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Efficacy and Safety Study of Oral Solithromycin (CEM-101) Compared to Oral Moxifloxacin in Treatment of Patients With Community-Acquired Bacterial Pneumonia (SOLITAIRE-ORAL)

Primary Purpose

Community-acquired Bacterial Pneumonia

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Solithromycin
Moxifloxacin
Placebo to match solithromycin
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 Pneumonia, CABP, CAP, Macrolide

Eligibility Criteria

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

Inclusion Criteria:

  • Male and female patients ≥ 18 years of age
  • An acute onset of at least 3 of the following signs and symptoms (new or worsening):

    1. Cough
    2. Production of purulent sputum
    3. Shortness of breath (dyspnea)
    4. Chest pain due to pneumonia
  • At least 1 of the following:

    1. Fever
    2. Hypothermia
    3. Presence of pulmonary rales and/or evidence of pulmonary consolidation
  • PORT Risk Class II, III, or IV
  • Presence of lobar, multilobar, or patchy parenchymal infiltrate(s) consistent with acute bacterial pneumonia on a pulmonary imaging study
  • Not received any systemic antibiotics during the prior 7 days

Exclusion Criteria:

  • Ventilator-associated pneumonia
  • Known anatomical or pathological bronchial obstruction or a history of bronchiectasis or documented severe chronic obstructive pulmonary disease
  • Hospitalization within 90 days or residence in a long-term care facility within 30 days prior to the onset of symptoms
  • Presence of known:

    1. Viral or fungal pneumonia
    2. Pneumocystis jiroveci pneumonia
    3. Aspiration pneumonia
    4. Other non-infectious causes of pulmonary infiltrates (e.g. pulmonary embolism, hypersensitivity pneumonia, congestive heart failure)
    5. Primary or metastatic lung cancer
    6. Cystic fibrosis
    7. Active or suspected tuberculosis
  • Known HIV or myasthesia gravis

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Solithromycin

Moxifloxacin

Arm Description

Solithromycin 800 mg orally (PO) on Day 1 followed by 400 mg PO daily on Days 2 through 5, followed by placebo on Days 6 and 7

Moxifloxacin 400 mg PO daily on Day 1 through Day 7

Outcomes

Primary Outcome Measures

Early clinical response rate in the Intent to Treat (ITT) population
To determine noninferiority (NI) in early clinical response rate, in at least 2 of the following 4 cardinal symptoms: cough, shortness of breath, chest pain, and sputum production.

Secondary Outcome Measures

Early clinical response rate in the microITT population
To determine NI in early clinical response rate of oral solithromycin compared to oral moxifloxacin in the mITT population
Clinical success rates in the ITT and Clincally Evaluable (CE) populations
To determine the overall clinical success rates of oral solithromycin compared to moxifloxacin

Full Information

First Posted
December 20, 2012
Last Updated
March 1, 2017
Sponsor
Melinta Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01756339
Brief Title
Efficacy and Safety Study of Oral Solithromycin (CEM-101) Compared to Oral Moxifloxacin in Treatment of Patients With Community-Acquired Bacterial Pneumonia
Acronym
SOLITAIRE-ORAL
Official Title
A Randomized, Double-Blind, Multi-Center Study to Evaluate the Efficacy and Safety of Oral Solithromycin (CEM-101) Compared to Oral Moxifloxacin in the Treatment of Adult Patients With Community-Acquired Bacterial Pneumonia
Study Type
Interventional

2. Study Status

Record Verification Date
March 2017
Overall Recruitment Status
Completed
Study Start Date
December 2012 (undefined)
Primary Completion Date
October 2014 (Actual)
Study Completion Date
October 2014 (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
This study will evaluate the safety and efficacy of an experimental antibiotic, solithromycin, in the treatment of adult patients with community-acquired pneumonia.
Detailed Description
Community-acquired bacterial pneumonia (CABP) 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 against CABP pathogens. Solithromycin is a fourth generation macrolide antibiotic with excellent activity against resistant S. pneumoniae and other key typical and atypical bacterial respiratory pathogens. A completed Phase 2 study showed comparable efficacy to levofloxacin in adults with CABP.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Community-acquired Bacterial Pneumonia
Keywords
Pneumonia, CABP, CAP, Macrolide

