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

NCT ID: NCT01756339

Last Updated: 2017-03-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

860 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-12-31

Study Completion Date

2014-10-31

Brief Summary

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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

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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.

Conditions

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Community-acquired Bacterial Pneumonia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Solithromycin

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

Group Type EXPERIMENTAL

Solithromycin

Intervention Type DRUG

Placebo to match solithromycin

Intervention Type OTHER

Moxifloxacin

Moxifloxacin 400 mg PO daily on Day 1 through Day 7

Group Type ACTIVE_COMPARATOR

Moxifloxacin

Intervention Type DRUG

Interventions

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Solithromycin

Intervention Type DRUG

Moxifloxacin

Intervention Type DRUG

Placebo to match solithromycin

Intervention Type OTHER

Other Intervention Names

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CEM-101 Avelox

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Melinta Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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David Oldach, MD

Role: STUDY_DIRECTOR

Melinta Therapeutics, Inc.

Locations

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Glendale, California, United States

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Los Angeles, California, United States

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Mission Hills, California, United States

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Oxnard, California, United States

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Pasadena, California, United States

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Sylmar, California, United States

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Torrance, California, United States

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DeBary, Florida, United States

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DeLand, Florida, United States

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Miami, Florida, United States

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Miami, Florida, United States

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Saint Cloud, Florida, United States

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Tampa, Florida, United States

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Duluth, Georgia, United States

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New Bedford, Massachusetts, United States

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Butte, Montana, United States

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Columbus, Ohio, United States

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Downingtown, Pennsylvania, United States

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Summerville, South Carolina, United States

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Rapid City, South Dakota, United States

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Houston, Texas, United States

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Houston, Texas, United States

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Houston, Texas, United States

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Houston, Texas, United States

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Splendora, Texas, United States

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La Plata, Buenos Aires, Argentina

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Loma Hermosa, Buenos Aires, Argentina

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Tandil, Buenos Aires, Argentina

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Córdoba, Córdoba Province, Argentina

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Rosario, Santa Fe Province, Argentina

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Santa Fe, Santa Fe Province, Argentina

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San Miguel de Tucumán, Tucumán Province, Argentina

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Buenos Aires, , Argentina

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Buenos Aires, , Argentina

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Caba, , Argentina

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Pernik, Bulgaria, Bulgaria

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Rousse, Bulgaria, Bulgaria

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Sofia, Bulgaria, Bulgaria

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Sofia, Bulgaria, Bulgaria

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Sofia, , Bulgaria

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Sofia, , Bulgaria

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Sofia, , Bulgaria

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Edmonton, Alberta, Canada

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Vancouver, British Columbia, Canada

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Cornwall, Ontario, Canada

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Montreal, Quebec, Canada

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Beroun, , Czechia

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Santo Domingo, , Dominican Republic

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Santo Domingo, , Dominican Republic

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Guayaquil, Guayas, Ecuador

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Guayaquil, , Ecuador

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Quito, , Ecuador

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Tallinn, , Estonia

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Tallinn, , Estonia

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Tartu, , Estonia

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Hofheim, De-he, Germany

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Rotenburg (Wümme), De-ni, Germany

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Hanover, , Germany

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Budapest, , Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Kecskemét, , Hungary

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Nyíregyháza, , Hungary

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Daugavpils, , Latvia

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Liepāja, , Latvia

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Riga, , Latvia

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Riga, , Latvia

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Krakow, , Poland

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Lodz, , Poland

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Lublin, , Poland

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Zgierz, , Poland

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San Juan, , Puerto Rico

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Bucharest, , Romania

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Bucharest, , Romania

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Bucharest, , Romania

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Craiova, , Romania

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Iași, , Romania

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Timișoara, , Romania

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Saint Petersburg, Leningradskaya Oblast', Russia

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Saint Petersburg, Leningradskaya Oblast', Russia

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Saint Petersburg, Leningradskaya Oblast', Russia

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Smolensk, Smolensk Oblast, Russia

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Chelyabinsk, , Russia

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Moscow, , Russia

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Moscow, , Russia

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Moscow, , Russia

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Moscow, , Russia

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Moscow, , Russia

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Moscow, , Russia

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Moscow, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Smolensk, , Russia

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Thabazimbi, Limpopo, South Africa

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Halfway House, Midrand, South Africa

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Middelburg, Mpumalanga, South Africa

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Witbank, Mpumalanga, South Africa

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Korsten, Port Elizabeth, South Africa

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Hillcrest, Pretoria, South Africa

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Benoni, , South Africa

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Bloemfontein, , South Africa

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Cape Town, , South Africa

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Cape Town, , South Africa

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Cape Town, , South Africa

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Krugersdorp, , South Africa

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Pretoria, , South Africa

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Worcester, , South Africa

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Badalona, Barcelona, Spain

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Majadahonda, Madrid, Spain

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Valencia, Valencia, Spain

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Barcelona, , Spain

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Madrid, , Spain

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Madrid, , Spain

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Mataró, , Spain

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Countries

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United States Argentina Bulgaria Canada Czechia Dominican Republic Ecuador Estonia Germany Hungary Latvia Poland Puerto Rico Romania Russia South Africa Spain

References

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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.

Reference Type DERIVED
PMID: 26852726 (View on PubMed)

Other Identifiers

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CE01-300

Identifier Type: -

Identifier Source: org_study_id

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