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Bacterial InfectionsPhase 1NCT05217537

Study to Evaluate the PK of IV and PO Omadacycline in Children and Adolescents With Suspected or Confirmed Bacterial Infections

A Phase 1 study testing Omadacycline Injection [Nuzyra] and Omadacycline Oral Tablet in people with Bacterial Infections, run by Paratek Pharmaceuticals Inc at 9 sites 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 evaluate the pharmacokinetics of a single dose of intravenous or oral omadacycline in children and adolescents with suspected or confirmed bacterial infections. Read more about this study

Who is it for?
Ages 8 to 17 years
Conditions the study is for
Bacterial Infections
What is being tested?
Omadacycline Injection [Nuzyra] and Omadacycline Oral Tablet
Could I receive a placebo?
No, everyone receives an active treatment
How many people
23 participants
Where
9 sitesUnited States
Study dates
6 Apr 2022to 27 Feb 2025
Phase
Phase 1
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 8 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Male or female subjects, age 8 to < 18 (inclusive) who have written and signed parental/legal authorized representative (LAR) informed consent and pediatric assent.
  • Currently hospitalized with a suspected or confirmed bacterial infection and receiving or planned to receive systemic antibiotic therapy other than omadacycline.
  • Weight within the 5th and 95th percentile for age and sex.
  • Subjects must not be pregnant or nursing at the time of enrollment, and must agree to use a highly effective birth control method during the study

Who cannot join

  • Evidence of a medical condition that may pose a safety risk or impair study participation.
  • Confirmed or suspected SARS-CoV-2 infection.
  • Has a history of hypersensitivity or allergic reaction to any tetracycline antibiotic.
  • Has received an investigational drug within the past 30 days.

Trial locations and contacts

9 sites in 1 country.

9 sites in 1 country

United States9 sites
  • Site 114

    Aurora, Colorado, 80045

  • Site 105

    Chicago, Illinois, 60611

  • Site 106

    Cleveland, Ohio, 60611

  • Site 111

    Greenville, North Carolina, 27858

  • Site 108

    Houston, Texas, 77030

  • Site 109

    Little Rock, Arkansas, 72202

  • Site 112

    Long Beach, California, 90806

  • Site 107

    Orange, California, 92868

  • Site 113

    Philadelphia, Pennsylvania, 19104

Other trials in United States

About this study

Official title: A Phase 1, Open-Label, Multi-Center Study to Evaluate the Safety, Tolerability and Pharmacokinetics of Single Intravenous and Oral Doses of Omadacycline in Pediatric Subjects With Suspected or Confirmed Bacterial Infections

The purpose of this study is to evaluate the pharmacokinetics of a single dose of intravenous or oral omadacycline in children and adolescents with suspected or confirmed bacterial infections.

Being tested
Omadacycline Injection [Nuzyra], Omadacycline Oral Tablet
Medical subject headings
Bacterial Infections

What participants receive

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

  • Omadacycline Injection [Nuzyra]Drug

    Also called NUZYRA

    Single dose of 100 mg omadacycline IV in 100 mL of normal saline

  • Omadacycline Oral TabletDrug

    Also called NUZYRA

    Single dose of 300 mg omadacycline PO (2 x 150 mg tablets)

Study groups in NCT05217537
Study groupRoleWhat they receive
Cohort 1 (adolescents)Experimental12 to < 18 years of age
Receives: Drug: Omadacycline Injection [Nuzyra]; Drug: Omadacycline Oral Tablet
Cohort 2 (children)Experimental8 to < 12 years of age
Receives: Drug: Omadacycline Injection [Nuzyra]; Drug: Omadacycline Oral Tablet

What is being measured

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

  1. Area Under the Plasma Concentration Versus Time Curve (AUC) From Time 0 to 48hours (AUC0-48) of Omadacycline After IV Infusion

    Blood samples were collected and analyzed to determine the AUC(0-48). Pharmacokinetic parameters were estimated using non-compartmental methods and actual time data.

