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Clinical Trials/NCT01591447
NCT01591447CompletedPhase 2

An Open-Label Study to Evaluate the Efficacy and Safety of a Single-Dose of Oral CEM-101 in the Treatment of Male and Female Patients With Uncomplicated Urogenital Gonorrhea

Melinta Therapeutics, Inc.2 sites in 1 country60 target enrollmentStarted: May 2012Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Phase 2
Status
Completed
Enrollment
60
Locations
2
Primary Endpoint
The bacterial eradication rate, as measured by conversion from positive Neisseria gonorrhoeae baseline urethral or cervical culture to negative

Study Overview

Brief Summary

To determine the safety and efficacy of a single dose of solithromycin (CEM-101) for the treatment of uncomplicated urogenital gonorrhea.

Study Design

Study Type
Interventional
Allocation
Non Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
19 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Evidence of a urogenital gonococcal infection (prior culture, NAAT test, Gram stain, sexual contact)
  • Willing to abstain from anal, oral, or vaginal sexual intercourse or use condoms until study completion.
  • Females of childbearing potential (including females less than 2 years post-menopausal) must have a negative pregnancy test at enrollment.

Exclusion Criteria

  • Confirmed, or suspected, complicated or systemic gonococcal infections such as pelvic inflammatory disease, arthritis, or endocarditis.
  • Known HIV, chronic hepatitis B, or hepatitis C infection.
  • Known concomitant infection which would require additional systemic antibiotics.
  • Use of systemic or intravaginal antibiotics within 30 days prior to study drug administration.
  • Current use of corticosteroid drugs or other immunosuppressive therapy.
  • Cytotoxic chemotherapy or radiation therapy within the previous 3 months.
  • Known significant renal, hepatic, or hematologic impairment.
  • History of intolerance or hypersensitivity to macrolide antibiotics.
  • Any concomitant condition that, in the opinion of the Investigator, would preclude an evaluation of a response or make it unlikely that the contemplated course of therapy and follow-up could be completed (e.g., life expectancy <30 days).

Arms & Interventions

Solithromycin (CEM-101)

Experimental

A single oral dose of 1200 mg solithromycin

Intervention: solithromycin (Drug)

Solithromycin 1000 mg

Experimental

A single oral dose of 1000 mg solithromycin

Intervention: Solithromycin (CEM-101) (Drug)

Outcomes

Primary Outcomes

The bacterial eradication rate, as measured by conversion from positive Neisseria gonorrhoeae baseline urethral or cervical culture to negative

Time Frame: 3 to 9 days after study drug dosing

Secondary Outcomes

  • Safety and tolerability of a single oral dose of CEM-101 in adult patients with uncomplicated urogenital gonorrhea(One day after study drug dosing, and 3 to 9 days after study drug dosing)
  • The bacterial eradication of rectal or pharyngeal gonococcal infection (if positive culture at baseline)(3 to 9 days after study drug dosing)
  • Eradication or persistence of Chlamydia trachomatis nucleic acid (as measured by positive NAAT assay) from urethral and cervical specimens(3 to 9 days after study drug dosing)
  • In vitro minimum inhibitory concentrations (MICs) of gonococcal strains isolated(Baseline and (if applicable) 3 to 9 days after study drug dosing)
  • Eradication or persistence of N. gonorrhoeae nucleic acid (as measured by positive NAAT assay) from urethral and cervical specimens(3 to 9 days after study drug dosing)

Investigators

Sponsor Class
Industry
Responsible Party
Sponsor

Study Sites (2)

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