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
860 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Solithromycin
Arm Type
Experimental
Arm Description
Solithromycin 800 mg orally (PO) on Day 1 followed by 400 mg PO daily on Days 2 through 5, followed by placebo on Days 6 and 7
Arm Title
Moxifloxacin
Arm Type
Active Comparator
Arm Description
Moxifloxacin 400 mg PO daily on Day 1 through Day 7
Intervention Type
Drug
Intervention Name(s)
Solithromycin
Other Intervention Name(s)
CEM-101
Intervention Type
Drug
Intervention Name(s)
Moxifloxacin
Other Intervention Name(s)
Avelox
Intervention Type
Other
Intervention Name(s)
Placebo to match solithromycin
Primary Outcome Measure Information:
Title
Early clinical response rate in the Intent to Treat (ITT) population
Description
To determine noninferiority (NI) in early clinical response rate, in at least 2 of the following 4 cardinal symptoms: cough, shortness of breath, chest pain, and sputum production.
Time Frame
72 [±12] hours after the first dose of study drug
Secondary Outcome Measure Information:
Title
Early clinical response rate in the microITT population
Description
To determine NI in early clinical response rate of oral solithromycin compared to oral moxifloxacin in the mITT population
Time Frame
72 [±12] hours after the first dose of study drug
Title
Clinical success rates in the ITT and Clincally Evaluable (CE) populations
Description
To determine the overall clinical success rates of oral solithromycin compared to moxifloxacin
Time Frame
5 to 10 days after the last dose of study drug

