Trial Outcomes & Findings for Treatment of Chlamydia Infection Comparing WC2031 Tablets With Vibramycin (NCT NCT01113931)

NCT ID: NCT01113931

Last Updated: 2012-01-27

Results Overview

Percentage of Subjects in mITT Population with Microbiological Cure defined as a negative result for C. trachomatis as determined by GP AC2 NAAT (Gen-Probe Aptima Combo 2 Nucleic Acid Amplification Test) at Day 28

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

495 participants

Primary outcome timeframe

Day 28

Results posted on

2012-01-27

Participant Flow

Enrollment period began 7 Apr '10

Participant milestones

Participant milestones
Measure
Doxycycline Hyclate
Morning: 1 200 mg tablet doxycycline hyclate and 1 placebo Vibramycin capsule, Evening: 1 placebo Vibramycin capsule
Vibramycin
Morning: 1 over-encapsulated 100 mg Vibramycin tablet and 1 placebo doxycycline hyclate table, Evening: 1 over-encapsulated 100 mg Vibramycin tablet
Overall Study
STARTED
247
248
Overall Study
Safety Population
246
248
Overall Study
mITT Population
188
190
Overall Study
COMPLETED
228
231
Overall Study
NOT COMPLETED
19
17

Reasons for withdrawal

Reasons for withdrawal
Measure
Doxycycline Hyclate
Morning: 1 200 mg tablet doxycycline hyclate and 1 placebo Vibramycin capsule, Evening: 1 placebo Vibramycin capsule
Vibramycin
Morning: 1 over-encapsulated 100 mg Vibramycin tablet and 1 placebo doxycycline hyclate table, Evening: 1 over-encapsulated 100 mg Vibramycin tablet
Overall Study
Adverse Event
2
2
Overall Study
Physician Decision
0
2
Overall Study
Lost to Follow-up
12
9
Overall Study
Various
2
4
Overall Study
Withdrawal by Subject
3
0

Baseline Characteristics

Treatment of Chlamydia Infection Comparing WC2031 Tablets With Vibramycin

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Doxycycline Hyclate
n=247 Participants
Morning: 1 200 mg tablet doxycycline hyclate and 1 placebo Vibramycin capsule, Evening: 1 placebo Vibramycin capsule
Vibramycin
n=248 Participants
Morning: 1 over-encapsulated 100 mg Vibramycin tablet and 1 placebo doxycycline hyclate table, Evening: 1 over-encapsulated 100 mg Vibramycin tablet
Total
n=495 Participants
Total of all reporting groups
Age Continuous
24.1 years
STANDARD_DEVIATION 4.9 • n=5 Participants
23.9 years
STANDARD_DEVIATION 4.9 • n=7 Participants
24.0 years
STANDARD_DEVIATION 4.9 • n=5 Participants
Age, Customized
<30 years
163 participants
n=5 Participants
170 participants
n=7 Participants
333 participants
n=5 Participants
Age, Customized
Between 30 and 40 years
22 participants
n=5 Participants
18 participants
n=7 Participants
40 participants
n=5 Participants
Age, Customized
>40 years
3 participants
n=5 Participants
2 participants
n=7 Participants
5 participants
n=5 Participants
Gender
Female
115 participants
n=5 Participants
118 participants
n=7 Participants
233 participants
n=5 Participants
Gender
Male
73 participants
n=5 Participants
72 participants
n=7 Participants
145 participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
33 Participants
n=5 Participants
44 Participants
n=7 Participants
77 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
155 Participants
n=5 Participants
146 Participants
n=7 Participants
301 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
Asian
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
109 Participants
n=5 Participants
104 Participants
n=7 Participants
213 Participants
n=5 Participants
Race (NIH/OMB)
White
61 Participants
n=5 Participants
73 Participants
n=7 Participants
134 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
10 Participants
n=5 Participants
10 Participants
n=7 Participants
20 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
247 participants
n=5 Participants
248 participants
n=7 Participants
495 participants
n=5 Participants

PRIMARY outcome

Timeframe: Day 28

Population: mITT Population - all randomized subjects who had positive NAAT for C. trachomatis at Baseline and took at least one dose of study drug.

Percentage of Subjects in mITT Population with Microbiological Cure defined as a negative result for C. trachomatis as determined by GP AC2 NAAT (Gen-Probe Aptima Combo 2 Nucleic Acid Amplification Test) at Day 28

Outcome measures

Outcome measures
Measure
Doxycycline Hyclate
n=157 Participants
Morning: 1 200 mg tablet doxycycline hyclate and 1 placebo Vibramycin capsule, Evening: 1 placebo Vibramycin capsule
Vibramycin
n=168 Participants
Morning: 1 over-encapsulated 100 mg Vibramycin tablet and 1 placebo doxycycline hyclate table, Evening: 1 over-encapsulated 100 mg Vibramycin tablet
Microbiological Cure Rate
94.9 percentage of participants cured
Interval 91.5 to 98.3
94.6 percentage of participants cured
Interval 91.2 to 98.0

SECONDARY outcome

Timeframe: End of Study (Day 28)

Population: Clinically Evaluable Population

Microbiological cure (defined as a negative result for urogenital C. trachomatis, determined by GP AC2 NAAT/Gen-Probe Aptima Combo 2 Nucleic Acid Amplification Test and clinical cure (for males defined as resolution of baseline signs/symptoms of dysuria, urethral pruritus and urethral discharge, and resolution of exam finding of urethral discharge; for females resolution of exam finding of endocervical discharge) at Day 28

