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Uncomplicated Urinary Tract InfectionPhase 2NCT03425396

Oral Omadacycline vs. Oral Nitrofurantoin for the Treatment of Cystitis

A Phase 2 study testing Omadacycline tablets and Nitrofurantoin capsules in people with Uncomplicated Urinary Tract Infection and Cystitis, run by Paratek Pharmaceuticals Inc at 23 sites in United States.

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 oral omadacycline as compared to oral nitrofurantoin in the treatment of female adults with cystitis. Read more about this study

Who is it for?
Ages 18 years and older, women only
What is being tested?
Omadacycline tablets and Nitrofurantoin capsules
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
225 participants
Where
23 sitesUnited States
Study dates
4 Jan 2018to 5 Jun 2019
Phase
Phase 2
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
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Female participants, age 18 or older who have signed the informed consent form
  • Must have a qualifying uncomplicated urinary tract infection
  • Participants 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

  • Males
  • Evidence of complicated urinary tract infection (UTI), upper UTI, vaginitis, or sexually transmitted infection
  • Evidence of significant immunological disease
  • Has received an investigational drug within the past 30 days
  • Participants who are pregnant or nursing

Trial locations and contacts

23 sites in 1 country.

23 sites in 1 country

United States23 sites
  • Site 114

    Aventura, Florida, 33180

  • Site 122

    Berlin, New Jersey, 08009

  • Site 106

    Chula Vista, California, 91911

  • Site 102

    DeLand, Florida, 32720

  • Site 103

    Hialeah, Florida, 33015

  • Site 131

    Houston, Texas, 77061

  • Site 104

    Jackson, Tennessee, 38305

  • Site 125

    Jacksonville, Florida, 32256

  • Site 101

    La Mesa, California, 91942

  • Site 132

    Las Vegas, Nevada, 89106

  • Site 108

    Las Vegas, Nevada, 89109

  • Site 109

    Los Angeles, California, 90017

  • Site 121

    Miami, Florida, 33126

  • Site 130

    Miami, Florida, 33126

  • Site 115

    Miami, Florida, 33134

  • Site 127

    Miami Springs, Florida, 33166

  • Site 113

    Newton, Kansas, 67114

  • Site 112

    Omaha, Nebraska, 68144

  • Site 126

    Orlando, Florida, 82306

  • Site 118

    Raleigh, North Carolina, 27612

  • Site 120

    San Antonio, Texas, 78229

  • Site 105

    Smyrna, Tennessee, 37167

  • Site 110

    Wichita, Kansas, 67207

Other trials in United States

About this study

Official title: A Randomized, Double-Blinded, Adaptive Phase 2 Study to Evaluate the Safety and Efficacy of Oral Omadacycline and Oral Nitrofurantoin in the Treatment of Female Adults With Cystitis

The purpose of this study is to evaluate the safety and efficacy of oral omadacycline as compared to oral nitrofurantoin in the treatment of female adults with cystitis.

Read the detailed description

Participants were randomized to receive 7 days of treatment of either omadacycline or nitrofurantoin. The End of Treatment visit, Post Therapy Evaluation visit, and Final Follow-up visit was planned within 2 days following the last dose of study drug, on Day 14 (+/- 2 days) after the first dose of study drug, and within 30 to 37 days following the first dose of study drug, respectively. The study followed a double-dummy design. To maintain the study blinding, participants assigned to omadacycline received active omadacycline tablets and over-encapsulated nitrofurantoin placebo tablets. Participants assigned to the nitrofurantoin arm received omadacycline placebo tablets and over-encapsulated active nitrofurantoin capsules.

