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The purpose of this study was to evaluate the safety and efficacy of intravenous (iv) or iv/per oral (po) omadacycline as compared to iv or iv/po levofloxacin in the treatment of female adults with acute pyelonephritis.
This was a randomized (1:1:1:1:1), double-blind, double-dummy, adaptive designed, Phase 2 study. Based on review of the efficacy and microbiology data, the DMC modified the randomization algorithm, and no further participants were enrolled in the following treatment arms after May 2019: the omadacycline 200 iv/100 iv, omadacycline 200 iv/300 po or 100 iv, and omadacycline 200 iv/450 po or 100 iv arms. After this change, participants were randomized in a 1:1 ratio to either the omadacycline 200 iv/200 iv or levofloxacin arms.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Omadacycline 200 iv/200 iv | Experimental | 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 | Experimental | 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 | Experimental | On Day 1, participants received omadacycline 200 milligrams iv. On Days 2 through 7, participants received omadacycline 100 milligrams iv or omadacycline 300 milligrams per oral (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 | Experimental | 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. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Omadacycline | Drug | po tablets |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With an Investigator Assessment of Clinical Response at the Post Therapy Evaluation (PTE) Visit (ITT Population) | 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. | Day 21 (A PTE occurred on Day 21 ± 2 days after the participant's first dose of study drug). |
| Number of Participants With a Microbiological Response at the PTE Visit (Micro-ITT Population) | 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. | Day 21 (A PTE occurred on Day 21 ± 2 days after the participant's first dose of study drug). |
| Number of Participants With Resolution of All AP Signs and Clinical Symptoms at PTE Visit (ITT Population) | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Treatment Emergent Adverse Events and Serious Adverse Events | 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. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Site 201 | Tbilisi | Georgia | ||||
| Site 202 |
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| ID | Title | Description |
|---|---|---|
| FG000 | 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. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Mar 26, 2018 | Jun 8, 2020 |
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|
| Levofloxacin 750 iv/750 po or iv | Active Comparator | 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. |
|
| Levofloxacin | Drug | iv solution/po tablets |
|
|
| Omadacycline | Drug | iv solution |
|
|
| Day 21 (A PTE occurred on Day 21 ± 2 days after the participant's first dose of study drug). |
| Number of Participants With No Worsening and Absence of New AP Signs and Clinical Symptoms at PTE Visit (ITT Population) | 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. | Day 21 (A PTE occurred on Day 21 ± 2 days after the participant's first dose of study drug). |
| up to approximately 28 days |
| Tbilisi |
| Georgia |
| Site 203 | Tbilisi | Georgia |
| Site 204 | Tbilisi | Georgia |
| Site 301 | Daugavpils | Latvia |
| Site 304 | Liepāja | LV-3414 | Latvia |
| Site 305 | Rēzekne | Latvia |
| Site 302 | Riga | Latvia |
| Site 303 | Valmiera | Latvia |
| Site 409 | Krasnoyarsk | 660062 | Russia |
| Site 408 | Moscow | 141435 | Russia |
| Site 410 | Moscow | Moscow | Russia |
| Site 415 | Penza | 440026 | Russia |
| Site 407 | Rostov-on-Don | 344022 | Russia |
| Site 405 | Rostov-on-Don | 344037 | Russia |
| Site 411 | Saint Petersburg | 194291 | Russia |
| Site 406 | Saint Petersburg | 195067 | Russia |
| Site 402 | Saint Petersburg | 196247 | Russia |
| Site 412 | Saint Petersburg | 197022 | Russia |
| Site 403 | Saint Petersburg | 197374 | Russia |
| Site 414 | Saint Petersburg | 198205 | Russia |
| Site 401 | Saint Petersburg | 198412 | Russia |
| Site 404 | Saint Petersburg | 199106 | Russia |
| Site 413 | Smolensk | 214018 | Russia |
| Site 502 | Chernivtsi | 58001 | Ukraine |
| Site 506 | Dnipro | 49005 | Ukraine |
| Site 505 | Kharkiv | 61037 | Ukraine |
| Site 504 | Kyiv | 2660 | Ukraine |
| Site 503 | Kyiv | 4053 | Ukraine |
| Site 501 | Lviv | 79059 | Ukraine |
| Site 507 | Zaporizhzhia | 69600 | Ukraine |
| FG001 |
| 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. |
| FG002 | 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. |
| FG003 | 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. |
| FG004 | 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. |
| Completed PTE Visit |
|
| COMPLETED |
|
| NOT COMPLETED |
|
|
The intent-to-treat (ITT) population consisted of all randomized participants regardless of whether or not the participant received study drug.
