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Nontuberculous Mycobacterial Pulmonary Disease (NTM-PD)Phase 2NCT05496374

A Study to Evaluate the Efficacy, Safety, Tolerability, and Pharmacokinetics of SPR720 as Compared With Placebo for the Treatment of Participants With Mycobacterium Avium Complex (MAC) Pulmonary Disease

A Phase 2 study testing SPR720 500 mg and SPR720 1000 mg in people with Nontuberculous Mycobacterial Pulmonary Disease (NTM-PD), run by Spero Therapeutics at 28 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 the study is to evaluate 1. The microbiological response and clinical efficacy of SPR720 compared with placebo in participants with nontuberculous mycobacteria pulmonary disease (NTM-PD). 2. The safety and tolerability of SPR720 in participants with NTM- PD 3. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
SPR720 500 mg and SPR720 1000 mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
25 participants
Where
28 sitesUnited States
Study dates
14 Dec 2022to 2 Dec 2024
Phase
Phase 2
Are there results?
None posted in the registry

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

  • Has a prior diagnosis of NTM-PD due to MAC according to American Thoracic Society (ATS) criteria
  • Has at least one prior lower respiratory culture (sputum or bronchoalveolar lavage [BAL]) positive for MAC in the 12 months prior to consent
  • Has an induced sputum culture at Screening positive for MAC by quantitative culture on solid agar
  • Is either treatment naïve and has not received any prior treatment for MAC, OR if previously treated for MAC and meets all of the following criteria:
  • Has a history of successful treatment with sputum culture conversion to negative
  • Has recent sputum or BAL culture evidence of recurrent or relapsed disease and
Show all 21Show fewer
  • Has been off therapy for at least 3 months prior to consent
  • Has clinical signs and symptoms within the 6 weeks prior to consent that are consistent with NTM-PD with ≥2 of the following:
  • chronic cough
  • fatigue
  • frequent throat clearing
  • shortness of breath (dyspnea)
  • coughing up of blood (hemoptysis)
  • excessive mucus (sputum) production
  • fever (temperature >38ºC or >100.4ºF)
  • night sweats
  • loss of appetite
  • unintended weight loss
  • wheezing
  • chest pain
  • Has a measured forced expiratory volume in the first second following maximal inhalation (FEV1) % predicted ≥30% within 3 months prior to consent. If prior FEV1% predicted test result is not available, obtain FEV1% predicted at Screening to confirm eligibility

Who cannot join

  • In the opinion of the Investigator, is not a candidate for a 5-month delay in initiation of standard multidrug therapy to participate in a placebo-controlled clinical trial (e.g., participant has severe symptoms or, extensive disease burden)
  • Has disseminated or extrapulmonary NTM disease
  • Has end-stage NTM-PD or treatment-refractory NTM-PD
  • Has isolation on lower respiratory (sputum or BAL) cultures of any Mycobacterium species other than those included in MAC within the 6 months prior to consent
  • Has any other condition or prior therapy, which, in the opinion of the Investigator, would make the participant unsuitable for this study, including compliance with all study assessments and adherence to the protocol schedule of assessment
  • Prior exposure to SPR720. Participants who are unable to comply with the requirements of the study or who in the opinion of the Investigator should not participate in the study are not eligible
  • Other inclusion and exclusion criteria as per protocol may apply.

Trial locations and contacts

28 sites in 1 country.

