Trial Outcomes & Findings for IV or IV/PO Omadacycline vs. IV/PO Levofloxacin for the Treatment of Acute Pyelonephritis (NCT NCT03757234)

NCT ID: NCT03757234

Last Updated: 2020-07-07

Results Overview

Clinical response was determined by the investigator at the PTE visit by assessing whether or not the participant met the clinical outcome of Clinical Success, Clinical Failure, or Indeterminate. Clinical Success was defined as the complete resolution or significant improvement of the baseline AP signs and symptoms at the PTE visit such that no additional antimicrobial therapy is required for the current infection. Clinical Failure was defined as no apparent response to therapy or persistence of signs and symptoms of infection or reappearance of signs and symptoms at or before the PTE visit such that use of additional systemic antimicrobial therapy for the current infection was required or death at or before the PTE visit. The clinical outcome was deemed as Indeterminate when the PTE visit was not completed.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

201 participants

Primary outcome timeframe

Day 21 (A PTE occurred on Day 21 ± 2 days after the participant's first dose of study drug).

Results posted on

2020-07-07

Participant Flow

Participant milestones

Participant milestones
Measure
Omadacycline 200 iv/200 iv
On Day 1, participants received omadacycline 200 milligrams intravenously (iv). On Days 2 through 7, participants continued to receive omadacycline 200 milligrams iv. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes.
Omadacycline 200 iv/100 iv
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes.
Omadacycline 200 iv/300 po or 100 iv
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv or omadacycline 300 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Omadacycline 200 iv/450 po or 100 iv
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv or omadacycline 450 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Levofloxacin 750 iv/750 po or iv
On Day 1, participants received levofloxacin 750 milligrams iv. On Days 2 through 7, participants received levofloxacin 750 milligrams iv or levofloxacin 750 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Overall Study
STARTED
75
18
17
17
74
Overall Study
Completed PTE Visit
72
16
17
16
71
Overall Study
COMPLETED
72
16
17
16
70
Overall Study
NOT COMPLETED
3
2
0
1
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Omadacycline 200 iv/200 iv
On Day 1, participants received omadacycline 200 milligrams intravenously (iv). On Days 2 through 7, participants continued to receive omadacycline 200 milligrams iv. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes.
Omadacycline 200 iv/100 iv
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes.
Omadacycline 200 iv/300 po or 100 iv
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv or omadacycline 300 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Omadacycline 200 iv/450 po or 100 iv
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv or omadacycline 450 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Levofloxacin 750 iv/750 po or iv
On Day 1, participants received levofloxacin 750 milligrams iv. On Days 2 through 7, participants received levofloxacin 750 milligrams iv or levofloxacin 750 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Overall Study
Adverse Event
0
0
0
0
1
Overall Study
Lost to Follow-up
1
0
0
0
1
Overall Study
Withdrawal by Subject
1
1
0
1
2
Overall Study
Other
1
1
0
0
0

Baseline Characteristics

IV or IV/PO Omadacycline vs. IV/PO Levofloxacin for the Treatment of Acute Pyelonephritis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Omadacycline 200 iv/200 iv
n=75 Participants
On Day 1, participants received omadacycline 200 milligrams intravenously (iv). On Days 2 through 7, participants continued to receive omadacycline 200 milligrams iv. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes.
Omadacycline 200 iv/100 iv
n=18 Participants
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes.
Omadacycline 200 iv/300 po or 100 iv
n=17 Participants
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv or omadacycline 300 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Omadacycline 200 iv/450 po or 100 iv
n=17 Participants
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv or omadacycline 450 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Levofloxacin 750 iv/750 po or iv
n=74 Participants
On Day 1, participants received levofloxacin 750 milligrams iv. On Days 2 through 7, participants received levofloxacin 750 milligrams iv or levofloxacin 750 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Total
n=201 Participants
Total of all reporting groups
Age, Continuous
38.2 years
STANDARD_DEVIATION 14.97 • n=5 Participants
33.9 years
STANDARD_DEVIATION 14.48 • n=7 Participants
37.1 years
STANDARD_DEVIATION 15.97 • n=5 Participants
38.2 years
STANDARD_DEVIATION 17.66 • n=4 Participants
38.8 years
STANDARD_DEVIATION 14.74 • n=21 Participants
37.9 years
STANDARD_DEVIATION 15.07 • n=8 Participants
Sex: Female, Male
Female
75 Participants
n=5 Participants
18 Participants
n=7 Participants
17 Participants
n=5 Participants
17 Participants
n=4 Participants
74 Participants
n=21 Participants
201 Participants
n=8 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
1 Participants
n=8 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
74 Participants
n=5 Participants
18 Participants
n=7 Participants
17 Participants
n=5 Participants
17 Participants
n=4 Participants
74 Participants
n=21 Participants
200 Participants
n=8 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
1 Participants
n=8 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
Race (NIH/OMB)
White
74 Participants
n=5 Participants
18 Participants
n=7 Participants
17 Participants
n=5 Participants
17 Participants
n=4 Participants
74 Participants
n=21 Participants
200 Participants
n=8 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants