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| ID | Title | Description |
|---|---|---|
| BG000 | 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. |
| BG001 | 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. |
| BG002 | 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. |
| BG003 | 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. |
| BG004 | 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. |
| BG005 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants With an Investigator Assessment of Clinical Response at the Post Therapy Evaluation (PTE) Visit (ITT Population) | 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. | The intent-to-treat (ITT) population consisted of all randomized participants regardless of whether or not the participant received study drug. | Posted | Count of Participants | Participants | Day 21 (A PTE occurred on Day 21 ± 2 days after the participant's first dose of study drug). |
|
|
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Primary | Number of Participants With a Microbiological Response at the PTE Visit (Micro-ITT Population) | 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. | 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. | Posted | Count of Participants | Participants | Day 21 (A PTE occurred on Day 21 ± 2 days after the participant's first dose of study drug). |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Primary | Number of Participants With Resolution of All AP Signs and Clinical Symptoms at PTE Visit (ITT Population) | 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. | 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. | Posted | Count of Participants | Participants | Day 21 (A PTE occurred on Day 21 ± 2 days after the participant's first dose of study drug). |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Primary | Number of Participants With No Worsening and Absence of New AP Signs and Clinical Symptoms at PTE Visit (ITT Population) | 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. | 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. | Posted | Count of Participants | Participants | Day 21 (A PTE occurred on Day 21 ± 2 days after the participant's first dose of study drug). |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Number of Participants With Treatment Emergent Adverse Events and Serious Adverse Events | 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. | The Safety population consisted of all randomized participants who received at least one dose of study drug. | Posted | Count of Participants | Participants | up to approximately 28 days |
|
Up to approximately 28 days
The Safety Population consisted of all randomized participants who received at least one dose of study drug.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | 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. | 0 | 75 | 0 | 75 | 21 | 75 |
| EG001 | 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. | 0 | 18 | 0 | 18 | 6 | 18 |
| EG002 | 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. | 0 | 17 | 2 | 17 | 7 | 17 |
| EG003 | 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. | 0 | 17 | 2 | 17 | 8 | 17 |
| EG004 | 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. | 0 | 74 | 2 | 74 | 16 | 74 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Renal abscess | Infections and infestations | MedDra 20.1 | Systematic Assessment |
| |
| Pyelonephritis acute | Infections and infestations | MedDra 20.1 | Systematic Assessment |
| |
| Duodenal ulcer haemorrhage | Gastrointestinal disorders | MedDra 20.1 | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDra 20.1 | Systematic Assessment |
| |
| Escherichia bacteraemia | Infections and infestations | MedDra 20.1 | Systematic Assessment |
| |
| Anaemia | Blood and lymphatic system disorders | MedDra 20.1 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Tachycardia | Cardiac disorders | MedDra 20.1 | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDra 20.1 | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDra 20.1 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDra 20.1 | Systematic Assessment |
| |
| Asthenia | General disorders | MedDra 20.1 | Systematic Assessment |
| |
| Hyperthermia | General disorders | MedDra 20.1 | Systematic Assessment |
| |
| Asymptomatic bacteriuria | Infections and infestations | MedDra 20.1 | Systematic Assessment |
| |
| Oral herpes | Infections and infestations | MedDra 20.1 | Systematic Assessment |
| |
| Pharyngitis | Infections and infestations | MedDra 20.1 | Systematic Assessment |
| |
| Viral rhinitis | Infections and infestations | MedDra 20.1 | Systematic Assessment |
| |
| Vulvovaginal candidiasis | Infections and infestations | MedDra 20.1 | Systematic Assessment |
| |
| Alanine aminotransferase increased | Investigations | MedDra 20.1 | Systematic Assessment |
| |
| Aspartate aminotransferase increased | Investigations | MedDra 20.1 | Systematic Assessment |
| |
| Body temperature increased | Investigations | MedDra 20.1 | Systematic Assessment |
| |
| Gamma-glutamyltransferase increased | Investigations | MedDra 20.1 | Systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDra 20.1 | Systematic Assessment |
| |
| Dysgeusia | Nervous system disorders | MedDra 20.1 | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDra 20.1 | Systematic Assessment |
| |
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDra 20.1 | Systematic Assessment |
| |
| Rash | Skin and subcutaneous tissue disorders | MedDra 20.1 | Systematic Assessment |
| |
| Rash erythematous | Skin and subcutaneous tissue disorders | MedDra 20.1 | Systematic Assessment |
| |
| Urticaria | Skin and subcutaneous tissue disorders | MedDra 20.1 | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDra 20.1 | Systematic Assessment |
|
In May 2019, the DMC modified the randomization algorithm based on their review of the data. After this change, participants were randomized in a 1:1 ratio to either the omadacycline 200 iv/200 iv or levofloxacin arms.
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.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Paratek Medical Information | Paratek Pharmaceuticals, Inc. | 1-833-727-2835 | medinfo@paratekpharma.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jun 4, 2019 | Jun 8, 2020 | SAP_001.pdf |
Not provided
| ID | Term |
|---|---|
| C000591640 | omadacycline |
| D064704 | Levofloxacin |
| ID | Term |
|---|---|
| D015242 | Ofloxacin |
| D024841 | Fluoroquinolones |
| D042462 | 4-Quinolones |
| D015363 | Quinolones |
| D011804 | Quinolines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
Not provided
Not provided
| Male |
|
| Not Hispanic or Latino |
|
| Unknown or Not Reported |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| Clinical Failure |
|
| Indeterminate |
|
| Treatment difference |
| -9.9 |
| 2-Sided |
| 95 |
| -34.8 |
| 5.3 |
Point estimate and exact 95% confidence intervals for difference from levofloxacin (omadacycline minus levofloxacin) in clinical success rate was estimated. |
| Non-Inferiority |
Non-inferiority margin for comparison of the doses was set at 10%. |
| Treatment difference | -5.0 | 2-Sided | 95 | -30.6 | 8.2 | Point estimate and exact 95% confidence intervals for difference from levofloxacin (omadacycline minus levofloxacin) in clinical success rate was estimated. | Non-Inferiority | Non-inferiority margin for comparison of the doses was set at 10%. |
| Treatment Difference | 0.9 | 2-Sided | 95 | -22.4 | 11.8 | Point estimate and exact 95% confidence intervals for difference from levofloxacin (omadacycline minus levofloxacin) in clinical success rate was estimated. | Non-Inferiority | Non-inferiority margin for comparison of the doses was set at 10%. |
| 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. |
| OG002 | 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. |
| OG003 | 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. |
| OG004 | 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. |
|
|
|
| OG001 | 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. |
| OG002 | 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. |
| OG003 | 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. |
| OG004 | 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. |
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| OG001 | 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. |
| OG002 | 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. |
| OG003 | 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. |
| OG004 | 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. |
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| OG002 |
| 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. |
| OG003 | 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. |
| OG004 | 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. |
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