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male and female patients ≥ 18 years of age An acute onset of at least 3 of the following signs and symptoms (new or worsening): Cough Production of purulent sputum Shortness of breath (dyspnea) Chest pain due to pneumonia At least 1 of the following: Fever Hypothermia Presence of pulmonary rales and/or evidence of pulmonary consolidation PORT Risk Class II, III, or IV Presence of lobar, multilobar, or patchy parenchymal infiltrate(s) consistent with acute bacterial pneumonia on a pulmonary imaging study Not received any systemic antibiotics during the prior 7 days Exclusion Criteria: Ventilator-associated pneumonia Known anatomical or pathological bronchial obstruction or a history of bronchiectasis or documented severe chronic obstructive pulmonary disease Hospitalization within 90 days or residence in a long-term care facility within 30 days prior to the onset of symptoms Presence of known: Viral or fungal pneumonia Pneumocystis jiroveci pneumonia Aspiration pneumonia Other non-infectious causes of pulmonary infiltrates (e.g. pulmonary embolism, hypersensitivity pneumonia, congestive heart failure) Primary or metastatic lung cancer Cystic fibrosis Active or suspected tuberculosis Known HIV or myasthesia gravis
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
David Oldach, MD
Organizational Affiliation
Melinta Therapeutics, Inc.
Official's Role
Study Director
Facility Information:
City
Glendale
State/Province
California
ZIP/Postal Code
91206
Country
United States
City
Los Angeles
State/Province
California
ZIP/Postal Code
90015
Country
United States
City
Mission Hills
State/Province
California
ZIP/Postal Code
91345
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
Sylmar
State/Province
California
ZIP/Postal Code
91342
Country
United States
City
Torrance
State/Province
California
ZIP/Postal Code
90502
Country
United States
City
Debary
State/Province
Florida
ZIP/Postal Code
32713
Country
United States
City
DeLand
State/Province
Florida
ZIP/Postal Code
32720
Country
United States
City
Miami
State/Province
Florida
ZIP/Postal Code
33126
Country
United States
City
Miami
State/Province
Florida
ZIP/Postal Code
33144
Country
United States
City
St Cloud
State/Province
Florida
ZIP/Postal Code
34769
Country
United States
City
Tampa
State/Province
Florida
ZIP/Postal Code
33606
Country
United States
City
Duluth
State/Province
Georgia
ZIP/Postal Code
30096
Country
United States
City
New Bedford
State/Province
Massachusetts
ZIP/Postal Code
02740
Country
United States
City
Butte
State/Province
Montana
ZIP/Postal Code
59701
Country
United States
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43035
Country
United States
City
Downingtown
State/Province
Pennsylvania
ZIP/Postal Code
19335
Country
United States
City
Summerville
State/Province
South Carolina
ZIP/Postal Code
29485
Country
United States
City
Rapid City
State/Province
South Dakota
ZIP/Postal Code
57702
Country
United States
City
Houston
State/Province
Texas
ZIP/Postal Code
77011
Country
United States
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
City
Houston
State/Province
Texas
ZIP/Postal Code
77070
Country
United States
City
Houston
State/Province
Texas
ZIP/Postal Code
77093
Country
United States
City
Splendora
State/Province
Texas
ZIP/Postal Code
77372
Country
United States
City
La Plata
State/Province
Buenos Aires
ZIP/Postal Code
B1900AVG
Country
Argentina
City
Tandil
State/Province
Buenos Aires
ZIP/Postal Code
B7000AXD
Country
Argentina
City
Loma Hermosa
State/Province
Provincia de Buenos Aires
ZIP/Postal Code
B1657BHD
Country
Argentina
City
Rosario
State/Province
Santa Fe
ZIP/Postal Code
S2000CVB
Country
Argentina
City
San Miguel De Tucuman
State/Province
Tucuman
ZIP/Postal Code
T4000IAR
Country
Argentina
City
Caba
ZIP/Postal Code
C1120AAF
Country
Argentina
City
Ciudad Autonoma de Buenos Aires
ZIP/Postal Code
1426
Country
Argentina
City
Ciudad Autonoma de Buenos Aires
ZIP/Postal Code
C1425BEA
Country
Argentina
City
Cordoba
ZIP/Postal Code
X5000JRD
Country
Argentina
City
Santa Fe
ZIP/Postal Code
S3000EOZ
Country
Argentina
City
Pernik
ZIP/Postal Code
2300
Country
Bulgaria
City
Ruse
ZIP/Postal Code
7002
Country
Bulgaria
City
Sofia
ZIP/Postal Code
1233
Country
Bulgaria
City
Sofia
ZIP/Postal Code
1336
Country
Bulgaria
City
Sofia
ZIP/Postal Code
1431
Country
Bulgaria
City
Sofia
ZIP/Postal Code
1709
Country
Bulgaria
City
Edmonton
State/Province
Alberta
ZIP/Postal Code
T6G 2B7
Country
Canada
City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V1Y 1S1
Country
Canada
City
Cornwall
State/Province
Ontario
ZIP/Postal Code
K6H 4M4
Country
Canada
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H1T 2M4
Country
Canada
City
Beroun
ZIP/Postal Code
266 01
Country
Czech Republic
City
Santo Domingo
ZIP/Postal Code
10205
Country
Dominican Republic
City
Santo Domingo
ZIP/Postal Code
10511
Country
Dominican Republic
City
Guayaquil
State/Province
Guayas
ZIP/Postal Code
EC090103
Country
Ecuador
City
Guayaquil
Country
Ecuador
City
Quito
Country
Ecuador
City
Tallinn
ZIP/Postal Code
10617
Country
Estonia
City
Tallinn
ZIP/Postal Code
