Trial Outcomes & Findings for Pharmacokinetics of Tedizolid Phosphate in Cystic Fibrosis (NCT NCT02444234)

NCT ID: NCT02444234

Last Updated: 2020-06-02

Results Overview

Cmax was calculated using data collected at 0, 0.5, 1, 2, 3, 4, 8, 24, 48 hours post-dose

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

11 participants

Primary outcome timeframe

2 days

Results posted on

2020-06-02

Participant Flow

This was a cross-over study where patients with CF received tedizolid 200mg IV or PO once daily for 3 doses followed by a minimum 2 day washout and receipt of the remaining dosage form.

Participant milestones

Participant milestones
Measure
Tedizolid PO/IV
Tedizolid phophate 200mg tablet with crossover to IV Tedizolid PO/IV: Participants will be randomized to receive tedizolid oral 200mg once daily for 3 days and crossed over to IV after a minimum 2-day washout.
Tedizolid IV/PO
Tedizolid phophate 200mg IV with crossover to PO Tedizolid IV/PO: Participants will be randomized to receive tedizolid IV 200mg once daily for 3 days and crossed over to PO after a minimum 2-day washout.
First Intervention (3 Days)
STARTED
6
5
First Intervention (3 Days)
COMPLETED
6
5
First Intervention (3 Days)
NOT COMPLETED
0
0
Washout (2 Day Minimum)
STARTED
6
5
Washout (2 Day Minimum)
COMPLETED
6
5
Washout (2 Day Minimum)
NOT COMPLETED
0
0
Second Intervention (3 Days)
STARTED
6
5
Second Intervention (3 Days)
COMPLETED
6
5
Second Intervention (3 Days)
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Pharmacokinetics of Tedizolid Phosphate in Cystic Fibrosis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Study Participants
n=11 Participants
Participants were randomized to receive either tedizolid oral 200 mg tablet or IV 200 mg once daily for 3 days and crossed over to either IV or PO after a minimum of 2 day washout period
Age, Continuous
27.27 years
STANDARD_DEVIATION 4.78 • n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Creatinine Clearance
147.6 mL/min
STANDARD_DEVIATION 32.43 • n=5 Participants
Body Mass Index
21.72 kg/m2
STANDARD_DEVIATION 3.60 • n=5 Participants

PRIMARY outcome

Timeframe: 2 days

Cmax was calculated using data collected at 0, 0.5, 1, 2, 3, 4, 8, 24, 48 hours post-dose

Outcome measures

Outcome measures
Measure
Tedizolid PO
n=11 Participants
Tedizolid phophate 200mg tablet with crossover to IV Tedizolid PO/IV: Participants will be randomized to receive tedizolid oral 200mg once daily for 3 days and crossed over to IV after a 1 week washout.
Tedizolid IV
n=11 Participants
Tedizolid phophate 200mg IV with crossover to PO Tedizolid IV/PO: Participants will be randomized to receive tedizolid IV 200mg once daily for 3 days and crossed over to PO after a 1 week washout.
Peak Plasma Concentration (Cmax)
2.22 mg/liter
Standard Deviation 0.745
2.92 mg/liter
Standard Deviation .624

PRIMARY outcome

Timeframe: 2 days

Area under the curve was calculated using samples collected at baseline (0 h) , 0.5, 1, 2, 3, 4, 8, 24, and 48 hours post-dose and using the equation AUC=Dose\*F/CL

Outcome measures

Outcome measures
Measure
Tedizolid PO
n=11 Participants
Tedizolid phophate 200mg tablet with crossover to IV Tedizolid PO/IV: Participants will be randomized to receive tedizolid oral 200mg once daily for 3 days and crossed over to IV after a 1 week washout.
Tedizolid IV
n=11 Participants
Tedizolid phophate 200mg IV with crossover to PO Tedizolid IV/PO: Participants will be randomized to receive tedizolid IV 200mg once daily for 3 days and crossed over to PO after a 1 week washout.
Area Under the Plasma Concentration Versus Time Curve (AUC)
22.1 mg*h/mL
Standard Deviation 5.72
20.7 mg*h/mL
Standard Deviation 3.92

PRIMARY outcome

Timeframe: 2 days

Tmax was calculated using data collected at 0, 0.5, 1, 2, 3, 4, 8, 24, 48 hours post-dose