    Measured: Predose (At least 15 minutes prior to IV infusion), 10 minutes, 0.5, 1, 2, 8, 24 and 48 hours after the end of IV infusion

  2. AUC(0-48) of Omadacycline After Oral Administration

    Blood samples were collected and analyzed to determine the AUC0-48. Pharmacokinetic parameters were estimated using non-compartmental methods and actual time data.

    Measured: Predose (At least 15 minutes prior to oral administration), 1, 2, 3, 8, 24 and 48 hours after dosing

  3. AUC From Time 0 to the Last Quantifiable Concentration (AUClast) of Omadacycline After IV Infusion

    Blood samples were collected and analyzed to determine the AUClast. Pharmacokinetic parameters were estimated using non-compartmental methods and actual time data.

    Measured: Pre-dose (At least 15 minutes prior to IV infusion), and 0.5, 1, 2, 8, 24 and 48 hours after the end of IV infusion

  4. AUClast of Omadacycline After Oral Administration

    Blood samples were collected and analyzed to determine the AUClast. Pharmacokinetic parameters were estimated using non-compartmental methods and actual time data.

    Measured: Predose (At least 15 minutes prior to oral administration), 1, 2, 3, 8, 24 and 48 hours after dosing

  5. AUC From Time 0 Extrapolated to Infinity (AUC0-inf) of Omadacycline After IV Infusion

    Blood samples were collected and analyzed to determine AUC0-inf. Pharmacokinetic parameters were estimated using non-compartmental methods and actual time data.

    Measured: Predose (At least 15 minutes prior to IV infusion), 10 minutes, 0.5, 1, 2, 8, 24 and 48 hours after the end of IV infusion

  6. AUC0-inf of Omadacycline After Oral Administration

    Blood samples were collected and analyzed to determine AUC0-inf. Pharmacokinetic parameters were estimated using non-compartmental methods and actual time data.

    Measured: Predose (At least 15 minutes prior to oral administration), 1, 2, 3, 8, 24 and 48 hours after dosing

  7. Maximum Observed Plasma Concentration (Cmax) of Omadacycline After IV Infusion

    Blood samples were collected and analyzed to determine Cmax. Pharmacokinetic parameters were estimated using non-compartmental methods and actual time data.

    Measured: Predose (At least 15 minutes prior to IV infusion), 10 minutes, 0.5, 1, 2, 8, 24 and 48 hours after the end of IV infusion

  8. Cmax of Omadacycline After Oral Administration

    Blood samples were collected and analyzed to determine Cmax. Pharmacokinetic parameters were estimated using non-compartmental methods and actual time data.

    Measured: Predose (At least 15 minutes prior to oral administration), 1, 2, 3, 8, 24 and 48 hours after dosing

  9. Time to Reach Maximum Observed Plasma Concentration (Tmax) of Omadacycline After IV Infusion

    Blood samples were collected and analyzed to determine Tmax. Pharmacokinetic parameters were estimated using non-compartmental methods and actual time data.

    Measured: Predose (At least 15 minutes prior to IV infusion), 10 minutes, 0.5, 1, 2, 8, 24 and 48 hours after the end of IV infusion

  10. Tmax of Omadacycline After Oral Administration

    Blood samples were collected and analyzed to determine Tmax. Pharmacokinetic parameters were estimated using non-compartmental methods and actual time data.

    Measured: Predose (At least 15 minutes prior to oral administration), 1, 2, 3, 8, 24 and 48 hours after dosing

  11. Elimination Half-life Associated With the Terminal Slope of the Semilogarithmic Concentration-time Curve (t1/2) of Omadacycline After IV Infusion

    Blood samples were collected and analyzed to determine t1/2 and was calculated by using formula. Pharmacokinetic parameters were estimated using non-compartmental methods and actual time data.

    Measured: Predose (At least 15 minutes prior to IV infusion), 10 minutes, 0.5, 1, 2, 8, 24 and 48 hours after the end of IV infusion

  12. t1/2 of Omadacycline After Oral Administration

    Blood samples were collected and analyzed to determine t1/2. Pharmacokinetic parameters were estimated using non-compartmental methods and actual time data.