PRIMARY outcome

Timeframe: Day 21 (A PTE occurred on Day 21 ± 2 days after the participant's first dose of study drug).

Population: The intent-to-treat (ITT) population consisted of all randomized participants regardless of whether or not the participant received study drug.

Clinical response was determined by the investigator at the PTE visit by assessing whether or not the participant met the clinical outcome of Clinical Success, Clinical Failure, or Indeterminate. Clinical Success was defined as the complete resolution or significant improvement of the baseline AP signs and symptoms at the PTE visit such that no additional antimicrobial therapy is required for the current infection. Clinical Failure was defined as no apparent response to therapy or persistence of signs and symptoms of infection or reappearance of signs and symptoms at or before the PTE visit such that use of additional systemic antimicrobial therapy for the current infection was required or death at or before the PTE visit. The clinical outcome was deemed as Indeterminate when the PTE visit was not completed.

Outcome measures

Outcome measures
Measure
Omadacycline 200 iv/200 iv
n=75 Participants
On Day 1, participants received omadacycline 200 milligrams intravenously (iv). On Days 2 through 7, participants continued to receive omadacycline 200 milligrams iv. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes.
Omadacycline 200 iv/100 iv
n=18 Participants
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes.
Omadacycline 200 iv/300 po or 100 iv
n=17 Participants
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv or omadacycline 300 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Omadacycline 200 iv/450 po or 100 iv
n=17 Participants
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv or omadacycline 450 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Levofloxacin 750 iv/750 po or iv
n=74 Participants
On Day 1, participants received levofloxacin 750 milligrams iv. On Days 2 through 7, participants received levofloxacin 750 milligrams iv or levofloxacin 750 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Number of Participants With an Investigator Assessment of Clinical Response at the Post Therapy Evaluation (PTE) Visit (ITT Population)
Clinical Success
68 Participants
15 Participants
15 Participants
16 Participants
69 Participants
Number of Participants With an Investigator Assessment of Clinical Response at the Post Therapy Evaluation (PTE) Visit (ITT Population)
Clinical Failure
5 Participants
1 Participants
2 Participants
0 Participants
1 Participants
Number of Participants With an Investigator Assessment of Clinical Response at the Post Therapy Evaluation (PTE) Visit (ITT Population)
Indeterminate
2 Participants
2 Participants
0 Participants
1 Participants
4 Participants

PRIMARY outcome

Timeframe: Day 21 (A PTE occurred on Day 21 ± 2 days after the participant's first dose of study drug).

Population: The micro-ITT population consisted of participants in the ITT population who had an appropriately collected pretreatment baseline urine culture with at least 1 uropathogen at ≥10\^5 colony forming unit (CFU)/mL and not more than 2 bacterial isolates at any colony count.

Microbiological response was determined programmatically at the PTE visit by assessing whether or not the participant met the microbiological outcome of 'Success', 'Failure', or 'Indeterminate'. Participants were considered to have a microbiological response of 'Success' if the outcomes of each baseline pathogens were eradication at the PTE visit. Participants were considered to have a microbiological response of 'Failure' if the outcome for any pathogen was persistence. Participants were considered to have a microbiological response of 'Indeterminate', if the outcome of at least 1 baseline pathogen was indeterminate and there was no outcome of persistence for any baseline pathogen.