28 sites in 1 country

United States28 sites
  • Medical facility

    Atlanta, Georgia, 30342

  • Medical Facility

    Birmingham, Alabama, 35233

  • Medical Facility

    Chapel Hill, North Carolina, 27599

  • Medical Facility

    Charleston, South Carolina, 29425

  • Medical Facility

    Cleveland, Ohio, 44106

  • Medical Facility

    Denison, Texas, 75020

  • Medical Facility

    Fresno, California, 93701

  • Medical Facility

    Iowa City, Iowa, 52242

  • Medical Facility

    Kansas City, Kansas, 66103

  • Medical Facility

    Kissimmee, Florida, 34746-4654

  • Medical Facility

    Lebanon, New Hampshire, 03756

  • Medical Facility

    Los Angeles, California, 90033

  • Medical Facility

    Loxahatchee Groves, Florida, 33470

  • Medical Facility

    Miami, Florida, 33136

  • Medical Facility

    New Bedford, Massachusetts, 02740

  • Medical Facility

    New Hyde Park, New York, 11042

  • Medical Facility

    Newport Beach, California, 92663

  • Medical Facility

    Northridge, California, 91324

  • Medical Facility

    Pittsburgh, Pennsylvania, 15213

  • Medical Facility

    Portland, Oregon, 97239

  • Medical Facility

    Rochester, Minnesota, 55905

  • Medical Facility

    Santa Clarita, California, 91355

  • Medical Facility

    Sebring, Florida, 33870

  • Medical Facility

    Sherman, Texas, 75090

  • Medical Facility

    Tampa, Florida, 33606

  • Medical Facility

    Tyler, Texas, 75708

  • Medical Facility

    Washington D.C., District of Columbia, 20007

  • Medical Facility

    Winston-Salem, North Carolina, 27103

Other trials in United States

About this study

Official title: A Randomized, Investigator-Blinded, Placebo-Controlled, Multicenter, Phase 2, Dose-Ranging Study to Evaluate the Efficacy, Safety, Tolerability, and Pharmacokinetics of SPR720 as Compared With Placebo for the Treatment of Patients With Mycobacterium Avium Complex (MAC) Pulmonary Disease

The purpose of the study is to evaluate

  1. The microbiological response and clinical efficacy of SPR720 compared with placebo in participants with nontuberculous mycobacteria pulmonary disease (NTM-PD).
  2. The safety and tolerability of SPR720 in participants with NTM- PD
  3. The pharmacokinetic (PK) of SPR719, active moiety, following orally (po) administered prodrug SPR720 in participants with NTM-PD.
Being tested
Placebo, SPR720 500 mg, SPR720 1000 mg
Keywords
Mycobacterium avium Complex, MAC, Pulmonary disease
Medical subject headings
Mycobacterium avium-intracellulare Infection, Lung Diseases

What participants receive

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

  • PlaceboDrug

    Placebo-matching capsules was administered orally.

  • SPR720 500 mgDrug

    SPR720 500 mg (250 mg × 2 capsules) was administered orally.

  • SPR720 1000 mgDrug

    SPR720 500 mg (250 mg × 4 capsules) was administered orally.

Study groups in NCT05496374
Study groupRoleWhat they receive
Investigator Blind: PlaceboPlacebo comparatorParticipants received SPR720 matching-placebo capsules, orally, once daily (QD) for 56 days.
Receives: Drug: Placebo
Investigator Blind: SPR720 500 mgExperimentalParticipants received SPR720 500 mg (250 mg × 2) capsules along with 2 SPR720 matching- placebo capsules, orally, QD for 56 days.
Receives: Drug: SPR720 500 mg
Investigator Blind: SPR720 1000 mgExperimentalParticipants received SPR720 1000 mg (250 mg × 4) capsules, orally, QD for 56 days.
Receives: Drug: SPR720 1000 mg
Open-label: SPR720 1000 mgExperimentalParticipants received SPR720 1000 mg (250 mg × 4) capsules, orally, QD for 56 days.
Receives: Drug: SPR720 1000 mg
Open-label: SPR720 500 mgExperimentalParticipants received SPR720 500 mg (250 mg × 2) capsules, orally, twice daily (BID) for 56 days.
Receives: Drug: SPR720 500 mg

What is being measured

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

  1. Slope of the Weekly Sputum Log10 Colony Forming Units Per Millilitre (CFU/mL) Change From Day 1 Through 56 in micro-Intent to Treat (m-ITT) Population

    Measured: Days 1 through 56 (end of the treatment [EOT])

Secondary outcomes (20)
  1. Slope of the Weekly Sputum Log10 CFU/mL Change From Days 1 Through 28 in micro-ITT Population

    Measured: Days 1 through 28

  2. Slope of the Time to Positivity (TTP) using Mycobacteria Growth Indicator Tube (MGIT) on Samples of Induced Sputum From Days 1 Through 56 (EOT) in micro-ITT Population

    Measured: Days 1 through 56 (EOT)

  3. Change from Baseline in the Sputum Log10 CFU/mL in the micro-ITT Population

    Measured: Days 1 through 56 (EOT)

  4. Change from Baseline in the Sputum TTP Using MGIT in micro-ITT Population

    Measured: Days 1 through 56 (EOT)

  5. Time to Negative Sputum Culture in micro-ITT Population

    Measured: Days 1 through 56 (EOT)

  6. Percent with Negative Sputum Culture in micro-ITT Population

    Measured: Days 14 through Day 84 (FU)

  7. Changes in Susceptibility in SPR719 From Days 1 through 56 (EOT) in the micro-ITT Population

    Susceptibility is ≥4-fold increase in minimum inhibitory concentration for same pathogen identified at Baseline.

    Measured: Days 1 through 56 (EOT)

  8. Clinical Response in the micro-ITT Population

    Investigator indicated their assessment of participants overall clinical response as resolved, improved, unchanged, or worsened.

