Efficacy and Safety Study of Eravacycline Compared With Levofloxacin in Complicated Urinary Tract Infections
cUTI
About this trial
This is an interventional treatment trial for cUTI
Eligibility Criteria
Inclusion Criteria:
1. Male and female participants with either:
a. Pyelonephritis and normal urinary tract anatomy (approximately 50% of the total population), OR b. cUTI with at least 1 of the following conditions associated with a risk for developing cUTI: i. Indwelling urinary catheter ii. Urinary retention (approximately 100 milliliters of residual urine after voiding) iii. Neurogenic bladder iv. Partial obstructive uropathy (such as, nephrolithiasis, bladder stones, and ureteral strictures) v. Azotemia of renal origin (not congestive heart failure or volume related) such that the serum blood urea nitrogen (BUN) is elevated (>20 mg/deciliters) AND the serum BUN: creatinine ratio is <15 vi. Surgically modified or abnormal urinary tract anatomy (such as, bladder diverticula, redundant urine collection system) EXCEPT surgery within the last month
Exclusion Criteria:
1. Concurrent use of non-study antibacterial drug therapy that would have a potential effect on outcome evaluations in participants with cUTI, including:
- Participants with a history of a levofloxacin-resistant urinary tract infection
- Likely to receive ongoing antibacterial drug prophylaxis prior to the late Post-Treatment visit (such as, participants with vesiculo-ureteral reflux)
Sites / Locations
- San Diego Clinical Trials
- Harbor-UCLA Medical Center
- Tampa General Hospital
- Henry Ford Hospital
- Sunrise Hospital and Medical Centre
- Columbus Regional Research Institute
- Multiprofile Hospital for Active Treatment "Dr. Tota Venkova", Gabrovo, Department of Nephrology
- Multiprofile Hospital for Active Treatment "Dr. Stamen Iliev", Montana, Department of Nephrology and Dialysis
- University Multiprofile Hospital for Active Treatment "Dr. Georgi Stranski", Pleven, Urology Clinic
- Multiprofile Hospital for Active Treatment, Ruse, Department of Urology
- Multiprofile Hospital for Active Treatment, Sofia at Military Medical Academy, General Urology Clinic
- University Multiprofile Hospital for Active Treatment "Aleksandrovska", Sofia, Department of Laparoscopic Urology
- University Multiprofile Hospital for Active Treatment and Emergency Medicine "N.I. Pirogov", Sofia, Urology Clinic
- Multiprofile Regional Hospital for Active Treatment "Dr. Stefan Cherkezov", Veliko Tarnovo, Department of Urology
- Fundacion Cardiomet
- De la Costa Clinic. Ltd. Research Centre
- University Hospital Brno, Clinic of Urology
- University Hospital Hradec Kralove, Clinic of Urology
- Hospital Novy Jicin, Department of Urology
- University Hospital Olomouc
- Thomayer Hospital, Department of Urology
- East Viru Central Hospital, Surgery Clinic
- East Tallinn Central Hospital, Department of Internal Medicine
- West Tallinn Central Hospital, Department of Urology
- Tartu University Hospital, Surgery Clinic, Department of Urology and Renal Transplantation
- Western Georgia National Medical Center
- Aversi Clinic
- Modern Medical Technologies - Guram Karazanashvili's clinic
- Research Institute of Clinical Medicine
- Tsulukidze National Center of Urology
- Evaggelismos Hospital
- Papageorgiou General Hospital
- Principal SMO Kft.