Outcome measures

Outcome measures
Measure
Omadacycline 200 iv/200 iv
n=46 Participants
On Day 1, participants received omadacycline 200 milligrams intravenously (iv). On Days 2 through 7, participants continued to receive omadacycline 200 milligrams iv. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes.
Omadacycline 200 iv/100 iv
n=11 Participants
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes.
Omadacycline 200 iv/300 po or 100 iv
n=14 Participants
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv or omadacycline 300 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Omadacycline 200 iv/450 po or 100 iv
n=13 Participants
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv or omadacycline 450 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Levofloxacin 750 iv/750 po or iv
n=52 Participants
On Day 1, participants received levofloxacin 750 milligrams iv. On Days 2 through 7, participants received levofloxacin 750 milligrams iv or levofloxacin 750 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Number of Participants With a Microbiological Response at the PTE Visit (Micro-ITT Population)
Clinical Success
32 Participants
3 Participants
9 Participants
5 Participants
39 Participants
Number of Participants With a Microbiological Response at the PTE Visit (Micro-ITT Population)
Clinical Failure
13 Participants
7 Participants
5 Participants
7 Participants
11 Participants
Number of Participants With a Microbiological Response at the PTE Visit (Micro-ITT Population)
Indeterminate
1 Participants
1 Participants
0 Participants
1 Participants
2 Participants

PRIMARY outcome

Timeframe: Day 21 (A PTE occurred on Day 21 ± 2 days after the participant's first dose of study drug).

Population: The ITT population consisted of all randomized participants regardless of whether or not the participant received study drug. Participants who completed the PTE visit with evaluable data were analyzed for this end point.

Participants recorded their assessments using the Modified Patient Symptom Assessment Questionnaire (mPSAQ), a 6-item questionnaire that assessed the levels of 'severity' and 'bothersomeness' for six pyelonephritis signs and symptoms. The sub-scale responses were recorded as 'did not have', 'mild', 'moderate', and 'severe' for 'severity'; and 'not at all', 'a little', 'moderately', and 'a lot' for 'bothersomeness', both scored 0-3. Total scores were calculated by summing the non-missing scores of the 6 items, divided by the number of non-missing items, and then multiplied by 6. For each sub-scale, the total score ranged from 0 (least Severe/ least bothersome) and 18 (worst severity/most bothersome). Number of participants with resolution of all symptoms, without occurrence of new symptoms is reported. Resolution was defined as absence of all baseline symptoms.

Outcome measures

Outcome measures
Measure
Omadacycline 200 iv/200 iv
n=64 Participants
On Day 1, participants received omadacycline 200 milligrams intravenously (iv). On Days 2 through 7, participants continued to receive omadacycline 200 milligrams iv. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes.
Omadacycline 200 iv/100 iv
n=16 Participants
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes.
Omadacycline 200 iv/300 po or 100 iv
n=16 Participants
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv or omadacycline 300 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Omadacycline 200 iv/450 po or 100 iv
n=16 Participants
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv or omadacycline 450 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Levofloxacin 750 iv/750 po or iv
n=66 Participants
On Day 1, participants received levofloxacin 750 milligrams iv. On Days 2 through 7, participants received levofloxacin 750 milligrams iv or levofloxacin 750 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Number of Participants With Resolution of All AP Signs and Clinical Symptoms at PTE Visit (ITT Population)
51 Participants
15 Participants
14 Participants
13 Participants
54 Participants

PRIMARY outcome

Timeframe: Day 21 (A PTE occurred on Day 21 ± 2 days after the participant's first dose of study drug).

Population: The ITT population consisted of all randomized participants regardless of whether or not the participant received study drug. Participants who completed the PTE visit with evaluable data were analyzed for this end point.

Participants recorded their assessments using the mPSAQ, a 6-item questionnaire that assessed the levels of 'severity' and 'bothersomeness' for six pyelonephritis signs and symptoms. The sub-scale responses were recorded as 'did not have', 'mild', 'moderate', and 'severe' for 'severity'; and 'not at all', 'a little', 'moderately', and 'a lot' for 'bothersomeness', both scored 0-3. Total scores were calculated by summing the non-missing scores of the 6 items, divided by the number of non-missing items, and then multiplied by 6. For each sub-scale, the total score ranged from 0 (least Severe/ least bothersome) and 18 (worst severity/most bothersome). Number of participants with no worsening and absence of AP signs and clinical symptoms is reported. No worsening meant that each question score is same or better at post baseline.