13619
Country
Estonia
City
Tartu
ZIP/Postal Code
51014
Country
Estonia
City
Hofheim
State/Province
De-he
ZIP/Postal Code
65719
Country
Germany
City
Rotenburg (Wuemme)
State/Province
De-ni
ZIP/Postal Code
27356
Country
Germany
City
Hannover
ZIP/Postal Code
30173
Country
Germany
City
Budapest
ZIP/Postal Code
1121
Country
Hungary
City
Budapest
ZIP/Postal Code
1122
Country
Hungary
City
Budapest
ZIP/Postal Code
1125
Country
Hungary
City
Kecskemet
ZIP/Postal Code
6000
Country
Hungary
City
Nyiregyhaza
ZIP/Postal Code
4400
Country
Hungary
City
Daugavpils
ZIP/Postal Code
LV5417
Country
Latvia
City
Liepaja
ZIP/Postal Code
LV 3414
Country
Latvia
City
Riga
ZIP/Postal Code
LV-1002
Country
Latvia
City
Riga
ZIP/Postal Code
LV-1057
Country
Latvia
City
Krakow
ZIP/Postal Code
31011
Country
Poland
City
Lodz
ZIP/Postal Code
90153
Country
Poland
City
Lublin
ZIP/Postal Code
20090
Country
Poland
City
Zgierz
ZIP/Postal Code
95100
Country
Poland
City
San Juan
ZIP/Postal Code
00921
Country
Puerto Rico
City
Bucharest
ZIP/Postal Code
010825
Country
Romania
City
Bucharest
ZIP/Postal Code
021659
Country
Romania
City
Bucharest
ZIP/Postal Code
030303
Country
Romania
City
Craiova
ZIP/Postal Code
200515
Country
Romania
City
Iasi
ZIP/Postal Code
700115
Country
Romania
City
Timisoara
ZIP/Postal Code
300310
Country
Romania
City
St Petersburg
State/Province
Leningrad Region
ZIP/Postal Code
194354
Country
Russian Federation
City
St Petersburg
State/Province
Leningrad Region
ZIP/Postal Code
196211
Country
Russian Federation
City
St Petersburg
State/Province
Leningrad Region
ZIP/Postal Code
198205
Country
Russian Federation
City
Smolensk
State/Province
Smolensk Region
ZIP/Postal Code
214019
Country
Russian Federation
City
Chelyabinsk
ZIP/Postal Code
454008
Country
Russian Federation
City
Moscow
ZIP/Postal Code
109240
Country
Russian Federation
City
Moscow
ZIP/Postal Code
111539
Country
Russian Federation
City
Moscow
ZIP/Postal Code
115446
Country
Russian Federation
City
Moscow
ZIP/Postal Code
119991
Country
Russian Federation
City
Moscow
ZIP/Postal Code
123182
Country
Russian Federation
City
Moscow
ZIP/Postal Code
125206
Country
Russian Federation
City
Moscow
ZIP/Postal Code
125284
Country
Russian Federation
City
Smolensk
ZIP/Postal Code
214019
Country
Russian Federation
City
St Petersburg
ZIP/Postal Code
193312
Country
Russian Federation
City
St. Petersburg
ZIP/Postal Code
192242
Country
Russian Federation
City
St. Petersburg
ZIP/Postal Code
194354
Country
Russian Federation
City
St. Petersburg
ZIP/Postal Code
195271
Country
Russian Federation
City
St. Petersburg
ZIP/Postal Code
196247
Country
Russian Federation
City
St. Petersburg
ZIP/Postal Code
197022
Country
Russian Federation
City
St. Petersburg
ZIP/Postal Code
199106
Country
Russian Federation
City
Thabazimbi
State/Province
Limpopo
ZIP/Postal Code
0380
Country
South Africa
City
Halfway House
State/Province
Midrand
ZIP/Postal Code
1685
Country
South Africa
City
Middelburg
State/Province
Mpumalanga
ZIP/Postal Code
1055
Country
South Africa
City
Witbank
State/Province
Mpumalanga
ZIP/Postal Code
1035
Country
South Africa
City
Korsten
State/Province
Port Elizabeth
ZIP/Postal Code
6014
Country
South Africa
City
Hillcrest
State/Province
Pretoria
ZIP/Postal Code
0083
Country
South Africa
City
Benoni
ZIP/Postal Code
1500
Country
South Africa
City
Bloemfontein
ZIP/Postal Code
9300
Country
South Africa
City
Cape Town
ZIP/Postal Code
7530
Country
South Africa
City
Cape Town
ZIP/Postal Code
7570
Country
South Africa
City
Cape Town
ZIP/Postal Code
7764
Country
South Africa
City
Krugersdorp
ZIP/Postal Code
1739
Country
South Africa
City
Pretoria
ZIP/Postal Code
0001
Country
South Africa
City
Worcester
ZIP/Postal Code
6850
Country
South Africa
City
Badalona
State/Province
Barcelona
ZIP/Postal Code
08916
Country
Spain
City
Majadahonda
State/Province
Madrid
ZIP/Postal Code
28222
Country
Spain
City
Barcelona
ZIP/Postal Code
08036
Country
Spain
City
Madrid
ZIP/Postal Code
28046
Country
Spain
City
Madrid
ZIP/Postal Code
28850
Country
Spain
City
Mataro
ZIP/Postal Code
08304
Country
Spain
City
Valencia
ZIP/Postal Code
46026
Country
Spain

12. IPD Sharing Statement

Citations:
PubMed Identifier
26852726
Citation
Barrera CM, Mykietiuk A, Metev H, Nitu MF, Karimjee N, Doreski PA, Mitha I, Tanaseanu CM, Molina JM, Antonovsky Y, Van Rensburg DJ, Rowe BH, Flores-Figueroa J, Rewerska B, Clark K, Keedy K, Sheets A, Scott D, Horwith G, Das AF, Jamieson B, Fernandes P, Oldach D; SOLITAIRE-ORAL Pneumonia Team. Efficacy and safety of oral solithromycin versus oral moxifloxacin for treatment of community-acquired bacterial pneumonia: a global, double-blind, multicentre, randomised, active-controlled, non-inferiority trial (SOLITAIRE-ORAL). Lancet Infect Dis. 2016 Apr;16(4):421-30. doi: 10.1016/S1473-3099(16)00017-7. Epub 2016 Feb 5.
Results Reference
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Learn more about this trial

Efficacy and Safety Study of Oral Solithromycin (CEM-101) Compared to Oral Moxifloxacin in Treatment of Patients With Community-Acquired Bacterial Pneumonia

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