, or hematologic impairment.
History of intolerance or hypersensitivity to macrolide antibiotics.
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).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Edward W Hook, MD
Organizational Affiliation
University of Alabama at Birmingham
Official's Role
Principal Investigator
Facility Information:
Facility Name
Jefferson County Department of Health
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35233
Country
United States
Facility Name
Harborview STD Clinic
City
Seattle
State/Province
Washington
ZIP/Postal Code
98104
Country
United States
12. IPD Sharing Statement
Citations:
PubMed Identifier
26089222
Citation
Hook EW 3rd, Golden M, Jamieson BD, Dixon PB, Harbison HS, Lowens S, Fernandes P. A Phase 2 Trial of Oral Solithromycin 1200 mg or 1000 mg as Single-Dose Oral Therapy for Uncomplicated Gonorrhea. Clin Infect Dis. 2015 Oct 1;61(7):1043-8. doi: 10.1093/cid/civ478. Epub 2015 Jun 18.
Results Reference
derived
Learn more about this trial
Safety and Efficacy Study of Single-Dose Oral CEM-101 in Patients With Uncomplicated Urogenital Gonorrhea
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