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.
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
- Conditions the study is for
- Bacterial Pneumonia, Community-Acquired Infections
- What is being tested?
- Omadacycline and Moxifloxacin
- Type of treatment
- Pill or oral medicine, Injection or infusion
- 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
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
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
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
Bulgaria7 sites
Site 305
Kyustendil
Site 303
Pernik
Site 304
Plovdiv
Site 306
Sliven
Site 301
Sofia
Site 302
Sofia
Site 307
Sofia
Hungary7 sites
Site 310
Budapest
Site 311
Budapest
Site 312
Budapest
Site 314
Debrecen
Site 316
Miskolc
Site 313
Nyíregyháza
Site 315
Székesfehérvár
Peru7 sites
Site 234
Cusco
Site 233
Lima
Site 236
Lima
Site 238
Lima
Site 239
Lima
Site 481
Lima
Site 237
Trujillo
Romania6 sites
Site 344
Brasov
Site 340
Bucharest
Site 342
Bucharest
Site 343
Bucharest
Site 345
Craiova
Site 341
Timișoara
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
Georgia5 sites
Site 390
Tbilisi
Site 391
Tbilisi
Site 392
Tbilisi
Site 393
Tbilisi
Site 394
Tbilisi
Greece5 sites
Site 207
Athens, Attica
Site 420
Athens, Attica
Site 210
Athens
Site 421
Athens
Site 208
Thessaloniki
Israel5 sites
Site 213
Holon
Site 214
Nazareth
Site 217
Petah Tikva
Site 215
Ramat Gan
Site 216
Safed
Mexico5 sites
Site 228
Guadalajara, Jalisco
Site 472
Guadalajara, Jalisco
Site 227
Monterrey, Nuevo León
Site 471
Monterrey, Nuevo León
Site 230
Xalapa, Veracruz
Philippines5 sites
Site 555
Caloocan
552
Iloilo City
554
Manila
Site 551
Quezon City
Site 553
Quezon City
Poland5 sites
Site 332
Chrzanów
Site 333
Katowice
Site 334
Łęczna
Site 330
Lodz
Site 331
Wroclaw
Spain5 sites
Site 226
Alicante
Site 224
Alzira, Valencia
Site 221
Barcelona, Catalonia
Site 440
Barcelona, Catalonia
Site 225
Elche, Alicante
Taiwan5 sites
Site 299
Kaohsiung City
Site 297
Tainan
Site 295
Taipei
Site 296
Taipei
Site 298
Taipei
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
Slovakia4 sites
Site 431
Bratislava
Site 430
Levice
Site 432
Martin
Site 433
Nitra
South Korea4 sites
Site 293
Daegu
Site 291
Seoul
Site 292
Seoul
Site 294
Seoul
Turkey (Türkiye)4 sites
Site 247
Ankara
Site 248
Ankara
Site 249
Ankara
Site 246
Trabzon
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.
- Conditions
- Bacterial Pneumonia, Community-Acquired Infections
- 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 group | Role | What they receive |
|---|---|---|
| Omadacycline | Experimental | Omadacycline IV; Omadacycline tablets Receives: Drug: Omadacycline |
| Moxifloxacin | Active comparator | Moxifloxacin IV; Moxifloxacin tablets Receives: Drug: Moxifloxacin |
What is being measured
The primary outcome is the main question the study is designed to answer.
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)
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
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.
- First posted24 Aug 2015 (estimated)
- Study startNov 2015
- Primary completion5 Feb 2017
- Study completion10 Mar 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Bacterial PneumoniaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Paratek Pharmaceuticals Inc
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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 37575994Vacalis 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 35776862Cornely 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 33326848Ramirez 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 31367741Stets 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
Study at a glance
From the registry record, last updated by the sponsor on 16 Jan 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT02531438
- Acronym / sponsor ID
- PTK0796-CABP-1200
- Conditions
- Bacterial Pneumonia, Community-Acquired Infections
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 774 participants (actual)
- Lead sponsor
- Paratek Pharmaceuticals IncIndustry (pharma, biotech, devices)
- Study start
- Nov 2015 (actual)
- Primary completion
- 5 Feb 2017 (actual)
- Study completion
- 10 Mar 2017 (actual)
- First posted
- 24 Aug 2015 (estimated)
- Results
- Posted 29 Nov 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Omadacycline | Experimental | Drug: OmadacyclineOmadacycline IV; Omadacycline tablets |
| Moxifloxacin | Active comparator | Drug: MoxifloxacinMoxifloxacin IV; Moxifloxacin tablets |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- 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
Key exclusion criteria (5 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| OmadacyclineInjection for IV; Oral tablets | Drug | Omadacycline |
| MoxifloxacinAlso: AveloxIV solution; Oral tablets | Drug | Moxifloxacin |
Primary outcome
Number of Participants With Early Clinical Response
Time frame: Screening; 72 to 120 hours after the first dose of test article
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.
2 secondary outcomes
Number of Participants With the Indicated Investigator Assessment of Clinical Response in the ITT Population at the Post Therapy Evaluation (PTE) Visit
Time frame: Screening; 5 to 10 days after the last day of therapy
Number of Participants With the Indicated Investigator Assessment of Clinical Response in the Clinically Evaluable-Post Therapy Evaluation (CT-PTE) Population
Time frame: Screening; 5 to 10 days after the last day of therapy
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Jan 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 37575994Rodriguez 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.
- Derived from this study: PubMed 35776862Vacalis 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.
- Derived from this study: PubMed 33326848Cornely 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.
- Derived from this study: PubMed 31367741Ramirez 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.
- Derived from this study: PubMed 30726692Stets 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.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
140 sites in 25 countries: see every site and its status.
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.