Outcome measures

Outcome measures
Measure
Doxycycline Hyclate
n=69 Participants
Morning: 1 200 mg tablet doxycycline hyclate and 1 placebo Vibramycin capsule, Evening: 1 placebo Vibramycin capsule
Vibramycin
n=83 Participants
Morning: 1 over-encapsulated 100 mg Vibramycin tablet and 1 placebo doxycycline hyclate table, Evening: 1 over-encapsulated 100 mg Vibramycin tablet
Microbiological Cure and Clinical Cure of C. Trachomatis, Day 28, Clinically Evaluable Population, Percentage Participants Cured
80.0 Percentage Particpants Cured
68.6 Percentage Particpants Cured

SECONDARY outcome

Timeframe: End of Study (Day 28)

Population: M. genitalium Coinfected Population

Percentage Subjects Cured of both M. genitalium and C. trachomatis M. genitalium co-infected population: microbiological cure for both at Day 28, defined as negative PCR (polymerase chain reaction) for M. genitalium and negative GP AC2 NAAT (Gen-Probe Aptima Combo 2 Nucleic Acid Amplification test) for C. trachomatis at Day 28

Outcome measures

Outcome measures
Measure
Doxycycline Hyclate
n=15 Participants
Morning: 1 200 mg tablet doxycycline hyclate and 1 placebo Vibramycin capsule, Evening: 1 placebo Vibramycin capsule
Vibramycin
n=12 Participants
Morning: 1 over-encapsulated 100 mg Vibramycin tablet and 1 placebo doxycycline hyclate table, Evening: 1 over-encapsulated 100 mg Vibramycin tablet
Microbiological Cure C. Trachomatis and M. Genitalium, M. Genitalium Coinfected Population, Day 28, Percentage Participants Cured
38.5 Percentage Participants Cured
18.2 Percentage Participants Cured

SECONDARY outcome

Timeframe: Day 28

Population: N. gonorrhoea Population. Only subjects with an evaluable outcome are included in the analysis.

Percentage Participants cured in N. gonorrhoea Negative Population: cured defined as both microbiological cure (negative result for urogenital C. trachomatis, determined by GP AC2 NAAT/Gen-Probe Aptima Combo 2 Nucleic Acid Amplification test) and clinical cure (males defined as resolution of baseline signs/symptoms of dysuria, urethral pruritis and urethral discharge, and resolution of exam finding of urethral discharge; females - resolution of exam finding of endocervical discharge) at Day 28

Outcome measures

Outcome measures
Measure
Doxycycline Hyclate
n=187 Participants
Morning: 1 200 mg tablet doxycycline hyclate and 1 placebo Vibramycin capsule, Evening: 1 placebo Vibramycin capsule
Vibramycin
n=186 Participants
Morning: 1 over-encapsulated 100 mg Vibramycin tablet and 1 placebo doxycycline hyclate table, Evening: 1 over-encapsulated 100 mg Vibramycin tablet
Microbiological Cure C. Trachomatis, N. Gonorrhoea Negative Population, Day 28, Percentage Participants Cured
94.9 Percentage Participants Cured
Interval 91.4 to 98.3
94.6 Percentage Participants Cured
Interval 91.2 to 98.0

Adverse Events

Doxycycline Hyclate

Serious events: 0 serious events
Other events: 84 other events
Deaths: 0 deaths

Vibramycin

Serious events: 0 serious events
Other events: 129 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Doxycycline Hyclate
n=246 participants at risk
Morning: 1 200 mg tablet doxycycline hyclate and 1 placebo Vibramycin capsule, Evening: 1 placebo Vibramycin capsule
Vibramycin
n=248 participants at risk
Morning: 1 over-encapsulated 100 mg Vibramycin tablet and 1 placebo doxycycline hyclate table, Evening: 1 over-encapsulated 100 mg Vibramycin tablet
Gastrointestinal disorders
Nausea
13.4%
33/246 • Number of events 33 • 28 day treatment period
20.6%
51/248 • Number of events 51 • 28 day treatment period
Gastrointestinal disorders
Vomiting
8.1%
20/246 • Number of events 20 • 28 day treatment period
12.1%
30/248 • Number of events 30 • 28 day treatment period
Gastrointestinal disorders
Diarrhoea
3.3%
8/246 • Number of events 8 • 28 day treatment period
4.4%
11/248 • Number of events 11 • 28 day treatment period
Gastrointestinal disorders
Abdominal Pain Upper
2.0%
5/246 • Number of events 5 • 28 day treatment period
5.2%
13/248 • Number of events 13 • 28 day treatment period
Infections and infestations
Vaginitis Bacterial
3.3%
8/246 • Number of events 8 • 28 day treatment period
2.0%
5/248 • Number of events 5 • 28 day treatment period
Infections and infestations
Vulvovaginal Mycotic Infection
2.0%
5/246 • Number of events 5 • 28 day treatment period
1.6%
4/248 • Number of events 4 • 28 day treatment period
Nervous system disorders
Headache
2.0%
5/246 • Number of events 5 • 28 day treatment period
6.0%
15/248 • Number of events 15 • 28 day treatment period

Additional Information

Grexan Wulff, Manager Regulatory Affairs

Warner Chilcott

Phone: 973-442-3376

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60