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Bacterial PneumoniaPhase 3NCT02531438

Omadacycline vs Moxifloxacin for the Treatment of CABP (EudraCT #2013-004071-13)

A Phase 3 study testing Omadacycline and Moxifloxacin in people with Bacterial Pneumonia and Community-Acquired Infections, run by Paratek Pharmaceuticals Inc at 140 sites in 25 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to evaluate the safety and efficacy of omadacycline as compared to moxifloxacin in the treatment of adults with community-acquired bacterial pneumonia. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Omadacycline and Moxifloxacin
Could I receive a placebo?
No, everyone receives an active treatment
How many people
774 participants
Where
140 sitesin 25 countries
Study dates
Nov 2015to 10 Mar 2017
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients, ages 18 years or older who have signed the informed consent
  • Has qualifying bacterial pneumonia
  • Female patients must not be pregnant at the time of enrollment
  • Must agree to a reliable method of birth control during the study and for 30 days following the last dose of study drug

Who cannot join

  • Known or suspected hospital-acquired pneumonia
  • Evidence of significant immunological disease
  • Has a history of hypersensitivity or allergic reaction to any tetracycline or to any fluoroquinolone antibiotic
  • Has received an investigational drug within past 30 days
  • Women who are pregnant or nursing

Trial locations and contacts

140 sites in 25 countries.