Outcome measures

Outcome measures
Measure
Omadacycline 200 iv/200 iv
n=64 Participants
On Day 1, participants received omadacycline 200 milligrams intravenously (iv). On Days 2 through 7, participants continued to receive omadacycline 200 milligrams iv. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes.
Omadacycline 200 iv/100 iv
n=16 Participants
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes.
Omadacycline 200 iv/300 po or 100 iv
n=16 Participants
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv or omadacycline 300 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Omadacycline 200 iv/450 po or 100 iv
n=16 Participants
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv or omadacycline 450 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Levofloxacin 750 iv/750 po or iv
n=66 Participants
On Day 1, participants received levofloxacin 750 milligrams iv. On Days 2 through 7, participants received levofloxacin 750 milligrams iv or levofloxacin 750 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Number of Participants With No Worsening and Absence of New AP Signs and Clinical Symptoms at PTE Visit (ITT Population)
62 Participants
16 Participants
16 Participants
15 Participants
65 Participants

SECONDARY outcome

Timeframe: up to approximately 28 days

Population: The Safety population consisted of all randomized participants who received at least one dose of study drug.

An adverse event is any untoward, undesired, or unplanned event in the form of signs, symptoms, disease, or laboratory or physiologic observations occurring in a person given a study drug or in a clinical study. A treatment-emergent adverse event was defined as any adverse event that newly appeared, increased in frequency, or worsened in severity on or after the initiation of the study drug.

Outcome measures

Outcome measures
Measure
Omadacycline 200 iv/200 iv
n=75 Participants
On Day 1, participants received omadacycline 200 milligrams intravenously (iv). On Days 2 through 7, participants continued to receive omadacycline 200 milligrams iv. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes.
Omadacycline 200 iv/100 iv
n=18 Participants
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes.
Omadacycline 200 iv/300 po or 100 iv
n=17 Participants
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv or omadacycline 300 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Omadacycline 200 iv/450 po or 100 iv
n=17 Participants
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv or omadacycline 450 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Levofloxacin 750 iv/750 po or iv
n=74 Participants
On Day 1, participants received levofloxacin 750 milligrams iv. On Days 2 through 7, participants received levofloxacin 750 milligrams iv or levofloxacin 750 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Number of Participants With Treatment Emergent Adverse Events and Serious Adverse Events
Treatment Emergent Adverse Events
23 Participants
6 Participants
9 Participants
8 Participants
24 Participants
Number of Participants With Treatment Emergent Adverse Events and Serious Adverse Events
Treatment Emergent Serious Adverse Events
0 Participants
0 Participants
2 Participants
2 Participants
2 Participants

Adverse Events

Omadacycline 200 iv/200 iv

Serious events: 0 serious events
Other events: 21 other events
Deaths: 0 deaths

Omadacycline 200 iv/100 iv

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Omadacycline 200 iv/300 po or 100 iv

Serious events: 2 serious events
Other events: 7 other events
Deaths: 0 deaths

Omadacycline 200 iv/450 po or 100 iv

Serious events: 2 serious events
Other events: 8 other events
Deaths: 0 deaths

Levofloxacin 750 iv/750 po or iv

Serious events: 2 serious events
Other events: 16 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Omadacycline 200 iv/200 iv
n=75 participants at risk
On Day 1, participants received omadacycline 200 milligrams intravenously (iv). On Days 2 through 7, participants continued to receive omadacycline 200 milligrams iv. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes.
Omadacycline 200 iv/100 iv
n=18 participants at risk
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes.
Omadacycline 200 iv/300 po or 100 iv
n=17 participants at risk
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv or omadacycline 300 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Omadacycline 200 iv/450 po or 100 iv
n=17 participants at risk
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv or omadacycline 450 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Levofloxacin 750 iv/750 po or iv
n=74 participants at risk
On Day 1, participants received levofloxacin 750 milligrams iv. On Days 2 through 7, participants received levofloxacin 750 milligrams iv or levofloxacin 750 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Infections and infestations
Renal abscess
0.00%
0/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
5.9%
1/17 • Number of events 1 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/74 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
Infections and infestations
Pyelonephritis acute
0.00%
0/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
5.9%
1/17 • Number of events 1 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/74 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Duodenal ulcer haemorrhage
0.00%
0/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
5.9%
1/17 • Number of events 1 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/74 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
Infections and infestations
Pneumonia
0.00%
0/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
5.9%
1/17 • Number of events 1 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
1.4%
1/74 • Number of events 1 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
Infections and infestations
Escherichia bacteraemia
0.00%
0/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
5.9%
1/17 • Number of events 1 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/74 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
Blood and lymphatic system disorders
Anaemia
0.00%
0/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
1.4%
1/74 • Number of events 1 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.

