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Comparison of Delafloxacin Versus Ceftriaxone for the Treatment of Uncomplicated Gonorrhea

Primary Purpose

Gonorrhea

Status
Terminated
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Delafloxacin
Ceftriaxone
Sponsored by
Melinta Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Gonorrhea focused on measuring Gonorrhea, N. gonorrhoeae, bacterial infection, Anti-Infective Agents, Anti-Bacterial Agents

Eligibility Criteria

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

Inclusion Criteria:

  • Subject is a male or female 15 years of age or older.
  • Subject must have had 1 or more of the following occur:

    1. gonorrhea with the nucleic acid amplification test (NAAT) or culture within the previous 14 days
    2. unprotected genital contact within 14 days with a person confirmed to be infected with gonorrhea,
    3. gram-negative present in urogenital gram strain or male subject must present with purulent urethritis or a female subject with must present with mucopurulent cervical discharge
  • Subject agrees to avoid unprotected sexual contact in order to minimize the risk of gonorrhea reinfection
  • Subject must be in good health (ie, based on medical history), as determined by the investigator.
  • In the opinion of the investigator, the subject must be able and willing to comply with protocol requirements. The subject must agree to provide reliable, verifiable contact information and agree to return for the Test-of-Cure Visit.
  • If a subject's age is 15 years to less than the legal age of consent,a written, voluntarily signed assent must be obtained from the subject and a written, voluntarily signed informed consent must be signed by the subject's parent or legal guardian before the initiation of any study related procedures, unless the Institutional Review Board (IRB)/Independent Ethics Committee (IEC) determines that parent/legal guardian consent is not required.

Exclusion Criteria:

  • Confirmed, or suspected, complicated or systemic gonococcal infection, such as pelvic inflammatory disease, arthritis, or endocarditis.
  • Subject has taken one of the following products within 6 hours of the Entry Visit that may interfere with the absorption of a quinolone antibiotic: magnesium/aluminum antacids; sucralfate; Videx® (didanosine) chewable/buffered tablets; other highly buffered drugs; or other products containing calcium, iron, or zinc.
  • Use of systemic or intravaginal antibiotics that are potentially effective against gonorrhea 4 weeks prior to study drug administration.
  • Subjects with a current or prior history of seizures, and subjects being treated with drugs that are known to have a sizable potential of or reduce the threshold for inducing seizures (eg, bupropion, theophylline, and tricyclic and tetracyclic antidepressants).
  • Current use of systemic corticosteroid or immunosuppressive drugs.
  • Known significant immunosuppression (eg, cluster of differentiation (CD4) cell count <200/mm3 or absolute neutrophil count <500/mL).
  • Cytotoxic chemotherapy or radiation therapy during the previous 3 months.
  • Subject is co-infected with an additional sexually transmitted disease (STD) for which treatment cannot be safely deferred until after the Test-of-Cure Visit unless the treatment is not potentially effective against gonorrhea.
  • Subject has used an investigational drug or product within 30 days before study drug dosing.
  • Medical history of Type 1 hypersensitivity to antibiotics of the quinolone or cephalosporin classes.
  • Hysterectomized subjects without a cervix are ineligible.

Sites / Locations

  • Melinta 304 Study
  • Melinta 304 Study Site
  • Melinta 304 Study Site
  • Melinta 304 Study Site
  • Melinta 304 Study Site
  • Melinta 304 Study
  • Melinta 304 Study
  • Melinta 304 Study Site
  • Melinta 304 Study Site
  • Melinta 304 Study Site
  • Melinta 304 Study Site
  • Melinta 304 Study Site
  • Melinta 304 Study Site
  • Melinta 304 Study
  • Melinta 304 Study Site
  • Melinta 304 Study Site
  • Melinta 304 Study Site
  • Melinta 304 Study Site
  • Melinta 304 Study Site
  • Melinta 304 Study Site
  • Melinta 304 Study
  • Melinta 304 Study Site
  • Melinta 304 Study Site
  • Melinta 304 Study Site
  • Melinta 304 Study Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Delafloxacin

ceftriaxone

Arm Description

900mg orally (2 x 450 mg tablets) administered once

Ceftriaxone 250 mg intramuscular injection administered once

Outcomes

Primary Outcome Measures

Number of Subjects With Cure or Failure of Urogenital Gonorrhea at Test of Cure (TOC) in the Urogenital MITT (UMITT) Population
Cure for the primary outcome measure was defined as the eradication of N. gonorrhoeae at TOC as determined by a negative culture obtained from the urogenital site, which was positive at study entry, and with no additional antibiotics with activity against N. gonorrhoeae being administered from study entry through TOC.