140 sites in 25 countries

United States12 sites
  • Site 514

    Birmingham, Alabama, 35215

  • Site 506

    Buffalo, New York, 14215

  • Site 509

    Dayton, Ohio, 45409

  • Site 503

    Detroit, Michigan, 48202

  • Site 516

    Huntington, West Virginia, 25701

  • Site 508

    Laguna Hills, California, 92653

  • Site 501

    Mobile, Alabama, 36608

  • Site 520

    Saint Paul, Minnesota, 55101

  • Site 512

    St Louis, Missouri, 63110

  • Site 513

    Stamford, Connecticut, 06902

  • Site 505

    Ventura, California, 93003

  • Site 511

    Zachary, Louisiana, 70791

Other trials in United States

Russia10 sites
  • 352

    Moscow

  • Site 350

    Moscow

  • Site 351

    Moscow

  • Site 353

    Saint Petersburg

  • Site 354

    Saint Petersburg

  • Site 355

    Saint Petersburg

  • Site 356

    Saint Petersburg

  • 357

    Sestroretsk

  • Site 358

    Vsevolozhsk

  • Site 359

    Zelenograd

Other trials in Russia

Ukraine9 sites
  • Site 380

    Dnipro

  • Site 373

    Dnipropetrovsk

  • Site 374

    Kharkiv

  • Site 375

    Kharkiv

  • Site 370

    Kyiv

  • Site 372

    Kyiv

  • Site 378

    Kyiv

  • Site 379

    Kyiv

  • Site 376

    Zaporizhia

Other trials in Ukraine

Croatia8 sites
  • Site 250

    Požega

  • Site 205

    Slavonski Brod

  • Site 212

    Zadar

  • Site 201

    Zagreb

  • Site 202

    Zagreb

  • Site 203

    Zagreb

  • Site 251

    Zagreb

  • Site 405

    Zagreb

Other trials in Croatia

Bulgaria7 sites
  • Site 305

    Kyustendil

  • Site 303

    Pernik

  • Site 304

    Plovdiv

  • Site 306

    Sliven

  • Site 301

    Sofia

  • Site 302

    Sofia

  • Site 307

    Sofia

Other trials in Bulgaria

Hungary7 sites
  • Site 310

    Budapest

  • Site 311

    Budapest

  • Site 312

    Budapest

  • Site 314

    Debrecen

  • Site 316

    Miskolc

  • Site 313

    Nyíregyháza

  • Site 315

    Székesfehérvár

Other trials in Hungary

Peru7 sites
  • Site 234

    Cusco

  • Site 233

    Lima

  • Site 236

    Lima

  • Site 238

    Lima

  • Site 239

    Lima

  • Site 481

    Lima

  • Site 237

    Trujillo

Other trials in Peru

Romania6 sites
  • Site 344

    Brasov

  • Site 340

    Bucharest

  • Site 342

    Bucharest

  • Site 343

    Bucharest

  • Site 345

    Craiova

  • Site 341

    Timișoara

Other trials in Romania

South Africa6 sites
  • Site 241

    Benoni, Gauteng

  • Site 436

    Centurion, Gauteng

  • Site 245

    Middelburg, Mpumalanga

  • Site 242

    Pretoria, Guateng

  • Site 437

    Somerset West, Western Cape

  • Site 244

    Thabazimbi, Limpopo

Other trials in South Africa

Georgia5 sites
  • Site 390

    Tbilisi

  • Site 391

    Tbilisi

  • Site 392

    Tbilisi

  • Site 393

    Tbilisi

  • Site 394

    Tbilisi

Other trials in Georgia

Greece5 sites
  • Site 207

    Athens, Attica

  • Site 420

    Athens, Attica

  • Site 210

    Athens

  • Site 421

    Athens

  • Site 208

    Thessaloniki

Other trials in Greece

Israel5 sites
  • Site 213

    Holon

  • Site 214

    Nazareth

  • Site 217

    Petah Tikva

  • Site 215

    Ramat Gan

  • Site 216

    Safed

Other trials in Israel

Mexico5 sites
  • Site 228

    Guadalajara, Jalisco

  • Site 472

    Guadalajara, Jalisco

  • Site 227

    Monterrey, Nuevo León

  • Site 471

    Monterrey, Nuevo León

  • Site 230

    Xalapa, Veracruz

Other trials in Mexico

Philippines5 sites
  • Site 555

    Caloocan

  • 552

    Iloilo City

  • 554

    Manila

  • Site 551

    Quezon City

  • Site 553

    Quezon City

Other trials in Philippines

Poland5 sites
  • Site 332

    Chrzanów

  • Site 333

    Katowice

  • Site 334

    Łęczna

  • Site 330

    Lodz

  • Site 331

    Wroclaw

Other trials in Poland

Spain5 sites
  • Site 226

    Alicante

  • Site 224

    Alzira, Valencia

  • Site 221

    Barcelona, Catalonia

  • Site 440

    Barcelona, Catalonia

  • Site 225

    Elche, Alicante

Other trials in Spain

Taiwan5 sites
  • Site 299

    Kaohsiung City

  • Site 297

    Tainan

  • Site 295

    Taipei

  • Site 296

    Taipei

  • Site 298

    Taipei

Other trials in Taiwan

Brazil4 sites
  • Site 276

    Belo Horizonte, Minas Gerais

  • Site 277

    Passo Fundo, Rio Grande do Sul

  • Site 274

    Porto Alegre, Rio Grande do Sul

  • Site 279

    São José do Rio Preto, São Paulo

Other trials in Brazil

Czechia4 sites
  • Site 412

    Kyjov

  • Site 410

    Prague

  • Site 411

    Prague

  • Site 414

    Třebíč

Other trials in Czechia

Latvia4 sites
  • Site 322

    Daugavpils

  • Site 323

    Liepāja

  • Site 320

    Riga

  • Site 321

    Riga

Other trials in Latvia

Slovakia4 sites
  • Site 431

    Bratislava

  • Site 430

    Levice

  • Site 432

    Martin

  • Site 433

    Nitra

Other trials in Slovakia

South Korea4 sites
  • Site 293

    Daegu

  • Site 291

    Seoul

  • Site 292

    Seoul

  • Site 294

    Seoul

Other trials in South Korea

Turkey (Türkiye)4 sites
  • Site 247

    Ankara

  • Site 248

    Ankara

  • Site 249

    Ankara

  • Site 246

    Trabzon

Other trials in Turkey (Türkiye)

Germany3 sites
  • Site 415

    Heidelberg

  • Site 416

    Jena

  • Site 417

    Paderborn

Other trials in Germany

Belgium1 site
  • Site 220

    Liège

Other trials in Belgium

About this study

Official title: A Phase 3 Randomized, Double-Blind, Multi-Center Study to Compare the Safety and Efficacy of Omadacycline Intravenous (IV)/Oral (PO) to Moxifloxacin IV/PO for Treating Adults Subjects With Community-Acquired Bacterial Pneumonia

The purpose of this study is to evaluate the safety and efficacy of omadacycline as compared to moxifloxacin in the treatment of adults with community-acquired bacterial pneumonia.

Being tested
Omadacycline, Moxifloxacin
Medical subject headings
Pneumonia, Bacterial, Community-Acquired Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • OmadacyclineDrug

    Injection for IV; Oral tablets

  • MoxifloxacinDrug

    Also called Avelox

    IV solution; Oral tablets

Study groups in NCT02531438
Study groupRoleWhat they receive
OmadacyclineExperimentalOmadacycline IV; Omadacycline tablets
Receives: Drug: Omadacycline
MoxifloxacinActive comparatorMoxifloxacin IV; Moxifloxacin tablets
Receives: Drug: Moxifloxacin

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Early Clinical Response

    Early clinical response is defined as clinical success, categorized by survival with improvement of at least 1 level compared to Baseline in at least 2 CABP symptoms (cough, sputum production, pleuritic chest pain, and dyspnea) with no worsening in the other CABP symptoms. Response was determined programmatically using the investigator's assessment of the CABP symptoms. The severity of the participant's CABP symptoms was evaluated on a 4-point scale (absent, mild, moderate, or severe) based upon the CABP Subject Symptom Severity Guidance Framework for Investigator Assessment. An indeterminate response is defined as one that could not be adequately inferred because the participant was not assessed because they withdrew consent, were lost to follow-up, or other specified reason. Clinical failure is defined as no improvement by at least 1 level in CABP symptoms, worsening of any CABP symptom, alternative antibacterial treatment for CABP, discontinuation due to adverse event, or death.

