Microbiome Effect of Omadacycline on Healthy Volunteers

NCT ID: NCT06030219

Last Updated: 2025-03-25

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

PHASE1

Total Enrollment

32 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-10-12

Study Completion Date

2023-09-01

Brief Summary

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The goal of this study is to assess microbiome changes associated with omadacycline vs. comparators (moxifloxacin or oral vancomycin). Using a phase I study design, healthy volunteers aged 18-40 years will be given a 10-day course of either omadacycline 450 mg days 1 and 2 followed by 300 mg PO once daily, moxifloxacin 400 mg once daily, or oral vancomycin 125 mg given four times daily. Stool will be collected at baseline, daily during therapy, and at two follow-up time periods (days 13-14 and days 30-32). DNA will be extracted from stool and used for qPCR biomass and microbial metagenomic experiments. Results from the study will provide definitive data on the microbiome effects of omadacycline versus comparator antibiotics.

Detailed Description

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Conditions

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Healthy Volunteers

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Omadacycline

Subjects will receive 3 tablets on day 1 and day 2 (450 mg) followed by 2 tablets (300 mg) for days 3 through 10.

Group Type EXPERIMENTAL

Omadacycline

Intervention Type DRUG

10-day course

Vancomycin (oral)

Vancomycin 125 mg capsules will be taken four times daily for a total of 10 days.

Group Type ACTIVE_COMPARATOR

Vancomycin Pill

Intervention Type DRUG

10-day course

Moxifloxacin

Moxifloxacin 400 mg tablets will be taken once per day for a total of 10 days.

Group Type ACTIVE_COMPARATOR

Moxifloxacin

Intervention Type DRUG

10-day course

Interventions

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Omadacycline

10-day course

Intervention Type DRUG

Vancomycin Pill

10-day course

Intervention Type DRUG

Moxifloxacin

10-day course

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Exclusion. Patients will be excluded if they report any of the following:

* Cardiovascular disease
* Gastrointestinal disease
* Hepatic or renal disease
* Receipt of an antibiotic for at least three months prior to enrollment.
* Receipt of a probiotic for at least a month prior to enrollment and during the entire study period.
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Paratek Pharmaceuticals Inc

INDUSTRY

Sponsor Role collaborator

University of Houston

OTHER

Sponsor Role lead

Responsible Party

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Kevin W. Garey

Professor and Chair

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kevin W Garey

Role: PRINCIPAL_INVESTIGATOR

Professor and Chair

Locations

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University of Houston

Houston, Texas, United States

Site Status

Countries

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United States

References

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Ayele H, Jo J, Begum K, Hu C, Le TM, Alam MJ, Eubank TA, Haidacher SJ, Horvath T, Hanson BM, Garey KW. A randomized phase 1 study investigating gut microbiome changes with moxifloxacin vs. oral vancomycin: Implications for Clostridioides difficile risk. J Infect Dis. 2025 Oct 13:jiaf512. doi: 10.1093/infdis/jiaf512. Online ahead of print.

Reference Type DERIVED
PMID: 41081530 (View on PubMed)

Jo J, Hu C, Horvath TD, Haidacher SJ, Begum K, Alam MJ, Garey KW. Phase I trial comparing bile acid and short-chain fatty acid alterations in stool collected from human subjects treated with omadacycline or vancomycin. Antimicrob Agents Chemother. 2025 Feb 13;69(2):e0125124. doi: 10.1128/aac.01251-24. Epub 2025 Jan 17.

Reference Type DERIVED
PMID: 39819014 (View on PubMed)

Jo J, Hu C, Begum K, Wang W, Le TM, Agyapong S, Hanson BM, Ayele H, Lancaster C, Jahangir Alam M, Gonzales-Luna AJ, Garey KW. Fecal Pharmacokinetics and Gut Microbiome Effects of Oral Omadacycline Versus Vancomycin in Healthy Volunteers. J Infect Dis. 2024 Jan 12;229(1):273-281. doi: 10.1093/infdis/jiad537.

Reference Type DERIVED
PMID: 38051631 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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G0505124

Identifier Type: -

Identifier Source: org_study_id

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