Secondary Outcome Measures

Number of Subjects With Cure or Failure of Urogenital Gonorrhea at Test of Cure (TOC) in the Urogenital Microbiologically Evaluable (UME) Population
Cure for the seconday outcome measure was defined as the eradication of N. gonorrhoeae at TOC as determined by a negative culture obtained from the urogenital site, which was positive at study entry, and with no additional antibiotics with activity against N. gonorrhoeae being administered from study entry through TOC.

Full Information

First Posted
December 13, 2013
Last Updated
May 23, 2018
Sponsor
Melinta Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02015637
Brief Title
Comparison of Delafloxacin Versus Ceftriaxone for the Treatment of Uncomplicated Gonorrhea
Official Title
A Comparative Evaluation of the Single-dose Efficacy of Oral Delafloxacin Versus the Single-dose Efficacy of an Intramuscular Injection of Ceftriaxone in Subjects With Uncomplicated Urogenital Gonorrhea
Study Type
Interventional

2. Study Status

Record Verification Date
May 2018
Overall Recruitment Status
Terminated
Study Start Date
January 23, 2014 (Actual)
Primary Completion Date
November 2014 (Actual)
Study Completion Date
December 10, 2014 (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
The purpose of this study is to evaluate the effects of a single oral dose of delafloxacin versus a single intramuscular injection of ceftriaxone in subjects with uncomplicated cervical, urethral, rectal, or pharyngeal gonorrhea.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Gonorrhea
Keywords
Gonorrhea, N. gonorrhoeae, bacterial infection, Anti-Infective Agents, Anti-Bacterial Agents