Being tested
Omadacycline tablets, Nitrofurantoin capsules
Medical subject headings
Cystitis

What participants receive

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

  • Omadacycline tabletsDrug

    Oral Omadacycline

  • Nitrofurantoin capsulesDrug

    Oral Nitrofurantoin

Study groups in NCT03425396
Study groupRoleWhat they receive
Omadacycline 300/300 once every 24 hoursExperimentalParticipants received omadacycline 300 milligrams orally, once every 12 hours, fed on Day 1 and omadacycline 300 milligrams orally, once every 24 hours on Days 2 through 7. Odd doses on Days 2 to 7 were administered in a fasted state. Even doses on Days 2 to 7 were administered approximately 2 hours following a light meal.
Receives: Drug: Omadacycline tablets
Omadacycline 450/300 once every 24 hoursExperimentalParticipants received omadacycline 450 milligrams orally, once every 12 hours, fed on Day 1 and omadacycline 300 milligrams orally, once every 24 hours on Days 2 through 7. Odd doses on Days 2 to 7 were administered in a fasted state. Even doses on Days 2 to 7 were administered approximately 2 hours following a light meal.
Receives: Drug: Omadacycline tablets
Omadacycline 450/450 once every 24 hoursExperimentalParticipants received omadacycline 450 milligrams orally, once every 12 hours, fed on Day 1 and omadacycline 450 milligrams orally, once every 24 hours on Days 2 through 7. Odd doses on Days 2 to 7 were administered in a fasted state. Even doses on Days 2 to 7 were administered approximately 2 hours following a light meal.
Receives: Drug: Omadacycline tablets
Omadacycline 450/450 once every 12 hoursExperimentalParticipants received omadacycline 450 milligrams orally, once every 12 hours, fed on Day 1 and omadacycline 450 milligrams orally, once every 12 hours on Days 2 through 7. Odd doses on Days 2 to 7 were administered in a fasted state. Even doses on Days 2 to 7 were administered approximately 2 hours following a light meal.
Receives: Drug: Omadacycline tablets
Nitrofurantoin 100/100 once every 12 hoursActive comparatorParticipants received nitrofurantoin 100 milligrams orally, once every 12 hours, fed on Day 1 and nitrofurantoin 100 milligrams orally, once every 12 hours on Days 2 through 7. Odd doses on Days 2 to 7 were administered in a fasted state. Even doses on Days 2 to 7 were administered approximately 2 hours following a light meal.
Receives: Drug: Nitrofurantoin capsules

What is being measured

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

  1. 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 sufficient resolution of cystitis signs and symptoms at the PTE visit such that no additional systemic antimicrobial therapy was 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. The clinical outcome was deemed as Indeterminate when the PTE visit was not completed.

    Measured: Day 14 (A PTE occurred on Day 14 ± 2 days after the participant's first dose of study drug)

Secondary outcomes (12)
  1. Number of Participants With an Investigator Assessment of Clinical Response at the End of Treatment (EOT) Visit (ITT Population)

    Clinical response was determined by the investigator at the EOT visit by assessing whether or not the participant met the clinical outcome of Clinical Success, Clinical Failure. Clinical Success was defined as sufficient resolution of cystitis signs and symptoms at the EOT visit such that no additional systemic antimicrobial therapy was required for the current infection. Clinical Failure was defined as no apparent response to therapy or persistence of signs and symptoms of infection at the EOT visit such that use of additional systemic antimicrobial therapy for the current infection was required. The clinical outcome was deemed as Indeterminate when the EOT visit was not completed.

    Measured: EOT visit (within 1 to 2 days following the last dose of study drug i.e. up to approximately 9 days)

  2. Number of Participants With an Investigator Assessment of Clinical Response at the EOT Visit (Microbiological [Micro]-ITT Population)

    Clinical response was determined by the investigator at the EOT visit by assessing whether or not the participant met the clinical outcome of Clinical Success, Clinical Failure, or Indeterminate. Clinical Success was defined as sufficient resolution of cystitis signs and symptoms at the EOT visit such that no additional systemic antimicrobial therapy was required for the current infection. Clinical Failure was defined as no apparent response to therapy or persistence of signs and symptoms of infection at the EOT visit such that use of additional systemic antimicrobial therapy for the current infection was required. The clinical outcome was deemed as Indeterminate when the EOT visit was not completed.

