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Cystic FibrosisPhase 4NCT04460586

Pharmacokinetics of Omadacycline in Cystic Fibrosis

A Phase 4 study testing Omadacycline Injection [Nuzyra] and Omadacycline Oral Tablet [Nuzyra] in people with Cystic Fibrosis, run by Paul Beringer at 1 site in United States.

Completed

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

Official record

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Trial summary

The purpose of this study is to characterize the pharmacokinetics of intravenous and oral omadacycline in patients with cystic fibrosis. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Cystic Fibrosis
What is being tested?
Omadacycline Injection [Nuzyra] and Omadacycline Oral Tablet [Nuzyra]
Could I receive a placebo?
No, everyone receives an active treatment
How many people
9 participants
Where
1 siteUnited States
Study dates
1 Jul 2021to 31 Dec 2023
Phase
Phase 4

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

  • Diagnosis of CF based on positive sweat chloride or known CF mutation
  • Age >=18 years

Who cannot join

  • Presence of an ongoing acute pulmonary exacerbation defined based on clinical signs \& symptoms and an acute decline in relative FEV1 of 10% or greater.
  • Pregnancy or breastfeeding
  • Serious past allergy to a tetracycline antibiotic
  • No alcohol, nicotine, or caffeine-containing products during the study period
  • Hemoglobin < 8 g/dL

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Southern California

    Los Angeles, California, 90089

Other trials in United States

About this study

Official title: Pharmacokinetics of Omadacycline in Patients With Cystic Fibrosis

The purpose of this study is to characterize the pharmacokinetics of intravenous and oral omadacycline in patients with cystic fibrosis.

Read the detailed description

Omadacycline exhibits excellent activity against bacteria including methicillin-resistant Staphylococcus aureus (MRSA), Burkholderia cepacia, and Nontuberculous mycobacteria (NTM) that are a potential source of lung infection in CF patients. As omadacycline demonstrates antimicrobial activity against a number of pathogens in CF, the investigators hope to learn the optimal dose of omadacycline necessary to treat lung infections in patients with CF in the future. The study hypothesis is that omadacycline will exhibit good oral bioavailability in patients with CF.

Conditions
Cystic Fibrosis
Being tested
Omadacycline Injection [Nuzyra], Omadacycline Oral Tablet [Nuzyra]
Medical subject headings
Cystic Fibrosis

What participants receive

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

  • Omadacycline Injection [Nuzyra]Drug

    Participants will receive single dose of omadacycline 100mg IV followed by a 1-week washout and receipt of single dose omadacycline 300 mg PO.

  • Omadacycline Oral Tablet [Nuzyra]Drug

    Participants will receive single dose of omadacycline 100mg IV followed by a 1-week washout and receipt of single dose omadacycline 300 mg PO.

Study groups in NCT04460586
Study groupRoleWhat they receive
Omadacycline IV followed by POExperimentalOmadacycline 100mg IV, Omadacycline 300 mg tablet
Receives: Drug: Omadacycline Injection [Nuzyra]; Drug: Omadacycline Oral Tablet [Nuzyra]

What is being measured

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

  1. Cmax

    To assess the maximum concentration of omadacycline after single dose of oral and intravenous administration.

    Measured: 3 Days

  2. Tmax

    To assess the time to maximum concentration of omadacycline after single dose of oral and intravenous administration.

    Measured: 3 days

  3. AUC

    To assess the area under the plasma concentration time curve extrapolated to infinity of omadacycline after single dose of oral and intravenous administration.

    Measured: 3 days

  4. Absolute Bioavailability

    To determine the absolute bioavailability (%) of omadacycline following single dose of IV and PO administration.

    Measured: 6 days

Timeline

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

  1. First posted7 Jul 2020
  2. Study start1 Jul 2021
  3. Primary completion1 Dec 2023
  4. Study completion31 Dec 2023

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 4
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Model description
A single group of patients with CF will receive a single dose of omadacycline 100mg IV followed by a 1-week washout and receipt of 300 mg PO.
Masking
None (open label)
Enrolment
9 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04460586
Sponsor's protocol ID
HS-20-00513
Status last verified
May 2026
First submitted
1 Jul 2020
Last updated
8 May 2026
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Sanders M, Hong E, Chung PS, Rao AP, Beringer P. Pharmacokinetics of Omadacycline in Adults with Cystic Fibrosis. Clin Pharmacokinet. 2024 Dec;63(12):1701-1709. doi: 10.1007/s40262-024-01440-w. Epub 2024 Nov 24.

    PubMed 39581957

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