Comparison of Delafloxacin Versus Ceftriaxone for the Treatment of Uncomplicated Gonorrhea

NCT ID: NCT02015637

Last Updated: 2018-06-20

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

460 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-01-23

Study Completion Date

2014-12-10

Brief Summary

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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.

Detailed Description

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Conditions

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Gonorrhea

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Delafloxacin

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

Group Type EXPERIMENTAL

Delafloxacin

Intervention Type DRUG

single dose

ceftriaxone

Ceftriaxone 250 mg intramuscular injection administered once

Group Type ACTIVE_COMPARATOR

Ceftriaxone

Intervention Type DRUG

single dose

Interventions

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Delafloxacin

single dose

Intervention Type DRUG

Ceftriaxone

single dose

Intervention Type DRUG

Eligibility Criteria

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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.
Minimum Eligible Age

15 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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Sue Cammarata, MD

Role: STUDY_DIRECTOR

Melinta Therapeutics, Inc.

Locations

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Melinta 304 Study

Birmingham, Alabama, United States

Site Status

Melinta 304 Study Site

Chula Vista, California, United States

Site Status

Melinta 304 Study Site

La Mesa, California, United States

Site Status

Melinta 304 Study Site

Los Angeles, California, United States

Site Status

Melinta 304 Study Site

San Francisco, California, United States

Site Status

Melinta 304 Study

Atlanta, Georgia, United States

Site Status

Melinta 304 Study

Decatur, Georgia, United States

Site Status

Melinta 304 Study Site

Indianapolis, Indiana, United States

Site Status

Melinta 304 Study Site

New Orleans, Louisiana, United States

Site Status

Melinta 304 Study Site

Omaha, Nebraska, United States

Site Status

Melinta 304 Study Site

Las Vegas, Nevada, United States

Site Status

Melinta 304 Study Site

Brooklyn, New York, United States

Site Status

Melinta 304 Study

Brooklyn, New York, United States

Site Status

Melinta 304 Study Site

New York, New York, United States

Site Status

Melinta 304 Study Site

The Bronx, New York, United States

Site Status

Melinta 304 Study Site

Durham, North Carolina, United States

Site Status

Melinta 304 Study Site

Greensboro, North Carolina, United States

Site Status

Melinta 304 Study Site

Cleveland, Ohio, United States

Site Status

Melinta 304 Study Site

Columbus, Ohio, United States

Site Status

Melinta 304 Study Site

Portland, Oregon, United States

Site Status

Melinta 304 Study

Erie, Pennsylvania, United States

Site Status

Melinta 304 Study Site

Philadelphia, Pennsylvania, United States

Site Status

Melinta 304 Study Site

Pittsburgh, Pennsylvania, United States

Site Status

Melinta 304 Study Site

Houston, Texas, United States

Site Status

Melinta 304 Study Site

Seattle, Washington, United States

Site Status

Countries

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United States

References

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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.

Reference Type DERIVED
PMID: 30985632 (View on PubMed)

Other Identifiers

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ML-3341-304

Identifier Type: -

Identifier Source: org_study_id

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