    Measured: EOT visit (within 1 to 2 days following the last dose of study drug i.e. up to approximately 9 days)

  3. Number of Participants With an Investigator Assessment of Clinical Response at the EOT Visit (CE-EOT Population)

    Clinical response was determined by the investigator at the EOT visit by assessing whether or not the participant met the clinical outcome of Clinical Success or Clinical Failure. Clinical Success was defined as sufficient resolution of cystitis signs and symptoms at the EOT visit such that no additional systemic antimicrobial therapy was required for the current infection. Clinical Failure was defined as no apparent response to therapy or persistence of signs and symptoms of infection at the EOT visit such that use of additional systemic antimicrobial therapy for the current infection was required. For the CE population, the clinical outcome was not deemed as indeterminate response.

    Measured: EOT visit (within 1 to 2 days following the last dose of study drug i.e. up to approximately 9 days)

  4. Number of Participants With an Investigator Assessment of Clinical Response at the PTE Visit (CE-PTE 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 or Clinical Failure. Clinical Success was defined as sufficient resolution of cystitis signs and symptoms at the PTE visit such that no additional systemic antimicrobial therapy was 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. For the CE population, the clinical outcome was not deemed as indeterminate response.

    Measured: Day 14 (A PTE occurred on Day 14 ± 2 days after the participant's first dose of study drug)

  5. Number of Participants With an Investigator Assessment of Clinical Response at the PTE Visit (Micro-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 sufficient resolution of cystitis signs and symptoms at the PTE visit such that no additional systemic antimicrobial therapy was 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. The clinical outcome was deemed as Indeterminate when the PTE visit was not completed.

    Measured: Day 14 (A PTE occurred on Day 14 ± 2 days after the participant's first dose of study drug)

  6. Number of Participants With an Investigator Assessment of Clinical Response at the Final Follow-up (FFU) Visit (ITT Population)

    Clinical response was determined by the investigator at the FFU visit by assessing whether or not the participant met the clinical outcome of Clinical Success, Clinical Failure, or Indeterminate. Clinical Success was defined as sufficient resolution of cystitis signs and symptoms at the FFU visit such that no additional systemic antimicrobial therapy was required for the current infection. Clinical Failure was defined as no apparent response to therapy or persistence of signs and symptoms of infection at the FFU visit such that use of additional systemic antimicrobial therapy for the current infection was required. The clinical outcome was deemed as Indeterminate when the FFU visit was not completed

    Measured: FFU visit (A FFU occurred 30 to 37 days following the first dose of study drug)

  7. Number of Participants With an Investigator Assessment of Clinical Response at the FFU Visit (CE-FFU Population)

    Clinical response was determined by the investigator at the FFU visit by assessing whether or not the participant met the clinical outcome of Clinical Success or Clinical Failure. Clinical Success was defined as sufficient resolution of cystitis signs and symptoms at the FFU visit such that no additional systemic antimicrobial therapy was required for the current infection. Clinical Failure was defined as no apparent response to therapy or persistence of signs and symptoms of infection at the FFU visit such that use of additional systemic antimicrobial therapy for the current infection was required. For the CE population, the clinical outcome was not deemed as indeterminate response.

    Measured: FFU visit (A FFU occurred 30 to 37 days following the first dose of study drug)

  8. Number of Participants With an Investigator Assessment of Clinical Response at the FFU Visit (Micro-ITT Population)

    Clinical response was determined by the investigator at the FFU visit by assessing whether or not the participant met the clinical outcome of Clinical Success, Clinical Failure, or Indeterminate. Clinical Success was defined as sufficient resolution of cystitis signs and symptoms at the FFU visit such that no additional systemic antimicrobial therapy was required for the current infection. Clinical Failure was defined as no apparent response to therapy or persistence of signs and symptoms of infection at the FFU visit such that use of additional systemic antimicrobial therapy for the current infection was required. The clinical outcome was deemed as Indeterminate when the FFU visit was not completed.