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
460 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Delafloxacin
Arm Type
Experimental
Arm Description
900mg orally (2 x 450 mg tablets) administered once
Arm Title
ceftriaxone
Arm Type
Active Comparator
Arm Description
Ceftriaxone 250 mg intramuscular injection administered once
Intervention Type
Drug
Intervention Name(s)
Delafloxacin
Intervention Description
single dose
Intervention Type
Drug
Intervention Name(s)
Ceftriaxone
Intervention Description
single dose
Primary Outcome Measure Information:
Title
Number of Subjects With Cure or Failure of Urogenital Gonorrhea at Test of Cure (TOC) in the Urogenital MITT (UMITT) Population
Description
Cure for the primary outcome measure was defined as the eradication of N. gonorrhoeae at TOC as determined by a negative culture obtained from the urogenital site, which was positive at study entry, and with no additional antibiotics with activity against N. gonorrhoeae being administered from study entry through TOC.
Time Frame
Day 7 (± 3 days)
Secondary Outcome Measure Information:
Title
Number of Subjects With Cure or Failure of Urogenital Gonorrhea at Test of Cure (TOC) in the Urogenital Microbiologically Evaluable (UME) Population
Description
Cure for the seconday outcome measure was defined as the eradication of N. gonorrhoeae at TOC as determined by a negative culture obtained from the urogenital site, which was positive at study entry, and with no additional antibiotics with activity against N. gonorrhoeae being administered from study entry through TOC.
Time Frame
Day 7 (± 3 days)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
15 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject is a male or female 15 years of age or older. Subject must have had 1 or more of the following occur: gonorrhea with the nucleic acid amplification test (NAAT) or culture within the previous 14 days unprotected genital contact within 14 days with a person confirmed to be infected with gonorrhea, gram-negative present in urogenital gram strain or male subject must present with purulent urethritis or a female subject with must present with mucopurulent cervical discharge Subject agrees to avoid unprotected sexual contact in order to minimize the risk of gonorrhea reinfection Subject must be in good health (ie, based on medical history), as determined by the investigator. In the opinion of the investigator, the subject must be able and willing to comply with protocol requirements. The subject must agree to provide reliable, verifiable contact information and agree to return for the Test-of-Cure Visit. If a subject's age is 15 years to less than the legal age of consent,a written, voluntarily signed assent must be obtained from the subject and a written, voluntarily signed informed consent must be signed by the subject's parent or legal guardian before the initiation of any study related procedures, unless the Institutional Review Board (IRB)/Independent Ethics Committee (IEC) determines that parent/legal guardian consent is not required. Exclusion Criteria: Confirmed, or suspected, complicated or systemic gonococcal infection, such as pelvic inflammatory disease, arthritis, or endocarditis. Subject has taken one of the following products within 6 hours of the Entry Visit that may interfere with the absorption of a quinolone antibiotic: magnesium/aluminum antacids; sucralfate; Videx® (didanosine) chewable/buffered tablets; other highly buffered drugs; or other products containing calcium, iron, or zinc. Use of systemic or intravaginal antibiotics that are potentially effective against gonorrhea 4 weeks prior to study drug administration. Subjects with a current or prior history of seizures, and subjects being treated with drugs that are known to have a sizable potential of or reduce the threshold for inducing seizures (eg, bupropion, theophylline, and tricyclic and tetracyclic antidepressants). Current use of systemic corticosteroid or immunosuppressive drugs. Known significant immunosuppression (eg, cluster of differentiation (CD4) cell count <200/mm3 or absolute neutrophil count <500/mL). Cytotoxic chemotherapy or radiation therapy during the previous 3 months. Subject is co-infected with an additional sexually transmitted disease (STD) for which treatment cannot be safely deferred until after the Test-of-Cure Visit unless the treatment is not potentially effective against gonorrhea. Subject has used an investigational drug or product within 30 days before study drug dosing. Medical history of Type 1 hypersensitivity to antibiotics of the quinolone or cephalosporin classes. Hysterectomized subjects without a cervix are ineligible.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sue Cammarata, MD
Organizational Affiliation
Melinta Therapeutics, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Melinta 304 Study
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35294
Country
United States
Facility Name
Melinta 304 Study Site
City
Chula Vista
State/Province
California
ZIP/Postal Code
90911
Country
United States
Facility Name
Melinta 304 Study Site
City
La Mesa
State/Province
California
ZIP/Postal Code
91942
Country
United States
Facility Name
Melinta 304 Study Site
City
Los Angeles
State/Province
California
ZIP/Postal Code
90069
Country
United States
Facility Name
Melinta 304 Study Site
City
San Francisco
State/Province
California
ZIP/Postal Code
94103
Country
United States
Facility Name
Melinta 304 Study
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30308
Country
United States
Facility Name
Melinta 304 Study
City
Decatur
State/Province
Georgia
ZIP/Postal Code
30033
Country
United States
Facility Name
Melinta 304 Study Site
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
Facility Name
Melinta 304 Study Site
City
New Orleans
State/Province
Louisiana
ZIP/Postal Code
70112
Country
United States
Facility Name
Melinta 304 Study Site
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68114
Country
United States
Facility Name
Melinta 304 Study Site
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89109
Country
United States
Facility Name
Melinta 304 Study Site
City
Bronx
State/Province
New York
ZIP/Postal Code
100461
Country
United States
Facility Name
Melinta 304 Study Site
City
Brooklyn
State/Province
New York
ZIP/Postal Code
11203
Country
United States
Facility Name
Melinta 304 Study
City
Brooklyn
State/Province
New York
ZIP/Postal Code
11203
Country
United States
Facility Name
Melinta 304 Study Site
City
New York
State/Province
New York
ZIP/Postal Code
10018
Country
United States
Facility Name
Melinta 304 Study Site
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27701
Country
United States
Facility Name
Melinta 304 Study Site
City
Greensboro
State/Province
North Carolina
ZIP/Postal Code
27405
Country
United States
Facility Name
Melinta 304 Study Site
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44108
Country
United States
Facility Name
Melinta 304 Study Site
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43231
Country
United States
Facility Name
Melinta 304 Study Site
City
Portland
State/Province
Oregon
ZIP/Postal Code
97204
Country
United States
Facility Name
Melinta 304 Study
City
Erie
State/Province
Pennsylvania
ZIP/Postal Code
16507
Country
United States
Facility Name
Melinta 304 Study Site
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
191007
Country
United States
Facility Name
Melinta 304 Study Site
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15213
Country
United States
Facility Name
Melinta 304 Study Site
City
Houston
State/Province
Texas
ZIP/Postal Code
77011
Country
United States
Facility Name
Melinta 304 Study Site
City
Seattle
State/Province
Washington
ZIP/Postal Code
98104
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
30985632
Citation
Hook EW 3rd, Golden MR, Taylor SN, Henry E, Tseng C, Workowski KA, Swerdlow J, Nenninger A, Cammarata S. Efficacy and Safety of Single-Dose Oral Delafloxacin Compared With Intramuscular Ceftriaxone for Uncomplicated Gonorrhea Treatment: An Open-Label, Noninferiority, Phase 3, Multicenter, Randomized Study. Sex Transm Dis. 2019 May;46(5):279-286. doi: 10.1097/OLQ.0000000000000971.
Results Reference
derived

Learn more about this trial

Comparison of Delafloxacin Versus Ceftriaxone for the Treatment of Uncomplicated Gonorrhea

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