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OpenTrials
Completed

NCT Number: NCT01591447

Safety and Efficacy Study of Single-Dose Oral CEM-101 in Patients With Uncomplicated Urogenital Gonorrhea

To determine the safety and efficacy of a single dose of solithromycin (CEM-101) for the treatment of uncomplicated urogenital gonorrhea.

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Key information

Age range

19 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Jefferson County Department of Health, Birmingham, Alabama, United States

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Evidence of a urogenital gonococcal infection (prior culture, NAAT test, Gram stain, sexual contact)
  • Willing to abstain from anal, oral, or vaginal sexual intercourse or use condoms until study completion.
  • Females of childbearing potential (including females less than 2 years post-menopausal) must have a negative pregnancy test at enrollment.

Exclusion criteria

  • Confirmed, or suspected, complicated or systemic gonococcal infections such as pelvic inflammatory disease, arthritis, or endocarditis.
  • Known HIV, chronic hepatitis B, or hepatitis C infection.
  • Known concomitant infection which would require additional systemic antibiotics.
  • Use of systemic or intravaginal antibiotics within 30 days prior to study drug administration.
  • Current use of corticosteroid drugs or other immunosuppressive therapy.
  • Cytotoxic chemotherapy or radiation therapy within the previous 3 months.
  • Known significant renal, hepatic, or hematologic impairment.
  • History of intolerance or hypersensitivity to macrolide antibiotics.
  • Any concomitant condition that, in the opinion of the Investigator, would preclude an evaluation of a response or make it unlikely that the contemplated course of therapy and follow-up could be completed (e.g., life expectancy <30 days).

Treatment and study plan

Solithromycin

Drug

A single oral dose of 1200 mg solithromycin (CEM-101)

Solithromycin (CEM-101)

Drug

A single oral dose of 1000 mg solithromycin

Primary outcomes

  1. The bacterial eradication rate, as measured by conversion from positive Neisseria gonorrhoeae baseline urethral or cervical culture to negative

    Time frame: 3 to 9 days after study drug dosing

Secondary outcomes

  1. Safety and tolerability of a single oral dose of CEM-101 in adult patients with uncomplicated urogenital gonorrhea

    Time frame: One day after study drug dosing, and 3 to 9 days after study drug dosing

    Adverse event reporting, clinical laboratory evaluations

  2. The bacterial eradication of rectal or pharyngeal gonococcal infection (if positive culture at baseline)

    Time frame: 3 to 9 days after study drug dosing

  3. Eradication or persistence of N. gonorrhoeae nucleic acid (as measured by positive NAAT assay) from urethral and cervical specimens

    Time frame: 3 to 9 days after study drug dosing

  4. Eradication or persistence of Chlamydia trachomatis nucleic acid (as measured by positive NAAT assay) from urethral and cervical specimens

    Time frame: 3 to 9 days after study drug dosing

  5. In vitro minimum inhibitory concentrations (MICs) of gonococcal strains isolated

    Time frame: Baseline and (if applicable) 3 to 9 days after study drug dosing

Sponsors and collaborators

Lead sponsor

Melinta Therapeutics, Inc.

Industry

Registry information

Official study title

An Open-Label Study to Evaluate the Efficacy and Safety of a Single-Dose of Oral CEM-101 in the Treatment of Male and Female Patients With Uncomplicated Urogenital Gonorrhea

Important dates

Study start
2012
Primary completion
2013
Study completion
2013
First posted
May 4, 2012
Registry last updated
Mar 3, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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