Other adverse events

Other adverse events
Measure
Omadacycline 200 iv/200 iv
n=75 participants at risk
On Day 1, participants received omadacycline 200 milligrams intravenously (iv). On Days 2 through 7, participants continued to receive omadacycline 200 milligrams iv. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes.
Omadacycline 200 iv/100 iv
n=18 participants at risk
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes.
Omadacycline 200 iv/300 po or 100 iv
n=17 participants at risk
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv or omadacycline 300 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Omadacycline 200 iv/450 po or 100 iv
n=17 participants at risk
On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv or omadacycline 450 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Levofloxacin 750 iv/750 po or iv
n=74 participants at risk
On Day 1, participants received levofloxacin 750 milligrams iv. On Days 2 through 7, participants received levofloxacin 750 milligrams iv or levofloxacin 750 milligrams po. All doses were administered once-per-day and iv doses were administered in 150 milliliters of normal saline as continuous infusions over 90 minutes. All oral doses were taken in a fasted state.
Skin and subcutaneous tissue disorders
Urticaria
2.7%
2/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/74 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
Cardiac disorders
Tachycardia
0.00%
0/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
5.9%
1/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/74 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Diarrhoea
1.3%
1/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
5.6%
1/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
5.9%
1/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
6.8%
5/74 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Nausea
4.0%
3/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
23.5%
4/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
6.8%
5/74 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Vomiting
0.00%
0/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
5.9%
1/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
1.4%
1/74 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
General disorders
Asthenia
2.7%
2/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
1.4%
1/74 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
General disorders
Hyperthermia
0.00%
0/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
5.6%
1/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/74 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
Infections and infestations
Asymptomatic bacteriuria
4.0%
3/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
11.1%
2/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
11.8%
2/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
5.9%
1/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
1.4%
1/74 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
Infections and infestations
Oral herpes
0.00%
0/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
5.9%
1/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/74 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
Infections and infestations
Pharyngitis
0.00%
0/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
5.6%
1/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/74 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
Infections and infestations
Viral rhinitis
0.00%
0/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
5.9%
1/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/74 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
Infections and infestations
Vulvovaginal candidiasis
0.00%
0/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
5.9%
1/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/74 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
Investigations
Alanine aminotransferase increased
1.3%
1/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
5.6%
1/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/74 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
Investigations
Aspartate aminotransferase increased
0.00%
0/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
5.6%
1/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/74 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
Investigations
Body temperature increased
0.00%
0/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
5.9%
1/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
1.4%
1/74 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
Investigations
Gamma-glutamyltransferase increased
0.00%
0/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
5.9%
1/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/74 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
Nervous system disorders
Dizziness
4.0%
3/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/74 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
Nervous system disorders
Dysgeusia
0.00%
0/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
5.9%
1/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/74 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
Nervous system disorders
Headache
10.7%
8/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
11.8%
2/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
17.6%
3/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
6.8%
5/74 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.00%
0/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
11.8%
2/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/74 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
Skin and subcutaneous tissue disorders
Rash
2.7%
2/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/74 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
Skin and subcutaneous tissue disorders
Rash erythematous
4.0%
3/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/74 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
Vascular disorders
Hypertension
0.00%
0/75 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/18 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
0.00%
0/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
5.9%
1/17 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
1.4%
1/74 • Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.

Additional Information

Paratek Medical Information

Paratek Pharmaceuticals, Inc.

Phone: 1-833-727-2835

Results disclosure agreements

  • Principal investigator is a sponsor employee The only disclosure restriction on the Principal Investigator is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days from the time submitted to the sponsor for review. The sponsor can request changes to the communication and require the removal of confidential information.
  • Publication restrictions are in place

Restriction type: OTHER