Outcome measures

Outcome measures
Measure
Tedizolid PO
n=11 Participants
Tedizolid phophate 200mg tablet with crossover to IV Tedizolid PO/IV: Participants will be randomized to receive tedizolid oral 200mg once daily for 3 days and crossed over to IV after a 1 week washout.
Tedizolid IV
n=11 Participants
Tedizolid phophate 200mg IV with crossover to PO Tedizolid IV/PO: Participants will be randomized to receive tedizolid IV 200mg once daily for 3 days and crossed over to PO after a 1 week washout.
Time to Peak Plasma Concentration (Tmax)
2.5 hours
Standard Deviation 1.33
1.36 hours
Standard Deviation 0.369

PRIMARY outcome

Timeframe: 2 days

Population: One patient could not produce sputum

Peak sputum concentration was calculated using data collected at 0, 0.5, 1, 2, 3, 4, 8, 24, 48 hours post-dose.

Outcome measures

Outcome measures
Measure
Tedizolid PO
n=10 Participants
Tedizolid phophate 200mg tablet with crossover to IV Tedizolid PO/IV: Participants will be randomized to receive tedizolid oral 200mg once daily for 3 days and crossed over to IV after a 1 week washout.
Tedizolid IV
n=10 Participants
Tedizolid phophate 200mg IV with crossover to PO Tedizolid IV/PO: Participants will be randomized to receive tedizolid IV 200mg once daily for 3 days and crossed over to PO after a 1 week washout.
Peak Sputum Concentration
1.08 mg/liter
Standard Deviation 0.6
1.196 mg/liter
Standard Deviation 0

PRIMARY outcome

Timeframe: 2 days

Population: One patient could not produce sputum

AUC was calculated using data collected at 0, 0.5, 1, 2, 3, 4, 8, 24, 48 hours post-dose

Outcome measures

Outcome measures
Measure
Tedizolid PO
n=10 Participants
Tedizolid phophate 200mg tablet with crossover to IV Tedizolid PO/IV: Participants will be randomized to receive tedizolid oral 200mg once daily for 3 days and crossed over to IV after a 1 week washout.
Tedizolid IV
n=10 Participants
Tedizolid phophate 200mg IV with crossover to PO Tedizolid IV/PO: Participants will be randomized to receive tedizolid IV 200mg once daily for 3 days and crossed over to PO after a 1 week washout.
Area Under the Sputum Concentration Versus Time Curve (AUC)
15.04 mg*h/mL
Standard Deviation 8.92
13.53 mg*h/mL
Standard Deviation 7.203

PRIMARY outcome

Timeframe: 2 days

Population: One patient could not produce sputum

Tmax was calculated using data collected at 0, 0.5, 1, 2, 3, 4, 8, 24, 48 hours post-dose. Tmax was derived from pooled sputum data due to sparse samples and therefore do not have standard deviations.

Outcome measures

Outcome measures
Measure
Tedizolid PO
n=10 Participants
Tedizolid phophate 200mg tablet with crossover to IV Tedizolid PO/IV: Participants will be randomized to receive tedizolid oral 200mg once daily for 3 days and crossed over to IV after a 1 week washout.
Tedizolid IV
n=10 Participants
Tedizolid phophate 200mg IV with crossover to PO Tedizolid IV/PO: Participants will be randomized to receive tedizolid IV 200mg once daily for 3 days and crossed over to PO after a 1 week washout.
Time to Peak Sputum Concentration (Tmax)
4 hours
Standard Deviation 0
3 hours
Standard Deviation 0

Adverse Events

Tedizolid PO

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Tedizolid IV

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Tedizolid PO
n=11 participants at risk
Tedizolid phophate 200mg tablet Tedizolid PO/IV: Participants will be randomized to receive tedizolid oral 200mg once daily for 3 days and crossed over to IV after a 1 week washout.
Tedizolid IV
n=11 participants at risk
Tedizolid phophate 200mg IV Tedizolid IV/PO: Participants will be randomized to receive tedizolid IV 200mg once daily for 3 days and crossed over to PO after a 1 week washout.
General disorders
Diarrhea
9.1%
1/11 • Number of events 1 • 10 days
9.1%
1/11 • Number of events 1 • 10 days

Additional Information

Paul M Beringer, Pharm.D.

University of Southern California

Phone: 323-442-1402

Results disclosure agreements

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