- Jahn Ferenc South Pest Hospital, Department of Urology
- Petz Aladar County Teaching Hospital, Department of Urology
- Elisabeth Teaching Hospital and Rehabilitation Institute of Sopron, Department of Urology
- Csongrad County Dr. Bugyi Istvan Hospital, Department of Urology
- St. Borbala Hospital, Department of Urology
- Zion Medical Center
- Hospital Mater Domini
- Liepajas Regional Hospital
- P. Stradins Clinical University Hospital
- Riga East University Hospital, LLC
- SIA 'URO' Clinic
- Vidzemes Hospital
- Hospital Civil Fray Antonio Alcalde
- Hospital Civil Guadalajara Dr. Juan I. Mendoza
- National Scientific Practical Center for Emergency Medicine, Department of Urology
- Republican Clinical Hospital, Department of Urology
- Boni Fratres Catoviensis Sp. z o.o., Department of Internal Diseases with Cardiologic Diagnostics Unit
- Military Medical Academy University Teaching Hospital - Central Veterans' Hospital, Clinical and Didactic Center of the Medical University of Lodz, Teaching Department of Nephrology, Hypertension and Renal Transplantation
- Medicome Sp. z o.o.
- HEUREKA Hanna Szalecka
- Pope John Paul 2nd Independent Public Provincial Hospital
- Emergency Clinical County Hospital Brasov
- "Prof. Dr. Th. Burghele" Clinical Hospital
- Delta Hospital
- Craiova Emergency Clinical County Hospital
- Clinical Hospital "Dr. C. I. Parhon"
- Oradea Clinical Municipal Hospital "Dr. Gavril Curteanu"
- Sibiu County Emergency Clinical Hospital
- Central Clinical Hospital of Civil Aviation
- City Clinical Hospital #57 under Moscow Healthcare Department
- Federal Clinical Center for High Medical Technologies
- City Clinical Hospital of Emergency Care #2
- Penza Regional Clinical Hospital n.a. N.N. Burdenko
- Rostov State Medical University
- North-Western State Medical University n.a. I.I. Mechnikov
- Saint-Petersburg Scientific Research Institute for Phthisiopulmonology
- St. Petersburg Clinical Hospital under the Russian Academy of Sciences
- St. Petersburg State Healthcare Institution: City Hospital #15
- St. Petersburg State Healthcare Institution: St. George the Martyr City Hospital
- St. Petersburg State-Funded Healthcare Institution: City Hospital #26
- Saratov State Medical University n.a. V.I. Razumovsky
- Smolensk Regional Clinical Hospital
- Novgorod Regional Clinical Hospital
- Vsevolozhsk Clinical Central District Hospital
- Lakeview Hospital
- Clinresco Centres
- Mzansi Ethical Research Centre
- St. Georges Hospital
- Regional Municipal Institution "Chernivtsi Regional Hospital"
- Dnipropetrovsk City Multispecialty Clinical Hospital #4
- Dnipropetrovsk I.I. Mechnikov Regional Clinical Hospital
- Ivano-Frankivsk City Clinical Hospital #1
- Ivano-Frankivsk Regional Clinical Hospital
- O.I. Meschaninov Clinical Hospital of Emergency and Urgent Medical Care
- Shapoval Regional Clinical Center of Urology and Nephrology
- Khmelnytskyi Regional Hospital
- Institute of Urology
- Lviv Regional Clinical Hospital
- Volyn Regional Clinical Hospital
- Mykolaiv Regional Hospital, Center for Nephrology and Dialysis
- City Clinical Hospital #10, Urology Department #1
- Odesa Regional Clinical Hospital
- Poltava M.V. Sklifosovskyi Regional Clinical Hospital
- State Institution: Uzhhorod Railway Station Clinical Hospital under State Territorial Industry-Specific Association:Lviv Railway
- Vinnytsia M.I. Pyrohov Regional Clinical Hospital
- Municipal Institution "Zaporizhzhia Reqional Clinical Hospital" of Zaporizhzhia Regional Councill
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Eravacycline
Levofloxacin
Eravacycline was administered IV at a dose of 1.5 mg per kilogram (kg) of body weight every 24 hours (q24h). At minimum, the first 3 doses were administered IV. After an IV-to-PO transition, provided adequate clinical improvement, participants were administered 200 mg PO twice a day for a total therapy of 7 dosing cycles.
Levofloxacin (750 mg) was administered IV q24h. At minimum, the first 3 doses were administered IV. After an IV-to-PO transition, provided adequate clinical improvement, participants were administered 750 mg PO once a day for a total therapy of 7 dosing cycles.