    Measured: Screening; 72 to 120 hours after the first dose of test article

Secondary outcomes (2)
  1. Number of Participants With the Indicated Investigator Assessment of Clinical Response in the ITT Population at the Post Therapy Evaluation (PTE) Visit

    At the PTE Visit the investigator indicated one of the following outcomes relating to the primary infection under study: Clinical Success: survival after completion of a test article regimen without receiving any systemic antibacterial therapy other than test article, resolution of signs/symptoms of the infection present at Screening with no new symptoms/complications attributable to CABP and no need for further antibacterial therapy. Clinical Failure: alternative antibacterial treatment for CABP was required prior to the PTE Visit related to either (a) progression/development of new CABP symptoms or (b) development of infectious complications of CABP. Other reasons for clinical failure: participant received antibiotics that may have been effective for the infection under study for a different infection from the one under study; death prior to the PTE Visit. Indeterminate: the clinical response to test article could not be adequately inferred.

    Measured: Screening; 5 to 10 days after the last day of therapy

  2. Number of Participants With the Indicated Investigator Assessment of Clinical Response in the Clinically Evaluable-Post Therapy Evaluation (CT-PTE) Population

    At the PTE Visit the investigator indicated one of the following outcomes relating to the primary infection under study: Clinical Success: survival after completion of a test article regimen without receiving any systemic antibacterial therapy other than test article, resolution of signs/symptoms of the infection present at Screening with no new symptoms/complications attributable to CABP and no need for further antibacterial therapy. Clinical Failure: alternative antibacterial treatment for CABP was required prior to the PTE Visit related to either (a) progression/development of new CABP symptoms or (b) development of infectious complications of CABP. Other reasons for clinical failure: participant received antibiotics that may have been effective for the infection under study for a different infection from the one under study; death prior to the PTE Visit.

    Measured: Screening; 5 to 10 days after the last day of therapy

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Aug 2015 (estimated)
  2. Study startNov 2015
  3. Primary completion5 Feb 2017
  4. Study completion10 Mar 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
774 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02531438
Sponsor's protocol ID
PTK0796-CABP-1200
Status last verified
Jan 2019
First submitted
14 Jul 2015
Last updated
16 Jan 2019
Data monitoring committee
Yes

Publications

  • Rodriguez GD, Warren N, Yashayev R, Chitra S, Amodio-Groton M, Wright K. Omadacycline in the treatment of community-acquired bacterial pneumonia in patients with comorbidities: a post-hoc analysis of the phase 3 OPTIC trial. Front Med (Lausanne). 2023 Jul 28;10:1225710. doi: 10.3389/fmed.2023.1225710. eCollection 2023.

    PubMed 37575994
  • Vacalis S, Brunton S, Gindi J. Omadacycline in Skin Infections and Pneumonia: A Review of the Evidence. J Fam Pract. 2022 Jun;71(5 Suppl):S10-S21. doi: 10.12788/jfp.0424.

    PubMed 35776862
  • Cornely OA, File TM Jr, Garrity-Ryan L, Chitra S, Noble R, McGovern PC. Safety and efficacy of omadacycline for treatment of community-acquired bacterial pneumonia and acute bacterial skin and skin structure infections in patients with mild-to-moderate renal impairment. Int J Antimicrob Agents. 2021 Feb;57(2):106263. doi: 10.1016/j.ijantimicag.2020.106263. Epub 2020 Dec 14.

    PubMed 33326848
  • Ramirez JA, Tzanis E, Curran M, Noble R, Chitra S, Manley A, Kirsch C, McGovern PC. Early Clinical Response in Community-acquired Bacterial Pneumonia: From Clinical Endpoint to Clinical Practice. Clin Infect Dis. 2019 Aug 1;69(Suppl 1):S33-S39. doi: 10.1093/cid/ciz397.

    PubMed 31367741
  • Stets R, Popescu M, Gonong JR, Mitha I, Nseir W, Madej A, Kirsch C, Das AF, Garrity-Ryan L, Steenbergen JN, Manley A, Eckburg PB, Tzanis E, McGovern PC, Loh E. Omadacycline for Community-Acquired Bacterial Pneumonia. N Engl J Med. 2019 Feb 7;380(6):517-527. doi: 10.1056/NEJMoa1800201.

    PubMed 30726692

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Omadacycline and Moxifloxacin in people with Bacterial Pneumonia and Community-Acquired Infections, run by Paratek Pharmaceuticals Inc at 140 sites in 25 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 16 Jan 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 140 sites in United States, Russia, Ukraine, Croatia, Bulgaria and 20 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 29 Nov 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Early Clinical Response (time frame: Screening; 72 to 120 hours after the first dose of test article). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02531438, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Jan 2019.

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