    Measured: FFU visit (A FFU occurred 30 to 37 days following the first dose of study drug)

  9. Number of Participants With a Microbiological Response at the EOT Visit (Micro-ITT Population)

    Microbiological response was determined programmatically at the EOT visit by assessing whether or not the participant met the microbiological outcome of Favorable, Unfavorable, or Indeterminate. Favorable microbiological outcomes included eradication and presumed eradication i.e., urine specimen showed absence of the original baseline pathogen or the baseline pathogen grew at <10^4 CFU/mL at visit. Unfavorable microbiological outcome included persistence i.e. urine culture showed continued presence (defined as ≥10^4 CFU/mL) of the original baseline pathogen(s) at visit. The microbiological outcome was deemed as Indeterminate when the urine specimen was not available to culture or the culture result was not interpretable.

    Measured: EOT visit (within 1 to 2 days following the last dose of study drug i.e. up to approximately 9 days)

  10. Number of Participants With a Microbiological Response at the EOT Visit (ME-EOT Population)

    Microbiological response was determined programmatically at the EOT visit by assessing whether or not the participant met the microbiological outcome of Favorable or Unfavorable. Favorable microbiological outcomes included eradication and presumed eradication i.e., urine specimen showed absence of the original baseline pathogen or the baseline pathogen grew at <10^4 CFU/mL at visit. Unfavorable microbiological outcome included persistence i.e. urine culture showed continued presence (defined as ≥10^4 CFU/mL) of the original baseline pathogen(s) at visit. For the ME population, the microbiological outcome was not deemed as indeterminate response.

    Measured: EOT visit (within 1 to 2 days following the last dose of study drug i.e. up to approximately 9 days)

  11. 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 Favorable, Unfavorable, or Indeterminate. Favorable microbiological outcomes included eradication and presumed eradication i.e., urine specimen showed absence of the original baseline pathogen or the baseline pathogen grew at <10^4 CFU/mL at visit. Unfavorable microbiological outcome included persistence i.e. urine culture showed continued presence (defined as ≥10^4 CFU/mL) of the original baseline pathogen(s) at visit. The microbiological outcome was deemed as Indeterminate when the urine specimen was not available to culture or the culture result was not interpretable.

    Measured: Day 14 (A PTE occurred on Day 14 ± 2 days after the participant's first dose of study drug)

  12. Number of Participants With a Microbiological Response at the PTE Visit (ME-PTE Population)

    Microbiological response was determined programmatically at the PTE visit by assessing whether or not the participant met the microbiological outcome of Favorable or Unfavorable. Favorable microbiological outcomes included eradication and presumed eradication i.e., urine specimen showed absence of the original baseline pathogen or the baseline pathogen grew at <10^4 CFU/mL at visit. Unfavorable microbiological outcome included persistence i.e. urine culture showed continued presence (defined as ≥10^4 CFU/mL) of the original baseline pathogen(s) at visit. For the ME population, the microbiological outcome was not deemed as indeterminate response.

    Measured: Day 14 (A PTE occurred on Day 14 ± 2 days after the participant's first dose of study drug)

Timeline

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

  1. First posted7 Feb 2018
  2. Study start4 Jan 2018
  3. Primary completion15 May 2019
  4. Study completion5 Jun 2019

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
225 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03425396
Sponsor's protocol ID
PTK0796-UUTI-17201
Status last verified
Jun 2020
First submitted
28 Dec 2017
Last updated
9 Jun 2020
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Omadacycline tablets and Nitrofurantoin capsules in people with Uncomplicated Urinary Tract Infection and Cystitis, run by Paratek Pharmaceuticals Inc at 23 sites in United States.

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 9 Jun 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 23 sites in United States. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 4 Jun 2020). 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 an Investigator Assessment of Clinical Response at the Post Therapy Evaluation (PTE) Visit (ITT Population) (time frame: Day 14 (A PTE occurred on Day 14 ± 2 days after the participant's first dose of study drug)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 9 Jun 2020.

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