Oral Sulopenem-etzadroxil/Probenecid Versus Ciprofloxacin for Uncomplicated Urinary Tract Infection in Adult Women

NCT ID: NCT03354598

Last Updated: 2021-01-12

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1671 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-08-01

Study Completion Date

2020-01-20

Brief Summary

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This is a prospective, Phase 3, randomized, multi-center, double-blind study of the efficacy, tolerability, and safety of oral sulopenem-etzadroxil/probenecid versus oral ciprofloxacin for treatment of uncomplicated urinary tract infection (uUTI) in adult women

Detailed Description

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Conditions

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Uncomplicated Urinary Tract Infections

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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Sulopenem-etzadroxil/probenecid

Sulopenem-etzadroxil/probenecid 500 mg PO twice daily for 5 days

Group Type EXPERIMENTAL

Sulopenem-Etzadroxil/Probenecid

Intervention Type DRUG

Treatment of uncomplicated urinary tract infection

Ciprofloxacin

Ciprofloxacin 250 mg PO administered twice daily for 3 days

Group Type ACTIVE_COMPARATOR

Ciprofloxacin

Intervention Type DRUG

Treatment of uncomplicated urinary tract infection

Interventions

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Sulopenem-Etzadroxil/Probenecid

Treatment of uncomplicated urinary tract infection

Intervention Type DRUG

Ciprofloxacin

Treatment of uncomplicated urinary tract infection

Intervention Type DRUG

Other Intervention Names

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Cipro

Eligibility Criteria

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Inclusion Criteria

1. Female patients ≥18 years of age with 24-96 hours of urinary symptoms attributable to a urinary tract infection (UTI)
2. Two of the following signs and symptoms of uUTI: urinary frequency, urinary urgency, pain or burning micturition, suprapubic pain
3. A mid-stream urine specimen with:

1. a dipstick analysis positive for nitrite AND
2. evidence of pyuria as defined by either:

i. a dipstick analysis positive for leukocyte esterase ii. at least 10 white blood cells per cubic millimeter on microscopic analysis of unspun urine iii. White blood cell count ≥10 cells/high-powered field in the sediment of a spun urine
4. Has given written informed consent to participate in the study.

Exclusion Criteria

1. Presence of signs and symptoms suggestive of acute pyelonephritis: fever (temperature \> 38°Celsius), chills, costovertebral angle tenderness, flank pain, nausea, and/or vomiting
2. Receipt of antibacterial drug therapy potentially effective as treatment of uUTI within the prior 7 days
3. Concurrent use of non-study treatments that would have a potential effect on outcome evaluations in patients with uUTI
4. Patients with ileal loops or urinary stoma
5. Patients with an indwelling urinary catheter in the previous 30 days
6. Patients with paraplegia
7. Patients who are likely to receive ongoing antibacterial drug prophylaxis after treatment of uUTI (e.g., patients with vesico-ureteral reflux)
8. Any history of trauma to the pelvis or urinary tract
9. Patient's urine culture, if available at study entry, identify more than 2 microorganisms regardless of colony count or patient has a confirmed fungal UTI
10. Patient is receiving hemodialysis or peritoneal dialysis or had a renal transplant
11. Known history of creatinine clearance \<50 mL/min
12. Patients known to have liver disease
13. Patients who are pregnant, or females of child-bearing age unable to take adequate contraceptive precautions
14. Patients with uncontrolled diabetes mellitus
15. Patients with history of blood dyscrasias
16. Patients with history of uric acid kidney stones
17. Patients with acute gouty attack
18. Patients on chronic methotrexate therapy
19. Patient known to be immunocompromised
20. Patients with a known history of myasthenia gravis
21. Patients who require concomitant administration of tizanidine or valproic acid
22. Patients with a history of allergy or hypersensitivity to carbapenems, beta-lactams, quinolones or probenecid
23. Patient is considered unlikely to survive the 4-week study period or has a rapidly progressive or terminal illness including septic shock which is associated with a high risk of mortality
24. History of seizures
25. Use of any other investigational drug in the 30 days prior to the study
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Iterum Therapeutics, International Limited

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Medical Facility

Birmingham, Alabama, United States

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Phoenix, Arizona, United States

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Tolleson, Arizona, United States

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Cerritos, California, United States

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Chula Vista, California, United States

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Fullerton, California, United States

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La Mesa, California, United States

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Los Angeles, California, United States

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San Diego, California, United States

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Sylmar, California, United States

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Washington D.C., District of Columbia, United States

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Bradenton, Florida, United States

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Clearwater, Florida, United States

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Doral, Florida, United States

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Edgewater, Florida, United States

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Hialeah, Florida, United States

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Lauderdale Lakes, Florida, United States

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Miami, Florida, United States

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Miami, Florida, United States

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Miami, Florida, United States

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Miami, Florida, United States

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Miami, Florida, United States

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Miami, Florida, United States

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Miami, Florida, United States

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Miami, Florida, United States

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Miami Springs, Florida, United States

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New Port Richey, Florida, United States

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Ormond Beach, Florida, United States

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Palmetto Bay, Florida, United States

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St. Petersburg, Florida, United States

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Winter Haven, Florida, United States

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Atlanta, Georgia, United States

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Norcross, Georgia, United States

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Perry, Georgia, United States

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Lake Charles, Louisiana, United States

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Metairie, Louisiana, United States

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New Orleans, Louisiana, United States

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Las Vegas, Nevada, United States

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Las Vegas, Nevada, United States

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Brooklyn, New York, United States

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Raleigh, North Carolina, United States

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Hugo, Oklahoma, United States

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Easley, South Carolina, United States

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Lancaster, South Carolina, United States

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Myrtle Beach, South Carolina, United States

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Austin, Texas, United States

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Austin, Texas, United States

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Carrollton, Texas, United States

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Corpus Christi, Texas, United States

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Dallas, Texas, United States

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Houston, Texas, United States

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Houston, Texas, United States

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Pearland, Texas, United States

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Plano, Texas, United States

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Sugar Land, Texas, United States

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Bountiful, Utah, United States

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Salt Lake City, Utah, United States

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Salt Lake City, Utah, United States

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South Jordan, Utah, United States

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St. George, Utah, United States

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Countries

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United States

References

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Dunne MW, Aronin SI, Das AF, Akinapelli K, Zelasky MT, Puttagunta S, Boucher HW. Sulopenem or Ciprofloxacin for the Treatment of Uncomplicated Urinary Tract Infections in Women: A Phase 3, Randomized Trial. Clin Infect Dis. 2023 Jan 6;76(1):66-77. doi: 10.1093/cid/ciac738.

Reference Type DERIVED
PMID: 36069202 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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IT001-301

Identifier Type: -

Identifier Source: org_study_id

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