    Measured: Predose (At least 15 minutes prior to oral administration), 1, 2, 3, 8, 24 and 48 hours after dosing

  13. Apparent Volume of Distribution During the Terminal Phase (Vz) of Omadacycline After IV Infusion

    Blood samples were collected and analyzed to determine Vz. Pharmacokinetic parameters were estimated using non-compartmental methods and actual time data.

    Measured: Predose (At least 15 minutes prior to IV infusion), 10 minutes, 0.5, 1, 2, 8, 24 and 48 hours after the end of IV infusion

  14. Systemic Clearance (CL) of Omadacycline After IV Infusion

    Blood samples were collected and analyzed to determine CL. Pharmacokinetic parameters were estimated using non-compartmental methods and actual time data.

    Measured: Predose (At least 15 minutes prior to IV infusion), 10 minutes, 0.5, 1, 2, 8, 24 and 48 hours after the end of IV infusion

Secondary outcomes (7)
  1. Number of Participants Reporting Treatment-emergent Adverse Events (TEAEs), by Relationship to the Study Drug.

    An adverse event (AE) was any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. A TEAE was any event that had not been present before exposure to the study drug, or any event that had already been present but worsened in intensity or frequency after exposure.

    Measured: Up to Day 7

  2. Number of Participants Reporting TEAE by Severity

    An adverse event (AE) was any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. A TEAE was any event that had not been present before exposure to the study drug, or any event that had already been present but worsened in intensity or frequency after exposure.

    Measured: Up to Day 7

  3. Number of Participants Reporting TEAE, Serious Adverse Events (SAEs) and AE Leading to Discontinuation of Study Drug

    An AE was any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. A TEAE was any event that had not been present before exposure to the study drug, or any event that had already been present but worsened in intensity or frequency after exposure. An SAE was any adverse event that resulted in death, required hospitalization, persistent or significant disability, congenital anomaly.

    Measured: Up to Day 7

  4. Number of Participants With Change From Baseline in Hematology Parameters

    Blood samples were collected for the assessment of complete blood count (CBC) including hemoglobin, hematocrit, leukocytes, platelets, mean cell volume, platelet count, white blood cell counts, and differential to include the absolute counts for neutrophils, lymphocytes, eosinophils, monocytes and basophils.

    Measured: Up to Day 2

  5. Number of Participants With Change From Baseline in Serum Chemistry Parameters

    Blood samples were collected for the assessment of blood glucose, urea, creatinine, sodium, potassium, chloride, bicarbonate, alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (AP), total bilirubin, total protein, albumin, creatine phosphokinase (CK), calcium, phosphate, cholesterol, urate, amylase, lipase and gamma-glutamyl transpeptidase (GGT).

    Measured: Up to Day 2

  6. Number of Participants With Change From Baseline in Vital Signs

    Vital signs included blood pressure, heart rate, and oral body temperature and were collected at the specified timepoints. Vital signs were measured after participants had remained in a supine position for at least 5 minutes using an automated calibrated device.

    Measured: Up to Day 2

  7. Number of Participants With Clinically Significant Changes in Physical Examination

    A comprehensive physical examination was conducted, encompassing general appearance, skin, neck, eyes, ears, nose, throat, lungs, heart, abdomen, lymph nodes, extremities, and brief neurological exam.

    Measured: Up to Day 2

Timeline

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

  1. First posted1 Feb 2022
  2. Study start6 Apr 2022
  3. Primary completion27 Feb 2025
  4. Study completion27 Feb 2025

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 1
Primary purpose
Other
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
23 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05217537
Sponsor's protocol ID
PTK0796-PEDPK-20110
Status last verified
Feb 2026
First submitted
15 Dec 2021
Last updated
9 Mar 2026
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Omadacycline Injection [Nuzyra] and Omadacycline Oral Tablet in people with Bacterial Infections, run by Paratek Pharmaceuticals Inc at 9 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 4 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 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 9 Mar 2026). 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?

Area Under the Plasma Concentration Versus Time Curve (AUC) From Time 0 to 48hours (AUC0-48) of Omadacycline After IV Infusion (time frame: Predose (At least 15 minutes prior to IV infusion), 10 minutes, 0.5, 1, 2, 8, 24 and 48 hours after the end of IV infusion). The study lists 14 primary outcomes in all. 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 Mar 2026.

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