    Measured: Baseline up to Day 84 (FU)

  9. Clinical Response in the Clinically Evaluable (CE) Populations

    Investigator indicated their assessment of participants overall clinical response as resolved, improved, unchanged, or worsened.

    Measured: Baseline up to Day 84 (FU)

  10. Change From Baseline in 11-point Nontuberculous Mycobacteria Pulmonary Disease (NTM-PD) Symptoms and Impact Scale for Quality of Life (QOL) Assessments

    The 11-point NTM-PD Symptoms and Impact Scale will evaluate specific clinical signs and symptoms and QOL improvements and will include symptoms of chronic cough, fatigue, frequent throat clearing, dyspnea, hemoptysis, excessive mucus (sputum) production, chills, night sweats, loss of appetite, unintended weight loss, wheezing, and chest pain.

    Measured: Baseline up to FU Day 84

  11. Change From Baseline in 6-point Patient Global Impression of Severity (PGI-S) Scale for Quality of Life (QOL) Assessments

    The PGI-S scale is comprised of a 6-point verbal descriptor scale to determine meaningful change reported for the other symptom ratings in participants with NTM-PD.

    Measured: Baseline up to FU Day 84

  12. Change From Baseline in 7-point Patient Global Impression of Change (PGI-C) scale for Quality of Life (QOL) Assessments

    The PGI-C scale is a patient-reported rating of improvement on a 7-point verbal descriptor scale.

    Measured: Baseline up to FU Day 84

  13. Change From Baseline in Flu, COVID-19, or Other Illness Questionnaire (2 questions) for Quality of Life (QOL) Assessments

    This 2-question form will assess the participants flu, COVID-19 or other illness status and how these illnesses have affected the participants NTM-PD disease over the past 7 days.

    Measured: Baseline up to FU Day 84

  14. Change from Baseline in Patient-Reported Outcomes Measurement Information System (PROMIS®) V1.0 Fatigue Short form 7a scale for Quality of Life (QOL) Assessments

    The PROMIS® scale will assess the participants experience of fatigue (frequency, duration, and intensity) and the impact of fatigue on physical, mental, and social activities using a validated 5-point Likert scale.

    Measured: Baseline up to FU Day 84

  15. Number of Participants with Treatment Emergent Adverse Events (TEAEs)

    An adverse event (AE) is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product, which does not necessarily have to have a causal relationship with the treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational/experimental) product, whether related to this product or not.

    Measured: From first dose of study drug (Day 1) up to follow up Day 84

  16. Maximum Plasma Concentration (Cmax) (Intensive PK group only)

    Measured: Pre-dose and post-dose on Days 1 and 14

  17. Time to reach Cmax (Tmax) (Intensive PK group only)

    Measured: Pre-dose and post-dose on Days 1 and 14

  18. Area Under the Concentration-time Curve (AUC0-τ) (Intensive PK group only)

    Measured: Pre-dose and post-dose on Days 1 and 14

  19. Accumulation Ratio of SPR719 Cmax on Day 14 Compared to Day 1 (Intensive PK group only)

    Measured: Pre-dose and post-dose on Days 1 and 14

  20. Accumulation Ratio of SPR719 AUC0-τ on Day 14 Compared to Day 1 (Intensive PK group only)

    Measured: Pre-dose and post-dose on Days 1 and 14

Timeline

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

  1. First posted11 Aug 2022
  2. Study start14 Dec 2022
  3. Primary completion8 Oct 2024
  4. Study completion2 Dec 2024

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
25 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05496374
Sponsor's protocol ID
SPR720-202
Status last verified
Oct 2025
First submitted
9 Aug 2022
Last updated
9 Oct 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Ussery XT, Bhatt N, Critchley IA, Wong SL, Pottage JC Jr, Melnick D, Hamed KA. Randomized study of the efficacy, safety, and pharmacokinetics of SPR720 for the treatment of Mycobacterium avium complex pulmonary disease. Sci Rep. 2026 Feb 20;16(1):10063. doi: 10.1038/s41598-026-40505-7.

    PubMed 41720869

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing SPR720 500 mg and SPR720 1000 mg in people with Nontuberculous Mycobacterial Pulmonary Disease (NTM-PD), run by Spero Therapeutics at 28 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 21 inclusion and 7 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 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 28 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. Some participants in this study may receive a placebo. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Slope of the Weekly Sputum Log10 Colony Forming Units Per Millilitre (CFU/mL) Change From Day 1 Through 56 in micro-Intent to Treat (m-ITT) Population (time frame: Days 1 through 56 (end of the treatment [EOT])). 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 NCT05496374, which also lists 1 linked publication.

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 Oct 2025.

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